Investigacion y Educacion en Enfermeria最新文献

{"title":"Analysis of the concept of nurses' autonomy in intensive care units: A hybrid model.","authors":"Fariba Taleghani, Raziye Dehbozorgi, Monire Babashahi, Sharife Monemian, Masoume Masoumi","doi":"10.17533/udea.iee.v41n2e17","DOIUrl":"10.17533/udea.iee.v41n2e17","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the concept of autonomy of nurses in Intensive Care Units (ICU).</p><p><strong>Methods: </strong>The hybrid model approach proposed by Schwartz-Barcott and Kim, which includes theoretical, fieldwork and analytical phases, was used for this study. For the theoretical and fieldwork phases, the Graneheim and Lundman stages and the CORE-Q checklist were used, and the results were combined in the final analysis phase. For the theoretical phase, 46 related articles, two instruments and four books were identified after using a search strategy in 7 bibliographic databases in English and one in Persian with the terms MESH: 'nursing', 'autonomy' and 'intensive care'. The information extracted in the theoretical phase served as the basis for the design of the questions used in the semi-structured interviews in the fieldwork phase. Eight nurses with ICU experience working in hospitals affiliated to Isfahan University of Medical Sciences (Iran) participated in the fieldwork phase.</p><p><strong>Results: </strong>The antecedents of the concept of nurse autonomy in ICUs were: empowerment of the workforce, organizational platform, and social and individual views of the profession. Its attributes were professionalism and high personal capabilities. Finally, increased personal competencies, promotion of quality of care, improved attitudes towards the profession and professional outcomes were noted as consequences.</p><p><strong>Conclusion: </strong>The autonomy of nurses in the ICU can facilitate their empowerment, which translates into the promotion of their caring behaviours, followed by the improvement of patient outcomes and quality of care.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43298396","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":"Multilevel Self-Management in Nursing Research: An Approach to Decrease Health Disparities in Chronic Diseases.","authors":"Evelyn Iriarte, Rosina Cianelli, Madeline Fernandez-Pineda","doi":"10.17533/udea.iee.v41n2e10","DOIUrl":"10.17533/udea.iee.v41n2e10","url":null,"abstract":"<p><strong>Objective: </strong>To discuss multilevel self-management intervention research in nursing to decrease health disparities among people living with chronic diseases.</p><p><strong>Content synthesis: </strong>Multilevel interventions have become the core of nursing research in the last decade. However, a critical limitation of existing interventions targeting health disparities among those living with chronic diseases is the tendency to address single or individual-level factors solely.</p><p><strong>Conclusion: </strong>Nursing research is creating knowledge that may be translated into clinical practice and promoting evidence-based and innovative self-management practices to decrease health disparities and promote health equity among people living with chronic diseases.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42008063","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":"Conceptual Models and Theories Applied to Nursing Education in Intercultural Contexts: State of the Art.","authors":"Adriana Lucia Valdéz Fernández","doi":"10.17533/udea.iee.v41n2e14","DOIUrl":"10.17533/udea.iee.v41n2e14","url":null,"abstract":"<p><strong>Objective: </strong>To analyze academic production about nursing models and theories in intercultural contexts applied to the field of education.</p><p><strong>Methods: </strong>State-of-the-art study, which examined 50 articles from research.</p><p><strong>Results: </strong>Application of the cultural competence model was found as a trend at disciplinary level, and in at interdisciplinary level, critical pedagogy was used. Regarding the curriculum, it is observed that cultural competency is a subject that is taught, but it is not treated in transversal manner. The principal didactics was cultural immersion, which permits acquiring skills and aptitudes to care for diverse population. The evaluation in the educational act centered on characterizing the level of acquisition of cultural competency. The gaps indicate the difficulty of applying the models and theories in practice scenarios, while the recommendations focus on the importance of teacher training in cultural competency.</p><p><strong>Conclusion: </strong>Interculturality is approached as a borrowed theory that, from education, contributes to the nursing practice from training that vindicates situational knowledge and its articulation with ethics permits developing skills to relate with others who have their own views regarding health care.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45300365","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":"Multidimensional Frailty and Traumatic Brain Injury among Older Adults: A Literature Review.","authors":"Kathryn Gerber, Evelyn Iriarte, Carmen Josefa Sierra","doi":"10.17533/udea.iee.v41n2e02","DOIUrl":"10.17533/udea.iee.v41n2e02","url":null,"abstract":"<p><strong>Background: </strong>Numerous health conditions in the older adult population can be attributed to falls, including traumatic brain injury (TBI), which can lead to devastating short and long-term sequelae. Older adults are also more likely to experience frailty, which encompasses physical, psychological, and social deficits that may lead to adverse health outcomes. Our literature review synthesizes current evidence for understanding frailty in the context of TBI among older adults using the Integral Model of Frailty as a framework.</p><p><strong>Content synthesis: </strong>A total of 32 articles were identified, and 9 articles were included. The results of this review indicate that outcomes resulting from TBI are closely linked to the physical, psychological, and social domains of frailty.</p><p><strong>Conclusions: </strong>A small amount of literature currently examines frailty in the context of TBI among older adults. Using the Integral Model of Frailty to understand frailty in the context of TBI can help clinicians anticipate patient outcomes and improve care plans. We emphasize the need for a greater understanding of TBI concerning frailty to improve health outcomes among older adult patients.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46616561","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":"Lessons learned about virtual education during the COVID-19 pandemic.","authors":"Monireh Faghir-Gangi, Rozhan Khezri, Yousef Mohammadpour, Rohollah Valizadeh","doi":"10.17533/udea.iee.v41n2e01","DOIUrl":"10.17533/udea.iee.v41n2e01","url":null,"abstract":"","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49022390","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":"Construction and Validation of an Occupational Risks Scale for Intra-hospital Nursing Staff.","authors":"Katya Cuadros-Carlesi, Carlos Henríquez-Roldán, Elena Meneses Ciuffardi, Jaime Fuentes Ibáñez, Paola Ruiz-Araya","doi":"10.17533/udea.iee.v41n2e16","DOIUrl":"10.17533/udea.iee.v41n2e16","url":null,"abstract":"<p><strong>Objective: </strong>To construct and evaluate initial validity indicators of an instrument on occupational risks for hospital nursing staff.</p><p><strong>Methods: </strong>A methodological study was conducted in four Chilean hospitals. The study was carried out in three stages: (i) integrative literature review on risk assessment instruments for nursing; (ii) descriptive qualitative study on 113 health professionals to identify their work conditions and experiences regarding occupational risks and construct three instruments proposals for nursing managers, clinical nurses, and technicians; and (iii) validity and reliability study of the three instruments in 503 nurses and nursing technicians. To collect the data from the qualitative study, individual interviews, focal groups, and non-participant observation were conducted. The data were analyzed thematically into predefined risk categories. Content validation was performed through expert judgment, and exploratory factor analysis of principal components was conducted for the preliminary construct validity study. Cronbach's alpha was used as an indicator of internal consistency.</p><p><strong>Results: </strong>A total of 128 items were identified, distributed across 11 categories and 25 subcategories of occupational risks for the three instruments derived from the original proposal. After expert validation, pilot study, and instrument administration, Cronbach's alpha values between 0.88 and 0.93 were obtained. Exploratory factor analysis distinguished eight to eleven components, with unsatisfactory goodness-of-fit indicators.</p><p><strong>Conclusion: </strong>The instruments demonstrated good parameters of content validity and reliability, although their construct validity needs further improvement.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43100667","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":"Validation to Spanish of nursing assessment scale for early diagnosis of delirium - Nu-DESC.","authors":"Ángela María Henao Castaño, Lina María Lozano González, Luz Omaira Gómez Tovar","doi":"10.17533/udea.iee.v41n2e03","DOIUrl":"10.17533/udea.iee.v41n2e03","url":null,"abstract":"<p><strong>Objective: </strong>This work aimed to determine the validity and reliability of the Colombian Spanish version of the Nursing Delirium Screening Scale (Nu-DESC).</p><p><strong>Methods: </strong>A psychometric study was conducted to achieve the goal of this study, which measured face validity, content validity, sensitivity, specificity and predictive values of the Nu-DESC.</p><p><strong>Results: </strong>. Face validity obtained a total Aiken V of 0.89, and content validity showed a modified Lawshe index of 0.92. When Nu-DESC was applied to 210 adult patients hospitalized in the Intensive Care Unit, it was found that 14.2% had suspected delirium. The instrument showed a sensitivity of 91.6%, specificity of 95.6%, positive predictive value of 73.3%, negative predictive value of 98.8%, good internal consistency with Cronbach's α of 0.8 and good concordance according to Cohen's Kappa index of 0.788.</p><p><strong>Conclusion: </strong>The Spanish version of the Nu-DESC scale for Colombia has appropriate psychometric values for assessing delirium risk. In addition, this scale is easy to apply, so the adaptation of nursing personnel for its employability favors routine monitoring and timely detection of delirium.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44740293","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":"Predictors of COVID-19 Related Health Literacy among Older People Living in Rural Areas of Indonesia.","authors":"Fiqna Khozanatuha, Rahmi Setiyani, Lita Heni Kusumawardani","doi":"10.17533/udea.iee.v41n2e13","DOIUrl":"10.17533/udea.iee.v41n2e13","url":null,"abstract":"<p><strong>Objective: </strong>. This study aims to identify predictive factors of COVID-19-related health literacy (HL) among older adults living in rural areas.</p><p><strong>Methods: </strong>This study used a cross-sectional design. A total of 106 respondents participated in this study. HL was measured by using a questionnaire modified from the HLS-COVID-Q22, in addition, the scales 'Health Information Seeking','Family's Social Support Scale', 'Health Service Utilization'; and information on some socio-demographic variables was also obtained. A multiple linear regression model was used to identify the predictors of HL.</p><p><strong>Results: </strong>About two-thirds of the respondents had a moderate level of HL (63.2%). Multiple linear regression analysis showed that education level, family support, information source, and gender were significant predictors for HL (p<0.01).</p><p><strong>Conclusion: </strong>HL literacy was better among males, highly educated older people, media users, and those with adequate family support. This study provided insight for nurses and healthcare professionals to pay greater attention to vulnerable groups of older people (ie. female gender and those with less formal education) as well as involve family members in education or health promotion activities and use easily accessed media, such as television and radio.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45669610","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":"Right to health and encouragement of social participation in elementary education.","authors":"Maria Luiza Dos Santos Barbosa,&nbsp;Carla Aparecida Arena Ventura,&nbsp;Marina Liberale,&nbsp;Raquel Helena Hernandez Fernandes","doi":"10.17533/udea.iee.v41n1e08","DOIUrl":"https://doi.org/10.17533/udea.iee.v41n1e08","url":null,"abstract":"<p><strong>Objectives: </strong>Develop and validate an ordinary meeting simulation template of the Municipal Health Council applied to students of cycle II of Elementary School.</p><p><strong>Methods: </strong>Qualitative and descriptive research developed in two phases: construction of simulation scenario of ordinary meeting of the Municipal Health Council and validation by committee of experts who analyzed the representativeness and adequacy of the content. The scenario included the items: prebriefing, additional information about the case, scenario objectives, evaluation criteria (observers), scenario duration time, human and physical resources, instructions for the actors, context, references and debriefing. In order to be able to understand which items should be modified according to the evaluations of the experts, it was used as criterion that only items that had 80% or higher percentage of agreement between the experts for modification would be modified.</p><p><strong>Results: </strong>There was agreement to modify the prebriefing in: additional information about the case (100%); learning objectives (88.8%); human and physical resources (88.8%); context (88.8%); and in the debriefing (88.8%). The prebriefing did not reach the level of agreement: evaluation criteria (66.6%), duration of the scenario (77.7%), instruction for authors (77.7%), references (77.7%), which were modified.</p><p><strong>Conclusions: </strong>With the template developed and then validated by the committee of experts, it will be possible to develop in the classroom content related to the right to health and social participation in the scope of elementary education, as well as encourage engagement in important bodies for the maintenance of democracy, justice and social equity.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424768","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":"IImpact of the COVID-19 pandemic on the nursing students education in a public university in Colombia.","authors":"Cecilia Leon Palomino,&nbsp;Sandra Catalina Ochoa Marín,&nbsp;Vanessa Restrepo Betancur,&nbsp;Sonia Semenic","doi":"10.17533/udea.iee.v41n1e11","DOIUrl":"https://doi.org/10.17533/udea.iee.v41n1e11","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the impacts of the COVID-19 pandemic on nursing student education in one public university in Medellin, Colombia.</p><p><strong>Methods: </strong>This descriptive qualitative study used content analysis to address the following questions: (1) How has the COVID-19 pandemic impacted nursing education at the University of Antioquia? (2) What were the most important challenges experienced by nursing students? (3) What was most supportive for the students during the pandemic? and (4) What were the potential opportunities and lessons learned related to nursing education? Data were collected virtually through individual online interviews with 14 undergraduate nursing students and analysed using qualitative content analysis with constant comparisons.</p><p><strong>Results: </strong>Four main categories of findings related to the experience of undergraduate nursing students during the COVID-19 pandemic were identified: (1) transitioning to online learning, (2) managing the digital world, (3) impacts on clinical training, and (4) work-related stressors. Key challenges included home environments that were not conducive to learning, reduced social interactions with peers and faculty, accessing technology required for online education and insufficient preparation for clinical practice. Family members and university-provided resources were important sources of student support. Whereas the pandemic limited opportunities for hands-on clinical training, the shift to online learning allowed for the development of skills related to informational technologies and telehealth.</p><p><strong>Conclusions: </strong>Undergraduate students at the University of Antioquia identified significant barriers to learning during the COVID-19 pandemic restrictions and transition to online learning, as well as new opportunities for the development of digital skills among both students and faculty.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424772","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}