Enfermeria clinica (English Edition)最新文献

CUIDAVEN, an app for the care of people with vascular access. A care innovation project. CUIDAVEN，这是一款用于治疗血管疾病的应用。一个护理创新项目。

Enfermeria clinica (English Edition) Pub Date : 2025-07-21 DOI: 10.1016/j.enfcle.2025.502297

Jesús Bujalance-Hoyos, Margarita Enríquez de Luna-Rodríguez, Ana Carmen González-Escobosa, Ana María Oña-González, María José Fernández Álvarez, Raquel López Suárez

引用次数: 0

Research poems: exploring the experience of parents of children who have died in the paediatric intensive care unit. 研究诗歌：探索在儿科重症监护病房死亡儿童的父母的经历。

Enfermeria clinica (English Edition) Pub Date : 2025-07-21 DOI: 10.1016/j.enfcle.2025.502255

María Teresa González-Gil, Sara Alcón-Nájera, Cristina Oter-Quintana

{"title":"Research poems: exploring the experience of parents of children who have died in the paediatric intensive care unit.","authors":"María Teresa González-Gil, Sara Alcón-Nájera, Cristina Oter-Quintana","doi":"10.1016/j.enfcle.2025.502255","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502255","url":null,"abstract":"Objective: The purpose of the article is to analyse the use of research poems to capture the essence of the lived experience of families who have lost their children in PICU.Methods: Qualitative phenomenological study in the PICU of a high complexity hospital. Thirteen interviews were conducted (11 mothers and 9 fathers). Poetic analysis was used at an advanced stage of the analysis process with the intention of refining the theoretical proposal and as a means of generating evidence of a different nature tailored to different audiences.Results: Six poems are presented. They reflect the main themes of analysis that capture the experience of families who have lost their children in PICU: 'Questions', 'No good prognosis', 'Those little things', 'You are saying goodbye', 'Life also springs forth' and 'Lullaby of the good death'. Throughout these are metaphorically condensed pills or phenomenological essences that enlighten us on the experience of: information and communication of bad news, participation in complex decision-making, participation in day-to-day and end-of-life care, facilitation of intimate family spaces and for the family, care of the family system (with special attention to siblings), and accompaniment for the farewell.Conclusions: The research poems capture the essence of the lived experience as interpreted by the participants to be projected through a medium that amplifies their voice. The poems are a form of presentation of results that mobilises the audience to encourage transformation and change towards excellence in care from a humanising perspective.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502255"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700483","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}

引用次数: 0

Analysis of risk factors associated with phlebitis in peripheral venous catheters. Zero Phlebitis Project. 外周静脉置管引起静脉炎的危险因素分析。零静脉炎项目。

Enfermeria clinica (English Edition) Pub Date : 2025-07-21 DOI: 10.1016/j.enfcle.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":"Analysis of risk factors associated with phlebitis in peripheral venous catheters. Zero Phlebitis Project.","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.enfcle.2025.502298","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502298","url":null,"abstract":"Introduction: 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.Methodology: 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.Results: 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.Conclusions: 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502298"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700481","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}

引用次数: 0

Implementation sciences: Transformative potential for the advancement of nurses in vascular access care. 实施科学：血管通路护理护士进步的变革潜力。

Enfermeria clinica (English Edition) Pub Date : 2025-07-17 DOI: 10.1016/j.enfcle.2025.502306

Enrique Castro-Sánchez, Ismael Fernández-Fernández, Ian Blanco-Mavillard

{"title":"Implementation sciences: Transformative potential for the advancement of nurses in vascular access care.","authors":"Enrique Castro-Sánchez, Ismael Fernández-Fernández, Ian Blanco-Mavillard","doi":"10.1016/j.enfcle.2025.502306","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502306","url":null,"abstract":"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. 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502306"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669032","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}

引用次数: 0

Infusion sets and vascular access as a strategy to address future challenges in intravenous therapy. 输液器和血管通路作为解决未来静脉治疗挑战的策略。

Enfermeria clinica (English Edition) Pub Date : 2025-07-15 DOI: 10.1016/j.enfcle.2025.502217

Miguel Ángel Rodríguez-Calero, Peter J Carr, Paulo Santos-Costa, Ian Blanco-Mavillard

{"title":"Infusion sets and vascular access as a strategy to address future challenges in intravenous therapy.","authors":"Miguel Ángel Rodríguez-Calero, Peter J Carr, Paulo Santos-Costa, Ian Blanco-Mavillard","doi":"10.1016/j.enfcle.2025.502217","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502217","url":null,"abstract":"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. 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, Infusion and Vascular Access Devices (IVADs) 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 addressing future challenges in this field.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502217"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661160","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}

引用次数: 0

An empirical approach to quiet quitting in Argentine nurses. 阿根廷护士安静辞职的实证方法。

Enfermeria clinica (English Edition) Pub Date : 2025-07-14 DOI: 10.1016/j.enfcle.2025.502245

Solana Salessi

引用次数: 0

Management of the care and maintenance of vascular access devices: a challenge for nursing care. 血管通路装置的护理和维护管理：对护理的挑战。

Enfermeria clinica (English Edition) Pub Date : 2025-07-14 DOI: 10.1016/j.enfcle.2025.502284

Sonia Casanova-Vivas, Pablo López-Guardiola

{"title":"Management of the care and maintenance of vascular access devices: a challenge for nursing care.","authors":"Sonia Casanova-Vivas, Pablo López-Guardiola","doi":"10.1016/j.enfcle.2025.502284","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502284","url":null,"abstract":"The use of vascular access devices (VADs) is highly prevalent in patients in the hospital and out-of-hospital settings. Short peripheral venous catheters (CVPCs) 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. 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502284"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651399","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}

引用次数: 0

Vessel health and preservation: Vascular access key risk considerations. 血管健康和保存：血管通路的关键风险考虑因素。

Enfermeria clinica (English Edition) Pub Date : 2025-07-03 DOI: 10.1016/j.enfcle.2025.502302

Nancy Moureau

{"title":"Vessel health and preservation: Vascular access key risk considerations.","authors":"Nancy Moureau","doi":"10.1016/j.enfcle.2025.502302","DOIUrl":"10.1016/j.enfcle.2025.502302","url":null,"abstract":"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. 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. 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 24h of admission and placement within 48h, 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. 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502302"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565493","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}

引用次数: 0

Understanding emotional fatigue: A systematic review of causes, consequences, and coping strategies. 理解情绪疲劳：对原因、后果和应对策略的系统回顾。

Enfermeria clinica (English Edition) Pub Date : 2025-06-23 DOI: 10.1016/j.enfcle.2025.502190

Sara Diogo Gonçalves, Rita S Matos

{"title":"Understanding emotional fatigue: A systematic review of causes, consequences, and coping strategies.","authors":"Sara Diogo Gonçalves, Rita S Matos","doi":"10.1016/j.enfcle.2025.502190","DOIUrl":"10.1016/j.enfcle.2025.502190","url":null,"abstract":"Emotional fatigue, a significant component of burnout, is increasingly recognized as a critical issue affecting healthcare professionals and other high-stress occupations. This systematic review identifies the causes, consequences, and coping strategies associated with emotional fatigue in healthcare workers. A comprehensive search of peer-reviewed articles was conducted across multiple databases. The selection criteria focused on studies that explicitly addressed emotional fatigue, its determinants, impacts, and coping mechanisms. The review identified common causes of emotional fatigue, such as prolonged exposure to high-stress environments, lack of social support, and insufficient recovery time. Consequences include decreased job performance, increased absenteeism, and a higher risk of mental health disorders. Coping strategies include mindfulness practices, organizational support, and the implementation of work-life balance interventions. The findings underscore the importance of addressing emotional fatigue through both individual and systemic approaches. While coping strategies can mitigate some effects, organizational changes are essential to create a supportive work environment. Emotional fatigue is a critical issue that requires attention at both the individual and organizational levels.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502190"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499690","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}

引用次数: 0

Reflections and experiences in conducting a European survey in relation to clinician practices with vascular access devices for systemic anti-cancer therapy. 在欧洲进行一项关于血管通路装置用于全身抗癌治疗的临床医生实践的调查的反思和经验。

Enfermeria clinica (English Edition) Pub Date : 2025-06-18 DOI: 10.1016/j.enfcle.2025.502248

Caitriona Duggan, Martha Killilea, Veronica McInerney, Onagh O'Grady, Jacqueline Daly, Aoife Lowery

{"title":"Reflections and experiences in conducting a European survey in relation to clinician practices with vascular access devices for systemic anti-cancer therapy.","authors":"Caitriona Duggan, Martha Killilea, Veronica McInerney, Onagh O'Grady, Jacqueline Daly, Aoife Lowery","doi":"10.1016/j.enfcle.2025.502248","DOIUrl":"10.1016/j.enfcle.2025.502248","url":null,"abstract":"Background: 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 survey throughout Europe to investigate healthcare professionals' current practices surrounding vascular access devices used for systemic anti-cancer therapy.Methods: 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.Conclusion: 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502248"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337304","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}

引用次数: 0