Enfermeria clinica (English Edition)最新文献

Quality of life and emotional state of patients who are candidates for CAR-T therapy: Role of the advanced practice nurse.

Enfermeria clinica (English Edition) Pub Date : 2025-03-08 DOI: 10.1016/j.enfcle.2025.502188

Mercedes Montoro-Lorite, Gloria García, Cristina Moreno-García, Ariadna Domènech, Pilar Ayora, Carla Ramos

{"title":"Quality of life and emotional state of patients who are candidates for CAR-T therapy: Role of the advanced practice nurse.","authors":"Mercedes Montoro-Lorite, Gloria García, Cristina Moreno-García, Ariadna Domènech, Pilar Ayora, Carla Ramos","doi":"10.1016/j.enfcle.2025.502188","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502188","url":null,"abstract":"Introduction: 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.Methods: 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.Results: 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 (p 0.056) or receiving psychological care in their center of origin (p 0.583) were found. However, a correlation between the presence of anxiety/depression among participants referred to the psychology service by the Advanced Practice Nurse (APN) (p < 0.001) was found.Conclusions: 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502188"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598026","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

Advanced nursing competencies in rare diseases. A rapid realistic review. 罕见病高级护理能力。快速现实审查。

Enfermeria clinica (English Edition) Pub Date : 2025-03-03 DOI: 10.1016/j.enfcle.2025.102127

Héctor Nafría-Soria, Isabel Salcedo-de Diego, Pilar Serrano-Gallardo

{"title":"Advanced nursing competencies in rare diseases. A rapid realistic review.","authors":"Héctor Nafría-Soria, Isabel Salcedo-de Diego, Pilar Serrano-Gallardo","doi":"10.1016/j.enfcle.2025.102127","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102127","url":null,"abstract":"Objective: To identify the advanced competencies developed by nurses in the care of patients with Rare Diseases, exploring how contextual factors interact to generate mechanisms that enable the development of these competencies.Method: Realist Rapid Review. A reference panel, composed of professionals and stakeholders involved in Rare Diseases, contributed to the development of the research question and the design of the search strategy, which was conducted in Medline, CINAHL, CUIDEN, and grey literature. Data were extracted and analyzed by the researchers, then refined and validated by an expert panel. After data analysis, Context-Mechanism-Outcome configurations (CMOs) were developed, considering the outcomes as nurses´competencies in the care of patients with Rare Diseases.Results: A total of 1294 documents were identified, of which 25 were selected. Eight Context-Mechanism-Outcome (CMO) configurations were constructed and grouped into three levels: macro (healthcare management policies), meso (associative movement), and micro (related to patients, family, and professionals). The advanced competencies identified and validated were related to case management/continuity of care/coordination between services; training and education; specialization competencies; development of a humanistic profile and patient advocacy; substitution roles/competencies and development of technological competencies.Conclusions: The developed CMO configurations provide plausible explanations that can contribute to the potential development of an advanced competency profile for nurses caring for patients with Rare Diseases and their families in the Spanish context, thereby enhancing their healthcare delivery.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102127"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569029","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

Delphi consensus on a questionnaire of information, knowledge and promotion of living donor kidney transplantation.

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.102159

Laura Rota-Musoll, Xavier Palomar-Aumatell, Meritxell Mondéjar-Pont, Guillermo Pedreira-Robles, Sergi Cazorla-Calderon, Mireia Subirana-Casacuberta

{"title":"Delphi consensus on a questionnaire of information, knowledge and promotion of living donor kidney transplantation.","authors":"Laura Rota-Musoll, Xavier Palomar-Aumatell, Meritxell Mondéjar-Pont, Guillermo Pedreira-Robles, Sergi Cazorla-Calderon, Mireia Subirana-Casacuberta","doi":"10.1016/j.enfcle.2025.102159","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102159","url":null,"abstract":"Objective: To match the items of a questionnaire on the information process of renal replacement therapy and the degree of information and promotion of living donor kidney transplantation by nephrology nurses, taking into account the gender perspective.Methods: This study was developed in 2 phases: 1) elaboration of an initial questionnaire by the research team, which consisted of 4 nurses, and 2) completion of two rounds of the Delphi method to agree on the research team's proposal.Results: 16 specialist nurses from all areas of nephrology nursing participated. Of the original questionnaire with 35 questions, 31 items were agreed upon. After the two Delphi rounds, consensus was reached on all questions and a new question was included, which was introduced by the panelists. The consensus made it possible to identify 7 dimensions, which were grouped into 4 themes: Profile of professionals, type of information on renal replacement therapy, knowledge and promotion of kidney transplantation in vivo.Conclusions: This research has made it possible to create a questionnaire agreed by experts to identify the type of information that nephrology nurses give to people with kidney disease and how the gender perspective influences the information process. At the same time, this tool will facilitate the identification of nurses' level of knowledge about living donor kidney transplantation and the way they promote this renal treatment to the people they care for.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102159"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544783","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

GloVANet and WoCoVA: platforms that integrate evidence and practice in vascular access.

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.502166

Gloria Ortiz Miluy, Timothy Spencer

引用次数: 0

Interdisciplinary management and anesthetic nursing care for a pediatric patient with epidermolysis bullosa.

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.102155

Luis García-Costa, Susana Raquel Pérez-Rayo, Alejandro Bosch-Alcaraz, Andrea Ruiz-Romero

{"title":"Interdisciplinary management and anesthetic nursing care for a pediatric patient with epidermolysis bullosa.","authors":"Luis García-Costa, Susana Raquel Pérez-Rayo, Alejandro Bosch-Alcaraz, Andrea Ruiz-Romero","doi":"10.1016/j.enfcle.2025.102155","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102155","url":null,"abstract":"Epidermolysis Bullosa (EB) is a rare disease characterized by the formation of blisters and vesicles on the skin and mucous membranes. There are 4 types: simple, junctional, dystrophic, and Kindler syndrome. They can have serious complications such as difficult airway, syndactyly, wound superinfection, or squamous cell carcinoma. We present the case of a 6-year-old male patient with severe generalized recessive dystrophic EB, surgically intervened for syndactyly in the left upper limb and cures in both lower limbs. These patients have a high risk of suffering adverse events related to the surgical process secondary to the fragility of their tegumentary system, mucous membranes, and noble organs. For this reason, prior to the surgical procedure, an anamnesis and planning was performed, confirming that the patient had a difficult airway as evidenced by previous anesthesia and by the Mallampati scale, a mouth opening greater than or equal to 3 cm and a reduced degree of head-neck mobility. Therefore, minimally invasive measures were taken such as a single venoclysis and maintenance of spontaneous breathing and control of this through nasal glasses with capnography and pulse oximetry. An alternative plan was considered in case these measures failed. In addition, special care was applied, such as the use of dressings and vaseline for skin protection, avoiding friction in mobilizations, pain management with intravenous analgesia and nerve blocks, and anxiolysis through family accompaniment.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102155"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544812","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

Application of bladder ultrasound to reduce urinary catheterization in patients suspected of acute urinary retention: A systematic review.

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.502163

Iván Fernández-Prada, Sendoa Ballesteros-Peña

{"title":"Application of bladder ultrasound to reduce urinary catheterization in patients suspected of acute urinary retention: A systematic review.","authors":"Iván Fernández-Prada, Sendoa Ballesteros-Peña","doi":"10.1016/j.enfcle.2025.502163","DOIUrl":"10.1016/j.enfcle.2025.502163","url":null,"abstract":"Aim: To evaluate the impact of the use of bladder ultrasound in the reduction of urinary catheterization in patients suspected of acute urinary retention or at risk of suffering from it.Method: A systematic literature review was conducted across various databases to identify studies comparing the use of bladder ultrasound to standard practice in managing acute urinary retention. Both observational and experimental studies that reported the number of urinary catheterizations performed were included.Results: A total of 8 studies involving 3210 participants were included. The findings indicated that the use of bladder ultrasound was associated with a significant reduction in the number of urinary catheterizations, with decreases ranging from 20% to 90% compared to control groups. Even in studies where a reduction in the number of catheterizations was not observed, there was a decrease in adverse effects associated with this procedure, such as urinary tract infections and extended hospital stays.Conclusions: This systematic review provides evidence on the benefits of bladder ultrasound in diagnosing and managing acute urinary retention, enabling a reduction in the number of urinary catheterizations. Implementing this technology, along with proper training for nursing staff, could enhance patient care and safety, as well as the efficiency of healthcare systems.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502163"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544809","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

Pain and anxiety due to venipuncture in the adult population.

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.102143

Mario I Ortiz, Juan de Dios Bautista-Montiel, Héctor Carreto-Díaz, Eduardo Fernández-Martínez, Carlo E Medina-Solís

{"title":"Pain and anxiety due to venipuncture in the adult population.","authors":"Mario I Ortiz, Juan de Dios Bautista-Montiel, Héctor Carreto-Díaz, Eduardo Fernández-Martínez, Carlo E Medina-Solís","doi":"10.1016/j.enfcle.2025.102143","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102143","url":null,"abstract":"Aim: To evaluate anxiety and pain induced by venipuncture and its statistical association with sociodemographic variables and history of previous venipuncture in the adult population.Method: 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®.Results: 2157 adults participated, of whom 1464 (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 1206 (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.Conclusions: 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102143"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543926","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

The effect of the use of sterile transparent film dressing on the catheter dwell time and the development of catheter-related complications in newborns: Randomized clinical trial.

Enfermeria clinica (English Edition) Pub Date : 2025-02-16 DOI: 10.1016/j.enfcle.2025.102147

Müjde Çalıkuşu İncekar, Suzan Yıldız, Yağmur Gül, Ozan Uzunhan

{"title":"The effect of the use of sterile transparent film dressing on the catheter dwell time and the development of catheter-related complications in newborns: Randomized clinical trial.","authors":"Müjde Çalıkuşu İncekar, Suzan Yıldız, Yağmur Gül, Ozan Uzunhan","doi":"10.1016/j.enfcle.2025.102147","DOIUrl":"10.1016/j.enfcle.2025.102147","url":null,"abstract":"Objective: The aim of this study was to evaluate the effect of sterile transparent film dressing and tape dressing used in peripheral intravenous catheter application in newborns on the catheter dwell time and the development of catheter-related complications.Methods: The study was conducted in the neonatal intensive care unit of a hospital as a randomized controlled trial design. This study was conducted with the group that sterile transparent film dressing and the group that tape dressing methods. Data were collected using newborn follow-up forms, the Infiltration Scale and Phlebitis Scale.Results: There was no statistically significant difference between the two groups referring to the signs of extravasation, phlebitis, and occlusion in newborns related to the catheter dwell time and catheter-related complications (p > 0.05). The scores and signs of infiltration were higher in the tape dressing group (p < 0.05).Conclusion: The use of a sterile transparent film dressing reduces tissue infiltration in neonates with peripheral intravenous catheters. It is recommended that health care professionals working in neonatal intensive care units use sterile transparent film dressings to dress peripheral intravenous catheters.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102147"},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442914","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

Exploring the relationship between spiritual well-being and respect for patient privacy among nurses and midwives in Turkey.

Enfermeria clinica (English Edition) Pub Date : 2025-02-15 DOI: 10.1016/j.enfcle.2025.502162

Kemal Macit Hisar, Sabriye Uçan Yamaç

{"title":"Exploring the relationship between spiritual well-being and respect for patient privacy among nurses and midwives in Turkey.","authors":"Kemal Macit Hisar, Sabriye Uçan Yamaç","doi":"10.1016/j.enfcle.2025.502162","DOIUrl":"10.1016/j.enfcle.2025.502162","url":null,"abstract":"Objective: The aim of this study was to examine the relationship between of nurses and midwives spiritual well-being and respect for patient privacy.Methods: The target population of this descriptive research consisted of nurses and midwives employed in healthcare institutions in a district located in the Mediterranean Region of Turkey. The data were collected from 494 nurses and midwives between January 18 and April 29, 2022 using a demographic information form, the Spiritual Well-Being Scale, and the Patient Privacy Scale.Results: The sample consisted of 494 participants, 422 (85.4%) females and 72 (14.6%) males. The findings revealed that the midwives had significantly higher levels of respect for patient privacy and spiritual well-being than the nurses. Moreover, the participants' spiritual well-being and respect for patient privacy were positively correlated with age and clinical experience but negatively associated with weekly working hours.Conclusions: In light of these findings, increasing midwives' and nurses' awareness of spiritual well-being and patient privacy through formal education, in-service training, drama activities, and case analyses can contribute to improving the quality of care. In further research, it may be recommended to evaluate the perceptions, opinions and practices of midwives and nurses regarding patient privacy and spiritual well-being.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502162"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434421","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

Obstetric violence during the SARS-CoV-2 pandemic in Spain: A descriptive study. 西班牙 SARS-CoV-2 大流行期间的产科暴力：描述性研究。

Enfermeria clinica (English Edition) Pub Date : 2025-02-15 DOI: 10.1016/j.enfcle.2025.102151

Desirée Mena-Tudela, Susana Iglesias-Casás, María Jesús Valero-Chillerón, Irene Llagostera-Reverter, Julián Mahiques-Llopis

{"title":"Obstetric violence during the SARS-CoV-2 pandemic in Spain: A descriptive study.","authors":"Desirée Mena-Tudela, Susana Iglesias-Casás, María Jesús Valero-Chillerón, Irene Llagostera-Reverter, Julián Mahiques-Llopis","doi":"10.1016/j.enfcle.2025.102151","DOIUrl":"10.1016/j.enfcle.2025.102151","url":null,"abstract":"Aim: The aim of this study was to describe women's perceptions of obstetric violence, medicalisation, and interventionism at childbirth in Spain during the SARS-CoV-2 pandemic.Method: A cross-sectional design was used. For data collection, an online questionnaire with closed questions was designed and distributed via social media. Women who gave birth between March 2020 and April 2021 in Spain were recruited.Results: The sample consisted of 6060 questionnaires. Sixty-two percent of respondents thought that the measures taken were arbitrary and ineffective in curbing the pandemic. For the following variables, statistically significant differences were found between groups related to maternal SARS-CoV-2 diagnosis: feeling rejected for suspected positive SARS-CoV-2 status (p<0.001), being encouraged to breastfeed (p=0.048), offering bottles without consent (p<0.001), not being allowed to be accompanied (p<0.001), and separating the healthy baby from the mother at birth (p=0.009). Women who tested positive were also less satisfied with their care and felt less empowered. Thirty-three point five percent of women (n=2030) report having suffered obstetric violence. Of these, 67.8% (n=1376) believe that such obstetric violence is not justified by the pandemic.Discussion: Understanding these experiences during a pandemic provides an opportunity to develop specific protection policies for women in the event of future health crises.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102151"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442907","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