Enfermeria clinica (English Edition)最新文献

{"title":"Level of knowledge and self-perceived preparedness regarding gender-based violence protocols among primary care nurses: A descriptive study.","authors":"Anxela Soto-Rodríguez, Nuria Martínez-Blanco, Noelia Freire-González, Adrián González Maestro, Iria Iglesias-Gende, Raquel Leirós-Rodríguez","doi":"10.1016/j.enfcle.2026.502600","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502600","url":null,"abstract":"<p><strong>Introduction: </strong>Gender-based violence (GBV) constitutes a major public health problem and a challenge for healthcare systems, in which Primary Care plays a key role in early detection and intervention. Adequate training and competence among healthcare professionals are essential to ensure effective care.</p><p><strong>Objective: </strong>To evaluate theoretical knowledge and self-perceived professional preparedness regarding GBV care protocols among Primary Care nurses working in the Galician Health Service (Sergas).</p><p><strong>Methodology: </strong>A descriptive cross-sectional study was conducted with 317 Primary Care nurses. Data collection was carried out using an ad hoc questionnaire administered through Google Forms® between June and September 2025. Non-probabilistic convenience sampling was employed. The study was approved by the Pontevedra-Vigo-Ourense Research Ethics Committee (code: 2025/240).</p><p><strong>Results: </strong>The overall level of knowledge was intermediate (68.5% correct answers), with 49.7% of participants showing a high level and 41.7% a medium level. Nurses holding a specialty in Family and Community Nursing achieved significantly better results (P < .001), as did male participants (P = .016). Lower scores were observed among nurses with more than seven years of professional experience (P = .006), together with a negative correlation between age and number of correct answers (r = -0.27, Spearman). In addition, 78.7% reported low satisfaction with their level of knowledge and with the current protocols.</p><p><strong>Conclusion: </strong>The findings suggest the existence of training gaps and a limited perception of preparedness among Primary Care nurses regarding GBV care protocols. However, these results should be interpreted with caution due to the cross-sectional design and methodological characteristics of the study. Further studies may help to better understand these training needs and guide future improvement strategies in this field.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502600"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198237","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":"Data Quality as a Key Factor in the Application of Artificial Intelligence Techniques in Clinical Nursing.","authors":"Noelia Palomares Bonet, Carlos Cano Genovés, Reyes Grangel Seguer","doi":"10.1016/j.enfcle.2026.502566","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502566","url":null,"abstract":"<p><p>The integration of Artificial Intelligence (AI) across all professional and social spheres, and especially in the healthcare context, is transforming the way processes are carried out. In the field of clinical nursing, the use of AI-based techniques can significantly help optimize care processes, where machine learning and process mining can improve patient care. However, its application in this context depends on a key factor: the availability of high-quality data, the absence of which limits the development of reliable models. Building on standards related to data governance and data quality, this article examines the dimensions that define data quality within the healthcare domain. The aim is to identify which dimensions are necessary for the application of AI techniques in this context and subsequently analyse whether the different standards proposed in the literature meet the identified dimensions. Finally, the paper outlines the main healthcare standards designed to ensure data quality, analysing how they help address these issues. In conclusion, it highlights the potential of these standards to contribute to improving data quality and enable the effective use of AI to enhance nursing processes.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502566"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198206","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":"Treatment adherence in chronic lymphocytic leukemia and chronic myeloid leukemia: an integrative review.","authors":"Angélica Aranda-Montaño, Núria Fabrellas, Sheila Sánchez-Pérez, Eva Maria Guix-Comellas","doi":"10.1016/j.enfcle.2026.502530","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502530","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize the scientific evidence on oral treatment adherence in patients with chronic lymphocytic leukemia (CLL) and chronic myeloid leukemia (CML), and to identify effective nursing interventions.</p><p><strong>Method: </strong>An integrative review of the literature was conducted. A systematic search was performed in PubMed (including MEDLINE), Scopus, CINAHL, and Google Scholar for studies published between January 2015 and December 2024, including early online publications indexed in 2025. MeSH/DeCS terms related to medication adherence, chronic leukemias, tyrosine kinase inhibitors, and nursing care were used. Studies conducted in adult patients with CML or CLL receiving oral tyrosine kinase inhibitors (TKIs) that evaluated nursing interventions and measured adherence using objective methods or validated scales were included. Methodological quality was assessed using the Joanna Briggs Institute critical appraisal checklists.</p><p><strong>Results: </strong>A total of 805 records was identified, of which 9 studies met the inclusion criteria. Adherence to TKIs in CML ranged from 56% to 97%. Multicomponent nursing-led interventions demonstrated significant improvements in adherence (mean difference of 25.2 percentage points; p = 0.002) and major molecular response (22.6 percentage-point difference; p = 0.010). The most effective components included personalized face-to-face education, structured telephone follow-up, proactive management of adverse events, and objective adherence monitoring. The level of evidence was classified as Grade A for multicomponent interventions and Grade B for unimodal interventions.</p><p><strong>Conclusions: </strong>There is strong evidence (Grade A) that structured, multicomponent nursing interventions significantly improve therapeutic adherence and clinical outcomes in patients with CML treated with TKIs. The implementation of structured adherence programs is recommended as a standard of care in hematology units.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502530"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198244","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":"Unplanned contacts managed by an advanced nurse practitioner after atrial fibrillation ablation.","authors":"Alba CanoValls, Esther Carro Fernández, Eduard Guasch Casany","doi":"10.1016/j.enfcle.2026.502511","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502511","url":null,"abstract":"<p><strong>Objective: </strong>To describe the care workload and consultation reasons related to unplanned contacts made by patients undergoing atrial fibrillation (AF) ablation to the advanced nurse practitioner in AF (ANP-AF).</p><p><strong>Methods: </strong>A prospective, single-centre descriptive study was conducted between March 2022 and March 2023. During the pre-procedural visit (7-15 days before ablation), the ANP-AF provided individualized education and an unplanned contact channel for non-urgent concerns, available by telephone (8:00-20:00 h) and email. All contacts were consecutively recorded, documenting type and timing of contact, telephone call duration, reason for consultation, and basic patient demographics.</p><p><strong>Results: </strong>A total of 250 AF ablations was performed, and 78 unplanned contacts were registered, corresponding to 31% of patients (1.5 contacts/week). Most contacts were made by women (55%), with a mean age of 65 ± 10 years. Telephone was the preferred communication method (95%), with a mean call duration of 9 ± 3 minutes. Twenty contacts (25%) occurred before ablation and 58 (75%) within the 12 months after the procedure. The median contact time was 11:30 h (IQR: 10:00-14:45). The most frequent reasons for consultation were AF recurrences (21%), complementary test requests (21%), post-procedural complications (19%), and questions regarding pharmacological treatment (15%).</p><p><strong>Conclusions: </strong>One in three patients undergoing AF ablation makes an unplanned contact with the APNP-AF. Systematic identification of consultation reasons may help optimize pre- and post-ablation education and strengthen continuity of care.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502511"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198242","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":"Strategic reflections on the implementation of the Best Practice Spotlight Organization (CCEC/BPSO®) programme in Spain: the experience of Hospital Universitario Torrecárdenas.","authors":"Miguel Ángel Rodriguez-Calero, Rosa María Hernández-Belmonte, María Del Mar Díaz Cortés","doi":"10.1016/j.enfcle.2026.502508","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502508","url":null,"abstract":"<p><p>The Best Practice Spotlight Organization® (BPSO®) programme, led by the Registered Nurses' Association of Ontario (RNAO), has become a key initiative for improving the quality of care through the implementation of evidence-based clinical best practices. This article offers a reasoned reflection on several strategic elements essential for an effective implementation of the programme within the Spanish health care context, illustrated by the experience of the Hospital Universitario Torrecárdenas (Almería) during its candidacy period as a centre committed to excellence in care. Critical aspects addressed include transformational and participatory leadership, strategic planning, methodological fidelity to the RNAO model, organisational change management, and sustainability. This analysis is intended to provide guidance for other organisations that may choose to embark on this path towards excellence in care.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502508"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186452","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":"The role of nurses in shared decision-making in primary care: Qualitative study.","authors":"Carmen Gallardo-González, María Del Carmen Olmos-Palenzuela, Carmen Corral-Partearroyo, María Teresa Peñarrubia-María, Maria Rubio-Valera, Montserrat Gil- Girbau","doi":"10.1016/j.enfcle.2026.502562","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502562","url":null,"abstract":"<p><strong>Objective: </strong>To explore the primary care nursing professionals (PCN) perception of their role in Shared Decision Making (SDM) to improve the adherence in patients with chronic pathology and a new cardiovascular and/or diabetes with new pharmacological prescription.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted with the participation of 19 primary care nurses from two primary care centres in the Southern Metropolitan health region of Barcelona during 2022. The participating primary care nurses had to be part of the intervention group of the IMA-cRCT clinical trial. Narrative data were collected through focus groups using a semistructured guide and carried out in two phases. Phase I took place after a training on SDM but before the implementation of an SDM intervention aimed at improving primary medication adherence, during which 3 focus groups were conducted. Phase II was carried out 7 months after the intervention implementation with 2 additional focus groups. For the thematic content analysis, all focus groups were transcribed, analysed individually, and triangulated. Nvivo 15 software was used to support the analysis. All participants signed informed consent forms, and the interviews were pseudo-anonymised.</p><p><strong>Results: </strong>Seven themes were identified that illustrated the PCN perspective when implementing SDM in the approach to the chronic patient with new pharmacological prescriptions: Model of care; Patient characteristics; PCN attitude; Interdisciplinary coordination; Prior training; Resources and opportunities for improvement. No relevant differences were identified in the pre-post discourses of the participants.</p><p><strong>Conclusions: </strong>The integration of SDM in the role of PCN is key in accompanying the health care of chronic patients. This study shows that they have not yet incorporated it into their routine. DBT requires university and continuing education, interdisciplinary coordination and a change of paradigm at all levels.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502562"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186427","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":"Can nurses with training in dermatology reliably differentiate skin lesions?: A diagnostic concordance study.","authors":"Vanesa Muñoz Jiménez, Alberto Conde Taboada, María Teresa García Arahuetes, Guillermo Alonso Jaudenes Paz, Ana Sirgado Martinez, Eduardo López Bran","doi":"10.1016/j.enfcle.2026.502571","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502571","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the diagnostic ability of nurses with training in dermatology in the screening of skin lesions and their level of agreement with dermatologists.</p><p><strong>Materials and methods: </strong>A cross-sectional observational diagnostic concordance study was conducted between October 2024 and April 2025 in the outpatient clinics of the Avenida de Portugal Peripheral Specialty Center of Hospital Clínico San Carlos. A total of 122 patients referred from primary care due to suspected skin lesions were included through consecutive sampling. Lesions were assessed by nurses with training in dermatology and subsequently evaluated by dermatologists, considered the reference standard. Cohen's kappa index, sensitivity, specificity, predictive values, and 95% confidence intervals were calculated.</p><p><strong>Results: </strong>Agreement between nursing staff and dermatologists was high (kappa = 0.982), whereas agreement between primary care and dermatologists was low (kappa = 0.265). The sensitivity and specificity of trained nurses were both 100% (95% CI: 90.5%-100% and 95.7%-100%, respectively), while those of primary care were 51% and 78.57%, respectively.</p><p><strong>Conclusions: </strong>Nurses with training in dermatology showed a high level of diagnostic agreement with dermatologists in the screening of skin lesions within this clinical setting. However, the results should be interpreted with caution due to methodological limitations, such as the absence of blinding and the observational design of the study.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502571"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186400","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":"Nurse satisfaction at the end of the oncology process: beyond technique.","authors":"Sara Lozano Fernández, María Plaza Carmona","doi":"10.1016/j.enfcle.2026.502520","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502520","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502520"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186508","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":"Self-care education in minor surgery: A nursing perspective in primary care.","authors":"María Angós Moreno, Sergio Viamonte Pérez, Almudena Marín Garbayo, Iguacel Pablo Romero","doi":"10.1016/j.enfcle.2026.502565","DOIUrl":"10.1016/j.enfcle.2026.502565","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502565"},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186474","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":"Assessment of the influence of beliefs about medicines on medication adherence among asthmatic patients who are on follow-up at a tertiary hospital in Ethiopia.","authors":"Zelalem Tilahun Tesfaye, Chalelgn Kassaw Belete, Dagmawit Awoke Erke","doi":"10.1016/j.enfcle.2026.502470","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502470","url":null,"abstract":"<p><strong>Background: </strong>Patients' beliefs and perceptions about medications might influence their adherence to treatment regimens, which is particularly crucial for chronic diseases like asthma. This study investigates the relationship between medication beliefs and adherence among asthmatic patients in Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Tikur Anbessa Specialized Hospital (TASH) in Addis Ababa, Ethiopia, from April 1 to May 31, 2023. Adult asthmatic patients on follow-up at chest clinic of the hospital were included in the study. The study involved 207 asthmatic patients who were assessed using the Medication Adherence Reporting Scale for asthma (MARS-A) and the Beliefs about Medicines Questionnaire (BMQ).</p><p><strong>Results: </strong>The mean adherence score was 3.76 ± 0.50, with 63.8% of patients demonstrating poor adherence. The average scores for specific necessity, specific concern, general overuse, and general harm were 13.55, 13.73, 9.45, and 13.66, respectively. Analysis of mean ranks using Mann Whitney U test revealed that there was no significant difference between adherent and non-adherent patients regarding beliefs on necessity of asthma medications and beliefs on general harm of medicines (p > 0.05). In contrast, the mean ranks for specific concern score [114.1 (n = 207, p < 0.001)] and general overuse score [121.0 (n = 207, p < 0.001)] were significantly higher in non-adherent patients. In multivariable linear regression, higher specific concern (B = -0.027, p = 0.003) and stronger beliefs in general overuse (B = -0.106, p < 0.001) were independently associated with lower MARS adherence scores.</p><p><strong>Conclusion: </strong>The findings of the study revealed low level of adherence among asthmatic patients. Skepticism on the importance of asthma medication was demonstrated by low specific necessity score and low agreement rate to necessity statements. Higher specific concern and general overuse scores were associated with non-adherence. By incorporating structured patient education programs, motivational interviewing, and community health worker support into the care continuum, clinicians can directly counteract the identified belief barriers.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502470"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119128","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}