Enfermeria clinica (English Edition)最新文献

{"title":"Transition to practice: Student nurses' experience of venepuncture and peripheral intravenous cannulation learning.","authors":"Orlaith Hernon, Edel McSharry, Caitríona Duggan, Iain MacLaren, Peter J Carr","doi":"10.1016/j.enfcle.2025.502256","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502256","url":null,"abstract":"<p><strong>Objective: </strong>This study explores final-year nursing students' experiences with venepuncture and peripheral intravenous cannulation, focusing on both educational and clinical practice settings.</p><p><strong>Methods: </strong>This study is qualitative descriptive design. Data were collected from three focus group sessions using a semi-structured interview approach. Interviews were transcribed verbatim, and data analysis was guided by Braun and Clarke's six-step model for thematic analysis.</p><p><strong>Results: </strong>Eight final-year nursing students participated, with each student attending one focus group session. Data analysis resulted in four main themes 1) Practice, practice, practice 2) Not the way it's done here 3) Luck of the draw and 4) Experiential learning. The results highlight what hindered and helped students learn these skills in both the educational and clinical environment.</p><p><strong>Conclusion: </strong>Improvements are recommended which can be made to the teaching of nursing students on these skills. The findings of this study can inform educational programmes which incorporate these types of skills.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502256"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327973","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":"Impact of a motor-cognitive intervention on Health-Related Quality of Life in patients with type 2 diabetes.","authors":"Nilton João Chantre Leite, Armando Manuel Mendonça Raimundo, Romeu Duarte Carneiro Mendes, Soraia Daniela Pires Ferreira, José Francisco Filipe Marmeleira","doi":"10.1016/j.enfcle.2025.502211","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502211","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the impact of a multimodal exercise programme on the Health-Related Quality of Life (HRQoL) in patients with type 2 diabetes mellitus (T2DM).</p><p><strong>Methods: </strong>A quasi-experimental study with a single-group design and repeated measures was used. Twenty-six patients with T2DM (aged 68.58 ± 6.15 years, with a diabetes duration of 14.81 ± 8.35 years) participated in a motor-cognitive exercise programme that consisted of 60-minute sessions, three times per week for eight weeks. Data were collected at two baseline measurements (pretest 1 and pretest 2) and the final measurement (post-test). Health-related quality of life was assessed using the EuroQol five-dimensions-3-level questionnaire.</p><p><strong>Results: </strong>Although the repeated measure analysis showed no significant differences between measures at all time points, a small positive effect was found on the pain/discomfort domain and EuroQol visual analogue scale eight weeks after participating in the exercise programme.</p><p><strong>Conclusions: </strong>These results show promising effects of the motor-cognitive intervention on health-related quality of life in patients with T2DM. However, given the study's limitations, such as the small sample size and lack of a control group, further research is needed to investigate the intervention's efficacy.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502211"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327970","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":"Pain Behaviour of Critically Ill Patients on Mechanical Ventilation During Nursing Interventions at Governmental Hospitals-Sana'a-Yemen.","authors":"Abdulnasser Ahmed Haza'a, Marzoq Ali Odhah, Saddam Ahmed Al-Ahdal, Mohammed Sadeq Al-Awar, Abdulfatah Saleh Al-Jaradi, Laila Mutahar Al-Nathariy, Lama Mohammed Al-Jaboobi","doi":"10.1016/j.enfcle.2025.502216","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502216","url":null,"abstract":"<p><strong>Background: </strong>Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.</p><p><strong>Objectives: </strong>To examine the pain behavior of patients on mechanical ventilation during nursing interventions.</p><p><strong>Methods: </strong>A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana'a City-Yemen. Pain was evaluated before and during the nursing interventions via the \"Ramsay Sedation Scale\" and \"Behavioral Pain Scale\". The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of 0.05 was considered to indicate statistical significance.</p><p><strong>Results: </strong>The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation, oral care, repositioning, perineum care, and intravenous cateterización through fluctuations all physiological parameters during these procedures.</p><p><strong>Conclusion: </strong>Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502216"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327971","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":"Health literacy specific to hemodialysis patients and associated factors: a cross-sectional study in Morocco.","authors":"Loubna Mazzi, Abdelhafid Benksim, Mounia Amane, Mohamed Cherkaoui","doi":"10.1016/j.enfcle.2025.502249","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502249","url":null,"abstract":"<p><strong>Objective: </strong>The complexity of hemodialysis care imposes self-care requiring an adequate health literacy level adapted to the context of this disease. This study aimed to assess and determine the predictive factors of health literacy specific to hemodialysis patients in the Marrakech-Safi region of Morocco.</p><p><strong>Method: </strong>This was a quantitative cross-sectional study of hemodialysis patients in public hemodialysis centers in the Marrakech-Safi region. The specific literacy of hemodialysis patients was assessed using a validated questionnaire consisting of 26 items and 7 sub-dimensions, which was either self-administered or administered by the investigator during the hemodialysis session. The predictive factors of health literacy in hemodialysis patients were identified using multiple linear regression.</p><p><strong>Results: </strong>A total of 380 patients were included in the study. Women accounted for 58.2% of the patients. A percentage of 72.9% were under 65 years of age, 56.1% were illiterate, 61.8% were married, and 52.4% lived in urban areas.​​​​​​​ The mean duration of hemodialysis was 2.36 ± 0.53 years, 62.4% had hypertension, 57.4% had a high Interdialytic Weight, and 15.3% were diabetic. The mean total score was 10.46 ± 4.16 out of 26. Communicative literacy, critical literacy, and patient safety had the lowest mean scores. Multiple regression analysis revealed that patients with higher education levels, those living in urban areas, single individuals, and those with longer hemodialysis experience were more likely to have a higher total score.</p><p><strong>Conclusion: </strong>Considering​​​​​​​ the results of our study, most hemodialysis patients in the Marrakech-Safi region had inadequate literacy about their own health.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502249"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327969","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":"Relationship Between Nurses' Moral Sensitivity and Patient Safety Culture: Cross-sectional Study: Relación entre la sensibilidad moral y la cultura de seguridad del paciente de los enfermeros: estudio transversal.","authors":"Melike Durmaz, Saide Faydali","doi":"10.1016/j.enfcle.2025.502242","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502242","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to examine the relationship between nurses' moral sensitivity and the culture of patient safety.</p><p><strong>Methodology: </strong>This study was designed using a cross-sectional design. The data collection was carried out using a 'Questionnaire,' the 'Moral Sensitivity Questionnaire (MSQ),' and the 'Patient Safety Culture Scale (PSCS).' The data was obtained from 254 nurses who agreed to participate in the research through an online survey method conducted between January 01-31, 2023.</p><p><strong>Results: </strong>High scores on the autonomy and holistic approach sub-dimensions of the moral sensitivity scale were found to contribute to an increase in patient safety culture scores. High levels of both moral sensitivity and patient safety culture were reported among nurses. However, only a negative and weak significant relationship was found between the autonomy subscale of the moral sensitivity scale and the management and leadership subscale of the patient safety culture scale.</p><p><strong>Conclusions: </strong>Accordingly, it was recommended that separate strengthening initiatives be conducted for nurses in terms of moral sensitivity and patient safety culture. To further explore the relationship between nurses' moral sensitivity and patient safety culture, future studies involving nurses from diverse cultural backgrounds and various healthcare settings, utilizing both qualitative and quantitative research methods, were suggested.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502242"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327972","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":"Nurses' perception of humanised care: Validation of the ECCOE-Es questionnaire.","authors":"Laia Wennberg-Capellades, Montserrat Rus-García, Laia Cruells-Francisco, Rosa María Collado-Cabezas, Xavier Teixidó-Huertas, Maria Luisa Martin-Ferreres","doi":"10.1016/j.enfcle.2025.502250","DOIUrl":"10.1016/j.enfcle.2025.502250","url":null,"abstract":"<p><strong>Aims: </strong>To adapt and validate for use in Spain the ECCOE questionnaire for assessing nurse caring behaviours from the perspective of nurses; to apply the adapted questionnaire to a sample of hospital registered nurses in Spain and to examine the perceptions of humanised care behaviours.</p><p><strong>Methods: </strong>Multi-centre cross-sectional study. Validity evidence based on the ECCOE_Es internal structure through confirmatory factor analysis and convergent and divergent validity in the relationships with moral sensitivity and burnout, respectively. Reliability was also examined through Cronbach's alpha and temporal stability with Pearson's correlation of test scores. Descriptive and comparative analysis of nurses' responses to the ECCOE_Es was performed.</p><p><strong>Results: </strong>A total of 462 nurses' questionnaires were analysed. Temporal stability (r = 0,908) and internal consistency were adequate (α > 0,76 for the subscales and α = 0,96 for the total scale). Confirmatory factor analysis supported the structure of the original instrument with 7 subscales. ECCOE-Es were positively correlated with moral sensitivity (r = 0,454) and negatively correlated with burnout (r = -0,265). Humanism subscale was perceived as the most important, whereas items related to individualised care were less frequently endorsed.</p><p><strong>Conclusions: </strong>ECCOE's Spanish adaptation has adequate psychometric properties, and its original properties and structure are confirmed as a suitable tool for assessing nurses' perceptions of humanised care. Overall, they perceived themselves as delivering humanised care, there was a scope for improvement in this respect.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502250"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276924","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":"Comparison of content validity indices for clinical nursing research: A practical case.","authors":"Paulina Hurtado-Arenas, Miguel R Guevara, Víctor M González-Chordá","doi":"10.1016/j.enfcle.2025.502214","DOIUrl":"10.1016/j.enfcle.2025.502214","url":null,"abstract":"<p><strong>Objective: </strong>To compare techniques to analyze the content validity of measurement instruments applicable to nursing care research through a practical case.</p><p><strong>Method: </strong>Secondary study derived from validating the Hospital Survey on Patient Safety (HSOPS) in a Chilean hospital. The study setting was hospital care, with a population focused on nursing staff and a sample of 12 expert nurses who are teachers or have clinical experience in quality and patient safety. Design and content validity test based on three phases: identification of primary methods, calculation of methods, comparison of similarities and differences of methods.</p><p><strong>Results: </strong>Lawsche, Tristan-López, Lynn, Polit et al. methods are similar. The modified kappa value is similar to the content validity index (I-CVI) value, with a slight variation when penalizing the value by probability according to chance. There are significant differences between all methods and Hernández Nieto's content validity coefficient (CVC).</p><p><strong>Conclusions: </strong>The Polit et al. method is more rigorous, and its mathematical formulation is better justified, providing solidity to clinical nursing research. Furthermore, the Hernandez-Nieto method is suggested when validating more than one characteristic.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251154","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":"Political participation of occupational health nurses: A necessity?","authors":"Javier González-Caballero","doi":"10.1016/j.enfcle.2025.502213","DOIUrl":"10.1016/j.enfcle.2025.502213","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251156","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":"Factors associated with the success of a prompted voiding programme for restoring urinary continence upon discharge among hospitalised older adults: Pilot study.","authors":"Laura Martín-Losada, Montserrat Solís-Muñoz, Cristina González-Blázquez, María Del Pilar Serrano-Gallardo, Ana Isabel Parro-Moreno","doi":"10.1016/j.enfcle.2025.102139","DOIUrl":"10.1016/j.enfcle.2025.102139","url":null,"abstract":"<p><strong>Aim: </strong>To assess the success of a prompted voiding programme for restoring urinary continence at discharge among older adults hospitalized. To identify associated factors with the recovery of urinary continence.</p><p><strong>Methods: </strong>A quasi-experimental, pre-/post-intervention, without control group study was conducted. Participants were aged 65 and over with a history of urinary incontinence less than one year of current from the Functional Recovery Unit of Guadarrama Hospital throughout a convenience sampling. Patients were on a prompted voiding programme throughout their hospitalisation, individualizing for a voiding diary. Data were collected from October 2019 to March 2020. A descriptive, pre-post intervention, prediction and logistic regression analysis were conducted using SPSS 25 and STATA 15 software. The study was approved by the reference Ethics Committee.</p><p><strong>Results: </strong>57 patients were included, 86% of them were female (n = 49) who were 82.1 age mean (SD = 9.4). The 56.1% (n = 32) experienced new-onset mixed urinary incontinence and the mean hospital stay was 40.5 (SD:14.7) days. 35.1% (n = 20) achieved urinary continence and reduced the number of urine leaks in those patients who remained incontinent upon discharge (P ≤ .001). Factors associated with the recovery of urinary continence were functional ability upon discharge (P < .001), frequency of the episodes of urinary incontinence on admission (P ≤ .001), frequency of toilet use on admission (P ≤ .001), lessened hospital stays (P = .041), reduction of the risk of the appearance of pressure wounds (P ≤ .001).</p><p><strong>Conclusion: </strong>Prompted voiding has been shown to be effective in restoring urinary continence in more than a third of the patients studied. Having better functional ability and more frequency of toilet use on admission were associated with the programme's success. It prevents skin wounds and reduces dependency level.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102139"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251155","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":"Analysis of the management function of the school nurse in Spain: use of records and interaction with primary care, the educational community and other institutions.","authors":"Ana Magdalena Vargas-Martínez, Daniel Guillén-Martínez, Tamara Domingo Pérez, Alba Soilán Enríquez, José Antonio Zafra-Agea, Itziar Hoyos Cillero, Marta Lima-Serrano, Lorena Tarriño-Concejero","doi":"10.1016/j.enfcle.2025.502200","DOIUrl":"10.1016/j.enfcle.2025.502200","url":null,"abstract":"<p><strong>Aim: </strong>To analyse the managerial function of school nurses in Spain.</p><p><strong>Method: </strong>A cross-sectional descriptive study with a sample of 376 school nurses from non-university public, private, and charter educational centres, as well as special education centres nationwide. Data collection was conducted through a self-administered and anonymous questionnaire designed by experts in school nursing, carried out from March to June 2023 via an online platform.</p><p><strong>Results: </strong>The managerial function of school nurses in Spain is evident in their interaction with both educational and healthcare domains. The results underscore the importance of intersectoral collaboration. 96.28% of nurses maintain clinical records. The integration of school nurses into primary care is significantly associated with the service that employs the nurse, contract type, contractual situation, type of educational centre, and membership in rural or socially transformative areas.</p><p><strong>Conclusions: </strong>School nurses play a crucial role in promoting a healthy and safe educational environment. Clinical data recording is essential for monitoring and ensuring care quality. The data highlight the need to implement policies that provide legal assurance for the activities of school nurses and ensure safety for students and the entire educational community.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502200"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144735","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}