Jose Alberto Florez-Hernández , Laura Cristina Zapata-Henao , Fernando Antonio Cardona-Restrepo , Camilo Duque-Ortiz
{"title":"Cuidarte Model: Institutional adoption of a nursing care model based on King’s theory","authors":"Jose Alberto Florez-Hernández , Laura Cristina Zapata-Henao , Fernando Antonio Cardona-Restrepo , Camilo Duque-Ortiz","doi":"10.1016/j.enfcle.2025.502333","DOIUrl":"10.1016/j.enfcle.2025.502333","url":null,"abstract":"<div><div>Basing care practice on a theoretical approach is useful for reasoning and critical thinking, making practice more orderly and effective. This article presents the experience of structuring a Conceptual-Theoretical-Empirical (CTE) system that guided the creation of the «Modelo Cuidarte» (Cuidarte Model) at a clinic in Medellín, Colombia. The objective of this work was to build a theoretical framework, based on King's proposals, to underpin this care model.</div><div>The experience took place at a high-complexity, Catholic, university clinic between August 2023 and August 2024. The initial five phases of the methodology proposed by Fawcett and DeSanto-Madeya for developing theoretical models were followed: 1) formulating an idea or vision, 2) forming a working group, 3) structuring a planning committee and a long-term plan, 4) reviewing institutional and nursing department strategic documents, and 5) building and developing the CTE.</div><div>As a result, Imogene M. King's Conceptual System and Theory of Goal Attainment were selected as the theoretical bases to ground the practice of the institution's nursing team.</div><div>King's conceptual model establishes the vision of care, while her theory, through the transaction model, guides its practical articulation. This theoretical framework drives the Cuidarte Model, which fosters patient- and family-centered care, promotes their participation in the Nursing Care Process, and encourages nurse autonomy and decision-making.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502333"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042486","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}
María José Rodríguez-Castro , Alda Elena Cortés-Rodríguez
{"title":"Efficacy of platelet-rich plasma in facial rejuvenation: A systematic review","authors":"María José Rodríguez-Castro , Alda Elena Cortés-Rodríguez","doi":"10.1016/j.enfcle.2025.502161","DOIUrl":"10.1016/j.enfcle.2025.502161","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the effects of Platelet-Rich Plasma (PRP) in facial rejuvenation.</div></div><div><h3>Methods</h3><div>A systematic review<span> was conducted from November 2022 to September 2024. Literature searches were performed in the databases PubMed, CINAHL, SCOPUS, Cuiden and Scielo using the terms platelet rich plasma, rejuvenation, skin, plasma skin regeneration<span>, and platelet rich plasma rejuvenation. Studies published with participants over 18 years old, using exclusively PRP for facial rejuvenation, were selected. Reviews and meta-analyses, as well as studies involving patients with conditions that could affect the treatment, were excluded.</span></span></div></div><div><h3>Results</h3><div><span><span>Nine clinical trials and two observational study were included. Clinically, four studies indicated that PRP improved wrinkles and skin texture. Histologically, this substance induced a cascade of growth factors that increased dermal density, reducing wrinkles and improving skin luminosity and hydration. Despite these observations, discrepancies were observed regarding the different application techniques (topical or injected) and doses administered. </span>Adverse effects were rare, including bruising and edema caused by injections and occasionally, papules, scaling, and dryness at the </span>injection site.</div></div><div><h3>Conclusion</h3><div>Platelet-rich plasma may be effective for facial rejuvenation based on histological results and patient references. However, further studies are needed to determine the most the most appropriate procedure for its administration.</div></div><div><h3>PROSPERO register number</h3><div>CRD42024513433.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502161"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674545","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":"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":"<div><div><span><span><span>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 </span>social support, and insufficient recovery time. Consequences include decreased job performance, increased absenteeism, and a higher risk of </span>mental health<span> 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 </span></span>work environment. Emotional fatigue is a critical issue that requires attention at both the individual and organizational levels.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502190"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","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}
Cristina Sacristán-Galisteo , Tamara del Corral , Daniel López-Padilla , M. Carmen Gómez , Ibai López-de-Uralde-Villanueva , Patricia Martín-Casas
{"title":"Monitoring of physical activity using accelerometry in patients with chronic obstructive pulmonary disease","authors":"Cristina Sacristán-Galisteo , Tamara del Corral , Daniel López-Padilla , M. Carmen Gómez , Ibai López-de-Uralde-Villanueva , Patricia Martín-Casas","doi":"10.1016/j.enfcle.2025.102160","DOIUrl":"10.1016/j.enfcle.2025.102160","url":null,"abstract":"<div><h3>Objectives</h3><div>The main objective of the study was to analyze the characteristics of physical activity in people with Chronic Obstructive Pulmonary Disease. Secondarily, the association between the number of steps per day and the baseline sociodemographic and clinical characteristics of the sample was evaluated.</div></div><div><h3>Methods</h3><div>A multicenter longitudinal descriptive study was carried out in four Primary Care centers in Madrid. The participants were 80 people diagnosed with COPD. In a face-to-face interview, sociodemographic information and clinical characteristics were collected. Physical activity was measured over a week with a three-axis accelerometer that recorded wear time, number of steps per day, walking time, and time spent performing light, moderate, vigorous, and very vigorous physical activity.</div></div><div><h3>Results</h3><div>The average time of use of the accelerometer was 6.84 ± 0.4 days. The number of daily steps taken was 6902.24 ± 3994.01 with a walking time of 78.07 ± 41.85 min/day. The time of light physical activity was 69.66 ± 46.42 min/day, of moderate activity 92.76 ± 42.91 min/day, of vigorous activity 9.93 ± 13.6 min/day and of very active activity vigorous 0.26 ± 0.64 min/day.</div></div><div><h3>Conclusions</h3><div>The participants mainly carried out physical activity of light and moderate intensity, complying with current recommendations, while the time dedicated to vigorous and very vigorous activities was reduced and was insufficient.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 102160"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059730","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":"Promoting excellence in pediatric patient care within the framework of the Nursing Research Challenge project","authors":"Patricia Monserrat Rodríguez Camacho , Bárbara González Álvarez","doi":"10.1016/j.enfcle.2025.502199","DOIUrl":"10.1016/j.enfcle.2025.502199","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502199"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183880","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":"Effect of ethnocentrism and professional attitudes on moral sensitivity in midwives and nurses: A web-based cross-sectional and correlational study","authors":"Şahika Şimşek Çetinkaya, Canan Kaş, Demet Güney","doi":"10.1016/j.enfcle.2025.102154","DOIUrl":"10.1016/j.enfcle.2025.102154","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to investigate relation between ethnocentrism, professional attitudes and moral sensitivity of midwives and nurses working in Turkey using linear regression model.</div></div><div><h3>Method</h3><div>A descriptive and cross-sectional and correlational study was adopted. Data were collected online between 20/10/2023–25/12/2023. The study was completed with total of 400 nurses and midwives. Data were collected through a personal information form, the Generalised Ethnocentrism Scale (GENE), the Moral Sensitivity Questionnaire (MSQ) and Inventory of Professional Attitude at Occupation (IPAO).</div></div><div><h3>Results</h3><div>Nurses’ and midwives’ ethnocentric attitudes were high and their professional and moral sensitivity was moderate. A negative and statistically significant relationship was found between GENE and MSQ (r<!--> <!-->=<!--> <!-->−0.150 and <em>p</em> <!--><<!--> <!-->0.05). Moreover, it is concluded that ethnocentrism and professional attitudes have a negative effect on the moral sensitivity of nurses and midwives.</div></div><div><h3>Conclusions</h3><div>Based on these results, interventions aimed at improving the ethnocentric and professional attitudes of nurses and midwives will also contribute to improve their moral sensitivity.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 102154"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442903","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":"10.1016/j.enfcle.2025.502249","url":null,"abstract":"<div><h3>Objective</h3><div>The complexity of hemodialysis<span> 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<span> of health literacy specific to hemodialysis patients in the Marrakech-Safi region of Morocco.</span></span></div></div><div><h3>Method</h3><div><span>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 </span>multiple linear regression.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>Considering the results of our study, most hemodialysis patients in the Marrakech-Safi region had inadequate literacy about their own health.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502249"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","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":"Patient and public involvement in nursing research: From theory to practice","authors":"Azucena Pedraz Marcos","doi":"10.1016/j.enfcle.2025.502365","DOIUrl":"10.1016/j.enfcle.2025.502365","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502365"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183881","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":"Mental health in nurses: Challenges and opportunities in the post-pandemic context","authors":"Mónica Regalado Chamorro , Aldo Medina Gamero","doi":"10.1016/j.enfcle.2025.502164","DOIUrl":"10.1016/j.enfcle.2025.502164","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502164"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057967","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}