Enfermeria clinica (English Edition)最新文献

{"title":"Venipuncture in pediatric emergency department by using koala attachment distraction method: Randomized clinical trial.","authors":"Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal","doi":"10.1016/j.enfcle.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.enfcle.2024.09.007","url":null,"abstract":"<p><strong>Objective: </strong>To assess, compare and relate the toddler's pain and anxiety during venipuncture by using either the Koala Attachment Distraction method or the physical restraint method and to evaluate the level of anxiety perceived by the companions in both groups.</p><p><strong>Method: </strong>Randomised, single-blind, controlled clinical trial in two arms (control and intervention group) conducted in the paediatric emergency department of a tertiary university hospital. The study variables were pain and stress of the child and anxiety perceived by the accompanying persons in both groups at the time before and during the technique. The pain rating scale Face, Leg, Activity, Cry, Consolability; the Groningen stress scale and the STAI questionnaire were used.</p><p><strong>Results: </strong>A total of 113 participants aged 3 to 4 years participated in the trial (n = 113). 50 % (55) were girls, mean total age 3.83 ± 0.59 years and accompanying persons 37.17 ± 6.96. During the technique the mean pain in control and intervention groups was 5.64 ± 3.30 and 3.87 ± 3.01; stress, 3.25 ± 1.22 and 2.67 ± 1.24, respectively. No statistically significant differences were found in the assessment of anxiety between the groups.</p><p><strong>Conclusions: </strong>Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373694","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":"Approaching the attention to the wish to hustle death. Team reflections.","authors":"Juan Pablo Leiva-Santos, Miguel Ángel Rodriguez-Calero, Joana María Julià-Mora","doi":"10.1016/j.enfcle.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.enfcle.2024.09.005","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373693","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 Satisfaction with Nursing Triage Care in Hospital Emergency Departments: Scoping Review.","authors":"Meritxell López-Hernández, Montserrat Puig-Llobet, Lidia Miralles-Sánchez, Yolanda Moreno-Mateos, Jordi Galimany-Masclans","doi":"10.1016/j.enfcle.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.enfcle.2024.09.004","url":null,"abstract":"<p><strong>Introduction: </strong>Perceived quality of patient care is essential in healthcare, particularly in Hospital Emergency Departments (EDs), where the triage process, performed by nurses, is fundamental yet under-researched. The aim is to explore patient satisfaction in triage, identify improvement opportunities, and provide guidance for future research to enhance ED care.</p><p><strong>Methodology: </strong>A scoping review was conducted across databases including PubMed, CINAHL, Scopus, Cochrane, Joanna Briggs, Google, and Google Scholar. Empirical articles from January 2014 to December 2023 were selected, excluding non-face-to-face triage, pediatrics, and aspects not related to nursing care.</p><p><strong>Results: </strong>Six studies were included, demonstrating a high level of patient satisfaction with triage, especially regarding nurses' skills and professional competence, courtesy, respect, interest, and empathy. However, pain management and confidence in treatment scored lower. Patient satisfaction was related to age, gender, reason for consultation, and perception of nurses' professional competence.</p><p><strong>Discussion: </strong>Similar opinions were observed regarding areas for improvement in care and nurses' skills in triage. The need for qualitative research and more rigorous sampling methods was highlighted.</p><p><strong>Conclusions: </strong>Nurse training and education in triage are crucial for patient satisfaction. Further research is needed to evaluate the effectiveness of nursing interventions in triage and address remaining challenges.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333740","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":"Professional experience and case management as predictors of nursing good practices directed to the primary caregiver.","authors":"Javier Zarzo-Gasull, Rosa María García-Padilla, Pedro García-Martínez, Paola Méndez-Castellano, Juan Cava-Maldonado","doi":"10.1016/j.enfcle.2024.09.003","DOIUrl":"https://doi.org/10.1016/j.enfcle.2024.09.003","url":null,"abstract":"<p><strong>Aims: </strong>Identify nursing good practices related to caregivers in three basic health areas of the Valencian Community and analyze the impact of professional experience and the presence of a Nurse Case Manager on nursing good practices.</p><p><strong>Method: </strong>Cross-sectional descriptive study. An anonymous, self-administered \"ad hoc\" questionnaire was used with 10 items: 8 individual and 2 institutional good practices. The independent variables were: work experience and the presence of a Nurse Case Manager. An analytical study was carried out using Chi square, Fisher and Mann-Whitney U tests, assuming p < 0.05 as a significant value.</p><p><strong>Results: </strong>60 participants: 50 women, median age of 36 years and median experience of 4 years. 45 with experience ≥ 2 years and 23 worked in an environment with Nurse Case Manager. The record of the caregiver was the only individual good practice carried out by more than 56% of the population, with the rest implemented by less than 20%. Pre- or post-pandemic experience did not show significant differences, the presence of Nurse Case Manager only showed differences in knowledge of training workshops and individual good practices were greater among professionals with more experience.</p><p><strong>Conclusions: </strong>Individual good practices in caring for caregivers have low implementation, with better practices observed among professionals with more experience.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333741","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 nurse-patient interaction levels on nurses' humanistic practice: A cross-sectional, descriptive, and correlational study.","authors":"Merve Murat, Selmin Köse, Nezihe Kızılkaya Beji","doi":"10.1016/j.enfcle.2024.09.001","DOIUrl":"10.1016/j.enfcle.2024.09.001","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to analyze the levels of nurses-patients interaction, as well as the humanistic practices in the field of nurse´s care.</p><p><strong>Method: </strong>This cross-sectional and correlational study was conducted with 291 nurses in Istanbul between May-August 2022. The los datos were collected using the Personal Information Form, Caring Nurse-Patient Interaction-Short Form (CNPI), and Humanistic Practice Ability of Nursing (HPAN).</p><p><strong>Results: </strong>Nurses' mean scores from the importance, competence, and feasibility variables of the CNPI were 104.33 ± 12.56, 99.66 ± 13.99, and 96.90 ± 15.26, respectively. The mean score from the HPAN was 133.75 ± 11.75.</p><p><strong>Conclusion: </strong>Based on the correlation, the importance, competence, and feasibility variables of CNPI were significantly associated with humanistic practice ability.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309259","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 of nursing students regarding the Moroccan earthquake: A cross-sectional study.","authors":"Mounia Amane, Nadia Hachoumi, Rquia Laabidi, Loubna Mazzi, Souad Yakini, Sokaina Loulidi, Siham Jbari, El Hassane Mourid, Samia Boussaa","doi":"10.1016/j.enfcle.2024.09.002","DOIUrl":"10.1016/j.enfcle.2024.09.002","url":null,"abstract":"<p><strong>Objective: </strong>In addition to the economic and social impact, mental health issues are one of health needs during natural disaster such as earthquake. Thus, surveillance for mental health variables is crucial for public health planning. Nursing students as professional students may be particularly vulnerable to adverse mental health effects after an earthquake because of their potential role in emergency response and the challenges associated with providing medical care in crisis conditions. The aim of this research was to assess the mental health of students after six months of the Moroccan earthquake and associated factors.</p><p><strong>Method: </strong>A cross-sectional survey of student nurses was conducted on March 2024; six months after the Moroccan earthquake in front to 261 students using class sampling method. Three validated psychometric measures, Post-Traumatic Stress Disorder (PCL-C), Depression, Anxiety and Stress Scale (DASS-21), and The Connor-Davidson Resilience Scale (CD-RISC) were used to assess the nursing student mental health after Moroccan earthquake.</p><p><strong>Results: </strong>Anxiety, Depression, Stress and abnormal post-traumatic stress rank was present respectively in 44.8%, 37.1%, 7.7%, 61.3% of participants. However, a minority of students obtained the high resilience score (13.8%). The results showed that the DAS scale correlated negatively with age (p = 0.034). Furthermore, the female gender, 3rd grade students (as final year for the nursing diploma) and those who had lost a family member in the natural disaster obtained higher medians with a significant difference in the DAS scale score (p < 0.05). The post-traumatic stress scale was only affected by material damage (p = 0.044). However, the high level of scores resilience obtained significantly for students living with their families. In contrast, no association between the mental health of nursing students and attending the phenomenon or living near earthquake foci.</p><p><strong>Conclusion: </strong>This study has demonstrated the crucial need to train healthcare providers in emotion management in the event of a natural disaster, and to launch a priori initiatives, particularly with regard to the mental health of students in health universities, in order to prepare them psychologically for any intervention in the case of an alert.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309260","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":"Exploring nursing student self-esteem change and its predictors: Cohort study and its methodological challenges","authors":"","doi":"10.1016/j.enfcle.2024.07.001","DOIUrl":"10.1016/j.enfcle.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>Considering methodological difficulties and inconsistent results of previous studies on it, the objective was to describe the change in nursing student self-esteem over time and its predictors, using a sound theoretical framework and relevant tools to measure and analyse the data.</p></div><div><h3>Method</h3><p><span>Cohort study. Self-esteem and related factors were assessed in nursing students in a 4-year bachelor’s program at the beginning of each academic year from 2017 to 2019 and at the end of the academic year in May 2020, using he revised version of Self-liking/Self-competence scale of Tafarodi and Swann. Univariate and </span>multivariate analyses were performed via generalized linear mixed modelling.</p></div><div><h3>Results</h3><p>Self-esteem was moderate at the beginning of the program: 50.40 (9.10). It increased slightly over time: 51.15 (9.11) at T1; 51.64 (0.49) at T2; and 51.39 (10.79) at T3 (<em>P</em><span> = .002). Baseline variables that predicted self-esteem change were gender, secondary school graduation level, state anxiety, intent to continue, and self-efficacy. Assessing and improving those last variables via a strong career plan could boost student achievement and increase retention during and after training.</span></p></div><div><h3>Conclusion</h3><p>Nursing student self-esteem can be assessed using a bidimensional model, with a two-factor scale like Tafarodi &amp; Swann’s self-liking/self-competence scale. Generalized linear mixed model is a useful way to correlate large sets of longitudinal data.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536084","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":"Consequences of the COVID-19 pandemic on the mental health of nurses in the Spanish out-of-hospital Emergency Service","authors":"","doi":"10.1016/j.enfcle.2024.07.004","DOIUrl":"10.1016/j.enfcle.2024.07.004","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse the impact of the COVID-19 pandemic on the mental health of nurses in Spanish out-of-hospital Emergency Services, identifying predictor factors of greater severity.</p></div><div><h3>Method</h3><p>A multicentre cross-sectional descriptive study was designed, including all nurses working in any Spanish out-of-hospital Emergency Services between 01/02/2021 and 30/04/2021. The main outcomes were the level of depression, anxiety and stress assessed through the DASS-21 scale. Sociodemographic, clinical, and occupational information was also collected. Univariate and multivariate analyses were conducted to determine possible associations between variables.</p></div><div><h3>Results</h3><p>The sample included 474 nurses. 32.91%, 32.70% and 26.33% of the participants had severe or extremely severe levels of depression, anxiety and stress, respectively. Professionals with fewer competencies to handle stressful situations, those who had used psychotropic drugs and/or psychotherapy on some occasion before the pandemic onset, or those who had changed their working conditions presented more likelihood of developing more severe levels of depression, anxiety and/or stress.</p></div><div><h3>Conclusion</h3><p>Nurses in Spanish out-of-hospital Emergency Services have presented medium levels of depression, anxiety and stress during the pandemic. Clinical and occupational factors have been associated with a higher degree of psychological distress. It is necessary to adopt strategies that promote professionals’ self-efficacy and mitigate the triggers of negative emotional states.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2445147924000663/pdfft?md5=6b24df0b4c6f2f8702d1acbfe33c8786&pid=1-s2.0-S2445147924000663-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Falls in older adults hospitalized in tertiary centers in Colombia. Clinical description and complications","authors":"","doi":"10.1016/j.enfcle.2024.07.002","DOIUrl":"10.1016/j.enfcle.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>The incidence of falls in elderly patients in the hospital environment is three times higher than that in the community. The aim was to determine the characteristics of patients who suffered in-hospital falls and their complications.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study with patients older than 64 years of age, admitted between 2018 and 2020 to four clinics in Colombia who presented a fall during their stay. Clinical data, reasons for the fall, complications and use of drugs with a known risk for causing falls and with an anticholinergic load were reviewed.</p></div><div><h3>Results</h3><p>A total of 249 patients were included. The mean age was 77.5 ± 7.4 years, and there was a predominance of males (63.9%). The patients were hospitalized mainly for community-acquired pneumonia (12.4%) and heart failure (10.4%). Falls occurred most frequently in hospitalization wards (77.1%) and emergency departments (20.9%). Falls were related to standing alone (34.4%) and on the way to the bathroom (28.9%), with 40.6% (n = 102) of falls resulting in trauma, especially to the head (27.7%); the incidence of fractures was low (3.2%). Ninety-two percent of patients had polypharmacy (≥5 drugs), 88.0% received psychotropic drugs, and 37.3% received drugs with an anticholinergic load ≥3 points.</p></div><div><h3>Conclusions</h3><p>Hospitalized adults over 65 years of age suffered falls, mainly in hospitalization wards and emergency departments, especially during the process of solitary ambulation. Most had received psychotropic drugs and medications with a high anticholinergic load. These results suggest that it is necessary to improve risk prevention strategies for falls in this population.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S244514792400064X/pdfft?md5=c538167ce543d3d6c105d2ddafa40732&pid=1-s2.0-S244514792400064X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a topical silicone gel and a polyurethane dressing on the evolution of scars","authors":"","doi":"10.1016/j.enfcle.2024.04.008","DOIUrl":"10.1016/j.enfcle.2024.04.008","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the effectiveness and safety of a topical silicone gel<span><span> (BE + Gel reductor y reparador de cicatrices) and a polyurethane dressing (BE + Apósito reductor y reparador de cicatrices) on the evolution of scars of patients who were previously recruited in the emergency care unit while seeking </span>wound care.</span></p></div><div><h3>Method</h3><p>A single center, stratified observational, open label study was performed in the emergency care unit of Donostia Universitary Hospital (recruitment) and in the Biodonostia Health Research Institute (intervention). Scars located in unexposed body areas with the dressing, and scars located in exposed areas with either the gel or the dressing. Investigators assessed interventions at day 1 and on weeks 4, 8 and 12. Vancouver Scar Scale (VSS) and a photographical assessment were used to determine the scars evolution, and the subjective perception of the scar was evaluated by means of a questionnaire administered to the patients.</p></div><div><h3>Results</h3><p>Patients whose scars were treated with the silicone gel<span> had an average initial VSS score of 5.4 ± 2.08. This value was reduced to 0.86 ± 1.17 after 90 days of treatment. Patients treated with the polyurethane dressing had an average initial VSS score of 5.8 ± 2.29. After 90 days of treatment, this average score was reduced to 0.33 ± 0.66. Positive evolution of scars was also supported by photographs and by a patient questionnaire.</span></p></div><div><h3>Conclusions</h3><p>Both treatments appear to be safe and effective, objectively, and subjectively, in the context of scar evolution.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774778","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}