Enfermeria clinica (English Edition)最新文献

{"title":"Changes in the attitude of health care professionals towards influenza vaccination after the COVID-19 pandemic","authors":"Marta Sánchez-Zaballos ,&nbsp;David Zuazua-Rico ,&nbsp;Lucía Alonso-Méndez ,&nbsp;Yolanda Queipo-Herías ,&nbsp;María Pilar Mosteiro-Díaz ,&nbsp;Alba Maestro-González","doi":"10.1016/j.enfcle.2025.502189","DOIUrl":"10.1016/j.enfcle.2025.502189","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse the attitude of health professionals towards influenza vaccination before and during the COVID-19 pandemic, as well as to identify differences between them and with respect to sociodemographic and occupational variables.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive study<span><span> comparing the results of the 2017−2018 and 2020−2021 influenza vaccination<span> campaigns. Sociodemographic, occupational, and vaccination-related variables were collected. A descriptive and bivariate analysis were performed, as well as a binary </span></span>logistic regression model.</span></div></div><div><h3>Results</h3><div>A total of 973 health professionals participated, with an average age of 41,13 (SD 11,16), showing a higher prevalence of vaccination during the 2020−2021 season (OR<!--> <!-->=<!--> <!-->1,04; IC 95% 1,03−1,05; <em>P</em> <!-->&lt;<!--> <!-->,001). The percentage of men who were vaccinated was higher in the 2020−2021 campaign (<em>P</em> <!-->=<!--> <!-->.02), in which a greater number of professionals with a non-stable contract (<em>P</em> <!-->&lt;<!--> <!-->.001) and lower mean age (<em>P</em> <!-->=<!--> <!-->.03) were also vaccinated. There were multiple statistical differences when comparing the reasons for accepting or refusing the vaccine, with more people being more likely to be vaccinated during the pandemic if there was a favourable atmosphere in the work or family environment (<em>P</em> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>Health professionals’ attitude towards influenza vaccination during the COVID-19 pandemic showed better results than the previous campaign, with a higher number of professionals vaccinated and a better perception of immunisation. Differences were also found between the campaigns and socio-demographic variables (sex, age, and type of employment contract).</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502189"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000748","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":"Investigating the relationship between the health-related quality of life and learning motivation of nursing students in the era of covid-19: A cross-sectional study","authors":"Fatemeh Dadashzadeh ,&nbsp;Tayebeh Samieizadeh-toosi ,&nbsp;Hosein Hoseini ,&nbsp;Mohammad Saeed Jadgal ,&nbsp;Khaled Badpa","doi":"10.1016/j.enfcle.2025.502192","DOIUrl":"10.1016/j.enfcle.2025.502192","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>The issue of quality of life and its relationship with learning motivation is very important in different sections of the society, especially people who have special physical, mental and psychological conditions. The aim of this study was to determine the status of the health-related quality of life and its relationship with students' learning motivation during the Covid-19 era.</div></div><div><h3>Methods</h3><div>In this cross-sectional descriptive analytical study, 63 students of Chabahar nursing faculty participated in the study. Data collection tools were demographic information, SF-36 health related quality of life questionnaire and learning motivation questionnaire. Data analysis was done in SPSS version 16 statistical software. Descriptive (mean, standard deviation, and percentage) and analytical (Spearman, Mann-Whitney, and Kruskal-Wallis tests) tests were used to analyze the data.</div></div><div><h3>Results</h3><div><span>The physical function subscale related to physical health had a significant relationship with all the mental health subscales (role disruption due to emotional health (r</span> <!-->=<!--> <!-->0.4, <em>P</em> <!-->=<!--> <!-->.001), energy/fatigue (r<!--> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->.013), emotional well-being (r<!--> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->.019), social functioning (r<!--> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->.05)) and learning motivation (r<!--> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->.029) in the students participating in the study. There was no significant relationship between learning motivation and general physical health (r<!--> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->.113).</div></div><div><h3>Conclusion</h3><div>The findings of the present study showed that there is a strong and significant relationship between students' mental health and their motivation to learn. In this way, increasing students' mental health has a positive effect on their motivation to learn. Therefore, in order to increase the motivation to learn among students, providing special care in the field of mental health can be useful for this group and provide a basis for improving their quality of life.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502192"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060730","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 ,&nbsp;Daniel Guillén-Martínez ,&nbsp;Tamara Domingo Pérez ,&nbsp;Alba Soilán Enríquez ,&nbsp;José Antonio Zafra-Agea ,&nbsp;Itziar Hoyos Cillero ,&nbsp;Marta Lima-Serrano ,&nbsp;Lorena Tarriño-Concejero","doi":"10.1016/j.enfcle.2025.502200","DOIUrl":"10.1016/j.enfcle.2025.502200","url":null,"abstract":"<div><h3>Aim</h3><div>To analyse the managerial function of school nurses in Spain.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502200"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","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}

{"title":"Methodological approaches to nurse-to-patient ratio planning in healthcare systems: What we know and what remains to be known","authors":"Ana María Porcel-Gálvez ,&nbsp;José Miguel Morales-Asencio","doi":"10.1016/j.enfcle.2025.502305","DOIUrl":"10.1016/j.enfcle.2025.502305","url":null,"abstract":"<div><div>The nurse-to-patient ratio planning presents a global challenge in healthcare systems, with significant disparities across countries. It is a widely studied phenomenon, yet methodological and conceptual gaps persist. In Spain, the nurse-to-1000-inhabitant ratio (6.2) remains below the OECD average (8.8), resulting in an estimated shortage of 100,000 nurses. This issue is exacerbated by political decisions influenced by economic, cultural, and organisational factors.</div><div>This work aims to review existing methodological approaches for determining nurse staffing levels, identifying their strengths, limitations, and potential improvements to ensure the efficient and safe allocation of resources.</div><div>Five methodological approaches are analysed: expert judgement, distribution-based methods, time measurement, correlation between staffing levels and adverse events, and stratification by patient complexity. National and international data are compared, and their impact on safety, efficiency, and costs is assessed.</div><div>The study confirms that higher nurse staffing levels reduce mortality and adverse events. Models based on patient complexity, such as INICIARE, provide a more precise and adaptable approach.</div><div>In conclusion, nurse staffing planning should be based on a model that stratifies patient complexity levels according to care dependency while minimising institutional variability. It should be linked to clinical outcomes, patient safety, staff competencies, and workforce stability. Additionally, research should extend to primary and social care settings, where evidence remains limited.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502305"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042439","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":"Research poems: Exploring the experience of parents of children who have died in the paediatric intensive care unit.","authors":"María Teresa González-Gil, Sara Alcón-Nájera, Cristina Oter-Quintana","doi":"10.1016/j.enfcle.2025.502255","DOIUrl":"10.1016/j.enfcle.2025.502255","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of the article is to analyse the use of research poems to capture the essence of the lived experience of families who have lost their children in PICU.</p><p><strong>Methods: </strong>Qualitative phenomenological study in the PICU of a high complexity hospital. Thirteen interviews were conducted (11 mothers and 9 fathers). Poetic analysis was used at an advanced stage of the analysis process with the intention of refining the theoretical proposal and as a means of generating evidence of a different nature tailored to different audiences.</p><p><strong>Results: </strong>Six poems are presented. They reflect the main themes of analysis that capture the experience of families who have lost their children in PICU: 'Questions', 'No good prognosis', 'Those little things', 'You are saying goodbye', 'Life also springs forth' and 'Lullaby of the good death'. Throughout these are metaphorically condensed pills or phenomenological essences that enlighten us on the experience of: information and communication of bad news, participation in complex decision-making, participation in day-to-day and end-of-life care, facilitation of intimate family spaces and for the family, care of the family system (with special attention to siblings), and accompaniment for the farewell.</p><p><strong>Conclusions: </strong>The research poems capture the essence of the lived experience as interpreted by the participants to be projected through a medium that amplifies their voice. The poems are a form of presentation of results that mobilises the audience to encourage transformation and change towards excellence in care from a humanising perspective.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502255"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700483","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":"An empirical approach to quiet quitting in Argentine nurses.","authors":"Solana Salessi","doi":"10.1016/j.enfcle.2025.502245","DOIUrl":"10.1016/j.enfcle.2025.502245","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502245"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651398","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":"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 -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":"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":"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":"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":"Patients’ experiences in ultrasound-guided intravenous catheter insertion: A qualitative study","authors":"Renz Rivera ,&nbsp;Steve He ,&nbsp;Craig McManus ,&nbsp;Nicholas Mifflin ,&nbsp;Ton Tran ,&nbsp;Lorenza Harrowell ,&nbsp;Karla Kuzmins ,&nbsp;John Rihari-Thomas ,&nbsp;Peta Drury ,&nbsp;Steven A. Frost ,&nbsp;Evan Alexandrou","doi":"10.1016/j.enfcle.2025.102149","DOIUrl":"10.1016/j.enfcle.2025.102149","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous catheter (PIVC) insertion is the most performed invasive procedure in healthcare. However, it often presents challenges in patients with non-visible or non-palpable veins, leading to unsuccessful cannulation attempts and associated complications. Ultrasound-guided PIVC insertion is a promising solution for patients with difficult venous access (DIVA). However, there remains a gap in the literature regarding patient experiences with this technique.</div></div><div><h3>Aim</h3><div>This study aimed to describe the characteristics and experiences of patients referred to a specialised DIVA team for ultrasound-guided PIVC insertion and compare their experiences with previous traditional cannulation.</div></div><div><h3>Method</h3><div>A qualitative study was conducted at an Australian 980-bed metropolitan tertiary referral centre. Thirteen patients were recruited through purposive sampling and interviewed post-ultrasound-guided cannulation. Data collection was conducted using one-on-one interviews followed by thematic analysis.</div></div><div><h3>Results</h3><div>The study identified three major themes: the improved patient experience resulting from the expertise of the DIVA team with ultrasound cannulation; the impact of limited equipment and trained personnel on patient experience and outcomes; and the significance of acknowledging patients’ prior cannulation experiences. Participants reported a stark contrast in their experiences between ultrasound-guided and traditional cannulation, with the former significantly reducing physical discomfort, stress and anxiety and improving success rates.</div></div><div><h3>Conclusions</h3><div>Ultrasound-guided PIVC insertion by trained clinicians significantly enhances the experience for patients with DIVA. However, challenges remain, including the availability of equipment and trained staff. The study highlights the need for policy changes and training in ultrasound-guided cannulation to improve patient care and outcomes. Future research should focus on broader and more diverse populations to validate these findings.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 102149"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434423","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}