Enfermeria clinica (English Edition)最新文献

{"title":"Application of bladder ultrasound to reduce urinary catheterization in patients suspected of acute urinary retention: A systematic review","authors":"Iván Fernández-Prada ,&nbsp;Sendoa Ballesteros-Peña","doi":"10.1016/j.enfcle.2025.502163","DOIUrl":"10.1016/j.enfcle.2025.502163","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the impact of the use of bladder ultrasound in the reduction of urinary catheterization in patients suspected of acute urinary retention or at risk of suffering from it.</div></div><div><h3>Method</h3><div>A systematic literature review was conducted across various databases to identify studies comparing the use of bladder ultrasound to standard practice in managing acute urinary retention. Both observational and experimental studies that reported the number of urinary catheterizations performed were included.</div></div><div><h3>Results</h3><div>A total of 8 studies involving 3210 participants were included. The findings indicated that the use of bladder ultrasound was associated with a significant reduction in the number of urinary catheterizations, with decreases ranging from 20% to 90% compared to control groups. Even in studies where a reduction in the number of catheterizations was not observed, there was a decrease in adverse effects associated with this procedure, such as urinary tract infections and extended hospital stays.</div></div><div><h3>Conclusions</h3><div>This systematic review provides evidence on the benefits of bladder ultrasound in diagnosing and managing acute urinary retention, enabling a reduction in the number of urinary catheterizations. Implementing this technology, along with proper training for nursing staff, could enhance patient care and safety, as well as the efficiency of healthcare systems.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 502163"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544809","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 caring experience: Being a woman, mother and caregiver from patients diagnosed with mucopolysaccharidosis","authors":"Marcela Campos-Sánchez ,&nbsp;Nolly Nataly Castañeda-Ibáñez","doi":"10.1016/j.enfcle.2025.502167","DOIUrl":"10.1016/j.enfcle.2025.502167","url":null,"abstract":"<div><h3>Introduction</h3><div>Rare or orphan diseases represent a challenge for the health system and the quality of life of patients and their families. In Colombia, mothers assume the main role of caregivers, facing physical, emotional, and financial challenges. This study aims to understand the experience of women who are mothers and caregivers of patients with Mucopolysaccharidosis in Colombia, and the variables associated with caregiver burden.</div></div><div><h3>Method</h3><div>A mixed study was conducted in which the Zarit Caregiver Overload Scale was applied to 48 female caregivers of children with Mucopolysaccharidosis, and they were given an individual structured interview.</div></div><div><h3>Results</h3><div>The Zarit scale showed that 92% of the participants did not have overload. However, the interviews revealed a variety of negative emotions and feelings, such as loneliness, sadness, fear, and guilt. The women expressed an unfinished life project, with overloaded social roles and a constant permanent crisis. The main emotional resource and support wase faith in God. Tensions were found in the relational fabric with the child or patient, between overprotection and independence.</div></div><div><h3>Conclusions</h3><div>Understanding the experience of the caregivers of patients with MPS allowed unveiling the complex elements of caregiving through the three intertwined roles: being a woman, being a mother and being a caregiver. The use of religiosity as an indicator of physical and mental well-being confirms its benefit in the processes of coping with the difficulties related to the experience of diagnosis and treatment.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 502167"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652431","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 and anxiety due to venipuncture in the adult population.","authors":"Mario I Ortiz, Juan de Dios Bautista-Montiel, Héctor Carreto-Díaz, Eduardo Fernández-Martínez, Carlo E Medina-Solís","doi":"10.1016/j.enfcle.2025.102143","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102143","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate anxiety and pain induced by venipuncture and its statistical association with sociodemographic variables and history of previous venipuncture in the adult population.</p><p><strong>Method: </strong>An observational, cross-sectional, quantitative and analytical study was conducted. A questionnaire was used to collect data on sociodemographic variables and variables related to pain and anxiety induced by venipuncture in the adult population attending a Mexican ambulatory care center. A descriptive and inferential analysis of the variables studied was performed using the IBM program SPSS®.</p><p><strong>Results: </strong>2157 adults participated, of whom 1464 (67.9%) were men. The mean age (± standard deviation) of the participants was 34.9 (12.7) years. Of the total venipunctures, 1592 (73.8%) were painful and 1206 (55.9%) were classified as distressing. Age, gender, history of previous venipuncture and venipuncture anxiety were statistically significant risk factors for venipuncture pain. On the other hand, age, venipuncture pain and history of previous venipuncture were risk factors for anxiety during venipuncture.</p><p><strong>Conclusions: </strong>A high incidence of pain and anxiety due to venipuncture was found, as well as several factors that may increase it in the Mexican adult population. Healthcare professionals should consider pharmacological and non-pharmacological interventions to reduce venipuncture anxiety and pain, which would facilitate patient self-management and outpatient visits for therapeutic, diagnostic, preventive, or rehabilitative care as needed.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102143"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543926","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’ and Nursing students’ perceptions of their knowledge and satisfaction in managing wound infections: A cross-sectional study","authors":"Javier Sánchez-Gálvez ,&nbsp;Míriam Sánchez-Hernández ,&nbsp;Eva Vegue-Parra ,&nbsp;José María Rumbo-Prieto ,&nbsp;Daniel Fernández-García ,&nbsp;Santiago Martínez-Isasi","doi":"10.1016/j.enfcle.2025.502165","DOIUrl":"10.1016/j.enfcle.2025.502165","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the perception and satisfaction of nurses and nursing students regarding their knowledge of the clinical management of infected wounds in Spain.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was conducted using an ad hoc questionnaire with 18 questions on knowledge of infected wounds, divided into three sections, and was distributed electronically to nurses and nursing students over a two-month period. The questionnaire was piloted with a group of nurses and students, and data were collected anonymously and voluntarily.</div></div><div><h3>Results</h3><div>A total of 520 completed questionnaires were collected, including 158 from professionals and 362 from students. Professionals demonstrated a significantly higher average knowledge score than students (4.7 ± 0.13 vs 3.8 ± 0.09; p &lt; 0.001). Students performed worse in questions related to biofilm and assessment of subtle and manifest signs of infection in wounds. Specifically, only 45% of students correctly identified the role of bacterial biofilm in wound infections. Significant differences were observed in various items (p &lt; 0.05) favoring non-clinical professionals over clinical professionals, particularly regarding biofilm and the use of topical antiseptics. Overall, professionals expressed significant satisfaction with their knowledge compared to students (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Nursing professionals, especially those with teaching, research, and/or managerial roles, demonstrate a greater perception of knowledge in specific areas. However, both professionals and students exhibit gaps in perceived knowledge regarding the management of wound infections, highlighting the importance of continuous education and the review of teaching strategies to address these deficiencies. Implementing a specific mandatory subject is suggested to ensure the quality of nursing education in this area from undergraduate level.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 502165"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631105","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":"Navigating the ethical landscape of healthcare professionals in social networks: Reflections to avoid shipwrecks","authors":"Sara Chiquero-Valenzuela ,&nbsp;Joan Enric Torra-Bou ,&nbsp;Pablo Lopez-Casanova ,&nbsp;Luis Aranton-Areosa","doi":"10.1016/j.enfcle.2025.502194","DOIUrl":"10.1016/j.enfcle.2025.502194","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 502194"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652369","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":"Reducing medical fear among children using simulated health care spaces: A randomized controlled trial","authors":"Nelia Soto-Ruiz ,&nbsp;Paula Escalada-Hernández ,&nbsp;Cristina García-Vivar ,&nbsp;Marta Ferraz-Torres ,&nbsp;Amaia Saralegui-Gainza ,&nbsp;Leticia San Martín-Rodríguez","doi":"10.1016/j.enfcle.2025.102126","DOIUrl":"10.1016/j.enfcle.2025.102126","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effectiveness of an intervention that involved interactions within a simulated health care space to reduce medical fear among children in infant classes.</div></div><div><h3>Methods</h3><div>An experimental study involving 86 children divided into an intervention group and a control group with pre- and postintervention measurements was undertaken. The intervention, known as the Health-Friendly Program, consisted of showing children various scenarios that simulated different medical contexts so that they could interact in them, experiment with the materials and ask questions. Medical fear was evaluated using the Spanish version of the revised “Child Medical Fear Scale”, which provides a score of the medical fear level ranging between 0 and 34 points. The pretest and posttest levels of medical fear in the intervention and control groups were compared with Student's t test.</div></div><div><h3>Results</h3><div>The children in the intervention group experienced a significant reduction in fear by 3.21 points (SD: 6.50) compared to the children in the control group. This reduction in fear was shown in all four dimensions of the scale: intrapersonal fears, procedural fears, environmental fears and interpersonal fears.</div></div><div><h3>Conclusion</h3><div>The Health-Friendly Program provides an innovative intervention to reduce medical fear among children based on information, confrontation strategies and simulation scenarios. This study suggests the potential benefit of incorporating educational interventions in schools in collaboration with university and health care simulation centers.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 102126"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442911","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 effect of the use of sterile transparent film dressing on the catheter dwell time and the development of catheter-related complications in newborns: Randomized clinical trial.","authors":"Müjde Çalıkuşu İncekar, Suzan Yıldız, Yağmur Gül, Ozan Uzunhan","doi":"10.1016/j.enfcle.2025.102147","DOIUrl":"10.1016/j.enfcle.2025.102147","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the effect of sterile transparent film dressing and tape dressing used in peripheral intravenous catheter application in newborns on the catheter dwell time and the development of catheter-related complications.</p><p><strong>Methods: </strong>The study was conducted in the neonatal intensive care unit of a hospital as a randomized controlled trial design. This study was conducted with the group that sterile transparent film dressing and the group that tape dressing methods. Data were collected using newborn follow-up forms, the Infiltration Scale and Phlebitis Scale.</p><p><strong>Results: </strong>There was no statistically significant difference between the two groups referring to the signs of extravasation, phlebitis, and occlusion in newborns related to the catheter dwell time and catheter-related complications (p > 0.05). The scores and signs of infiltration were higher in the tape dressing group (p < 0.05).</p><p><strong>Conclusion: </strong>The use of a sterile transparent film dressing reduces tissue infiltration in neonates with peripheral intravenous catheters. It is recommended that health care professionals working in neonatal intensive care units use sterile transparent film dressings to dress peripheral intravenous catheters.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102147"},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442914","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":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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).</p><p><strong>Results: </strong>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 p<0.05). Moreover, it is concluded that ethnocentrism and professional attitudes have a negative effect on the moral sensitivity of nurses and midwives.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102154"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","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":"Utilization of telehealth services among multiple sclerosis patients in Iran.","authors":"Farnaz Zare, Rezvan Rahimi, Hanieh Zehtab Hashemi","doi":"10.1016/j.enfcle.2025.502186","DOIUrl":"10.1016/j.enfcle.2025.502186","url":null,"abstract":"<p><strong>Introduction: </strong>Telehealth services, as an innovative solution in the healthcare sector, hold potential benefits for addressing the needs of individuals with Multiple sclerosis (MS). This study aims to investigate the level of telehealth service utilization among MS patients in Iran and explore the factors influencing their use.</p><p><strong>Method: </strong>This study adopts a descriptive-analytical approach for its research objective and employs a survey-based method for data collection and analysis. The validity and reliability of the questionnaires underwent evaluation through content analysis and quantitative methods. Hypotheses regarding factors such as age, education level, sex, and type of disease affecting the extent of telehealth service utilization were examined.</p><p><strong>Results: </strong>A majority of patients have availed themselves of telehealth services (78%), with a lower percentage using mobile applications for MS management (18%). Among patients, higher utilization of telehealth services was observed for finding a doctor and scheduling appointments (46%), accessing information about symptoms and disease conditions (39%), and communicating with physicians (38%). The study revealed no significant association between sex, age, and type of disease with the extent of telehealth service usage (p>0.05). However, the study demonstrated that education level is linked to the extent of telehealth service utilization (p<0.05).</p><p><strong>Conclusion: </strong>The effective advancement of telehealth services for MS patients necessitates a thorough understanding of the needs, preferences, and constraints within this demographic. Consequently, telehealth platforms should be designed to be accessible and user-friendly for all patients, irrespective of age, sex, type of disease, or education level.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502186"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434427","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":"Quality of life instruments for patients with peripherally inserted vascular access devices: A scoping review.","authors":"Saloa Unanue-Arza, Orlaith Hernon, Selene Lurueña-Rodríguez, Caitriona Duggan, Victoria Armenteros-Yeguas, Peter J Carr","doi":"10.1016/j.enfcle.2025.102145","DOIUrl":"10.1016/j.enfcle.2025.102145","url":null,"abstract":"<p><strong>Objective: </strong>To identify studies that assess the quality of life of people with a peripheral intravenous catheter (PIVC), a midline catheter (MC) and a peripheral insertion central catheter (PICC).</p><p><strong>Method: </strong>Using a scoping review design we included studies that reported the quality of life of adult patients with the aforementioned vascular access devices. With a specific keyword search strategy performed in December 2023 we searched, CINAHL, Embase, Cochrane, Scopus and ProQuest databases. There were no restrictions on the date of publication and studies in English, Spanish or Portuguese were included. Following our inclusion an exclusion criteria, extracted findings reported with the patterns, advances, gaps, evidence for practice and research framework.</p><p><strong>Results: </strong>Of 6317 sources we included 151 papers for full text screening and included 21 studies for data extraction and interpretation. PICCs were the primary catheter reported in seven studies. All remaining studies included more than one device. The most frequently used questionnaire was European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (eight studies) followed by the Short Form Health Survey, the Karnofsky scale, Functional Living Index-Cancer questionnaire, Palliative Care Outcome Scale FACT-B questionnaire. In eight studies a researcher developed without validated questions were used alone or combined with other validated instruments.</p><p><strong>Conclusion: </strong>There are no validated questionnaires measuring patient quality of life with specifically for three of the most commonly inserted vascular access devices used in healthcare to date. Opportunities exist to develop and validate a patient related and catheter device specific quality of life instrument.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102145"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442909","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}