Enfermeria clinica (English Edition)最新文献

{"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}

{"title":"Transition to practice: Student nurses’ experience of venepuncture and peripheral intravenous cannulation learning","authors":"Orlaith Hernon ,&nbsp;Edel McSharry ,&nbsp;Caitríona Duggan ,&nbsp;Iain MacLaren ,&nbsp;Peter J. Carr","doi":"10.1016/j.enfcle.2025.502256","DOIUrl":"10.1016/j.enfcle.2025.502256","url":null,"abstract":"<div><h3>Objective</h3><div>This study explores final-year nursing students’ experiences with venepuncture and peripheral intravenous cannulation, focusing on both educational and clinical practice settings.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502256"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","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":"Vessel health and preservation: Vascular access key risk considerations","authors":"Nancy Moureau","doi":"10.1016/j.enfcle.2025.502302","DOIUrl":"10.1016/j.enfcle.2025.502302","url":null,"abstract":"<div><div>Vascular access is the most common invasive procedure in hospitalized patients, with over 90% requiring intravenous therapy. Despite its routine nature, improper selection and management of acceso vascular devices (VADs) can lead to complications such as infections, thrombosis, and device failure. Preserving the integrity of the vascular system is essential for ensuring safe and effective treatment delivery across healthcare settings.</div><div>This paper describes the key principles of the Vessel Health and Preservation (VHP) model, highlighting its implementation as a structured, evidence-based clinical pathway for optimizing vascular access outcomes, preserving vascular integrity, and reducing complications. It also outlines a stepwise approach to vascular access planning, device selection, management, and escalation based on patient-specific factors and risk profiles.</div><div>The VHP model is structured around four main stages: assessment and device selection, insertion, management, and outcome evaluation. Key findings and recommendations include early device planning within 24<!--> <!-->h of admission and placement within 48<!--> <!-->h, daily reassessment to align access with evolving treatment needs, use of clinical pathways to guide device selection based on diagnosis, therapy type, and duration, emphasis on minimizing the number of device lumens, choosing the least invasive device, and using vascular access teams for assessment and the identification of high-risk patients requiring specialty placement and escalation to interventional radiology or surgical teams.</div><div>Implementing a VHP program across institutions requires leadership support, interprofessional education, and integration into electronic health records. Adopting this proactive model improves first-attempt insertion success, reduces delays in therapy, and lowers complication rates. In complex cases, timely advancement to specialty placement ensures continued vascular health while maintaining access to essential treatments.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502302"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565493","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":"CUIDAVEN®, an app for the care of people with vascular access. A care innovation project","authors":"Jesús Bujalance-Hoyos ,&nbsp;Margarita Enríquez de Luna-Rodríguez ,&nbsp;Ana Carmen González-Escobosa ,&nbsp;Ana María Oña-González ,&nbsp;María José Fernández Álvarez ,&nbsp;Raquel López Suárez","doi":"10.1016/j.enfcle.2025.502297","DOIUrl":"10.1016/j.enfcle.2025.502297","url":null,"abstract":"<div><div>Venous catheters are the most common invasive devices used in hospitals. There are multiple complications associated with its use, such as phlebitis and bacteremia, with clinical variability in care and poor patient involvement in their own self-care being the main reasons that justify these complications.</div><div>Clinical apps, as innovation tools, can be a tool that helps professionals access reliable information for care and patients in their own self-care. Cuidaven® is an app designed specifically to improve adherence to best practices in the care of people with venous catheters, and to increase health education and involvement of patients in their own clinical safety and self-care. The implementation of Cuidaven® has led to an improvement in nurses' adherence to good practices, a decrease in complications associated with the use of venous devices and an increase in patient knowledge through NOC indicators.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502297"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700482","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":"Rethinking the world of vascular access management with a focus on collaboration","authors":"Sally M. Havers ,&nbsp;Claire M. Rickard","doi":"10.1016/j.enfcle.2025.502334","DOIUrl":"10.1016/j.enfcle.2025.502334","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502334"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770814","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":"GloVANet and WoCoVA: Platforms that integrate evidence and practice in vascular access","authors":"Gloria Ortiz Miluy ,&nbsp;Timothy Spencer","doi":"10.1016/j.enfcle.2025.502166","DOIUrl":"10.1016/j.enfcle.2025.502166","url":null,"abstract":"<div><div>Vascular access globally has experienced exponential development in recent years in all aspects. The speed with which these advances have become part of clinical practice recommendations requires quick and easy communication between professionals, accessibility to impact scientific publications, updating of procedural protocols and the implementation of new models of care to guarantee the quality of health care. In a world full of social, economic and demographic challenges, initiatives that promote the integration of scientific evidence into clinical practice in a standardised manner are essential. Under this premise, the Global Vascular Access Network (GloVANet), together with the World Congress on Vascular Access (WoCoVA) seeks to establish a platform for the dissemination of knowledge, training and research in vascular access, while formalising the role of professionals specialised in this field.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502166"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544784","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":"Management of the care and maintenance of vascular access devices: A challenge for nursing care","authors":"Sonia Casanova-Vivas ,&nbsp;Pablo López-Guardiola","doi":"10.1016/j.enfcle.2025.502284","DOIUrl":"10.1016/j.enfcle.2025.502284","url":null,"abstract":"<div><div>The use of vascular access devices (VADs) is highly prevalent in patients in the hospital and out-of-hospital settings. Short peripheral venous catheters (CVPCs) are the most common used devices. Use of DAVs is not without complications. The literature includes several studies on the prevalence and characteristics of VADs (location, device, fixation, etc.) in hospitalized patients, but few studies have assessed whether the status of this vascular access met the quality standard or not. Quality standards in this care can be obtained by evaluating compliance with the variables that define the adequate care and maintenance of vascular access through observation and daily monitoring of its condition and possible complications. The role of the nurse in this care is fundamental. Evaluating the management and maintenance of VADs to improve the quality of care and patient safety through training and monitoring of good practices for nursing professionals is the objective of the initiative of the nursing research group INCATIV® in the Valencian Community.</div><div>The implementation of this study has led to the evolution of the improvement of the results progressively. Ongoing training and monitoring significantly improve the quality and safety of VAD care. The success of the INCATIV® initiative in adult and paediatric populations underscores the importance of standardized practices and the critical role of nurses in the management of VADs.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 502284"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651399","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 ,&nbsp;Juan de Dios Bautista-Montiel ,&nbsp;Héctor Carreto-Díaz ,&nbsp;Eduardo Fernández-Martínez ,&nbsp;Carlo E. Medina-Solís","doi":"10.1016/j.enfcle.2025.102143","DOIUrl":"10.1016/j.enfcle.2025.102143","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate anxiety and pain induced by venipuncture and its statistical association with sociodemographic variables and history of previous venipuncture in the adult population.</div></div><div><h3>Method</h3><div>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®.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 4","pages":"Article 102143"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","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}