Enfermeria clinica (English Edition)最新文献

{"title":"Perspectives and challenges in patient participation in research and innovation: A dialogue between patients and researchers","authors":"Verónica Tíscar-González,&nbsp;Miriam Sainz Ramos,&nbsp;Ane Zumarraga Cuesta,&nbsp;Elena Galve Calvo","doi":"10.1016/j.enfcle.2026.502420","DOIUrl":"10.1016/j.enfcle.2026.502420","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the perspectives of patients and healthcare researchers on their participation in clinical studies, in order to identify barriers and propose actions that promote more active, informed and equitable participation.</div></div><div><h3>Method</h3><div>Qualitative study with a phenomenological approach, based on a focus group technique. The session included five patients with experience in clinical trials and two oncology researchers. It was audio-recorded, transcribed verbatim, and analysed through thematic coding in three phases (open, axial and selective), following COREQ quality standards.</div></div><div><h3>Results</h3><div>Four main categories emerged: (1) the value of participation in clinical trials, with patients and professionals highlighting benefits such as safety, access to innovation, and knowledge generation; (2) the need for clear and adapted communication, pointing out the challenges of informed consent and the importance of trust-based relationships; (3) the key role of patient associations as intermediaries between the healthcare system and the community; and (4) the integration of a gender perspective, especially regarding conditions with a strong impact on young women. Structural, communicative and organizational barriers were identified.</div></div><div><h3>Conclusions</h3><div>Active patient involvement in research improves the quality, relevance and equity of generated knowledge. Specific proposals are presented, including the creation of accessible information spaces, citizen participation channels and expert patient committees. These actions aim to promote more inclusive and person-centred research practices.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502420"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551684","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":"Psychosocial risk factors linked to work and cultural competence among healthcare in professionals in Ceuta","authors":"Sergio José Toribio-Martínez,&nbsp;Paloma Echevarría-Pérez,&nbsp;Francisca Sánchez-Ayllón,&nbsp;José Luis Gómez-Urquiza","doi":"10.1016/j.enfcle.2026.502554","DOIUrl":"10.1016/j.enfcle.2026.502554","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the work-related psychosocial risk factors and the level of clinical and cultural competence among healthcare professionals in the Ceuta Health District (Spain), and to provide a descriptive analysis of both dimensions within this population.</div></div><div><h3>Method</h3><div>An observational, descriptive, cross-sectional study was conducted in four public health centres in the city of Ceuta and in the 061 Primary Care facility (October 2020–March 2021). All healthcare professionals (doctors, nurses, nursing assistants, and physiotherapists) who met the inclusion criteria were invited to participate. With regard to the calculated sample size, 278 participants were initially. A self-administered questionnaire with 146 items was used, including questions on sociodemographic and occupational factors, health habits and psychosomatic symptoms, as well as instruments validated in Spanish to assess psychosocial risks and clinical-cultural competence. The data were analysed using descriptive statistics.</div></div><div><h3>Results</h3><div>A response rate of 38.2% was obtained (134 questionnaires). Most participants were women (82.1%), predominantly nurses (56.7%) with more than 10 years' service, mostly working full-time. Relatively favourable health habits were observed (low consumption of alcohol and tobacco and perception of good health), although there was a significant presence of psychosomatic symptoms. In the psychosocial sphere, unfavourable levels of exposure were identified in areas such as conflict, perceived leadership and working conditions. In terms of clinical-cultural competence, more than half of the professionals showed intermediate levels of knowledge and skills to care for a culturally diverse population, coexisting with areas for improvement in awareness and specific training.</div></div><div><h3>Conclusions</h3><div>Healthcare professionals are highly exposed to certain psychosocial risks linked to the organisation of work and the healthcare context, along with intermediate levels of clinical-cultural competence. This highlights the need to develop organisational strategies to reduce psychosocial risks and implement structured training programmes in cultural competence adapted to the uniqueness of Ceuta as a border and multicultural enclave.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502554"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594755","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":"Applicability of the indicators from Nursing Outcomes Classification in the evaluation of pressure injuries: A longitudinal study","authors":"Amália de Fátima-Lucena,&nbsp;Cássia Teixeira-dos-Santos,&nbsp;Ana María Porcel-Gálvez","doi":"10.1016/j.enfcle.2026.502448","DOIUrl":"10.1016/j.enfcle.2026.502448","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the applicability of the outcomes and indicators of Tissue integrity: skin and mucous (1101) and Wound healing: second intention (1103), of the Nursing Outcomes Classification/NOC, in adult patients hospitalized with the Nursing Diagnosis Adult pressure injury.</div></div><div><h3>Method</h3><div>Prospective longitudinal study conducted in a Brazilian hospital between 2018−2020. The nursing process that is digitalized in the institution and the protocol for prevention and treatment of Pressure Injury were taken as a basis. The sample calculation was performed based on the improvement in the NOC score. The non-probability sample size was 57 adult patients with Pressure Injury. The data was collected using an instrument in the different clinical evaluations of the patient. The study used sociodemographic and clinical variables, along with clinical indicators from the Nursing Outcomes Classification/NOC. Data analysis included the Generalized Estimating Equations with adjustment Bonferroni Test to compare evaluations over time. Study approved by the ethics committee 2018-0390 in Hospital de Clínicas de Porto Alegre/Brasil.</div></div><div><h3>Results</h3><div>Pressure injuries of 57 patients were evaluated with indicators of the nursing outcomes ‘Tissue integrity: skin and mucous (1101)’ and ‘Wound healing: second intention (1103)’ that demonstrated applicability in practice and a significant improvement in healing of injuries according to these: Erythema, Scarformation, Woundsize, Wound inflammation and Macerated skin.</div></div><div><h3>Conclusions</h3><div>The applicability of outcomes and indicators/NOC is evidente allowing monitoring of the healing process of the pressure injurie, which confirms that the use of NOC in clinical practice provides good precision in the evaluation of the patients studied.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502448"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537421","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":"Influence of body self-perception on the sexual functioning of adult women","authors":"Isabel Navarro-López,&nbsp;María del Carmen de Diego-Castell,&nbsp;Juan José Criado-Álvarez,&nbsp;Vanesa Muñoz-Rodríguez,&nbsp;Montserrat Serrano-Arenas,&nbsp;Jaime González-González","doi":"10.1016/j.enfcle.2026.502477","DOIUrl":"10.1016/j.enfcle.2026.502477","url":null,"abstract":"<div><h3>Objective</h3><div>Sexuality is a fundamental human characteristic influenced by a multitude of factors, including body image self-perception. Women are more vulnerable to alterations in their body image, a factor that can affect their sexual health. This study analysed the association between body image self-perception and female sexual function in a sample of adult women residing in Talavera de la Reina health area (Toledo, Spain).</div></div><div><h3>Method</h3><div>An observational, cross-sectional and descriptive study was conducted with 420 participants selected through age-stratified sampling. The Body Shape Questionnaire –BSQ-14– and The Female Sexual Function Index –FSFI– were administered. A descriptive and bivariate analysis was performed, associations were examined using parametric tests and Pearson correlation coefficients, and regression models were applied to identify associated factors, with 95% confidence intervals.</div></div><div><h3>Results</h3><div>Findings indicate that greater body satisfaction is associated with better sexual function, showing a weak but statistically significant correlation (<em>p</em> &lt; .01). Sociodemographic factors such as age, body mass index, menopause, and the presence of chronic diseases also influence sexual function and body image self-perception.</div></div><div><h3>Conclusions</h3><div>The influence of body self-perception on female sexual function requires a comprehensive approach to women’s sexual health, in which midwives and primary care nurses play an essential role in sexual education programmes, prevention, and the management of sexual dysfunctions.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502477"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551620","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 well-being on the night shift: Implications for patient safety in Emergency Departments","authors":"Ester Canut-Fusté","doi":"10.1016/j.enfcle.2026.502506","DOIUrl":"10.1016/j.enfcle.2026.502506","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502506"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537608","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":"Engagement in nursing: Differences by sector and level of responsibility","authors":"José Ramón Sanchez-Isla,&nbsp;Diana Ochoa-Tamayo,&nbsp;Fernando Díez-Ruiz,&nbsp;Elene Igoa-Iraola,&nbsp;Karmele Araujo-Díez,&nbsp;Ángela González-Barbadillo","doi":"10.1016/j.enfcle.2026.502469","DOIUrl":"10.1016/j.enfcle.2026.502469","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the level of work commitment of nursing professionals in the Basque Country.</div></div><div><h3>Methodology</h3><div>Descriptive cross-sectional study, conducted among a population of 182 professionals currently practising nursing in different health areas, both in the public and private sectors. These professionals completed the Spanish version of the UWES-9 (Utrecht questionnaire Work Engagement Scale in its short version) in a self-reported manner. The Ethics Committee of the University of Deusto approved the study.</div></div><div><h3>Results</h3><div>Non-parametric tests were used to establish significant correlations between the different dimensions studied in the reference scale with respect to the demographic and professional conditioning factors of the participants. The results indicated that professionals in the private sector show higher levels of commitment than those in the public sector. In addition, professionals in managerial positions showed higher levels of organisational commitment.</div></div><div><h3>Conclusions</h3><div>These results suggest that, beyond job stability, factors such as leadership and organisational support may be associated with higher work engagement levels. Promoting a positive work environment could increase staff satisfaction and improve the quality of healthcare.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502469"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426806","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":"Supervision programs implemented by nurses to caregivers in the community: A scoping review","authors":"Inês Moreira,&nbsp;Márcia Coelho,&nbsp;Mauro Mota,&nbsp;Regina Pires,&nbsp;Margarida Reis Santos","doi":"10.1016/j.enfcle.2026.502509","DOIUrl":"10.1016/j.enfcle.2026.502509","url":null,"abstract":"<div><h3>Objective</h3><div>To map supervisory programs implemented by nurses to caregivers in the community.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following JBI methodology and the PRISMA-ScR checklist. Twelve databases and sources were searched for published and unpublished studies in English, Portuguese and Spanish since 1993. Two independent reviewers selected studies on nurse-led supervisory programs for informal caregivers in community settings.</div></div><div><h3>Results</h3><div>Eleven studies were included. Programs consisted predominantly of educational sessions of varying duration and frequency, complemented by skills training, home visits and follow-up contacts. One program used telehealth-based interventions. All programs aimed to train caregivers to promote care quality and safety. The home was the most common implementation context.</div></div><div><h3>Discussion and Recommendations</h3><div>Nurse-led supervisory programs strengthen caregiver support through education and training, reducing caregiver burden and improving care quality. The mapped evidence suggests that structured supervisory programs incorporating educational sessions and follow-up contacts may benefit informal caregivers in community settings. Telehealth strategies may warrant further exploration as complementary approaches. Further research with rigorous designs and larger samples is needed to evaluate the effectiveness of these programs.</div></div><div><h3>Review registration</h3><div><em>Open Science Framework</em>: <span><span>https://osf.io/s6wfv/</span><svg><path></path></svg></span></div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502509"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426852","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 psychological distress, social support and medication adherence among hypertensive patients in Nigeria","authors":"Oluwaseyi Isaiah Olabisi,&nbsp;Dolapo Ajala,&nbsp;Chika Odira,&nbsp;Grace Olayanju,&nbsp;Igmac Ituh,&nbsp;Adetunmise Oluseyi Olajide","doi":"10.1016/j.enfcle.2026.502480","DOIUrl":"10.1016/j.enfcle.2026.502480","url":null,"abstract":"<div><h3>Background</h3><div>Medication adherence among patients with hypertension is a major concern among healthcare practitioners because of its implications for the health status of those affected. This study determined the level of medication adherence, psychological distress, social supports, and the relationship between the three concepts.</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study was conducted among 282 hypertensive patients attending the cardiology unit of the University of Ilorin Teaching Hospital. The scale was used to collect data from the respondents including multidimensional scale of perceived social support (MPSS), the Morisky medication adherence scale, and the Kessler psychological distress scale (K10 Scale). Data collected were analyzed using descriptive (frequency, percentages, mean, and standard deviation) and inferential statistics (ANOVA, t-test, and person correlation), with significance set at <em>P</em> &lt; .05.</div></div><div><h3>Results</h3><div>Out of 282 respondents, 174 (61.7%) were more than forty-five years of age, and 199 (70.6%) were females. The majority (64.2%) had low medication adherence, and 250 (88.7%) experienced severe psychological distress. Medication adherence was negatively correlated with psychological distress (r = −0.262 [significant correlation at the 0.05 level, 1-tailed], <em>P</em> &lt; .001), positively correlated with significant order social support (r = 0.159 [significant correlation at the 0.01 level, 2-tailed], <em>P</em> = .007), and family social support (r = 0.119, <em>P</em> = .046). Also, there was an association between medication adherence and age (t = 2.432; <em>P</em> = .016), educational qualification (f-test = 3.627; <em>P</em> = .014), and residence (t = 3.087, <em>P</em> = .002).</div></div><div><h3>Conclusion</h3><div>Significant order and family social support promote medication adherence, and experience of psychological distress negatively affects adherence. Age, education qualification, and residence of the patients are determining factors for adherence. Therefore, nurses should create more awareness on the importance of significant order and family social support.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502480"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426839","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":"One year of the strategic framework for nursing care: from political commitment to system transformation","authors":"Sonia Betsabé Gómez-Arribas,&nbsp;Paloma Ángela Calleja-Toledano,&nbsp;Marina Zancajo-Alejandre,&nbsp;Cristina García-Herranz","doi":"10.1016/j.enfcle.2026.502602","DOIUrl":"10.1016/j.enfcle.2026.502602","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502602"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892999","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":"Learning about life and death: Midwives leading perinatal and death education in primary schools.","authors":"Manuela Contreras-Garcia, María Torres-Lacomba, M Lourdes Martín-Parada, Maria Angeles Diez-Mateos, Carmen Sarabia-Cobo","doi":"10.1016/j.enfcle.2026.502490","DOIUrl":"10.1016/j.enfcle.2026.502490","url":null,"abstract":"<p><strong>Aims: </strong>To describe teachers' perceptions and children's attitudes and behaviours in response to a perinatal and death education workshop conducted by midwives in primary school classrooms.</p><p><strong>Methods: </strong>This descriptive qualitative study employed a phenomenological approach. The workshop addressed pregnancy, birth, death -including perinatal death-, and related care. It was grounded in the perinatal ecosystemic model and the reconstruction of bonding and meaning in mourning. A three-stage sampling strategy was used: convenience, snowball, and purposive. The sample included 30 teachers and 606 students from nine primary schools in a region of northern Spain. Data collection involved semi-structured, in-depth interviews with participating teachers and field notes documenting children's attitudes and behaviours.</p><p><strong>Results: </strong>Teachers highlighted: a) the naturalness with which the topics were addressed; b) the workshop's effectiveness in helping children understand and cope with the perinatal period and the death of loved ones; c) the resources used were very age-appropriate; and d) their own insufficient training to talk about death. The students remained attentive and participatory, even when the topic of death was addressed. They were also unaware of the role of the midwife during pregnancy.</p><p><strong>Conclusions: </strong>Midwives could be trained to deliver this workshop, as their professional expertise offers a unique contribution to perinatal and death education. Integrating this content into the school curriculum may promote emotional resilience and health literacy from an early age.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502490"},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551611","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}