Enfermeria clinica (English Edition)最新文献

{"title":"Patient’s emotional needs undergoing hemodialysis treatment/giving voice to their perspective, a qualitative study","authors":"Jenny Margarita Rodriguez-Urbina,&nbsp;Sandra Rubio-Paez,&nbsp;Esther Arcas-Canalias","doi":"10.1016/j.enfcle.2026.502406","DOIUrl":"10.1016/j.enfcle.2026.502406","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with kidney failure on hemodialysis face significant physical, emotional, and social challenges that affect their quality of life. Providing humane care, listening to their concerns, and addressing their emotional needs means understanding and alleviating their suffering as a key element of comprehensive, patient-centered care.</div></div><div><h3>Objective</h3><div>To identify the emotional needs of people receiving hemodialysis treatment, and to propose future lines of research, practical actions aimed at improving the quality of care based on Jean Watson's Theory of Humanized Care.</div></div><div><h3>Method</h3><div>Qualitative descriptive research, employing semi-structured interviews with hemodialysis patients (<em>n</em> = 9) from September 2021 to June 30, 2022. Data were analyzed using thematic coding supported by ATLAS.ti 22 software.</div></div><div><h3>Results</h3><div>Four main categories were identified: (1) Promoting and accepting the expression of their feelings. (2) Recognizing the patient’s vulnerability. (3) Perceive humanized nursing care and (4) Enhancing the relationship of assistance and trust between nurses and patients.</div></div><div><h3>Conclusion</h3><div>Kidney patients need to feel heard when expressing their emotions and feelings, being recognized as vulnerable and at risk of physical or emotional harm. They require nursing care based on respect for their dignity, compassion and empathy, a supportive and trusting connection based on attentive listening, and a close and supportive bond throughout the care process. These findings reinforce the relevance of Watson's theory in guiding ethical, emotional, and holistic approaches in nursing practice. Therefore, our attention should not focus solely on technical aspects but also on the patient's emotional needs.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502406"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020744","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":"Development of the Paediatric Nursing specialty in Spain: advances, challenges and future perspectives","authors":"Isabel María Morales Gil","doi":"10.1016/j.enfcle.2026.502559","DOIUrl":"10.1016/j.enfcle.2026.502559","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502559"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165757","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":"Prospective study using the Pediatric Quality of Life Inventory Cancer Module v3.0 (PedsQL-CM v3.0): Assessment of the psychosocial dimension and health-related quality of life","authors":"Sandra Tundidor Sebastián,&nbsp;Monserrat Albert Also,&nbsp;Laura Puertas Esteban,&nbsp;Lucía López Muguerza,&nbsp;Alicia Garzón Montero,&nbsp;Josep-Oriol Casanovas-Marsal,&nbsp;Laura Lafarga-Molina","doi":"10.1016/j.enfcle.2026.502403","DOIUrl":"10.1016/j.enfcle.2026.502403","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate health-related quality of life and the psychosocial dimension in pediatric cancer patients and analyse their relationship with the clinical evolution parameters of the disease.</div></div><div><h3>Methods</h3><div>Prospective, observational, and analytical study with consecutive sampling of 53 patients aged 5–18 years, conducted between May 1, 2022, and May 1, 2023, in the pediatric oncohematology unit at Materno-Infantil Hospital of Miguel Servet University Hospital (Zaragoza, Aragón, Spain). Health-related quality of life was assessed using the Pediatric Quality of Life Inventory Cancer Module version 3.0, and PD was assessed using the Pediatric Quality of Life Inventory version 4.0. The study was approved by Comité de Ética de la Investigación de la Comunidad Autónoma de Aragón (C.P.-C.I. PI22/247). Statistical analyses were performed using Jamovi® version 1.2.</div></div><div><h3>Results</h3><div>A total of 46 patients participated (<em>N</em> = 46), with a mean age of 12.08 ± 4.05 years. Girls accounted for 30.43% of the sample, and the most prevalent cancer type was acute lymphoblastic leukaemia (39.13%). Health-related quality of life in patients with sarcoma was significantly lower than in those with acute lymphoblastic leukaemia (mean 40.7 vs. 72.6; <em>p</em> = .037; Cohen’s <em>d</em> = 1.2), suggesting a clinically relevant impact in this subgroup. No significant differences in perceived quality of life were found in relation to participants’ laboratory parameters.</div></div><div><h3>Conclusions</h3><div>Age, treatment received and hospital stay influence the various dimensions of health-related quality of life, however, cancer and analytical parameters do not influence the perception of the psychosocial dimension of health-related quality of life. Sarcoma reflects a worse health-related quality of life compared to other more common tumours.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502403"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367446","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":"Menstrual cycle characteristics and time to pregnancy: a retrospective cohort of Mexican nurses","authors":"Isabel Alvarez-Solorza ,&nbsp;Liliana Argueta-Figueroa ,&nbsp;L. Patricia Bustamante-Montes","doi":"10.1016/j.enfcle.2026.502364","DOIUrl":"10.1016/j.enfcle.2026.502364","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the association between menstrual cycle characteristics and Time to Pregnancy (TTP) among nurses.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted between 2019 and 2023. Based on the total number of nurses at the Health Institute of the State of Mexico, the sample size was calculated, resulting in 378 nurses. The study included 600 participants who agreed to participate and had their first pregnancy within the last 14 years. The variables of interest were collected through a questionnaire, and the data analysis employed a discrete-time analogue of the Cox proportional hazards model.</div></div><div><h3>Results</h3><div>A significant association was identified between increased TTP and the age at menarche [ORF = 0.80; 95% CI: 0.70–0.92], menstrual irregularity [ORF = 0.54; 95% CI: 0.35–0.85], cycles until menstruation became regular [ORF = 0.43; 95% CI: 0.36–0.52], and moderate [ORF = 0.55; 95% CI: 0.35–0.86] or heavy menstrual bleeding [ORF = 0.26; 95% CI: 0.35–0.70].</div></div><div><h3>Conclusions</h3><div>Menstrual cycle characteristics are significantly associated with TTP among nursing professionals. These findings highlight the importance of monitoring and understanding menstrual patterns to improve fertility planning and management in this professional group. However, methodological limitations of the retrospective design, such as recall bias, should be considered.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502364"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373647","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":"Evaluation of caregivers’ knowledge and practices in pediatric asthma management in rural India: A cross-sectional study","authors":"Sunaina Sharma,&nbsp;Rajkumari Sylvia Devi,&nbsp;Ashok Kumar Srivastava,&nbsp;Sanchita Pugazhendi,&nbsp;Kamli Prakash,&nbsp;Salam Bhopen Singh","doi":"10.1016/j.enfcle.2026.502404","DOIUrl":"10.1016/j.enfcle.2026.502404","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate caregivers’ knowledge and practices related to management of pediatric asthma, and identify the existing gaps for improvement.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 120 caregivers of asthmatic children who were attending pediatric OPDs of selected hospitals by total enumerative technique. Data were collected using reliable, structured and pretested tools comprising various aspects of asthma management knowledge and practices.</div></div><div><h3>Results</h3><div>The majority (63.33%) caregivers had overall poor knowledge of asthma, while 31.67% had average knowledge and only 5.00% had good knowledge. 94.17% had difficulty utilizing Meter Dose Inhalers (MDI) efficiently and only 5.83% caregivers performed well. Considerable challenges were found in executing Nebulization Technique (NT), with only 4.17% users operating effectively. Similarly, the use of Peak Flow Meter (PFM) resulted in 92.50% poor performance, and all of the caregivers failed to demonstrate Pursed Lip Breathing (PLB) Technique properly. The knowledge of the caregivers showed positively correlations with their technical applications such as MDI, NT, and PFM (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The study highlights a significant gap in asthma management of the caregivers especially with respect to nebulization, MDI use, PLB technique, and PFM techniques. Recognizing the critical role that these therapies serve in reducing exacerbations and enhancing quality of life, focused education and trainings of caregivers are emphasized to minimize acute asthma episodes in children.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502404"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health in nursing: a perspective from psychosocial risks","authors":"Edwin Gustavo Estrada-Araoz","doi":"10.1016/j.enfcle.2026.502447","DOIUrl":"10.1016/j.enfcle.2026.502447","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502447"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007577","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":"Generative artificial intelligence in nursing care research: Applications across the research process","authors":"María Jesús Valero-Chillerón,&nbsp;Irene Llagostera-Reverter,&nbsp;David Luna-Aleixos,&nbsp;Víctor M. González-Chordá","doi":"10.1016/j.enfcle.2026.502553","DOIUrl":"10.1016/j.enfcle.2026.502553","url":null,"abstract":"<div><div>Generative artificial intelligence has undergone rapid development in recent years, and its integration into health research is transforming the ways in which scientific studies are designed, conducted, and disseminated. Within the context of nursing research, these technologies offer new opportunities to support and enhance research activity. However, their use also raises important challenges related to the reliability of generated information, the presence of bias, transparency in processes, and adherence to the ethical and regulatory principles governing nursing research.</div><div>Accordingly, the objectives of this article are to analyse the role of generative artificial intelligence as an enabling tool in nursing research, to describe its main applications and limitations across the different phases of the research process, and to present the regulatory framework, editorial policies, and ethical implications associated with its responsible use. Furthermore, a ten-point plan is proposed for its responsible and effective integration into research in care. To this end, recent evidence and examples of use in care research were integrated, with a focus on applicability to research practice.</div><div>It is concluded that generative artificial intelligence may represent a valuable resource for nursing research when used in a critical and context-aware manner, as a support to research reasoning rather than a substitute for professional judgement. Its integration requires human oversight, systematic verification of generated outputs, and alignment with current ethical, regulatory, and editorial frameworks to preserve scientific quality, transparency, and the integrity of the research process in nursing.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502553"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221200","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":"Readiness and heel prick skills in intern nurses: A correlational study","authors":"Sultan Esra Sayar,&nbsp;Süheyla Yaralı","doi":"10.1016/j.enfcle.2026.502338","DOIUrl":"10.1016/j.enfcle.2026.502338","url":null,"abstract":"<div><h3>Aim</h3><div>To examine the relationship between readiness for clinical practice and heel prick skills among trainee nurses during a period when practical training was interrupted due to distance education.</div></div><div><h3>Methods</h3><div>This descriptive and correlational study was conducted between April and June 2024 at an university in Eastern Türkiye. Data were collected face-to-face using the Casey-Fink Readiness for Practice Scale and the Self-Reported Heel Prick Blood Collection Knowledge and Practices Scale. Ethical approval was obtained from the Ataturk University Faculty of Medicine Non-Invasive Clinical Research Ethics Committee (DocumentID: B.30.2.ATA.0.01.00/85), and institutional permission was granted. Data were analyzed using IBM SPSS® 22.0 with descriptive statistics, independent <em>t</em>-tests, and Pearson correlation analysis.</div></div><div><h3>Results</h3><div>Intern nurses who chose the profession willingly reported significantly higher readiness scores. A weak but statistically significant positive correlation was found between readiness for practice and heel prick blood collection skills, particularly in pre-procedure considerations (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Intern nurses' readiness for practice is positively associated with their self-reported competence in newborn heel prick blood collection. Enhancing readiness through targeted educational interventions may improve practical skill performance in clinical procedures, especially when in-person training is limited.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502338"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020730","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":"Nursing care in a pediatric patient with Berlin Heart Excor® ventricular assist device: A case report","authors":"Tania Cernadas-Tubío,&nbsp;Tania García-López","doi":"10.1016/j.enfcle.2026.502519","DOIUrl":"10.1016/j.enfcle.2026.502519","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric heart transplantation is the treatment of choice for advanced heart failure. Due to the scarcity of donor organs, the use of mechanical circulatory support devices as a bridge to transplantation has increased. The Berlin Heart Excor® (BHE) is the most widely used ventricular assist device in the pediatric population.</div></div><div><h3>Objective</h3><div>To describe a comprehensive, family-centered nursing approach in an infant with severe heart failure who required the simultaneous use of extracorporeal membrane oxygenation (ECMO) and a BHE ventricular assist device.</div></div><div><h3>Case description</h3><div>A 13-month-old infant was admitted to the pediatric intensive care unit with acute myocarditis and severe biventricular dysfunction. The patient developed hemodynamic deterioration requiring ECMO support followed by left ventricular assistance with a Berlin Heart Excor®, with both devices coexisting for 2 days. After a favorable clinical course, progressive weaning from the device was initiated, and it was removed after 51 days, followed by hospital discharge.</div></div><div><h3>Care plan</h3><div>The nursing process was applied based on Virginia Henderson's conceptual model, using NANDA-International, Inc. (NANDA-I) taxonomy, the Nursing Outcomes Classification (NOC), and the Nursing Interventions Classification (NIC). Care focused on addressing the psychosocial needs of both the patient and their family.</div></div><div><h3>Conclusions</h3><div>The systematic application of the nursing process enabled the structuring of complex care and the evaluation of its effectiveness. Family-centered care proved essential for adaptation to the disease process and for the recovery of the pediatric patient.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502519"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007659","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 quality of life of parents of newborns admitted to the neonatal intensive care unit","authors":"Lucía Jesús Muñiz-Ceballos,&nbsp;Silvia Arroyo-Fresneña,&nbsp;Laura Vázquez-Alvira,&nbsp;Ana Velasco-Iruretagoyena,&nbsp;Laura González-Cabeza,&nbsp;Josep-Oriol Casanovas-Marsal","doi":"10.1016/j.enfcle.2025.502304","DOIUrl":"10.1016/j.enfcle.2025.502304","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate and compare the health-related quality of life of parents of newborns admitted to the Neonatal Intensive Care Unit, during neonatal hospitalization and at home, and to identify the factors that influence it by analyzing sex differences.</div></div><div><h3>Method</h3><div>Observational, prospective, and analytical study conducted with 92 parents of 46 newborns admitted to the Neonatal Intensive Care Unit. Health-related quality of life was assessed using the PedsQL-FIM 2.0 questionnaire at three different time points. Sociodemographic variables of the parents and clinical data of the newborns, including the use of medical devices, were recorded. The study was approved by the Ethics Committee, and statistical analysis was performed using the Jamovi® v.2.3.13 software.</div></div><div><h3>Results</h3><div>The mean age of the parents was 35,41 ± 6,20 years; 51,32% were women. No correlation was found between age and quality of life at any of the time points, but differences were observed by sex in emotional well-being during intensive care (<em>P</em> = .007), physical health and activities during hospitalization (<em>P</em> = .01), and daily activities at home (<em>P</em> = .01). Quality of life was negatively associated with the duration of medical device use, both in intensive care and during hospitalization.</div></div><div><h3>Conclusions</h3><div>Age does not influence the quality of life of parents. However, women showed lower scores in emotional well-being and cognitive function. Prolonged use of medical devices is associated with poorer quality of life, which improves as the newborn's health condition evolves favorably.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 4","pages":"Article 502304"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574957","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}