Enfermeria clinica (English Edition)最新文献_第4页

Proposed therapeutic and care approach in a patient with chronic prurigo: Clinical case 慢性瘙痒症患者的拟议治疗和护理方法：临床病例。

Enfermeria clinica (English Edition) Pub Date : 2024-11-01 DOI: 10.1016/j.enfcle.2024.11.005

Sara Chiquero Valenzuela , Francisco Pedro García-Fernández , María Piedad García Ruíz , María Dolores López Franco

{"title":"Proposed therapeutic and care approach in a patient with chronic prurigo: Clinical case","authors":"Sara Chiquero Valenzuela , Francisco Pedro García-Fernández , María Piedad García Ruíz , María Dolores López Franco","doi":"10.1016/j.enfcle.2024.11.005","DOIUrl":"10.1016/j.enfcle.2024.11.005","url":null,"abstract":"<div><div>We present the clinical case of an 87-year-old man who presents with chronic prurigo without skin treatment.</div><div>The aim is to apply an individualized care plan that allows, based on the latest evidence, to achieve skin integrity, which is deteriorated, and improve its quality of life due to the current failure toad dress the pathology.</div><div>Several NANDA International diagnostic labels were identified using the NNNConsult online tool and the expected outcomes were plan along with the planned nursing interventions.</div><div>The care plan shows the intrinsic difficulty of a multifactorial pathology that is little known and rare but that entails a notable impact on the quality of life and skin integrity, especially when new treatment approaches are currently emerging that are un explored by patients and professionals. This situation makes it necessary to expose and train cases like the one presented, update treatment path ways, real involvement of professionals for adaptation, individualization and continuous search to meet the needs and problems suffered by the people we care for, as well as the need to know new skin approaches.</div><div>This work outlines a line of skin care that respects skin integrity, following the latest evidence and points out the therapeutic medical approach without going into depth as it is not the aim of the work or nursing competence.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 507-513"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633940","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}

引用次数: 0

Artificial intelligence as a tool for error prevention in clinical care 人工智能作为临床护理防错工具。

Enfermeria clinica (English Edition) Pub Date : 2024-11-01 DOI: 10.1016/j.enfcle.2024.11.004

Claudia Patricia Cañadas-Aragón , Angela Andrea González Orjuela

引用次数: 0

Development and validation of a proposal for a Charter of Citizens' Rights and Commitments regarding eHealth 制定和论证有关电子健康的公民权利和承诺宪章提案。

Enfermeria clinica (English Edition) Pub Date : 2024-11-01 DOI: 10.1016/j.enfcle.2024.11.008

Fernando Campaña-Castillo , Olga Paloma-Castro , José Manuel Romero-Sánchez

{"title":"Development and validation of a proposal for a Charter of Citizens' Rights and Commitments regarding eHealth","authors":"Fernando Campaña-Castillo , Olga Paloma-Castro , José Manuel Romero-Sánchez","doi":"10.1016/j.enfcle.2024.11.008","DOIUrl":"10.1016/j.enfcle.2024.11.008","url":null,"abstract":"<div><h3>Background</h3><div>There is a new technological paradigm in health care which has been reinforced following the outbreak of the Covid-19 pandemic. Technological innovations create both challenges and opportunities to which citizens, healthcare professionals, and healthcare organisations must adapt to this reality. Although most health services have charters of citizens’ general rights and commitments, there is no specific charter concerning eHealth.</div></div><div><h3>Objectives</h3><div>To develop and validate a proposal of a minimum set of citizens’ rights and commitments to e-Health.</div></div><div><h3>Methods</h3><div>Experts in a discussion group developed a charter composed of twenty items, ten rights and ten commitments to e-Health. Two rounds of consensus were necessary to obtain a final version of the charter. The twenty items were validated for content and assessed for appropriateness, relevance, and understandability using an internet-based 2-round Delphi approach in which 134 experts, patients and healthcare professionals participated. They rated the assessed attributes for each item on a 5-point Likert scale for consensus. The content validity index was calculated with kappa statistic, a consensus measure of inter-rater agreement.</div></div><div><h3>Results</h3><div>In the first round, 18 items were validated, leaving only two commitments with unacceptable indices. Both were modified using the experts’ contributions and entered a second round of evaluation, after which the indices met the established requirements.</div></div><div><h3>Conclusions</h3><div>A proposal for a chart of patient rights and commitments to eHealth was developed and showed adequate content validity and inter-observer reliability. This chart is expected to become a starting point for the debate on the role of technology in the way patients, professionals, and health services interact in the current context.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 478-492"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645261","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}

引用次数: 0

Men’s mourning experiences for the death of a loved one: An integrative review 男性对亲人去世的哀悼体验：综合评述。

Enfermeria clinica (English Edition) Pub Date : 2024-11-01 DOI: 10.1016/j.enfcle.2024.11.006

Daniel Martínez-Esquivel , Maureen Araya-Solís , Alfonso Miguel García-Hernández

{"title":"Men’s mourning experiences for the death of a loved one: An integrative review","authors":"Daniel Martínez-Esquivel , Maureen Araya-Solís , Alfonso Miguel García-Hernández","doi":"10.1016/j.enfcle.2024.11.006","DOIUrl":"10.1016/j.enfcle.2024.11.006","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the current state of knowledge regarding men's mourning experiences following the death of a loved one.</div></div><div><h3>Method</h3><div>An integrative review was conducted using quantitative, qualitative, and mixed-methods studies published in English or Spanish between 2017 and 2022 that investigated men’s mourning experiences. Studies focused on grief in participants with different sexes or gender identities, maladaptive grief, persistent complex bereavement disorder, prolonged grief disorder, bereavement over pets, or losses other than a human death were excluded. Additionally, reviews, books, theses, editorials, and opinion pieces were not included. The search was conducted in CINAHL, PubMed, and Scopus in 2023. JBI tools were used for quality appraisal, and the analysis employed the constant comparative method.</div></div><div><h3>Results</h3><div>Our analysis of eight English-language documents with evidence levels IV-VI, informed by the Socioecological Model of Men’s Grief, revealed that factors at individual, interpersonal, community, and public policy sublevels interact significantly to shape men's grief experiences. Themes emerged along a continuum of intuitive and instrumental coping responses, including adaptive and maladaptive coping strategies, loneliness and social support needs, the influence of societal constructions of masculinity and the grieving process in men.</div></div><div><h3>Conclusions</h3><div>Men’s mourning experiences are complex and multifaceted, influenced by diverse expressions of masculinity and the interaction of various contextual factors. The Mental Health Nursing Process should prioritize understanding and addressing the unique experiences of bereaved men.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 429-438"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640221","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}

引用次数: 0

Analysis of the therapeutic effort and economic cost of the care provided to a group of hospitalized end-of-life patients 分析为一组住院临终病人提供护理的治疗努力和经济成本。

Enfermeria clinica (English Edition) Pub Date : 2024-11-01 DOI: 10.1016/j.enfcle.2024.11.003

Estela Hernández-Bello , Raquel Sánchez-Recio , Ángel Gasch-Gallén

{"title":"Analysis of the therapeutic effort and economic cost of the care provided to a group of hospitalized end-of-life patients","authors":"Estela Hernández-Bello , Raquel Sánchez-Recio , Ángel Gasch-Gallén","doi":"10.1016/j.enfcle.2024.11.003","DOIUrl":"10.1016/j.enfcle.2024.11.003","url":null,"abstract":"<div><h3>Aim</h3><div>There are social inequalities in access to health care that affect therapeutic effort. The aim of the present study was to determine whether there are differences in expenditure according to days of admission and tests performed by age, sex and population of origin in patients at the end of life.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive study, with review of clinical histories of terminally ill patients admitted to a hospital, recruited on the basis of the administration of transfusions, who underwent numerous tests and interventions during their last admission before death. Sociodemographic and clinical variables were studied, as well as the cost of admission and tests.</div></div><div><h3>Results</h3><div>The 140 patients were hospitalized for an average of 17.41 days (SD: 14.323), with an average cost of 8,264.19 euros (SD: 6,799.8788) per stay. They underwent 59 tests, which amounted to €532,209.68. Being male, of advanced age and of rural origin saw an increase in the number of days of admission. Older people and women received more tests. No relationship was found between days of hospitalization and expenditure with sociodemographic and clinical variables. There was a relationship between surgical interventions and sex (p = 0.047); between age and receiving oncological treatments (p < 0), other techniques (p < 0), nuclear medicine tests (p = 0.02) and electrocardiograms (p = 0.052).</div></div><div><h3>Conclusions</h3><div>Many palliative patients die in hospitals receiving numerous tests that increase the number of days of hospitalization and costs. Advanced age determines hospital admissions, but not sex or population of origin.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 458-467"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649577","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}

引用次数: 0

Professional identity and performance: The complex imbalance between effort and recognition 职业认同与绩效：努力与认可之间的复杂失衡

Enfermeria clinica (English Edition) Pub Date : 2024-11-01 DOI: 10.1016/j.enfcle.2024.11.011

Esther Arimon-Pagès

引用次数: 0

Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review 患者对医院急诊科分诊护理的满意度：范围审查。

Enfermeria clinica (English Edition) Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.004

Meritxell López-Hernández , Montserrat Puig-Llobet , Lidia Miralles-Sánchez , Yolanda Moreno-Mateos , Jordi Galimany-Masclans

{"title":"Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review","authors":"Meritxell López-Hernández , Montserrat Puig-Llobet , Lidia Miralles-Sánchez , Yolanda Moreno-Mateos , Jordi Galimany-Masclans","doi":"10.1016/j.enfcle.2024.09.004","DOIUrl":"10.1016/j.enfcle.2024.09.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Perceived quality of patient care is essential in healthcare, particularly in hospital emergency departments (EDs), where the triage process, performed by nurses, is fundamental yet under-researched. The aim is to explore patient satisfaction in triage, identify improvement opportunities, and provide guidance for future research to enhance ED care.</div></div><div><h3>Methodology</h3><div>A scoping review was conducted across databases including PubMed, CINAHL, Scopus, Cochrane, Joanna Briggs, Google, and Google Scholar. Empirical articles from January 2014 to December 2023 were selected, excluding non-face-to-face triage, pediatrics, and aspects not related to nursing care.</div></div><div><h3>Results</h3><div>Six studies were included, demonstrating a high level of patient satisfaction with triage, especially regarding nurses’ skills and professional competence, courtesy, respect, interest, and empathy. However, pain management and confidence in treatment scored lower. Patient satisfaction was related to age, gender, reason for consultation, and perception of nurses’ professional competence.</div></div><div><h3>Discussion</h3><div>Similar opinions were observed regarding areas for improvement in care and nurses’ skills in triage. The need for qualitative research and more rigorous sampling methods was highlighted.</div></div><div><h3>Conclusions</h3><div>Nurse training and education in triage are crucial for patient satisfaction. Further research is needed to evaluate the effectiveness of nursing interventions in triage and address remaining challenges.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 408-415"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333740","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}

引用次数: 0

Impact of nurse-patient interaction levels on nurses’ humanistic practice: A cross-sectional, descriptive, and correlational study 护患互动水平对人文护理实践的影响：一项横断面、描述性和相关性研究。

Enfermeria clinica (English Edition) Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.001

Merve Murat , Selmin Köse , Nezihe Kızılkaya Beji

引用次数: 0

The moderating role of work experience in the effect of ethical culture on whistleblowing in healthcare professionals and the effect of organizational trust on whistleblowing 工作经验在伦理文化对医疗保健专业人员举报行为的影响以及组织信任对举报行为的影响中的调节作用。

Enfermeria clinica (English Edition) Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.04.003

{"title":"The moderating role of work experience in the effect of ethical culture on whistleblowing in healthcare professionals and the effect of organizational trust on whistleblowing","authors":"","doi":"10.1016/j.enfcle.2024.04.003","DOIUrl":"10.1016/j.enfcle.2024.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to determine the moderator role of work experience in the impact of ethical culture perceptions of healthcare professionals on their whistleblowing tendencies. It is also to reveal the effect of organizational trust on whistleblowing.</div></div><div><h3>Methods</h3><div><span>The population of the study consists of health personnel<span> working in the public or private sector<span> in Turkey. The sample of the study consists of 481 health workers who voluntarily participated in the survey. Data were collected using the convenience sampling technique. In collecting data, whistleblowing, organizational trust, and ethical culture scales were used. In the analysis of the data, descriptive statistics, factor analysis, correlation analysis, and </span></span></span>path analysis in the structural equation model were performed.</div></div><div><h3>Results</h3><div>The findings reveal that organizational trust has an impact on ethical culture and that some sub-components of organizational trust and ethical culture have an impact on whistleblowing. In addition, it has been determined that the group of health professionals with low work experience has a moderating role in the effect of applicability on internal whistleblowing.</div></div><div><h3>Conclusion</h3><div>To handle the whistleblowing mechanism internally in health institutions, it is important to clearly show the ethical rules to the employees. On the other hand, it has been seen that the professional experiences of the employees can be used as a tool for whistleblowing to work.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 357-368"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777063","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}

引用次数: 0

Venipuncture in pediatric emergency department by using Koala Attachment Distraction method: Randomized clinical trial 在儿科急诊室使用考拉牵引法进行静脉穿刺：随机临床试验

Enfermeria clinica (English Edition) Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.007

Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal

{"title":"Venipuncture in pediatric emergency department by using Koala Attachment Distraction method: Randomized clinical trial","authors":"Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal","doi":"10.1016/j.enfcle.2024.09.007","DOIUrl":"10.1016/j.enfcle.2024.09.007","url":null,"abstract":"<div><h3>Objective</h3><div>To assess, compare and relate the toddler’s pain and anxiety during venipuncture by using either the Koala Attachment Distraction method or the physical restraint method and to evaluate the level of anxiety perceived by the companions in both groups.</div></div><div><h3>Method</h3><div>Randomised, single-blind, controlled clinical trial in two arms (control and intervention group) conducted in the paediatric emergency department of a tertiary university hospital. The study variables were pain and stress of the child and anxiety perceived by the accompanying persons in both groups at the time before and during the technique. The pain rating scale Face, Leg, Activity, Cry, Consolability; the Groningen stress scale and the STAI questionnaire were used.</div></div><div><h3>Results</h3><div>A total of 113 participants aged 3 to 4 years participated in the trial (n=113). 50% (55) were girls, mean total age 3.83±0.59 years and accompanying persons 37.17±6.96. During the technique the mean pain in control and intervention groups was 5.64±3.30 and 3.87±3.01; stress, 3.25±1.22 and 2.67±1.24, respectively. No statistically significant differences were found in the assessment of anxiety between the groups.</div></div><div><h3>Conclusions</h3><div>Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 369-376"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373694","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}

引用次数: 0