Enfermeria clinica (English Edition)最新文献

{"title":"Scope of nursing practice in medical-surgical hospitalization and intensive care units","authors":"Amaia Saralegui-Gainza ,&nbsp;Nelia Soto-Ruiz ,&nbsp;Paula Escalada-Hernández ,&nbsp;Cristina García-Vivar ,&nbsp;Leticia San Martín-Rodríguez","doi":"10.1016/j.enfcle.2025.102124","DOIUrl":"10.1016/j.enfcle.2025.102124","url":null,"abstract":"<div><h3>Aim</h3><div>To analyze the scope of nursing practice in medical-surgical and intensive care units in the Spanish context and its relationship with individual characteristics of nurses and their work environment.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study was carried out in 29 medical-surgical hospitalisation units and five intensive care units for adults in the public network of Navarre. The main variable, nurses' scope of practice, was measured using the Spanish version of the D'Amour questionnaire. Descriptive and inferential statistics were used to analyse the data, with a significance level of 0.05.</div></div><div><h3>Results</h3><div>A total of 310 nurses participated in the study, and the results showed acceptable levels of nursing scope of practice. Age and working in intensive care units were significant factors in identifying differences in nurses' scope of practice activities. The correlation analysis revealed a statistically significant association between age and the likelihood of expressing lower scores in the dimension \"Patient- and family-centered care.\" In contrast, younger nurses exhibited significantly lower scores in the \"Quality of care and patient safety\" dimension.</div></div><div><h3>Conclusions</h3><div>To address the shortage of nurses in health systems, it is essential to understand the scope of nursing practice. The challenge is not only to increase the number of nurses but also to ensure that they are working in the full range of their professional roles.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 1","pages":"Article 102124"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the nursing process with standardized taxonomy on bowel cleansing prior to colonoscopy in outpatients","authors":"Humeyra Zengin ,&nbsp;Ayfer Tezel","doi":"10.1016/j.enfcle.2025.102136","DOIUrl":"10.1016/j.enfcle.2025.102136","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to examine the effect of the nursing process applied by using standard nursing terminologies on colonoscopy preparation of outpatients on bowel cleansing.</div></div><div><h3>Methods</h3><div>The sample of the prospective, single-blind, randomized controlled study consisted of 116 patients (intervention n = 57, control n = 59). Both groups were interviewed face to face one week before the procedure day, nursing diagnoses were determined individually, and nursing outcome scales were employed as a baseline assessment. In the intervention group, the nursing process was applied to the patients with standard nursing terminology, training was given with an information booklet, and then the preparation instructions were reminded through telephone calls, text messages and instant messages. The adequacy of bowel cleansing was evaluated by the endoscopist using Boston Bowel Preparation Score (BBPS) who blindly performed the procedure for both groups.</div></div><div><h3>Results</h3><div>The mean BBPS score of the intervention group was 7.00 ± 1.43, and the control group was 4.16 ± 2.15. A significant difference found between the rates of adequate preparation in the intervention group (82.5%) and in the control group (16.9%) (<em>P</em> &lt; .05). A significant difference was found after the intervention in terms of nursing outcome scales (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>According to the study adequate preparation for the colonoscopy procedure can be achieved by applying the nursing process based on NANDA-I, NOC and NIC.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 1","pages":"Article 102136"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017392","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":"Nurse policy engagement to ensure excellent care: A call to action","authors":"Hildegart González-Luis","doi":"10.1016/j.enfcle.2025.502195","DOIUrl":"10.1016/j.enfcle.2025.502195","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 1","pages":"Article 502195"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436697","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":"Training in occupational nursing in nursing students. Current situation in Spanish universities","authors":"Ester Amores-Lizcano ,&nbsp;Cristina Romero-Blanco ,&nbsp;Pedro García-Martínez","doi":"10.1016/j.enfcle.2025.102142","DOIUrl":"10.1016/j.enfcle.2025.102142","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse the implementation of subjects and knowledge related to Occupational Nursing (ON) in undergraduate nursing education.</div></div><div><h3>Method</h3><div>National multicentre study by means of an integrative review of the curricula of the Bachelor's Degree in Nursing compiled in 2023 from the Ministry of Universities. Duplicate curricula linked to the same university were eliminated. Subjects with specific occupational nursing competencies were identified. In curricula without specific subjects, a reverse search was carried out in the teaching guides of subjects linked to ON. The variables studied were: occupational nursing competences, training credits, optional/compulsory, academic year.</div></div><div><h3>Results</h3><div>123 centres offering the Bachelor's Degree in Nursing were identified, 31 were eliminated due to duplication of curriculum. Of the total, 21 (22.82%) offered subjects with ON competences, taught in the 2nd year (n = 3), 3rd year (n = 7) and 4th year (n = 11). The teaching load of the subjects was 6 ECTS (n = 10), 3 ECTS (n = 8), 4 ECTS (n = 2) and 4.5 ECTS (n = 1). The subjects were optional in 95.24% (n = 20). 7 centres were found to include ON competences in other subjects: a) ‘Community Nursing’ (n = 3), b) ‘Public Health’ (n = 5), c) ‘Management and Quality’ (n = 1).</div></div><div><h3>Conclusions</h3><div>Training in ON is very heterogeneous. It would be necessary to unify training plans for the development of ON.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 1","pages":"Article 102142"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017419","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":"Aspiration of cerumen plugs by nurses in a Primary Care Center: a pilot study","authors":"María Jesús Bermejo-Cid,&nbsp;Sara Zulaica-Astigarraga","doi":"10.1016/j.enfcle.2025.102156","DOIUrl":"10.1016/j.enfcle.2025.102156","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 1","pages":"Article 102156"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017389","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 and spiritual needs of patients diagnosed with cancer in a tertiary hospital in southwestern Nigeria","authors":"Deborah Tolulope Esan ,&nbsp;Falilat Idowu Bolarinwa ,&nbsp;Blessed Obem Oyama ,&nbsp;Oluwaseyi Isaiah Olabisi ,&nbsp;Joel Adeleke Afolayan ,&nbsp;Carlos Guillermo Ramos ,&nbsp;Oladimeji Akeem Bolarinwa","doi":"10.1016/j.enfcle.2024.11.001","DOIUrl":"10.1016/j.enfcle.2024.11.001","url":null,"abstract":"<div><h3>Objective</h3><div>In Africa, cancer is considered a death sentence. Its impact can be debilitating for the patient and those who care for them. This study therefore assessed the spiritual needs and Quality of life of Cancer patients in a tertiary hospital in Nigeria.</div></div><div><h3>Methods</h3><div>This study utilized a cross-sectional descriptive design. We systematically recruited 302 cancer patients who visited the cancer registry and outpatient departments. A standardized and validated Spiritual needs questionnaire (SpNQ) and WHO Quality of Life (WHOQL) were used to collect data. Data was analyzed with SPSS version 23 with a significance level set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>The preponderance cancer among respondents was breast cancer 146 (48.4%) followed by prostate cancer 41 (13.6%). Most of the respondents admitted having “strong” spiritual needs. Categorization of the spiritual need score was below average in 20% of the respondents which indicated those with low spiritual needs and the majority 241 (79.8%) of the patients had high spiritual needs. Most respondents had poor quality of life in all four domains. The spiritual care needs of respondents were significantly associated with the quality of life of the respondents particularly in the psychological domain (p = 0.040) and social domain (p = 0.005).</div></div><div><h3>Conclusion</h3><div>This study revealed high spiritual needs and poor quality of life among cancer patients. Healthcare practitioners should provide for the spiritual needs of cancer patients to enhance their quality of life.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 468-477"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607720","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":"Descriptive study on the overload of the main caregiver of cancer patients with tumour asthenia in Salamanca","authors":"Samuel Jiménez-Sánchez ,&nbsp;Eduardo José Fernández-Rodríguez ,&nbsp;Alberto García-Martín ,&nbsp;Celia Sánchez-Gómez ,&nbsp;María Isabel Rihuete-Galve","doi":"10.1016/j.enfcle.2024.11.007","DOIUrl":"10.1016/j.enfcle.2024.11.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The incidence of oncology patients is increasing due to the ageing of the population and advances in research leading to early diagnoses. This has resulted in an increase in the care required for patients at all stages of their illness. To describe the current situation of the overload of informal caregivers of cancer patients with tumour asthenia belonging to the Medical Oncology Service of the University Health Care Complex of Salamanca and the Palliative Care Unit of the Hospital de los Montalvos, we employed the following.</div></div><div><h3>Methods</h3><div>This is a cross-sectional descriptive observational study conducted at the Complejo Asistencial Universitario de Salamanca and the Palliative Care Unit of the Hospital de los Montalvos from February to May 2023. The study involved 75 informal caregivers of oncology patients with tumour asthenia. Data was collected through interviews, which included sociodemographic information and measurement scales. The study employed the Barthel Scale, PERFORM questionnaire, and Reduced Zarit Caregiver Overload Scale to assess the informal caregivers' ability to care for cancer patients with tumour asthenia.</div></div><div><h3>Results</h3><div>Of the caregivers, 58.7% were female, and the mean age was 60.0 years (±14.10). Over half (50.7%) of the caregivers experienced high levels of overload, making it impossible to care for the patient. Among patients with tumour asthenia, 37.3% were totally dependent, and 8.0% were moderately dependent. Of these caregivers, 58.7% had no prior caregiving experience, 80.7% had no training, and 77.3% never received help in caring for the patient.</div></div><div><h3>Conclusions</h3><div>In the Medical Oncology service of the Complejo Asistencial Universitario de Salamanca (CAUSA) and the Palliative Care Unit of the Hospital de los Montalvos, over one third of caregivers of oncology patients with tumour asthenia experienced caregiver overload. Variables such as the patient's age, the caregiver's age, the number of care hours, and the willingness to seek help can influence the perception of overload. This can worsen the effective care of the patient. It is important to consider these factors when providing care.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 439-447"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640220","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":"Effectiveness of implementing a Best Practice Guideline recommendations to manage pain in oncological hospitalized patients","authors":"Ana-Isabel Alcañiz-Mesas ,&nbsp;María-Victoria Ruiz-García ,&nbsp;María-Pilar Córcoles-Jiménez ,&nbsp;María-José Caballero-García ,&nbsp;María Teresa González Álvarez","doi":"10.1016/j.enfcle.2024.11.002","DOIUrl":"10.1016/j.enfcle.2024.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of implementing the Clinical Best Practice Guideline (BPG) “Assessment and Management of Pain” recommendations for pain control in oncological/oncohaematological hospitalized patients.</div></div><div><h3>Methods</h3><div>Ambispective cohort study. Sample and Setting: Adults admitted to oncological unit in Hospital of Albacete.</div></div><div><h3>Intervention</h3><div>Implementation of GBP recommendations. Variables: 1) Demographic data. 2)On implementation of GBP recommendations. 3) Outcome in patients: pain intensity in the first 24 h after admission and maximum intensity during admission Tools: Numeric and Visual Scales. Data collection: indicators exported from clinical history for evaluation of the BPSO® program. Ethical aspects: anonymous data. Data analysis (SPSS®): Descriptive during periods: baseline (T0 = December 2015); initial (T1 = 2017); consolidation (T2 = 2018–2019); sustainability (T3 = 2021–2022). Measurements of central tendency and dispersion, absolute and relative frequencies. Comparison of proportions (Chi-Square) and averages (Student t-test, ANOVA). Statistical significance: p &lt; 0.05.</div></div><div><h3>Results</h3><div>Included 572 patients, 61.5% (352) men. Daily intervention of pain detection was performed in 94.6% (538) of patients (20%–T0; 98.3%–T1; 98.4%–T2; 91.2%–T3; p &lt; 0.001), pain assessment using an appropriate scale in 97.6% (558) (0%–T0; 98.3%–T1; 99.2%–T2; 100%–T3; p &lt; 0.001); 93.7% (535) had a care plan for assessment and management of pain (0%–T0; 98.3%–T1; 96.3%–T2; 92.3%–T3; p &lt; 0.001). The percentage of patients who had severe pain (6–10) during the first 24 hours was reduced from T1 to T3 (5.1%–T1; 6.6%–T2; 2.1%–T3; p = 0.145), but throughout hospitalization increased from T1 to T3 (19.2%–T1; 17%–T2; 22.5%–T3; p = 0.21).</div></div><div><h3>Conclusions</h3><div>Implementation of recommendations has led to a statistically significant improvement over the periods in the study; however, no effectiveness has been shown to reduce pain intensity.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 448-457"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633939","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":"Rasch analysis implementation in nursing research: A methodological approach","authors":"José Verdú-Soriano ,&nbsp;Héctor González-de la Torre","doi":"10.1016/j.enfcle.2024.11.009","DOIUrl":"10.1016/j.enfcle.2024.11.009","url":null,"abstract":"<div><div>The design and validation of tools constitutes a fundamental pillar of nursing research, where it is essential to incorporate the most current methodologies and analyses in order to guarantee validity and reliability in their clinical application.</div><div>The aim of this paper is to describe the characteristics of the Rasch analysis and the methodology for its development as well as to discuss its relevance and applicability in nursing research, highlighting its potential contribution to the improvement of the quality and accuracy of measurement instruments in the discipline.</div><div>Through a narrative synthesis, the theoretical foundations of Rasch analysis are described and the characteristics and assumptions that must be fulfilled to carry out this type of analysis are presented. Subsequently, the implementation methodology is presented in 11 steps: definition of objectives and preparation, instrument design, data collection, initial and unidimensionality analysis, goodness-of-fit assessment (infit-outfit, reliability and separation), item local independence assessment (Yen's Q3 coefficient), item calibration and estimation of skills, measurement invariance analysis (DIF analysis), review and modification of the instrument, final analysis and validation, interpretation of results. Examples of use are presented, as well as the advantages and limitations of the method. In conclusion, the Rasch analysis provides a valuable methodology for the evaluation of clinical competencies and skills, as well as for the development and validation of measurement instruments of great utility for research in care, although it would be necessary to promote training and standardization in its use.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 6","pages":"Pages 493-506"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640218","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":"Proposed therapeutic and care approach in a patient with chronic prurigo: Clinical case","authors":"Sara Chiquero Valenzuela ,&nbsp;Francisco Pedro García-Fernández ,&nbsp;María Piedad García Ruíz ,&nbsp;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}