Enfermeria clinica (English Edition)最新文献

{"title":"Nursing care towards the global challenges of the climate crisis: If not now, when?","authors":"Enrique Castro-Sánchez","doi":"10.1016/j.enfcle.2023.05.002","DOIUrl":"10.1016/j.enfcle.2023.05.002","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 247-250"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878068","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":"Neonatal outcomes after water birth: A retrospective cohort study","authors":"Susana Iglesias Casás ,&nbsp;María Reyes Pérez-Fernández ,&nbsp;María Sol Montenegro-Alonso ,&nbsp;María Esther Parada-Cabaleiro ,&nbsp;Lorena Sanmartín-Freitas ,&nbsp;Desirée Mena-Tudela","doi":"10.1016/j.enfcle.2023.05.005","DOIUrl":"10.1016/j.enfcle.2023.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>To compare neonatal outcomes between water births, births with immersion only during labour, and births in which immersion was never used.</p></div><div><h3>Methods</h3><p><span>A retrospective cohort study was performed including mother-baby dyads attended between 2009 and 2019 at the Hospital do Salnés regional hospital (Pontevedra, Spain). These women were categorised into 3 groups: water birth; immersion only during dilation; and women who never used immersion. Several sociodemographic-obstetric variables were studied and the main outcome was the admission of the neonate to the </span>intensive care unit<span> (NICU). Permission was obtained from the responsible provincial ethics committee. Descriptive statistics were used and between-group comparisons were performed using variance for continuous variables and chi-square for categorical variables. Multivariate analysis<span> was performed with backward stepwise logistic regression and incidence risk ratios with 95%CI were calculated for each independent variable. Data were analysed using IBM SPSS® statistical software.</span></span></p></div><div><h3>Results</h3><p>A total of 1191 cases were included. 404 births without immersions; 397 immersions only during the first stage of labor; and 390 waterbirths were included. No differences were found in the need to transfer new-borns to a NICU (<em>p</em><span> = .735). In the waterbirth cohort, neonatal resuscitation (</span><em>p</em> &lt; .001, OR: 0,1), as well as respiratory distress (<em>p</em> = .005, OR: 0,2) or neonatal problems during admission (<em>p</em> &lt; .001, OR: 0,2), were lower. In the immersion only during labor cohort, less neonatal resuscitation (<em>p</em> = .003; OR: 0,4) and respiratory distress (<em>p</em> = .019; OR: 0,4) were found. The probability of not breastfeeding upon discharge was higher for the land birth cohort (<em>p</em> &lt; .001, OR: 0,4).</p></div><div><h3>Conclusions</h3><p>The results of this study indicated that water birth did not influence the need for NICU admission, but was associated with fewer adverse neonatal outcomes, such as resuscitation, respiratory distress, or problems during admission.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 292-302"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878074","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":"Anxiety and fear of death in Health Professionals in Hospital Emergency services in Aragón","authors":"Vázquez-García Daniel ,&nbsp;Marisa De-la-Rica-Escuín ,&nbsp;Concepción Germán-Bes ,&nbsp;Ana-Luisa Caballero-Navarro","doi":"10.1016/j.enfcle.2023.03.003","DOIUrl":"10.1016/j.enfcle.2023.03.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the levels of anxiety in the face of death in professionals from hospital emergency services in Aragon. To analyse its association with sociodemographic, perception and work-related variables.</p></div><div><h3>Methodology</h3><p>Observational, descriptive and cross-sectional study. The population and context of the study were health professionals in the hospital emergency services of Aragon. A non-probabilistic sampling selection was applied (n = 230 participants). The “Collet-Lester-Fear-of-Death-Scale” instrument was introduced to measure anxiety about death. The data was collected with a self-applied telematic questionnaire. Descriptive and inferential statistics were performed to analyse the association between the study variables.</p></div><div><h3>Results</h3><p>Mean values obtained for anxiety in the face of death were 94.58 ± 21.66 with a CI of 95%: (91.76–97.39) (range of scale: 28–140 points). A significant association was identified with the professional category variables (physicians, medical residents, nurses, and auxiliary nurses) (p: 0,006), gender (p: 0.001), level of training in emotional self-management (p: 0.03), self-perceived level of mental health (p: 0.07) and perception of lack of support from palliative care/mental health professionals (p: 0.006). This association was not obtained with the variables age (Sig: 0.558), total professional experience (p: 0.762) and in emergencies (p: 0.191).</p></div><div><h3>Conclusion</h3><p>The levels of anxiety in the face of death in the emergency hospital services are lower than those presented in other hospital units. Variables such as professional category, degree of training in emotional self-management and self-perceived level of mental health are related to levels of anxiety in the face of death and their study requires further work.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 269-277"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871170","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":"Attitudes, capacities and perceived barriers in research of nurses of the Canary Health Service","authors":"Héctor González-de la Torre ,&nbsp;David Díaz-Pérez ,&nbsp;Ricardo José Pinto-Plasencia ,&nbsp;Begoña Reyero-Ortega ,&nbsp;Elizabeth Hernández-González ,&nbsp;Conrado Domínguez-Trujillo","doi":"10.1016/j.enfcle.2023.05.004","DOIUrl":"10.1016/j.enfcle.2023.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the attitudes, capacities and perceived barriers associated with research among nurses and midwives of the Canary Health Service (SCS).</p></div><div><h3>Methods</h3><p>Descriptive observational cross-sectional study with an analytical component carried out in the different SCS departments by means of an online survey in which sociodemographic and specific variables, the Spanish version of the Attitudes towards Research and Development within Nursing Questionnaire (ATRDNQ-e) instrument and the BARRIERS scale were collected. Authorisation was obtained from the two provincial ethics committees. A descriptive and inferential analysis (Mann–Whitney U test and Kruskal–Wallis test, post hoc contrast by Dwass–Steel–Critchlow–Fligne test) was performed with JAMOVI® v.2.3.24 software.</p></div><div><h3>Results</h3><p>A total of 512 nurses and midwives with a mean age of 41.82 years participated in the study. Regarding the scores with the ATRDNQ-e instrument, the dimension with the lowest score was «Language of research» (mean = 3.55/SD = 0.84) and the highest «Assessment of nursing research and development of the nursing discipline» (mean = 4.54/SD = 0.52). The total mean score with the BARRIERS scale was 54.33 (SD = 16.52), with «Organizational characteristics» being the highest scoring subscale (mean = 17.25/SD = 5.90). The two highest perceived barriers were «Not enough time at work to implement new ideas» (mean = 2.55/SD = 1.11) and «Nursing does not have time to read research» (mean = 2.46/ SD = 1.11).</p></div><div><h3>Conclusions</h3><p>SCS nurses have a positive attitude towards research, although there are some barriers where improvement actions for nursing research should be implemented.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 278-291"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878069","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 palliative care needs in hospitalized patients","authors":"Joana Maria Julià-Móra ,&nbsp;Ian Blanco-Mavillard ,&nbsp;Araceli Prieto-Alomar ,&nbsp;Enriqueta Márquez-Villaverde ,&nbsp;Margalida Terrassa-Solé ,&nbsp;Juan Pablo Leiva-Santos ,&nbsp;Miguel Ángel Rodríguez-Calero","doi":"10.1016/j.enfcle.2023.06.001","DOIUrl":"10.1016/j.enfcle.2023.06.001","url":null,"abstract":"<div><h3>Aim</h3><p>To determine the prevalence of palliative care<span> needs in patients in an acute care hospital and to analyze the profile of these patients.</span></p></div><div><h3>Design</h3><p>We conducted a prospective cross-sectional study in an acute care hospital, in April 2018. The study population consisted of all patients over 18 years of age admitted to hospital wards and intensive care units. Variables were collected on a single day by six micro-teams using the NECPAL CCOMS-ICO© instrument. The descriptive analysis, on patient mortality and length of stay, was performed at a one-month follow-up.</p></div><div><h3>Results</h3><p>We assessed 153 patients, of whom 65 (42.5%) were female, with a mean age of 68.17<!--> <!-->±<!--> <!-->17.03 years. A total of 45 patients (29.4%) were found to be SQ+, of which 42 were NECPAL+ (27.5%), with a mean age of 76.64<!--> <!-->±<!--> <!-->12.70 years. According to the disease indicators, 33.35% had cancer, 28.6% had heart disease, and 19% had COPD, resulting in a ratio of 1:3 between patients with cancer and non-cancer disease. Half of the inpatients in need of palliative care were in the Internal Medicine Unit.</p></div><div><h3>Conclusions</h3><p>Almost 28% of patients were identified as NECPAL+, most of them not identified as under palliative care in clinical records. Greater awareness and knowledge from healthcare professionals would facilitate the early identification of these patients and avoid overlooking palliative care needs.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 261-268"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9881468","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":"Clinical and functional assessment in patients admitted with pluripathological dysphagia according to the mode of feeding: Through a gastrostomy tube or oral","authors":"Cristina López-Muñoz ,&nbsp;Marta Aranda-Gallardo ,&nbsp;Francisco Rivas-Ruiz ,&nbsp;Ana Belén Moya-Suárez ,&nbsp;José Miguel Morales-Asencio ,&nbsp;José Carlos Canca-Sanchez","doi":"10.1016/j.enfcle.2023.06.002","DOIUrl":"10.1016/j.enfcle.2023.06.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Multipathological patients are a vulnerable population with high comorbidity, functional impairment, and nutritional risk. Almost 50% of these hospitalized patients have dysphagia. There is no consensus on whether placement of a percutaneous endoscopic gastrostomy (PEG) tube provides greater clinical benefit. The purpose of this study was to know and compare 2 groups of multipathological patients with dysphagia according to the mode of feeding: PEG vs. oral.</p></div><div><h3>Method</h3><p><span><span><span>Retrospective descriptive study with hospitalized patients (2016−19), pluripathological, with dysphagia, nutritional risk, over 50 years with diagnoses of: dementia, cerebrovascular accident (CVA), neurological disease<span>, or oropharyngeal neoplasia. Terminally ill patients with jejunostomy tube or </span></span>parenteral nutrition were excluded. Sociodemographic variables, clinical situation, and comorbidities were evaluated. </span>Bivariate analysis was performed to compare both groups according to their diet, establishing a significance level of </span><em>p</em> &lt; .05.</p></div><div><h3>Results</h3><p>1928 multipathological patients. The PEG group consisted of 84 patients (n122). A total of 84 were randomly selected to form the non-PEG group (n434). This group had less history of bronchoaspiration/pneumonia (<em>p</em> = .008), its main diagnosis was stroke versus dementia in the PEG group (<em>p</em> &lt; .001). Both groups had more than a 45% risk of comorbidity (<em>p</em> = .77).</p></div><div><h3>Conclusions</h3><p>multipathological patients with dysphagia with PEG usually have dementia as their main diagnosis, however, stroke is the most relevant pathology in those fed orally. Both groups have associated risk factors, high comorbidity, and dependence. This causes their vital prognosis to be limited regardless of the mode of feeding.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 251-260"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878075","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":"Adequacy of fluid therapy in critically-septic patients: evidence and discrepancies","authors":"Raquel Ferrero-Franco ,&nbsp;Alejandro González-Castro ,&nbsp;Carmen Blanco Huelga","doi":"10.1016/j.enfcle.2023.05.003","DOIUrl":"10.1016/j.enfcle.2023.05.003","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 311-312"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9878073","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":"Sociodemographic profile and description of the presenting symptom in women with breast cancer in a population-based study: Implications and role for nurses","authors":"Maria Angustias Diaz-Santos ,&nbsp;Alba Marcos-Delgado ,&nbsp;Pilar Amiano ,&nbsp;Eva Ardanaz ,&nbsp;Marina Pollán ,&nbsp;Juan Alguacil ,&nbsp;en nombre del equipo de investigadores del estudio MCC-SPAIN","doi":"10.1016/j.enfcle.2023.02.006","DOIUrl":"10.1016/j.enfcle.2023.02.006","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the frequency and typology of the presenting symptom of women diagnosed of breast cancer in Spain and their socio-demographic profile.</p></div><div><h3>Methods</h3><p>Descriptive study nested in a population epidemiological study (MCC-SPAIN) in 10 Spanish provinces. Between 2008 and 2012, 836 histologically confirmed incident cases of breast cancer were recruited who reported some symptom prior to diagnosis in a direct computerized interview. For the comparison of 2 discrete variables, the Pearson Chi square test was used.</p></div><div><h3>Results</h3><p>The most frequent presenting symptom among women who reported at least one symptom was noticing a “lump in the breast” (73%), followed far behind by noticing “changes in the breast” (11%). Geographic heterogeneity was observed in the frequency of the presenting symptom, as well as with menopausal status. No association was observed between the type of presenting symptom and the rest of the sociodemographic variables explored, except for the educational level in which women with a higher educational level tended to proportionally report other symptoms different from the “lump in the breast” more frequently than less educated. Postmenopausal women reported noticing changes in the breast (13%) more frequently than premenopausal women (8%), although without reaching statistical significance (<em>P</em> = .056).</p></div><div><h3>Conclusions</h3><p>The most frequent presenting symptom is “breast lump”, followed by “breast changes”. There could be sociodemographic heterogeneity in the type of presenting symptom to be taken into account by nurses in their socio-sanitary interventions.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 4","pages":"Pages 303-310"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9880125","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":"Psychological stress and its related factors among Moroccan nursing students: A cross-sectional study","authors":"Hakima El Madani ,&nbsp;Ibtissam El Harch ,&nbsp;Nabil Tachfouti ,&nbsp;Samira El Fakir ,&nbsp;Rachid Aalouane ,&nbsp;Mohamed Berraho","doi":"10.1016/j.enfcle.2023.02.001","DOIUrl":"10.1016/j.enfcle.2023.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study was performed to evaluate the prevalence and related factors of perceived stress among nursing students at Fez High Institute of Nursing Professions and Health Technics in Morocco.</p></div><div><h3>Method</h3><p>A cross-sectional study was used to determine the perceived stress levels and stress-related factors among nursing students enrolled at Fez High Institute of Nursing Professions and Health Technics in Morocco. The Perceived Stress Scale<span> 10, Pittsburgh Sleep Quality Index scale, and Academic Competence, Test Competence, Time Management, and Strategic Studying scale were used to collect data from 405 students enrolled in nursing courses. Univariate and bivariate analyses were conducted using SPSS version 20.</span></p></div><div><h3>Results</h3><p>Of the 437 nursing students, 405 (105 men and 300 women) completed the survey. A low prevalence of perceived stress (17%; <em>N</em><span> = 69) was found, with a mean stress score of 17.174,15. The stress level of the students was significantly associated with the year of study of the students, the practice of professional extracurricular activities, the monthly income of the family, and the use of public transportation. In addition, the stress level was associated with the subjective quality of the sleep of the students, sleep latency, diurnal dysfunction, and usual sleep efficiency. In addition, a positive correlation was observed between \"time management\" scores and \"test adaptation skills\" scores. However, no significant association was observed between stress scores with the age and gender of the students.</span></p></div><div><h3>Conclusion</h3><p>Considering these results, national universities should employ preventive interventions by disclosing and controlling the associated factors of stress. Thus, the results of this investigation could be effective to determine stress-related factors to provide adequate intervention to this subset of the population.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 205-215"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9884878","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":"Promotion of research in care in health organizations: Nursing Research Challenge project","authors":"Verónica Tíscar-González ,&nbsp;Jesús Larrañaga-Garitano ,&nbsp;Mª de los Ángeles Cidoncha Moreno","doi":"10.1016/j.enfcle.2023.05.001","DOIUrl":"10.1016/j.enfcle.2023.05.001","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 173-174"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9875824","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}