Enfermeria clinica (English Edition)最新文献

{"title":"Transfer of results into clinical practice and citizen participation in health care research","authors":"Camacho-Bejarano R, Lima-Serrano M, González de la Torre H, Fernández-Ortega P, González-Chordá V","doi":"10.1016/j.enfcle.2024.10.001","DOIUrl":"10.1016/j.enfcle.2024.10.001","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 343-345"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552713","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 nursing care plan for women who suffer a perinatal loss, according to Watson’s theory","authors":"Sara Furtado-Eraso,&nbsp;Blanca Marín-Fernández,&nbsp;Paula Escalada-Hernández","doi":"10.1016/j.enfcle.2024.09.006","DOIUrl":"10.1016/j.enfcle.2024.09.006","url":null,"abstract":"<div><div>Losing a newborn is for many mothers a painful end in which death occurs when life is expected, which makes them live a time of loneliness, personal doubt and feeling of failure. After carrying out a previous qualitative study analyzing the experiences of 25 women who suffered a spontaneous perinatal loss at any time during pregnancy and a systematic review of the factors that affect the emotional response after perinatal losses, a nursing care proposal is presented based on Watson’s Theory of Transpersonal Human Care to respond to the needs of women who experience this loss process. This care plan proposal is intended to achieve individualized care for women who suffer perinatal losses adapted to their needs, not only physical but also emotional.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 416-423"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378664","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":"Mental health of nursing students regarding the Moroccan earthquake: A cross-sectional study","authors":"Mounia Amane ,&nbsp;Nadia Hachoumi ,&nbsp;Rquia Laabidi ,&nbsp;Loubna Mazzi ,&nbsp;Souad Yakini ,&nbsp;Sokaina Loulidi ,&nbsp;Siham Jbari ,&nbsp;El Hassane Mourid ,&nbsp;Samia Boussaa","doi":"10.1016/j.enfcle.2024.09.002","DOIUrl":"10.1016/j.enfcle.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>In addition to the economic and social impact, mental health issues are one of health needs during natural disaster such as earthquake. Thus, surveillance for mental health variables is crucial for public health planning. Nursing students as professional students may be particularly vulnerable to adverse mental health effects after an earthquake because of their potential role in emergency response and the challenges associated with providing medical care in crisis conditions. The aim of this research was to assess the mental health of students after six months of the Moroccan earthquake and associated factors.</div></div><div><h3>Method</h3><div>A cross-sectional survey of student nurses was conducted on March 2024; six months after the Moroccan earthquake in front to 261 students using class sampling method. Three validated psychometric measures, Post-Traumatic Stress Disorder (PCL-C), Depression, Anxiety and Stress Scale (DASS-21), and The Connor-Davidson Resilience Scale (CD-RISC) were used to assess the nursing student mental health after Moroccan earthquake.</div></div><div><h3>Results</h3><div>Anxiety, Depression, Stress and abnormal post-traumatic stress rank was present respectively in 44.8%, 37.1%, 7.7%, 61.3% of participants. However, a minority of students obtained the high resilience score (13.8%). The results showed that the DAS scale correlated negatively with age (<em>p</em> = 0.034). Furthermore, the female gender, 3rd grade students (as final year for the nursing diploma) and those who had lost a family member in the natural disaster obtained higher medians with a significant difference in the DAS scale score (<em>p</em> &lt; 0.05). The post-traumatic stress scale was only affected by material damage (<em>p</em> = 0.044). However, the high level of scores resilience obtained significantly for students living with their families. In contrast, no association between the mental health of nursing students and attending the phenomenon or living near earthquake foci.</div></div><div><h3>Conclusion</h3><div>This study has demonstrated the crucial need to train healthcare providers in emotion management in the event of a natural disaster, and to launch a priori initiatives, particularly with regard to the mental health of students in health universities, in order to prepare them psychologically for any intervention in the case of an alert.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 377-385"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309260","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":"Approaching the attention to the wish to hustle death. Team reflections","authors":"Juan Pablo Leiva-Santos ,&nbsp;Miguel Ángel Rodriguez-Calero ,&nbsp;Joana María Julià-Mora","doi":"10.1016/j.enfcle.2024.09.005","DOIUrl":"10.1016/j.enfcle.2024.09.005","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 424-425"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373693","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":"Exploring nursing student self-esteem change and its predictors: Cohort study and its methodological challenges","authors":"","doi":"10.1016/j.enfcle.2024.07.001","DOIUrl":"10.1016/j.enfcle.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>Considering methodological difficulties and inconsistent results of previous studies on it, the objective was to describe the change in nursing student self-esteem over time and its predictors, using a sound theoretical framework and relevant tools to measure and analyse the data.</p></div><div><h3>Method</h3><p><span>Cohort study. Self-esteem and related factors were assessed in nursing students in a 4-year bachelor’s program at the beginning of each academic year from 2017 to 2019 and at the end of the academic year in May 2020, using he revised version of Self-liking/Self-competence scale of Tafarodi and Swann. Univariate and </span>multivariate analyses were performed via generalized linear mixed modelling.</p></div><div><h3>Results</h3><p>Self-esteem was moderate at the beginning of the program: 50.40 (9.10). It increased slightly over time: 51.15 (9.11) at T1; 51.64 (0.49) at T2; and 51.39 (10.79) at T3 (<em>P</em><span> = .002). Baseline variables that predicted self-esteem change were gender, secondary school graduation level, state anxiety, intent to continue, and self-efficacy. Assessing and improving those last variables via a strong career plan could boost student achievement and increase retention during and after training.</span></p></div><div><h3>Conclusion</h3><p>Nursing student self-esteem can be assessed using a bidimensional model, with a two-factor scale like Tafarodi &amp; Swann’s self-liking/self-competence scale. Generalized linear mixed model is a useful way to correlate large sets of longitudinal data.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 4","pages":"Pages 240-249"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536084","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":"Consequences of the COVID-19 pandemic on the mental health of nurses in the Spanish out-of-hospital Emergency Service","authors":"Raúl Soto-Cámara ,&nbsp;Susana Navalpotro-Pascual ,&nbsp;María Paz Matellán-Hernández ,&nbsp;Henar Onrubia-Baticón ,&nbsp;Noemí García-Santa-Basilia ,&nbsp;Rosa M. Cárdaba-García","doi":"10.1016/j.enfcle.2024.07.004","DOIUrl":"10.1016/j.enfcle.2024.07.004","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse the impact of the COVID-19 pandemic on the mental health of nurses in Spanish out-of-hospital Emergency Services, identifying predictor factors of greater severity.</p></div><div><h3>Method</h3><p>A multicentre cross-sectional descriptive study was designed, including all nurses working in any Spanish out-of-hospital Emergency Services between 01/02/2021 and 30/04/2021. The main outcomes were the level of depression, anxiety and stress assessed through the DASS-21 scale. Sociodemographic, clinical, and occupational information was also collected. Univariate and multivariate analyses were conducted to determine possible associations between variables.</p></div><div><h3>Results</h3><p>The sample included 474 nurses. 32.91%, 32.70% and 26.33% of the participants had severe or extremely severe levels of depression, anxiety and stress, respectively. Professionals with fewer competencies to handle stressful situations, those who had used psychotropic drugs and/or psychotherapy on some occasion before the pandemic onset, or those who had changed their working conditions presented more likelihood of developing more severe levels of depression, anxiety and/or stress.</p></div><div><h3>Conclusion</h3><p>Nurses in Spanish out-of-hospital Emergency Services have presented medium levels of depression, anxiety and stress during the pandemic. Clinical and occupational factors have been associated with a higher degree of psychological distress. It is necessary to adopt strategies that promote professionals’ self-efficacy and mitigate the triggers of negative emotional states.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 4","pages":"Pages 312-321"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2445147924000663/pdfft?md5=6b24df0b4c6f2f8702d1acbfe33c8786&pid=1-s2.0-S2445147924000663-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728393","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":"Falls in older adults hospitalized in tertiary centers in Colombia. Clinical description and complications","authors":"","doi":"10.1016/j.enfcle.2024.07.002","DOIUrl":"10.1016/j.enfcle.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>The incidence of falls in elderly patients in the hospital environment is three times higher than that in the community. The aim was to determine the characteristics of patients who suffered in-hospital falls and their complications.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study with patients older than 64 years of age, admitted between 2018 and 2020 to four clinics in Colombia who presented a fall during their stay. Clinical data, reasons for the fall, complications and use of drugs with a known risk for causing falls and with an anticholinergic load were reviewed.</p></div><div><h3>Results</h3><p>A total of 249 patients were included. The mean age was 77.5 ± 7.4 years, and there was a predominance of males (63.9%). The patients were hospitalized mainly for community-acquired pneumonia (12.4%) and heart failure (10.4%). Falls occurred most frequently in hospitalization wards (77.1%) and emergency departments (20.9%). Falls were related to standing alone (34.4%) and on the way to the bathroom (28.9%), with 40.6% (n = 102) of falls resulting in trauma, especially to the head (27.7%); the incidence of fractures was low (3.2%). Ninety-two percent of patients had polypharmacy (≥5 drugs), 88.0% received psychotropic drugs, and 37.3% received drugs with an anticholinergic load ≥3 points.</p></div><div><h3>Conclusions</h3><p>Hospitalized adults over 65 years of age suffered falls, mainly in hospitalization wards and emergency departments, especially during the process of solitary ambulation. Most had received psychotropic drugs and medications with a high anticholinergic load. These results suggest that it is necessary to improve risk prevention strategies for falls in this population.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 4","pages":"Pages 302-311"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S244514792400064X/pdfft?md5=c538167ce543d3d6c105d2ddafa40732&pid=1-s2.0-S244514792400064X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536150","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 a topical silicone gel and a polyurethane dressing on the evolution of scars","authors":"","doi":"10.1016/j.enfcle.2024.04.008","DOIUrl":"10.1016/j.enfcle.2024.04.008","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the effectiveness and safety of a topical silicone gel<span><span> (BE + Gel reductor y reparador de cicatrices) and a polyurethane dressing (BE + Apósito reductor y reparador de cicatrices) on the evolution of scars of patients who were previously recruited in the emergency care unit while seeking </span>wound care.</span></p></div><div><h3>Method</h3><p>A single center, stratified observational, open label study was performed in the emergency care unit of Donostia Universitary Hospital (recruitment) and in the Biodonostia Health Research Institute (intervention). Scars located in unexposed body areas with the dressing, and scars located in exposed areas with either the gel or the dressing. Investigators assessed interventions at day 1 and on weeks 4, 8 and 12. Vancouver Scar Scale (VSS) and a photographical assessment were used to determine the scars evolution, and the subjective perception of the scar was evaluated by means of a questionnaire administered to the patients.</p></div><div><h3>Results</h3><p>Patients whose scars were treated with the silicone gel<span> had an average initial VSS score of 5.4 ± 2.08. This value was reduced to 0.86 ± 1.17 after 90 days of treatment. Patients treated with the polyurethane dressing had an average initial VSS score of 5.8 ± 2.29. After 90 days of treatment, this average score was reduced to 0.33 ± 0.66. Positive evolution of scars was also supported by photographs and by a patient questionnaire.</span></p></div><div><h3>Conclusions</h3><p>Both treatments appear to be safe and effective, objectively, and subjectively, in the context of scar evolution.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 4","pages":"Pages 250-258"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774778","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":"Reliability of the Mental Health Nurse Competency Assessment Tool (ECOEnfSM): A pilot study","authors":"Javier Sanz-Calvo ,&nbsp;Luis Javier Rivera-Vicente ,&nbsp;María del Carmen García-Carrión ,&nbsp;Mercedes Gómez del Pulgar García-Madrid","doi":"10.1016/j.enfcle.2024.07.008","DOIUrl":"10.1016/j.enfcle.2024.07.008","url":null,"abstract":"<div><h3>Aim</h3><p>To evaluate the reliability of the ECOEnfSM scale as a tool to assess the professional competencies of Mental Health Nurse Practitioners (MHNP) in their clinical practice.</p></div><div><h3>Method</h3><p>A pilot study, observational, descriptive and cross-sectional, focuses on MHNP who have completed their Specialized Health Training Program (SHTP) in Spain. The data were collected by general and collaborators mentors of the Multiprofessional Teaching Units (MTUs). The Mental Health Nursing Competency Assessment Tool (ECOEnfSM) was used, which consists of three subscales and eight Competence Units (CU). A reliability and validity analysis were conducted (Cronbach's alpha and Spearman's correlation coefficient).</p></div><div><h3>Results</h3><p>The Rotation Assessment subscales showed excellent reliability (r &gt; 0.90) with high and very high correlations (r &gt; 0.6) in all UCs with high levels of significance (<em>P</em> &lt; .01). The Annual Assessment subscale showed good reliability (r &gt; 0.80) with a medium and very high correlation (r &gt; 0.4) with high levels of significance (<em>P</em> &lt; .01). All UCs showed a good to excellent consistency (r &gt; 0.80). The “<em>Home Visits</em>” assessment criterion showed heterogeneity of data due to there are few MTUs that fully develop it.</p></div><div><h3>Conclusion</h3><p>The ECOEnfSM scale showed very high reliability in MHNP during their training program in Spain. The ECOEnfSM is considered the only objective tool in Spain to assess the professional competencies in this population.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 4","pages":"Pages 293-301"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2445147924000729/pdfft?md5=122a91917c77e37809536acef1091281&pid=1-s2.0-S2445147924000729-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790206","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":"Evolution of nursing research in Spain: Conditioning factors and strategies for its development","authors":"Héctor González de la Torre ,&nbsp;José Verdú Soriano","doi":"10.1016/j.enfcle.2024.07.009","DOIUrl":"10.1016/j.enfcle.2024.07.009","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 4","pages":"Pages 237-239"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790205","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}