Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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Validation by expert groups of the conceptual and structural dimensions in the AcompdogSMP+ nursing program: a dog-assisted therapy to promote positive mental health
(Wiley, 2025-02-18) Balaguer-Sancho, Judith; Puig Llobet, Montserrat; Tinoco Camarena, José Manuel; Agüera, Zaida; Lluch Canut, Ma. Teresa; Moreno Arroyo, M. Carmen
Introduction: AcompdogSMP+ is a nursing program for the promotion of positive mental health using a dog-assisted therapy for individuals with severe mental disorders. Objective: To validate the content validity of the four conceptual and the three structural dimensions that shape AcompdogSMP+. Design and Methods: Three expert groups with a total of 28 participants were convened, associated with the three core areas of the program (i.e., the multifactorial model of positive mental health, the “animal-assisted therapy” nursing interventions taxonomy, and the animal-assisted therapy as a complementary intervention model). The qualitative data were analyzed using an existing text analysis method, and the notes taken by the moderator and an assistant. The quantitative data were analyzed through the content validity index (CVI) for 68 different items that made up the seven dimensions of the AcompdogSMP+ program, through the data obtained from an ad hoc Likert-type scale. Results: The degree of agreement of the experts was complemented with the values obtained in the results of the quantitative data. CVI values of virtually all items were excellent (greater than 0.78). Only one item had a CVI considered good (I-CVI = 0.68). The values of the Scale Content Validity Index (S-CVI/Ave) ranged from 0.88 to 1.00, with most of the indices being excellent (above 0.90). Conclusion: The results supported the content validity of the seven dimensions, of the AcompdogSMP+ program. The validation might allow its clinical validation, through its implementation in healthcare practice, as well as the evaluation of its effectiveness. Implication for Practice: To our knowledge, this is the first animal-assisted therapy nursing program to promote positive mental health validated by expert judgment. By confirming the content validity of each dimension, robustness and empirical evidence is given to integrate the program into clinical practice with confidence, offering a structured and complementary intervention aimed at improving mental health outcomes and overall well-being of patients with severe mental disorders. This could lead to greater patient engagement, improved therapeutic outcomes, and a more holistic approach to mental health.
Patient Satisfaction With the Level of Competence of theTriage Nurse in Hospital Emergency Departments
(John Wiley & Sons, 2024-12-31) López Hernández, Meritxell; Puig Llobet, Montserrat; Higon Fernández, Sergio; Franco Freirut, Marta; Moreno Mateos, Yolanda; Galimany Masclans, Jordi
Aims: To analyse the level of patient satisfaction regarding the care received in triage and its relationship with the competency level of clinical nurses in a hospital setting. Design: A cross-sectional, prospective and multicentre study of nurses in hospital emergency triage and the patients they attended. Method: Data were collected between October and November 2019 using two questionnaires; one collected sociodemographic factors, professional experience of the nurse and the competency assessment questionnaire for clinical nurses in the hospital set- ting (COM_VA). The other questionnaire recorded the age of patients, reason for consultation, pain and the Patient Satisfaction with Emergency Nursing Care Scale (CECSS). The abstract includes an indication of the chosen checklist, specifically the STROBE checklist for descriptive observational studies. Results: The study included a sample of 624 patients and 77 nurses. The findings indicated that the nurses' level of competence, with an average score of 8.61, is significantly correlated with patient satisfaction. A total of 90.2% of patients reported being satisfied with the care they received during triage, highlighting the technical competence and empathy of the nurses as highly valued attributes. However, areas for improvement were identified, particularly in pain management and addressing the emotional needs of patients. Other factors related to nursing competence that influenced patient satisfaction included perceived safety in clinical practice and the sense of respect from the multidisciplinary team. Additionally, the intensity of pain experienced by patients during triage was a significant determinant of their overall satisfaction. Conclusions: The results of this study indicate that the higher the level of nursing competence, the more satisfied the patients. In addition to knowledge and skills in triage, aspects such as empathy, concern and assertive listening influence patient satisfaction, and, therefore, perceived quality of care. Reporting Method: In preparing the manuscript, the authors adhered to the relevant EQUATOR guidelines and the STROBE checklist for descriptive observational studies. Public or Patient Contribution: No public or patient or professional contribution outside of participation for data collection purposes. Trial Registration: N/A. This was not a clinical trial
Dexibuprofen ameliorates peripheral and central risk factors associated with Alzheimers disease in metabolically stressed APPswe/PS1dE9 mice
(BioMed Central, 2021-07-22) Ettcheto Arriola, Miren; Sánchez López, E. (Elena); Cano Fernández, Amanda; Carrasco, Marina (Carrasco Pérez); Herrera, Katherine; Manzine, Patricia; Espinosa Jiménez, Triana; Busquets Figueras, Oriol; Verdaguer Cardona, Ester; Olloquequi, Jordi; Auladell i Costa, M. Carme; Folch, Jaume; Camins Espuny, Antoni
Several studies stablished a relationship between metabolic disturbances and Alzheimer´s disease (AD) where inflammation plays a pivotal role. However, mechanisms involved still remain unclear. In the present study, we aimed to evaluate central and peripheral effects of dexibuprofen (DXI) in the progression of AD in APPswe/PS1dE9 (APP/PS1) female mice, a familial AD model, fed with high fat diet (HFD). Animals were fed either with conventional chow or with HFD, from their weaning until their sacrifice, at 6 months. Moreover, mice were divided into subgroups to which were administered drinking water or water supplemented with DXI (20 mg kg-1 d-1) for 3 months. Before sacrifice, body weight, intraperitoneal glucose and insulin tolerance test (IP-ITT) were performed to evaluate peripheral parameters and also behavioral tests to determine cognitive decline. Moreover, molecular studies such as Western blot and RT-PCR were carried out in liver to confirm metabolic effects and in hippocampus to analyze several pathways considered hallmarks in AD. Results: Our studies demonstrate that DXI improved metabolic alterations observed in transgenic animals fed with HFD in vivo, data in accordance with those obtained at molecular level. Moreover, an improvement of cognitive decline and neuroinflammation among other alterations associated with AD were observed such as beta-amyloid plaque accumulation and unfolded protein response. Conclusions: Collectively, evidence suggest that chronic administration of DXI prevents the progression of AD through the regulation of inflammation which contribute to improve hallmarks of this pathology. Thus, this compound could constitute a novel therapeutic approach in the treatment of AD in a combined therapy.
Exploring Nursing Interventions for Frail Individuals in Primary Care: A Systematic Review
(Wiley, 2025-06-11) Moral-Pairada, Marta del; Laserna Jiménez, Cristina; Fabrellas i Padrès, Núria; López Poyato, Mireia
Aim: To report nursing interventions addressing frailty in older adults within primary care settings. Background: There is a very limited literature corpus on nursing interventions in primary care directed to elderly and frail individuals. Introduction: Primary care nurses play a key role in providing better care to frail older adults. Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, studying the PubMed, Cochrane, Scopus, and JBI databases from September 2013 to August 2023. Two reviewers screened the studies, and three reviewers independently assessed the risk of bias. Results: Fourteen studies made the final cut. Three categories of interventions were identified: (i) assessments derived from Comprehensive Geriatric Assessments (CGA), such as fall prevention programmes, pain diagnostic evaluations, and assessments of social problems and sociodemographic characteristics, like gender and age; (ii) frailty diagnoses using NANDA terminology; and (iii) nursing care interventions at home and the relationship of trust. Discussion: Despite the fact that primary care is mainly reactive to the needs of frail elderly individuals, it is also important to be willing to collaborate with them on implementing preventive plans. In the same spirit, establishing a relationship of trust between the health professional and the older adults is a key factor when nursing interventions are carried out in the home of a frail individual. Frailty is a multidimensional concept that is not necessarily linked to age, as studies address frailty starting from the age of 60 and continuing up to 80. But, although frailty is not determined by age, it may be influenced by it. Conclusion and Implications for Nursing and Health Policies: There is no consensus on the starting age for frailty screening or on a single diagnostic tool to identify frailty. Nurses use standardised nursing language related to frailty, both to diagnose it and to implement person-centred care intervention plans. Healthcare policymakers, health organisations, and primary care nurses should consider the findings of this research to evaluate the inclusion of standardised tools to assess comprehensive frailty in older adults. In addition, it is also crucial to prioritise a relationship of trust between individuals and nurses to ensure adherence to nursing care plans.
Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
(John Wiley & Sons, 2026-03-20) Pastor-Puigdomènech, Andrea; Sánchez Sánchez, Miguel; Font Cabrera, Cristina; Fabrellas i Padrès, Núria; Benito-Aracil, Llúcia; Guix Comellas, Eva Maria
Aims: To compare job satisfaction among emergency department staff before and after the implementation of Lean Thinking and to explore staff experiences regarding this methodology, identifying associated satisfaction factors. Background: Lean Thinking, originally developed in the automotive industry, is increasingly applied in healthcare to optimise processes and improve patient care. Staff engagement and perceptions are key determinants of successful implementation. Methods: A mixed-methods pre–post design was conducted. The Font-Roja job satisfaction questionnaire was administered preintervention and 1 year postimplementation, and semistructured interviews were conducted with emergency department staff. Results: Overall job satisfaction increased (3.31–3.43; p = 0.029), with significant improvements in job monotony (3.30–3.64; p = 0.038) and physical work setting (3.31–3.75; p = 0.007). Qualitative analysis revealed ten subthemes including improved organisation and teamwork, a more methodical workflow, the need for adaptation, and concerns about potential dehumanisation. Conclusion: Lean Thinking increased job satisfaction in the emergency department, favouring structured work and better interprofessional communication. The professionals supported its continuity and highlighted the need for follow-up meetings and constant improvements.
Bridging theory and practice in schizophrenia care: Nursing models and related psychiatric and psychosocial frameworks
(Elsevier, 2026-04) Morén Núñez, Constanza; Mezquida Mateos, Gisela; Penadés Rubio, Rafael; García Rizo, Clemente; Ramos Pozón, Sergio; Sánchez Balcells, Sara
Background: Schizophrenia is a complex and chronic mental disorder associated with significant cognitive, emotional, and social impairments. While pharmacological and psychosocial treatments are essential, nursing models and related psychiatric and psychosocial frameworks remain underutilized in guiding comprehensive and person-centered care strategies. Purpose: This narrative review aims to synthesize psychiatric nursing models and related theoretical and clinical frameworks with potential applicability in schizophrenia care, and to highlight their value in fostering recovery-oriented and multidisciplinary approaches. Methods: A comprehensive literature search was conducted in PubMed, Scopus, Web of Science, and CINAHL using broad terms related to psychiatric nursing and schizophrenia. Peer-reviewed studies were included if they addressed theoretical nursing frameworks and considering their potential implementation in schizophrenia. Selected models were categorized based on their principles, strengths, and relevance to clinical practice. Findings: Key psychiatric nursing models and complementary psychological and integrative frameworks relevant to schizophrenia care were identified, including the Tidal Model, Peplau's Interpersonal Relations Theory, Orem's Self-Care Model, Roy's Adaptation Model, Trauma-Informed Care, the Biopsychosocial Model, and Cognitive-Behavioral Therapy. These models align with the CHIME framework for personal recovery (Connectedness, Hope, Identity, Meaning, Empowerment) and support key dimensions of care such as empathy, autonomy, coping strategies, and social reintegration. Though limited, we explored empirical evidence on their direct application in schizophrenia, highlighting a need for further research and implementation efforts, through a multidisciplinary perspective. Conclusion: Existing psychiatric nursing models and related psychiatric and psychosocial frameworks offer valuable, person-centered frameworks that complement biomedical approaches in schizophrenia care. Their integration into multidisciplinary clinical practice could enhance recovery outcomes, promote patient autonomy, and humanize mental health care. This review underscores the importance of revalorizing nursing theories and psychiatric or psychosocial frameworks in the context of complex psychiatric disorders and calls for their greater inclusion in treatment planning, education, and research.
Enhancing the Therapeutic Relationship Between Mental Health Case Managers and Individuals With Serious Mental Health Conditions: A Participatory Action Research Study in Community-Based Services
(John Wiley & Sons, 2026-04-08) Subías Miquel, Martí; Ventosa Ruiz, Ana; Sánchez Balcells, Sara; Andrés Mora, Hilari; Romeu, Maria (Romeu Labayen); Puig Llobet, Montserrat; Moreno Poyato, Antonio Rafael
This study examined how community mental health case managers, most of whom were mental health nurses, modified their day-to-day practice to strengthen the therapeutic relationship within community services. Using a participatory action research design across 10 centres in Catalonia, Spain, 24 case managers and 105 patients engaged in two action-reflection cycles. Data from reflective diaries and focus groups were analyzed using inductive thematic analysis. Through cyclical observation and collaborative reflection, participants identified key facilitators and barriers to developing the therapeutic relationship and co-designed two practice innovations: (1) jointly-created informational materials clarifying case-management scope and expectations, and (2) regular mixed patient-professional reflective groups focused on the therapeutic process. Despite structural pressures, heavy workloads, service fragmentation, and limited opportunities for professional reflection, the participatory approach supported sustainable, relationally focused practice change grounded in patient-provider dialogue. Embedding structured reflective spaces within routine care emerged as a practical mechanism to consolidate therapeutic alliance and advance recovery-oriented practice. While findings apply across disciplines, they are particularly relevant to nursing-led and nurse-participating case-management teams, in which continuous therapeutic contact, coordination functions and relational expertise intersect. The study offers a replicable framework for enhancing person-centred care in community mental health settings, and it underscores the value of nurse-involved co-creation and structured reflection to maintain therapeutic presence, align expectations and integrate lived experience into ongoing quality improvement.
Conocimientos sobre el VIH y las ITS, factores asociados en los pacientes que acuden a una consulta de enfermería hospitalaria especializada
(Elsevier España, 2026-05-01) Lao-López, Cristina; Garriga Comas, Neus; Arnau, Anna; Crespo, Manuel; Pérez-Vidal, Rafel; Goberna Tricas, Josefina
Objetivos: Determinar el nivel de conocimientos sobre el virus de la inmunodeficiencia humana (VIH), transmisión del VIH e infecciones de transmisión sexual (ITS), hepatitis, profilaxis pre-exposición (PrEP) y profilaxis postexposición (PEP) en personas heterosexuales, homosexuales y bisexuales/otros, que acuden a una consulta enfermera hospitalaria de ITS. Analizar los factores sociodemográficos, clínicos, de comportamiento sexual, hábitos tóxicos, soporte social y estigma asociados al nivel de conocimiento. Métodos: Estudio observacional, transversal, analítico y unicéntrico en un hospital español. Se reclutaron 259 pacientes de forma consecutiva entre noviembre de 2021 y julio de 2022. Se utilizó la encuesta European Men to Men Internet Survey (EMIS) y se realizó análisis estadístico bivariado y multivariado. Resultados: El 66,0% de los participantes eran heterosexuales, 25,5% homosexuales y 8,5% bisexual/otros. La mediana de edad fue de 52 años [IQR: 41,5-59,0]. El mayor conocimiento sobre el VIH se observó en las personas homosexuales (69,7%). El 93% de las personas heterosexuales desconocía la PrEP y PEP. Los factores asociados con menor conocimiento fueron: orientación heterosexual, edad mayor de 40 años, mujer, bajo nivel educativo e ingresos, desempleo, consumo de alcohol y drogas, no uso de Internet, menor número de parejas sexuales, falta de sexo seguro y baja integración social. Conclusiones: Es prioritario reforzar la educación sobre el VIH y las ITS, especialmente en heterosexuales, mujeres, adultos mayores y personas bisexuales/otras. Las intervenciones deben adaptarse a cada grupo, desmitificar la transmisión del VIH, fomentar el uso de PrEP y PEP, y reducir el estigma, favoreciendo estrategias educativas más inclusivas y eficaces para disminuir la prevalencia del VIH y las ITS.
Mobile applications to prescribe physical exercise in frail older adults: review of the available tools in app stores
(Oxford University Press, 2023-12-28) Soto Bagaria, Luís; Eis, Sophie; Pérez, Laura Mónica; Villa García, Lorena; Solà Morales, Oriol de; Carrión Ribas, Carme; Giné Garriga, Maria; Inzitari, Marco
Introduction: Different remote interventions, such as applications (apps), have been used to continue promoting healthy ageing and preventing disability during the COVID-19 pandemic. The growing trend of apps in health is exponential and may facilitate scaling up physical activity prescription. Numerous tools are available, but little is known regarding their appropriateness, validation and recommendation, especially for frail older adults. Methods: In-house, we developed an application that makes both the Apple app Store and the Google Play Store searchable using topic-related keywords and facilitates the extraction of basic app-information of the search results. The study was aimed at apps available to an English-speaking market. The resulting apps were filtered using various inclusion and exclusion criteria. The resultant apps underwent a more in-depth characterisation and searches for scientific publications on each app website and PubMed. Results: From an initial search result of >2,800 apps, 459 met the initial inclusion criteria. After a more in-depth review of their features, 39 apps remained for possible app in older frail patients. After testing them, 22 apps were excluded. Seventeen apps fit the inclusion and exclusion criteria and were deemed appropriate after peer review. Of these, only one app, Vivifrail, had any type of publication/published evidence. Conclusion: Apps can be valuable tool in prescribing exercise for frail older adults living in the community. However, few apps seem useful on a large scale, and there is limited evidence to support their effectiveness. It is important to invest in adapting Information and Communication Technologies to this population group.
Cost during the first year after stroke by degree of functional disability: a societal perspective
(SAGE Publications, 2025-06-01) Ribó Jacobi, Marc; Abilleira, Sònia; Soler Font, Mercè; Ribera, Aida; Aznar Lou, Ignacio; Sánchez Viñas, Alba; Slof, John; Vela, Emili; Salvat Plana, Mercè; Villa García, Lorena; Serrano Blanco, Antoni; Pérez de la Osa, Natàlia
Introduction:The aim of this study was to estimate societal costs during the first year after stroke by degree of functional disability.Patients and methods:Descriptive study of the cumulative costs incurred during 1-year follow-up of a cohort of patients with stroke in Catalonia (Spain) participating in a multicentre, population-based, cluster-randomised trial (RACECAT). Patients were recruited between September 2017 and January 2019. Costs were collected for each patient from stroke onset to 1-year follow-up through hospital accounting records, electronic healthcare records and structured telephone-based interviews at 6 and 12-months follow-up. Disability was assessed using the 90-day modified Rankin Scale (mRS). Healthcare, community care, and patient/family costs were included. We used complete data from 567 eligible participants. Cost data were analysed using generalised linear models (GLMs) with gamma distributions and log link functions. For variables with >10% zero values, two-part models were applied. We performed sensitivity analyses modifying unit costs for patient/family costs.Results:Of the 567 patients included, 53% had ischaemic large vessel oclusion (LVO) stroke, 24% intracranial haemorrhage and 23% ischaemic non-LVO stroke. Mean cost per patient during the first year after stroke was €29,673 ± 28,632, and increased with degree of disability (mRS 0–2: €18,568 ± 12,244; mRS 3: €38,214 ± 28,172; mRS 4–5: €52,859 ± 36,383). Healthcare costs represented the highest proportion of total costs (63%; €18,724/patient) across all disability levels, with index hospitalisation being the highest (€12,319 ± 17,675); however, community care and patient/family costs represented over 40% of total cost in patients with higher disability levels.Discussion and conclusion:Our results are in line with other studies; the costs during the first year after stroke are high and increase with disability. These results are valuable for calculating the cost of severe stroke cases.
Silencios que aíslan: repensar la confidencialidad en salud mental desde la deliberación moral
(Universidad Complutense de Madrid, 2025-12-31) Ortega Berlingó, Ximena; Poveda-Moral, Silvia; Ramos Pozón, Sergio
En salud mental, la gestión de la confidencialidad durante episodios de descompensación genera tensiones entre la intimidad del paciente y la necesidad de acompañamiento familiar. Mediante el método de deliberación moral de Diego Gracia, se analiza un caso clínico para identificar alternativas prudentes que permitan equilibrar valores en conflicto y orientar decisiones responsables. Se destaca la relevancia de la deliberación ética, el consentimiento progresivo y la corresponsabilidad familiar, abriéndose finalmente la pregunta por la responsabilidad organizacional ante los tiempos asistenciales disponibles.
Intention to use physical restraint in paediatric intensive care units and correlated variables: A multicentre and cross-sectional study
(Elsevier Ltd., 2024-08-01) Bosch Alcaraz, Alejandro; Corrionero Alegre, Jesus; Gil Domínguez, Sonia; Luna Castaño, Patricia; Piqueras Rodríguez, Pedro; Belda Hofheinz, Sylvia; Saz Roy, Mª Ángeles; Zuriguel Pérez, Esperanza; Fernández Lorenzo, Rocío; Mata Ferro, María; Martín Gómez, Ainhoa; Serradell Orea, Marta; Martínez Oliva, Marta; González Rivas, Susana; Añaños Montoto, Nerea; Espildora González, María José; Martín-Peñasco Osorio, Elena; Carracedo Muñoz, Eva; López Fernández, Eduardo; Lozano Almendral, Gema; García Piñero, José Miguel
Objectives: To determine the intention to use physical restraint (PR) and the relationship with sociodemographic and professional variables of the Paediatric Intensive Care Unit (PICU) nurses. Research methodology/design and setting: A multicentre and correlational study was carried out from October 2021 to December 2023 in five paediatric intensive care units from five maternal and child hospitals in Spain. The Paediatric Physical Restraint-Theory of Planned Behaviour Questionnaire was provided. Moreover, sociodemographic and employment variables were registered. Results: A total of 230 paediatric nurses participated in the study. A total of 87.7 % were females with an average age of 35.5 ± 9.7 years and working experience of 10.5 ± 8.4 years. The mean scores obtained were 21.1 ± 3.8 for attitude, 13.1 ± 5.0 for subjective norms, 14.4 ± 4.3 for perceived behavioural control and 28.0 ± 6.0 for intention. The nurses apply more physical restraint to anxious patients, with scarce analgesics and sedation, those affected with pharmacological withdrawal symptoms and those with a high risk of accidental removal of vital support devices or fall from bed. The sex (p = 0.007) and type of employment contract (p = 0.01) are the variables that are significantly correlated with the intention to use of PR. Conclusion: The paediatric nurses analysed had a moderate attitude, social pressure and perceived behavioural control towards the use of PR. Implications for clinical practice: It is important to know the factors that influence the intention to use physical restraint in order to standardise safe practice for critically ill paediatric and to ensure that patients' rights are respected by obtaining informed consent and assessing the prescription, continuation and removal of physical restraint.
Impact of shared decision-making on women’s childbirth preferences: A cluster randomised controlled trial
(Elsevier B.V., 2024-04-20) López Gimeno, Encarnación; Falguera Puig, Gemma; García-Sierra, Rosa; Vicente Hernández, Ma. Mercedes; Burgos Cubero, Lucia; Seguranyes Guillot, Glòria
Background: Midwives provide counselling for birth plans (BPs) to women during prenatal care; however, the impact of individualised BP counselling interventions based on shared decision-making (SDM) regarding women’s preferences is unknown. Methods: This randomised cluster trial included four primary healthcare units. Midwives provided BP counselling based on SDM to women in the intervention group (IG) during prenatal care along with a handout about evidence-based recommendations. Women in the control group (CG) received standard BP counselling from midwives. The main outcome was preference changes concerning BPs. Results: A total of 461 (95.5 %) pregnant women received BP counselling (IG, n = 247; CG, n = 214). Women in the IG changed their BP preferences for 13 items compared with those in the CG. These items were: using an unique space during birth (81.1 % vs 51.6 %; p < 0.001), option for light graduation (63 % vs 44.7 %; p < 0.001), listening to music (57.3 % vs 43.6 %; p = 0.006), drinking fluids during labour (84.6 % vs 93.6 %; p = 0.005), continuous monitoring (59 % vs 37.8 %; p < 0.001); desire for natural childbirth (36.6 % vs 25 %; p = 0.014), epidural analgesia (55.1 % vs 43.6 %; p = 0.023); breathing techniques (65.2 % vs 50.5 %; p = 0.003), massage (74.9 % vs 55.3 %; p < 0.001); birthing ball use (81.9 % vs 56.9 %; p < 0.001), spontaneous pushing (49.3 % vs 28.7 %; p < 0.001), choosing birth position (69.6 % vs 41.5 %) and delayed umbilical cord clamping (67.8 % vs 44.1 %; p = 0.001). Conclusion: SDM counselling, together with a handout about evidence-based recommendations on childbirth and newborn care, produced more changes in women’s preferences expressed in the BP than standard counselling
Prevalence of use of physical restraints in pediatric intensive care units andcorrelated variables: A Spanish multicenter study
(Elsevier Ltd., 2024-08-08) Bosch Alcaraz, Alejandro; Belda Hofheinz, Sylvia; Corrionero Alegre, Jesus; García Piñero, José Miguel; Gil Domínguez, Sonia; Fernández Lorenzo, Rocío; Mata Ferro, María; Martín Gómez, Ainhoa; Serradell Orea, Marta; Luna Castaño, Patricia; Saz Roy, Mª Ángeles; Zuriguel Pérez, Esperanza; Martínez Oliva, Marta; González Rivas, Susana; Añaños Montoto, Nerea; Espildora González, María José; Martín-Peñasco Osorio, Elena; Carracedo Muñoz, Eva; López Fernández, Eduardo; Lozano Almendral, Gema; Ureste Parra, M. Victoria; Gomez Merino, Alicia; Garcia Martínez, Alexandra; Morales Cervera, David; Frade Pardo, Laura; Díaz Lerma, Ainhoa; Piqueras Rodríguez, Pedro
Objective: To calculate the prevalence of physical restraint (PR) use in Spanish PICUs and (2) to analyze thecorrelation between the prevalence of PR use and the sociodemographic, clinical variables of the patients and thePICU structural and organizational variables.Methods: We conducted a multicenter prevalence study from January 2022 to January 2023 in Spanish PICUs.The method of data collection was by direct observation, review of the patient’s medical history, and asking theprofessionals involved in the patient’s care. Three weekly 24-hour prevalence observations (morning, afternoon,and night) were conducted for 6 months.Results: A total of 336 patients were included in the study, obtaining an overall crude prevalence of PR use of 16% (95 %CI: 15 %-17.7 %). Pediatric patients with respiratory pathology received the highest number of hours ofPR, with significant differences observed when comparing respiratory cases with post-surgical cases. Statisticalsignificance was also observed when comparing the mean scores of hours of PR according to admission diagnosis(p = 0.01), with respiratory patients being the ones who were restrained the longest (24 h [20–24]) and infectiouspatients the least (15 h [14–20]). Patients who receive PR upon admission remain in this situation formore hours (24 h [15–24] and in the PICUs that specifically recorded PR application, fewer hours of PR occurred(20 h [4–24]).
Perceptions about oncological physiotherapy among health and social care professionals and cancer care managers: A co-design approach for implementation strategies
(Springer Verlag, 2025-08-18) San Miguel Pagola, Marta; Buesa Estéllez, Almudena; Gargallo Aguarón, Pablo; Roldán Pérez, Patricia; Francín Gallego, Marina; Bellosta López, Pablo; Villa García, Lorena; Medina Rincón, Almudena
Purpose: This study aims to explore the knowledge and perceptions of health and social care professionals (HSCP) as well as cancer care managers and administrators (CCMA) in Spain regarding oncological physiotherapy. It seeks to identify barriers and propose strategies to enhance its integration into comprehensive cancer care.. Methods: The World Café co-design methodology was employed to facilitate discussions among HSCP and CCMA. This approach, known for its dynamic, inclusive, and engaging nature, encouraged a wide range of perspectives and deeper insights through collaborative and adaptable conversations. The sessions were recorded, transcribed, and analyzed qualitatively using inductive thematic analysis. Results: Nineteen participants were involved, including 11 HSCP and 8 CCMA. The analysis revealed three primary themes: "Supportive Services," "Physiotherapy Along the cancer continuum," and "What Now?". Key findings highlight the lack of awareness about the role of physiotherapy in oncology, significant barriers to its integration, and the need for more humanized healthcare. Participants emphasized the importance of interdisciplinary work, the inclusion of physiotherapy in all phases of the oncological process, and the role of case managers in coordinating care. Conclusions: These findings underscore significant gaps in the integration of physiotherapy into oncological care, including unmet needs due to lack of information, resources, and effective communication. Future efforts should focus on increasing the visibility of physiotherapy, integrating specialized physiotherapists into oncology teams, and enhancing the emotional education of professionals to provide more humanized care.
Regulació emocional i salut mental positiva en l’estudiantat d’infermeria: implicacions per a la pràctica docent
(Congrés Internacional de Docència Universitària i Innovació (CIDUI), 2025-01-01) Agüera, Zaida; Sánchez Balcells, Sara; Sanchez-Ortega, M. Aurelia; Cano Velasco, Alejandro; García Barrachina, Marina; El Abidi El Ghazouani, Khadija; Balaguer, Judith; Tinoco Camarena, José Manuel; Lluch Canut, Ma. Teresa; Puig Llobet, Montserrat
La regulació emocional i la salut mental positiva (SMP) són essencials en la formació d’estudiants de ciències de la salut per garantir el seu benestar emocional i la qualitat de les cures. L’estudi amb 219 estudiants d’Infermeria va mostrar que majors dificultats en regulació emocional, com manca d’estratègies i de claredat emocional, s’associaven amb menor SMP i satisfacció personal. Destaca la necessitat d’implementar estratègies docents centrades en l’autoconeixement i la regulació emocional per millorar el benestar, l’autocontrol i la preparació professional de les futures infermeres, per tal d’aconseguir un impacte positiu en la seva pràctica professional.
Modelo de Gestión y formación del Trabajo de Final de Grado de la Facultad de Enfermería: un enfoque participativo e innovador
(ICE Universitat de Barcelona, 2025-10-28) Agüera, Zaida; Poveda-Moral, Silvia; Santalucía Albi, Tomàs; Sánchez-López, Sònia; Morén Núñez, Constanza; Esquinas López, Cristina; Ramos Pozón, Sergio
INTRODUCCIÓN. El Trabajo Final de Grado (TFG) es clave en la formación en enfermería, integrando competencias académicas y promoviendo la reflexión crítica. Su gestión enfrenta retos como garantizar la transparencia en la asignación, reducir la subjetividad en la evaluación y optimizar la gestión de aulas. Para solucionarlo, se implementó un modelo basado en la digitalización y estandarización de procesos. MÉTODO. Se analizó la gestión del TFG en los campus Bellvitge y Clínic (2023-2024), implementando asignación digital, rúbricas estandarizadas y sesiones formativas. Además, se hizo un análisis descriptivo de modalidades y calificaciones. Se trata de un enfoque descriptivo de todo el proceso del TFG. En particular, de describir la experiencia docente del proceso de TFG y de gestión del proceso del TFG. RESULTADOS. Se logró digitalizar rúbricas, optimizar la evaluación y mejorar la asignación de trabajos. La revisión bibliográfica fue la modalidad más elegida, seguida de proyectos de investigación. DISCUSIÓN. La digitalización optimizó la gestión del TFG, asegurando asignaciones equitativas y evaluaciones objetivas. Persisten áreas de mejora, como la variabilidad en tutorías y las limitaciones de modalidad según la nota. Futuras ediciones deberán centrarse en reducir estas diferencias y perfeccionar la gestión administrativa para consolidar un modelo más eficiente y justo.
A cinenurducation activity using Call the Midwife to teach about sexually transmitted infections and preeclampsia: design, implementation, and assessment
(Elsevier, 2024-07-01) Cambra Badii, Irene; Baños Díez, Josep Eladi; Biurrun Garrido, Ainoa; Alcaraz Vidal, Lucia; Vila Granados, Raquel; Robleda Font, Gemma
Background: Nursing students need to learn about sexually transmitted infections and preeclampsia. Cinenureducation is a rigorous method that uses materials from commercial movies or television series to teach health sciences students. Objectives: Using content analysis of the television series Call the Midwife, design a cinenureducation activity teaching nursing students about sexually transmitted infections and preeclampsia. Evaluate its effectiveness in knowledge acquisition. Design, implementation, and pre-post assessment of knowledge gain for teaching activities: The study comprised three main steps: designing the teaching activity, implementing it, and analyzing its pedagogical effectiveness through a pre-and-post study to assess knowledge acquisition resulting from the teaching activity. Participants: A six-member panel assessed the suitability of materials for the teaching goals. All second-year undergraduate nursing students in the course “Nursing management and leadership” at a nursing school in the 2022–2023 academic year were invited to participate (N = 160). Methods: The panel conducted a content analysis of the first two seasons of the series to determine the usefulness of each episode for teaching the chosen topics. Students were randomly assigned to groups watching episodes emphasizing either sexually transmitted infections or preeclampsia, followed by discussion. Learning was gauged through a pre-post viewing 20-question multiple-choice test. Additionally, students’ satisfaction was evaluated. Results: A total of 142 nursing students participated. Significant differences between mean scores before and after intervention were found [6.90 vs. 6.42 on the preintervention assessment, p < 0.05; mean gain, 0.49 (95 % CI: 0.22–0.76)]. Most students were satisfied with the activity. Conclusions: The activity was useful for teaching about sexually transmitted infections and preeclampsia. The use of a television series portraying nurses enables the exploration of these critical topics. This has potential implications for integrating similar methods into nurse education curricula, emphasizing the broader impact of the research on pedagogical practices in healthcare education.
Valoración del dolor en pacientes menores con disfunción cognitiva: adaptación y validación de la escala r-FLACC
(Elsevier, 2025-05-27) Sierra Núñez, Débora; Bosch Alcaraz, Alejandro; Flores Ordóñez, María Auxiliadora; Nebra Muñoz, M. Mercedes; García Merino, Anna; González Lucena, Erika; Zuriguel Pérez, Esperanza
Introducción: Los menores afectos de disfunción cognitiva presentan un riesgo mayor de sufrir dolor y de recibir un inadecuado manejo del mismo. La valoración del dolor en menores con disfunción cognitiva y verbal debe realizarse mediante el uso de escalas conductuales específicas. El objetivo principal de este estudio fue adaptar y validar al español la escala revisada Face, Legs, Activity, Cry and Consolability (r-FLACC), una de las escalas mejor valoradas para evaluar el dolor en menores con disfunción cognitiva. Pacientes y métodos: Se realizó un estudio observacional, psicométrico y prospectivo en 3 fases: traducción y adaptación; análisis de validez de contenido mediante metodología mixta; y análisis de propiedades psicométricas de la escala r-FLACC versión española. Resultados: Se obtuvo un índice de validez de contenido global de 0,99 apoyado por datos cualitativos generados en un grupo focal con familiares de pacientes. La consistencia interna fue demostrada con un alpha de Cronbach de 0,876 y un omega de McDonald de 0,880; y la concordancia interobservador, con un coeficiente de correlación de concordancia de 0,933. La escala r-FLACC demostró capacidad para detectar cambios en el grado de dolor tras una intervención farmacológica, obteniendo una p < 0,001 en la prueba de Wilcoxon. Conclusiones: La escala r-FLACC versión espa˜nola resultó un instrumento válido y fiable para valorar la intensidad de dolor en menores con disfunción cognitiva, lo cual aporta a los profesionales una herramienta hasta ahora inexistente en nuestro contexto y contribuye a mejorarla evidencia científica disponible sobre el tema.
Impact of Breastfeeding Peer Counselor Interventions on Breastfeeding Success, Maternal Self-Efficacy and Satisfaction: A Scoping Review
(Lippincott, Williams & Wilkins. Wolters Kluwer Health, 2025-10) Pascual Tutusaus, Mireia; Manresa Lamarca, Margarita; Arranz Betegón, Ángela; Goberna Tricas, Josefina
Purpose: This scoping review explores the impact of face-to-face Breastfeeding Peer Counselor (BFPC) interventions on exclusive breastfeeding (EBF) prevalence at six months, maternal self-efficacy, and satisfaction. Background: BFPCs are recognized as key figures in increasing EBF rates and improving health outcomes, especially within at-risk and underserved communities. Methods: A scoping review was conducted on literature published between January 2019 and March 2024, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). 493 records were identified, of which 282 were selected based on title and abstract. Two reviewers critically appraise 85 full-text articles using the Joanna Briggs Institute (JBI) quality assessment tools. Discrepancies were resolved with two additional reviewers. Finally, 20 high-quality studies were included in the review. Results: Prenatal home visits and group support have been associated with an increase of EBF initiation rates. Postnatal home interventions with at least a two-month follow-up significantly improved EBF prevalence at six months. Discussion and Conclusions: BFPCs’ cultural proximity to mothers builds trust and facilitates breastfeeding knowledge acquisition and problem-solving. Home visits provide closeness and emotional support, while community groups offer a trusted environment for mothers to share their concerns and challenges. Implications for Research: The social learning facilitated by BFPCs underscores the importance of their integration into healthcare systems. However, global standardization of BFPC training and practice is essential for their worldwide expansion. Future studies should employ validated tools to assess maternal self-efficacy and satisfaction. Additionally, research should explore the impact of BFPCs in developed countries.

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