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

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Moral sensitivity of nursing students: Adaptation and validation of the Campillo’s tool
(Elsevier, 2025-01-01) Roldán Merino, Juan Francisco; Jiménez-Herrera, María F.; Font-Jiménez, Isabel; Bazo-Hernández, Leticia; Hurtado Pardos, Bárbara; Campillo Zaragoza, Beatriz; Biurrun Garrido, Ainoa
Aim: Analyse the psychometric properties of the Moral Sensitivity Questionnaire in nursing care and to examine the level of moral sensitivity among nursing students in Spain. Background: Ethical sensitivity is essential in nursing for patient care and decision-making. Assessing nursing students' moral sensitivity aids in developing training strategies for improved care. Design: The study was conducted in two phases: (1) analysis of psychometric properties involving nursing students; and (2) a cross-sectional study design. Method: The study included 611 Spanish nursing students, recruited through non-probability sampling. A self-report questionnaire, socio-demographic data and the Moral Sensitivity Questionnaire were used for data collection. To assess the psychometric properties, both confirmatory factor analysis and exploratory factor analysis were performed. Data were analysed using Student's t-test, analysis of variance (ANOVA) and Pearson correlation. Data analysis was performed using SPSS for Windows v28, with a significance level set at p < 0.05. Results: The study included 611 nursing students. The adjustment indices of the exploratory factor analysis indicate an excellent fit when items 18, 20 and 21 are grouped in Dimension 1, contrary to the proposal made by Campillo et al. The questionnaire demonstrated high reliability and validity. Second-year students and those from the SJD Campus showed higher moral sensitivity. No differences were found based on work experience. Conclusion: This study validated the Moral Sensitivity Questionnaire for nursing students, revealing its reliability. Early ethical training enhanced moral sensitivity, particularly in second-year students, while institutional values and campus focus significantly influenced scores. Gender and experience were negligible.
Adaptation and validation of spanish version of the Inpatient Dignity Scale (IPDS) in hospitalized patients: A psychometric study
(Elsevier, 2025-12-01) Roldán Merino, Juan Francisco; Mir Abellán, Ramon; Jerez Molina, Carmen; Mestres i Soler, Olga; Muñoz Narbona, Lucia; Gutiérrez-Juarez, Montserrat; Biurrun Garrido, Ainoa; Gutiérrez Martínez, Jéssica; Lopez Monreal, Jurema; Expósito Guanter, Clara; Boix Coll, Martí; Peñarrubia-San-Florencio, Lucia
Background: Maintaining dignity in hospitalized patients is fundamental in nursing care and healthcare quality. In Spain, there is no validated tool to quantitatively assess patient dignity during hospitalization. The Inpatient Dignity Scale has been developed and validated in other countries, but its cross-cultural adaptation and psychometric evaluation in Spanish have not yet been conducted. Objective: To perform cross-cultural adaptation and psychometric validation of the Inpatient Dignity Scale in Spanish, evaluating its factorial structure, reliability, and validity. Methods: A methodological study was conducted in two phases: (1) translation and cross-cultural adaptation following international standards, and (2) psychometric validation through confirmatory factor analysis and assessment of internal consistency using Cronbach's alpha (α) and McDonald's omega (Ω) coefficients. The sample included 553 hospitalized patients from four hospitals in Barcelona, Spain. Results: The confirmatory factor analysis confirmed the original four-factor structure of the Inpatient Dignity Scale, maintaining the dimensions of respect as a human being, respect for personal feelings and time, respect for privacy, and respect for autonomy. Model fit indices were adequate (χ²/df = 5.7 for expectations, 4.3 for satisfaction; CFI ≥ 0.90; RMSEA ≤ 0.08). Internal consistency was high across all dimensions (α ≥ 0.88, Ω ≥ 0.92), indicating robust reliability. Conclusions: The Spanish version of the Inpatient Dignity Scale in Spanish is a valid and reliable instrument for assessing expectations and satisfaction with dignity in hospitalized patients. Its use can facilitate research on dignity in healthcare and contribute to improving patient-centered care.
Rendimiento académico y estrés en estudiantes del grado en enfermería de la Universidad de Barcelona
(Congrés Internacional de Docència Universitària i Innovació (CIDUI), 2025-01-01) Bosch Alcaraz, Alejandro; Agüera, Zaida; Esquinas López, Cristina; Crespo Mirasol, Esther; Poveda-Moral, Silvia; Sanchez-Balcells, Sara; Sancho Agredano, Raül; Saz Roy, Mª Ángeles
El objetivo fue determinar el grado de rendimiento académico y su relación con el estrés y diversas variables sociodemográficas del alumnado de enfermería. Se realizó un estudio observacional transversal y prospectivo donde se registraron diversas variables sociodemográficas, grado de estrés y la escala de rendimiento académico (RA) desde la perspectiva del alumnado. Participaron 201 estudiantes, obteniendo una puntuación media de estrés de 3,71±0.9 puntos y de RA de 29,48±8,25 en la dimensión de actividades académicas, 21,12±5,10 en dedicación al estudio y 9,64±4,27 en recursos didácticos. La edad, sexo y las cargas familiares impactan en el grado de estrés y RA.
Self-assessment scale of basic mental health action competencies: development and evaluation of the psychometric properties
(BioMed Central, 2025-12-08) Costa, Tiago Filipe Oliveira; Correia Sampaio, Francisco Miguel; Cruz Sequeira, Carlos Alberto; Costa, Patrício; Lluch Canut, Ma. Teresa; Moreno Poyato, Antonio Rafael
Background: The assessment of adolescents' mental health competencies requires validated instruments. Thus, we sought to develop and evaluate the psychometric properties of a scale in which adolescents self-assess their competencies to act in mental health. Methods: A psychometric study was conducted. The data was collected in Portugal between May 2022 and September 2023. Firstly, a focus group was held with 9 experts to generate the scale items. The data was examined using content analysis. Secondly, a modified e-Delphi technique was used to obtain the opinion of 97 healthcare workers on the scale statements and the classification method. An analysis of response frequencies was carried out. Thirdly, cognitive interviews about the scale were conducted with 8 adolescents. Content analysis was performed. Finally, the scale was applied to 514 adolescents. Item sensitivity assessment and factor analysis were performed. The scale's convergent and divergent validity, internal consistency and test-retest reliability were also examined. Results: A 20-item scale emerged, featuring four factors: perception of knowledge about mental health, mental health self-care, interpersonal relationships and mental health first aid. Cronbach's alpha and McDonald's omega varied from 0.79 to 0.92, the composite reliability from 0.70 to 0.89, and the intraclass correlation coefficient from 0.77 to 0.80. Conclusions: The scale was created and demonstrated good validity and reliability. It facilitates the assessment of adolescents' mental health needs and the results of educational interventions.
Impact of the ‘Reserved Therapeutic Space’ nursing intervention on acute mental health inpatients' perceptions of the therapeutic relationship, quality of care, perceived coercion and length of stay: A multicentre quasi‐experimental trial
(John Wiley & Sons, 2026-01-20) Roviralta-Vilella, Maria; El Abidi El Ghazouani, Khadija; Sanchez-Balcells, Sara; Roldán Merino, Juan Francisco; Lluch Canut, Ma. Teresa; Garcia-Sanchez, Juan A.; Muñoz-Ruoco, Estibaliz; Pérez-Moreno, Juan J.; Pita-De-La-Vega, Javier; Cañabate-Ros, Montse; Rubia-Ruiz, Gemma; Santos-Pariente, Carolina; Rodríguez López, Ana Maria; Jardón Golmar, Laura; Esquinas López, Cristina; Ghrijou-Abselam, Nabil; Pastor-Bernabeu, Marcelino Vicente; Puig Llobet, Montserrat; Moreno Poyato, Antonio Rafael
Introduction: A strong nurse–patient therapeutic relationship is crucial in acute mental health care yet remains challenging,potentially affecting outcomes and perceived quality of care. Interventions that foster structured, person-centred encounters mayaddress these challenges effectively.Aim: To evaluate the effects of the ‘Reserved Therapeutic Space’ intervention in terms of its impact on the improvement of thenurse–patient therapeutic relationship, the quality of care, perceived coercion and humiliation and length of stay.Methods: A multicentre quasi-experimental trial design in twelve acute mental health units compared the Reserved TherapeuticSpace to standard care. Participants completed validated instruments assessing the therapeutic relationship, perceived quality ofcare and coercion. Mixed-effects models and survival analyses evaluated intervention effects.
Regulació emocional i salut mental positiva en estudiants d’infermeria: implicacions per a la pràctica docent
(ICE Universitat de Barcelona, 2025-12-29) Agüera, Zaida; Sanchez-Balcells, Sara; Sanchez-Ortega, M. Aurelia; El Abidi El Ghazouani, Khadija; Cano Velasco, Alejandro; García-Barrachina, Marina; Balaguer, Judith; Tinoco Camarena, José Manuel; Lluch Canut, Ma. Teresa; Puig Llobet, Montserrat
Introducció: Les estratègies de regulació emocional i la salut mental positiva (SMP) són competències essencials en la formació d’estudiants de Ciències de la Salut per garantir cures de qualitat. Per això, és fonamental fer activitats docents que promoguin el seu desenvolupament en les primeres etapes formatives, facilitant així el creixement personal i la preparació per afrontar reptes emocionals en el futur professional. L’objectiu d’aquest estudi és descriure els nivells de regulació emocional i SMP i analitzar-ne l’associació en l’alumnat d’Infermeria, considerant la perspectiva de gènere. Mètode: Es va administrar el qüestionari validat de SMP (CSMP) i l’Escala Dificultats en Regulació Emocional (DERS) a 219 estudiants de primer curs del grau en Infermeria. Resultats: Destaquen associacions significatives entre totes les subescales del DERS i CSMP. Més dificultats en regulació emocional, especialment manca d’estratègies i de claredat emocional, s’associen amb menys SMP i satisfacció personal. Discussió: Els resultats evidencien 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. Aquest enfocament augmentarà la seva SMP i pot promoure la seva motivació i millorar-ne el rendiment acadèmic.
Model de gestió i formació del treball final de grau de la Facultat d'Infermeria: un enfocament participatiu i innovador
(ICE Universitat de Barcelona, 2025-12-05) Agüera, Zaida; Poveda-Moral, Silvia; Sánchez Balcells, Sara; Santalucía Albi, Tomàs; Morén Núñez, Constanza; Esquinas López, Cristina; Ramos Pozón, Sergio
INTRODUCCIÓ. El treball final de grau (TFG) és clau en la formació en infermeria, ja que integra competències acadèmiques i promou la reflexió crítica. La seva gestió presenta reptes com garantir la transparència en l’assignació, reduir la subjectivitat en l’avaluació i optimitzar la gestió d’aules. Per abordar-ho, s’ha implementat un model basat en la digitalització i l’estandardització de processos. MÈTODE. S’ha analitzat la gestió del TFG als Campus Bellvitge i Clínic (curs 2023-2024), amb l’aplicació d’un sistema d’assignació digital, rúbriques estandarditzades i sessions formatives. També s’ha fet una anàlisi descriptiva de les modalitats i qualificacions. RESULTATS. S’han digitalitzat les rúbriques, s’ha optimitzat l’avaluació i s’ha millorat l’assignació de treballs. La revisió bibliogràfica ha estat la modalitat més escollida, seguida dels projectes d’investigació. DISCUSSIÓ. La digitalització ha optimitzat la gestió del TFG, i ha garantit assignacions equitatives i avaluacions objectives. Es mantenen àrees de millora, com la variabilitat en la tutoria i les limitacions de modalitat segons la nota. Futures edicions han de centrar-se a reduir aquestes diferències i perfeccionar la gestió administrativa per consolidar un model més eficient i just.
Higher lymphocyte count associated with larger hippocampal volume and fewer depressive symptoms in drug-na ïve first-episode psychosis
(Elsevier B.V., 2023-04-01) Toll Privat, Alba; Blanco Hinojo, Laura; Bergé, Daniel; Martín-Subero, Marta; Casanovas, Francesc; El Abidi El Ghazouani, Khadija; Pérez Solà, Victor; Mané, Anna
Circulating white blood cells (leucocytes), which form the peripheral immune system, are crucial in inflammatory processes but their role in brain structural change in schizophrenia has been scarcely studied. With this study we want to determine how and which type of white blood cells are associated with hippocampal volume (as a key structure in schi- zophrenia etiopathology) in first episode psychosis (FEP) patients. Moreover, to determine the association between white blood cells and clinical symptomatology, including positive and negative symptoms, cognition and depression. For this purpose fifty drug-naïve FEP were included in this study. All patients underwent an assessment at baseline and at 1 year follow-up, including sociodemographic and clinical variables (substance use, DUP, PANSS, GAF and CDSS). Fasting blood samples were obtained before administering any medication at baseline. Structural T1 MRI was performed at baseline and brain volumes were quantified. In the present study, higher lymphocyte count was associated with larger right hippocampal volume at baseline in FEP drug-naive patients. Higher lymphocyte count was associated with lower depressive symptomatology measured with CDSS and Marder depressive factor from PANSS at baseline and 1-year follow -up. These results suggest that lymphocytes may have a protective effect in hippocampal volume at baseli- ne in antipsychotic naïve FEP and also, are associated with a better depressive course over follow up. These results open the door to identify new biomarkers and therapeutic targets for patients with schizophrenia.
Spanish palliative care nurses' degree of aceptance of a proposal for nursing competencies in palliative care
(Springer Nature, 2021-12-17) Guanter Peris, Lourdes; Molins Mesalles, Ainhoa; Benito-Aracil, Llúcia; Solà Pola, Montserrat; Pla i Consuegra, Margarida
In Spain, palliative care (PC) nursing is not a recognized specialization and PC nurses do not receive systematic specialized academic training in PC. To ensure the quality of PC in Spain, the Spanish Association of Palliative Care Nursing has been working since 2011 to design a model of competencies for PC nurses. Objective: Verify whether a sample of Spanish PC nurses accepts the proposed model of PC nursing competencies describing their work. Methods: Descriptive cross-sectional observational study based on an ad-hoc questionnaire about 98 proposed competencies, which participants rated for whether they belong to the purview of PC nurses and for their degree of concordance with their own practice and their degree of importance in PC nursing. Competencies receiving approval by more than 75% of participants for the three dimensions were considered to have been accepted by consensus. Mixed logistical models were developed to study the association between demographic variables and the responses. Results: Sixty-two out of 98 proposed competencies were accepted by more than 75% of participants. We therefore considered these competencies to have been accepted by consensus. Thirty-six proposed competencies failed to meet the threshold of 75% acceptance. For competencies that were accepted overall, participants with more than 10 years of experience in PC and participants with specialized training in PC were more likely to report that these competencies were part of the purview of PC nursing. Participants age >50 were less likely to report that competencies related to research concorded with their practice. Participants accepted the importance of all 98 proposed competencies. Conclusion: The variables of experience, training and age had a statistically significant relationship with the acceptance or rejection of the proposed competencies on the basis of purview and concordance. Further research is necessary to understand more fully these relationships to eventually arrive at a consensus model for the competencies of PC nurses.
Resistant insistent persistent: A global call by mental health nursing leaders
(John Wiley & Sons, 2026-01-08) Hungerford, Catherine; Moreno Poyato, Antonio Rafael; Rosado-Figuerola, Silvia; Sánchez-Martínez, Vanessa; Usher, Kim; Wesemann, Daniel E.; Wilson, Rhonda L.; Gildberg, Frederik Alkier; Park, Tanya; Baker, John; Cross, Wendy; Culhane, Aisling; Daniel, Catherine; Dart, Nathan; Flogen, Sarah; Hakiaha, Hineroa; Higgins, Oliver
In recent years, the global mental health landscape has shifteddramatically. Rising rates of mental illness and distress, com-pounded by geopolitical instability, climate-related trauma andsystemic inequities, have placed unprecedented pressure on men-tal health systems worldwide (World Health Organization 2022,2025). Amid this crisis, mental health nurses—who comprisenearly half of the global mental health workforce—remainunder-recognised, under-resourced and under-represented inglobal and national leadership and policymaking (World HealthOrganization 2025; Jackson et al. 2025). The November 2025 Mental Health Nursing Leaders' Summit in Barcelona, Spain,marks a pivotal moment to reclaim visibility, assert disciplinaryself-determination and chart a transformative path forward.
Basic nursing care: Retrospective evaluation of communication and psychosocial interventions documented by nurses in the acute care setting
(Wiley, 2014-01-21) Juvé Udina, Eulàlia; Zuriguel Pérez, Esperanza; Fabrellas i Padrès, Núria; González Samartino, Maribel; Romero García, Marta; Castellà Creus, Mònica; Vila i Batllori, Maria Núria; Matud Calvo, Cristina
Purpose: This study aimed to evaluate the frequency of psychosocial aspects of basic nursing care, as e-charted by nurses, when using an interface terminology. Methods: An observational, multicentre study was conducted in acute wards. The main outcome measure was the frequency of use of the psychosocial interventions in the electronic nursing care plans, analysed over a 12 month retrospective review. Findings: Overall, 150,494 electronic care plans were studied. Most of the intervention concepts from the interface terminology were used by registered nurses to illustrate the psychosocial aspects of fundamentals of care in the electronic care plans. Conclusions and Implications: The results presented help to demonstrate that the interventions of ATIC Terminology may be useful to inform psychosocial aspects of basic and advanced nursing care. Clinical relevance: The identification of psychosocial elements of basic nursing care in the nursing documentation may lead to obtain a deeper understanding of those caring interventions nurses consider essential to represent nurse-patient interactions. The frequency of psychosocial interventions may contribute to delineate basic and advanced nursing care
El concepto de Rehabilitación cognitiva: un estudio de revisión según niveles de evidencia
(ciberindex cantarida, 2011-01-01) Manzine, Patricia; lost Pavarini, Sofia Cristina
Publicaciones científicas sobre Rehabilitación cognitiva han sido cada vez más frecuentes tanto en la literatura nacional como en la literatura internacional. Esta terminación ha sido presentada de diferentes formas por los autores. El objetivo de esta investigación fue analizar el concepto de rehabilitación cognitiva en la enfermedad de Alzheimer en la literatura científica, teniendo en cuenta años de publicación y niveles de evidencia. Fueron utilizados los presupuestos de la revisión sistemática del Centro Cochrane de Brasil e incluyeron estudios de las bases LILACS y Medline. Nueve niveles de evidencia fueron considerados para el análisis. Se encontraron 37 artículos. Progreso de la investigación actual a una definición más clara del concepto, se confunde a menudo con otros aspectos de la rehabilitación neuropsicológica. Rehabilitación cognitiva es una forma de tratamiento no farmacológico, cuyo objetivo es intervenir en los problemas de mayor relevancia para la persona con demencia y sus familias. Las mejores definiciones se presentaron en los estudios más recientes y con mejores niveles de evidencia.
Nursing Intensive-Care Satisfaction Scale [NICSS]: Development and validation of a patient-centered instrument
(John Wiley & Sons, 2018-02-14) Romero García, Marta; Cueva Ariza, Laura de la; Benito-Aracil, Llúcia; Lluch Canut, Ma. Teresa; Trujols i Albet, Joan; Martínez Momblán, Ma. Antonia; Juvé Udina, Eulàlia; Delgado-Hito, Pilar
Aim: To develop and validate the Nursing Intensive-Care-Satisfaction-Scale to measures satisfaction with nursing care from the critical care patient's perspective. Background Instruments that measure satisfaction with nursing cares have been designed and validated without taking the patient's perspective into consideration. Despite the benefits and advances in measuring satisfaction with nursing care, none instrument is specifically designed to assess satisfaction in intensive care units. Design: Instrument development. Methods: The population were all discharged patients (January 2013 January 2015) from three Intensive Care Units of a third level hospital (N = 200). All assessment instruments were given to discharged patients and 48 hours later, to analyze the temporal stability, only the questionnaire was given again. The validation process of the scale included the analysis of internal consistency, temporal stability; validity of construct through a confirmatory factor analysis; and criterion validity. Results: Reliability was 0.95. The intraclass correlation coefficient for the total scale was 0.83 indicating a good temporal stability. Construct validity showed an acceptable fit and factorial structure with four factors, in accordance with the theoretical model, being Consequences factor the best correlated with other factors. Criterion validity, presented a correlation between low and high (range: 0.42-0.68). Conclusions: The scale has been designed and validated incorporating the perspective of critical care patients. Thanks to its reliability and validity, this questionnaire can be used both in research and in clinical practice. The scale offers a possibility to assess and develop interventions to improve patient satisfaction with nursing care.
Valoración de dependencias y salud geriátrica
(Elsevier España, 2004-09-01) Ichazo Tobella, Begoña; Vila García, Judith; Sancho Agredano, Raül; Alegre Alsina, N.
Objetivo. La valoración del anciano constituye uno de los puntos más importantes para realizar una correcta atención geriátrica desde la atención primaria1-3. Por ello, sería deseable que el sistema sanitario incrementara su cartera de servicios a domicilio y el colectivo de enfermería tomara decididamente el papel de protagonista en sus funciones de cuidadores, educadores y facilitadores de procesos asistenciales. El objetivo de este estudio es evaluar el resultado de una valoración geriátrica global para conocer y dar respuestas a las necesidades no cubiertas detectadas.
Women' and midwives' experiences of perinatal mental health care: A qualitative study
(Elsevier, 2026-06-01) Navarro Maldonado, Raquel; Moreno Poyato, Antonio Rafael; Albacar Riobóo, Núria
Background: Perinatal mental health problems affect one in five women during pregnancy and the first postpartum year, negatively impacting maternal and infant health. Despite its importance, healthcare remains focused on physical aspects, whereas mental health is neglected, highlighting the need for comprehensive and effective approaches. Aim: To explore the current status of perinatal mental healthcare from the perspective of women and midwives, and to identify needs, challenges, and potential solutions to improve comprehensive care during pregnancy and the postpartum period. Methods: An exploratory qualitative study in which 20 midwives from different care settings and 30 women at different stages of pregnancy and postpartum participated in individual semi-structured interviews. Reflexive thematic analysis assisted by Nvivo12 was used for data analysis. Results: Four main themes emerged from the data analysis: (I) Challenges in Emotional Care: Cultural stigma identified as a significant barrier. Culturally sensitive care and strong therapeutic relationships highlighted as essential for emotional support. Need for dedicated time and safe spaces to facilitate emotional openness. (II) Significance of Perinatal Mental Health: Importance widely recognized but rarely addressed effectively. Mental health closely linked to emotional well-being, yet often neglected in daily practice. (III) Training-related challenges: Midwives report feeling unprepared. Need for ongoing, specific mental health training and standardized assessment tools. (IV) Challenges in Clinical Practice: Absence of clear protocols. High workloads hinder emotional care. Inconsistent approaches contribute to fragmented care. Conclusions: This study highlights key priorities to improve perinatal mental healthcare: including culturally sensitive training, validated and standardised assessment tools, clear clinical protocols, and sufficient time for emotional support. Strengthening therapeutic relationships between midwives and pregnant and postpartum women emerged as essential for effective care. Findings support implementing structured support groups, multidisciplinary collaboration, and a more responsive, holistic care model.
Sustained improvement of intrinsic capacity in community-dwelling older adults: The +AGIL Barcelona multidomain program
(Wiley, 2023-11-10) Ferrara, Maria Cristina; Pérez, Laura M.; Ribera, Aida; Villa García, Lorena; Ars, Joan; Soto Bagaria, Luís; Bellelli, Giuseppe; Cesari, Matteo; Enfedaque-Montes, M.B.; Inzitari, Marco
Background: Different programs promote healthy ageing through the optimization of intrinsic capacity. However, a major challenge is to assess their sustained effects over time. +AGIL Barcelona, a consolidated multidomain program, aims to optimize older adults’ intrinsic capacity through a coordinated approach among primary care, geriatrics and community resources, in agreement with the integrated care for older people (ICOPE) guidelines. We aimed to evaluate the +AGIL Barcelona longitudinal effect on older adults’ physical performance.MethodsAll +AGIL Barcelona consecutive participants since 2016 were enrolled. After a comprehensive geriatric assessment, a tailored, multidisciplinary intervention aligned with the ICOPE guidelines is offered. It includes a 10-week boost multicomponent exercise program, nutritional and sleep-hygiene counselling, revision and optimization of pharmacological treatments and screening for cognitive impairment, depression and loneliness. Changes in physical performance after 3 and 6 months were assessed using mixed models including baseline frailty degree, time and all potential significant confounders.ResultsWe included 194 participants in the analysis (mean age = 81.6 [standard deviation = 5.8], 68% women). An independent, clinically and statistically significant improvement in physical performance (Short Physical Performance Battery [SPPB] test, combining gait speed, strength and balance) was found at 3 months (SPPB mean change: 1.4; 95% CI: 1.1–1.6) and 6 months (SPPB mean change: 1.1; 95% CI 0.8–1.5). Equivalent results were observed for all the SPPB sub-tests.ConclusionsA coordinated, multidisciplinary and integrated program can benefit older adults’ intrinsic capacity. The participants’ empowerment and the connection with the available community resources are critical points for a successful intervention.
Level of satisfaction of critical care patients regarding the nursing care received: Correlation with sociodemographic and clinical variables
(Elsevier, 2019-11-01) Romero García, Marta; Delgado-Hito, Pilar; Cueva Ariza, Laura de la; Martínez Momblán, Ma. Antonia; Lluch Canut, Ma. Teresa; Trujols i Albet, Joan; Juvé Udina, Eulàlia; Benito-Aracil, Llúcia
Background: The satisfaction of critical care patients regarding the nursing care received is a key indicator of the quality of hospital care. It is, therefore, essential to identify the factors associated with the level of satisfaction of critical care patients. Objectives: To analyse the level of satisfaction of critical care patients in relation to the nursing care received and to determine the relationship between the level of satisfaction and the sociodemographic and clinical variables. Methods: This is a prospective and descriptive correlational study. The population were all patients discharged (January 2013 to January 2015) from three intensive care units of a third-level hospital (n = 200). The data on the satisfaction level were collected using the previously validated Nursing Intensive-Care Satisfaction Scale, and the sociodemographic and clinical data were recorded by means of a questionnaire. Results: Mean participants' age in the study (n = 200) was 65.9 years (standard deviation 13.4 years), with a 66% proportion of men (n = 132). There was a very high level of satisfaction regarding the nursing care received during the patients' stay in the intensive care unit, with a rating of 5.73 (standard deviation 0.41). There is no correlation between the level of satisfaction and the sociodemographic variables collected. However, there were statistically significant differences in the average score of the overall level of satisfaction (rho = 0.182, p = 0.010) with respect to the perception of the state of health. Conclusion: Critical care patients expressed very high rates of satisfaction, for both the scale as a whole and each of the factors. A high level of satisfaction is strongly influenced by the perception of the state of health.
Levels of exposure to ethical conflict in the ICU: correlation between sociodemographic variables and the clinical environment
(Elsevier Ltd., 2016-03-03) Falcó Pegueroles, Anna M. (Anna Marta); Lluch Canut, Ma. Teresa; Martínez Estalella, Gemma; Zabalegui Yárnoz, Adelaida; Delgado-Hito, Pilar; Via-Clavero, Gemma; Guàrdia-Olmos, Joan, 1958-
Objectives: To analyse the level of exposure of nurses to ethical conflict and determine the relationship between this exposure, sociodemographic variables and perceptions of the clinical environment. Design and setting: Prospective and descriptive correlational study conducted at 10 intensive care units in two tertiary hospitals affiliated to the University of Barcelona. Sociodemographic and professional data were recorded from a questionnaire and then the previously validated Ethical Conflict in Nursing Questionnaire-Critical Care Version was administered to obtain data regarding experiences of ethical conflict. Results: Two hundred and three nurses (68.6%) participated in the study, of whom only 11.8% had training in bioethics. Exposure to ethical conflict was moderate with a x¯=182.35 (SD=71.304; [0-389]). The realisation that analgesia is ineffective and the administration of treatment without having participated in the decision-making process were the most frequently reported ethical conflicts. Professionals who perceived their environment as supportive for dealing with ethical conflicts reported lower levels of these events (p=0.001). Conclusions: Ethical conflict is an internal problem but it is strongly influenced by certain variables and environmental conditions. The involvement of nurses in the decision-making processes regarding the care of critically ill patients emerges as a factor that protects against ethical conflicts.
Metformin a potential pharmacological strategy in late onset Alzheimer's disease treatment
(MDPI, 2021-09-01) Rabiei Poor, Saghar; Ettcheto Arriola, Miren; Cano Fernández, Amanda; Sánchez-López, E. (Elena); Manzine, Patricia; Olloquequi, Jordi; Camins Espuny, Antoni; Javan, Mohammad
Alzheimer’s disease (AD) is one of the most devastating brain disorders. Currently, there are no effective treatments to stop the disease progression and it is becoming a major public health concern. Several risk factors are involved in the progression of AD, modifying neuronal circuits and brain cognition, and eventually leading to neuronal death. Among them, obesity and type 2 diabetes mellitus (T2DM) have attracted increasing attention, since brain insulin resistance can contribute to neurodegeneration. Consequently, AD has been referred to “type 3 diabetes” and antidiabetic medications such as intranasal insulin, glitazones, metformin or liraglutide are being tested as possible alternatives. Metformin, a first line antihyperglycemic medication, is a 5′-adenosine monophosphate (AMP)-activated protein kinase (AMPK) activator hypothesized to act as a geroprotective agent. However, studies on its association with age-related cognitive decline have shown controversial results with positive and negative findings. In spite of this, metformin shows positive benefits such as anti-inflammatory effects, accelerated neurogenesis, strengthened memory, and prolonged life expectancy. Moreover, it has been recently demonstrated that metformin enhances synaptophysin, sirtuin-1, AMPK, and brain-derived neuronal factor (BDNF) immunoreactivity, which are essential markers of plasticity. The present review discusses the numerous studies which have explored (1) the neuropathological hallmarks of AD, (2) association of type 2 diabetes with AD, and (3) the potential therapeutic effects of metformin on AD and preclinical models.
Care-related quality of life of informal caregivers of stroke survivors: Cross-sectional analysis of a randomized clinical trial
(Public Library of Science (PLoS), 2024-10-04) Ribó Jacobi, Marc; Villa García, Lorena; Salvat Plana, Mercè; Slof, John; Pérez de la Ossa, Natalia; Abilleira, Sònia; Hidalgo-Benítez, Verónica; Inzitari, Marco; Ribera, Aida
Purpose: We aimed to describe the intensity of care and its consequences on informal caregivers of stroke survivors according to the degree of care receivers’ functional dependence for activities of daily living; and to identify the factors associated with caregivers’ care-related quality of life.MethodsCross-sectional analysis of prospective data collected in a cost-utility study alongside the RACECAT trial in Catalonia (Spain). One-hundred and thirty-two care receiver-caregiver pairs were interviewed six months after stroke. Functional dependence for activities of daily living was measured with the Barthel index. We assessed caregivers care-related quality of life with the CarerQoL, which measures seven dimensions of subjective burden (CarerQoL7D) and a happiness score (CarerQoL-VAS). We evaluated the association between characteristics of informal caregivers, characteristics of care receivers, and intensity of care, and the caregiver’s care-related quality of life (subjective burden and happiness) in a hypothesized model using a structural equation model.ResultsOf the 132 caregivers, 74,2% were women with an average age of 59.4 ± 12.5 years. The 56.8% of them were spouses. The care intensity ranged from a mean of 24h/week for mild to 40h/week for severe dependence. Most caregivers (76.3%) were satisfied with their task, regardless of dependence, but showed increasing problems in caring for severely dependent persons. Being a woman (coeff. -0.23; 95%CI: -0.40, -0.07), spending more time in care tasks (coeff -0.37; -0.53, -0.21) and care receiver need of constant supervision (coeff 0.31; -0.47, -0.14) were associated with higher burden of care, irrespective of the degree of dependence. Caregiver burden (coeff 0.46; 0.30–0.61) and care receiver anxiety or depression (coeff -0.19; -0.34, -0.03) were associated with lower caregiver happiness. Conclusions: The findings suggest the importance of developing mainly two types of support interventions for caregivers: respite and psychosocial support. Especially for women with high caring burden and/or caring for persons with high levels of anxiety or depression.

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