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

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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.
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.
Transitions in smoking status in nursing students: A prospective longitudinal study
(BioMed Central, 2024-05-29) Laroussy, K.; Castellano, Yolanda; Fu Balboa, Marcela; Baena, Antoni; Feliu, Ariadna; Peruga, Armando; Margalef, Mercè; Aldazabal, Jon; Tigova, Olena; Galimany Masclans, Jordi; Puig Llobet, Montserrat; Moreno Garcia, Maria Del Carmen; Bueno, A.; López Barea, Antonio López; Roca, Judith; Saura, Judith; Fernández, Esteve; Martínez, Cristina
Aim: To describe transitions in smoking status and their determining factors among nursing students between baseline (2015-2016) and follow-up (2018-2019). Design: Observational prospective longitudinal study of 4381 nursing students in Catalonia (Spain). Methods: We examined transitions in smoking status from: (i) current smokers to recent quitters, (ii) never smokers to new smokers and (iii) former smokers to quitters who relapsed. We fitted logistic regression models to assess the predictors of quitting smoking. Results: The proportion of current smokers decreased from 29.7% at baseline to 23.6% at follow-up, with a cumulative incidence rate of quitting of 28.3% during follow-up. Nondaily smokers were more likely to quit than daily smokers. Of those who were never smokers at baseline, 4.6% were smokers at follow-up, and 23.2% of former smokers at baseline had relapsed at follow-up. Conclusions: Nondaily smokers were more likely to have quit smoking at follow-up among this cohort of nursing students. The early implementation of a comprehensive tobacco control program that includes tobacco-free campus policies, tobacco prevention interventions and cessation support during college years may decrease tobacco use among nursing students. Impact: Nursing students' tobacco use is concerning, as they are the future workforce of nurses who have a key role in tobacco product use prevention and cessation. During college years, nursing students have a greater likelihood of experimenting with several smoking status changes as well as to consolidate smoking behaviors. This is the first longitudinal study to highlight the factors associated with quitting smoking among a cohort of Spanish nursing students. Being a nondaily smoker at baseline predicted quitting at follow-up. Our findings support the early implementation of a comprehensive tobacco control program that includes tobacco-free campus policies, tobacco prevention interventions and tobacco cessation support during college years to decrease tobacco product use prevalence among nursing students. Reporting method: We have adhered to STROBE guidelines. No Patient or Public Contribution. This observational study has not been registered. Keywords: logitudinal studies; nursing students; smoking; smoking cessation; tobacco use; young adult.
Nurse Educators’ Self-Reported Level of Teaching Competence and Its Correlation with Sociodemographic, Professional, Training and Research Variables: A Cross-Sectional Multicentre Study
(MDPI, 2026-01-01) Martínez-Sánchez, Isabel; Romero García, Marta; Alonso-Fernández, Sergio; Martínez Momblán, Ma. Antonia; Lleberia, Judith; Puig Llobet, Montserrat
Nurses’ teaching skills in the clinical setting are crucial to ensuring that students receive high-quality training. Despite the growing importance of competency frameworks, there is little research on the relationship between nurses’ teaching competence and sociodemographic, professional, training, and research variables. Methods: This was a cross-sectional, descriptive, and correlational study conducted at nine hospitals linked to the clinical placement subjects of the Bachelor of Nursing of the University of Barcelona. The study population comprised all nurses directly involved in clinical teaching. Participants’ level of self-reported teaching competence was evaluated using the Spanish version of the Capabilities of Nurse Educators (S-CONE) questionnaire, and the sociodemographic, professional, and academic variables were collected in an ad hoc questionnaire. Descriptive statistics, non-parametric tests, and linear and logistic regression models were used to analyse the associations between the S-CONE total score and the variables collected. Results: The mean age of the participants (n = 596) was 41.9 years (standard deviation: 8.82), and 85.6% of them were women (n = 510). The overall mean S-CONE score was 3.81 (SD: 0.73). Higher scores were observed in those with advanced academic degrees, formal teacher training, and participation in academic activities. Professionals with mixed roles (clinical mentor and academic tutor) self-reported significantly higher competence levels. Multivariate analyses identified participation in conferences, tutoring of undergraduate theses, and involvement in research or development projects as the main predictors of higher teaching competence as measured by the S-CONE questionnaire. The lowest-scoring factor was research and evidence, which points to a potential area for improvement. No significant associations were found with age, sex, or years of clinical experience. Conclusions: Participants had a high self-reported level of teaching competence and rated themselves as competent overall, especially in professional practice and curriculum design. However, we identified areas for improvement related to pedagogical innovation and the use of evidence. The findings reinforce the importance of professional development and academic involvement to strengthen teacher competence.
Extracellular-to-total body water ratio is associated with comorbidity and cardiorespiratory fitness in older adults with post-COVID-19 syndrome
(Frontiers Media, 2026-02-11) Pleguezuelos Cobo, Eulogio; Carmen, Amin del; Sánchez Nuño, Sergio; Serra Paya, Noemí; Moreno, Eva; Molina Raya, Lorena, 1979-; Jerez Molina, Carmen; Girabent-Farrés, Montserrat; Castizo Olier, Jorge; Biurrun Garrido, Ainoa; Viñals, Xavier; Serra-Prat, Mateu; Garnacho Castaño, Manuel Vicente
Background: Post-coronavirus disease 2019 (post-COVID-19) syndrome is associated with persistent impairments in physical fitness and altered body composition, particularly in older adults. The extracellular-to-total body water (ECW/TBW) ratio has been linked to poor outcomes in clinical populations. However, its association with cardiorespiratory fitness (CRF) and muscular fitness (MF) in older adults with post-COVID-19 syndrome remains unclear. This study aimed to examine the associations between ECW/TBW ratio, CRF, MF, and other variables in this population. Methods: A cross-sectional study was conducted in 71 older adults with post-COVID-19 syndrome. Hydration status and body composition were assessed using bioelectrical impedance analysis (BIA). CRF was evaluated by cardiopulmonary exercise testing (CPET; peak oxygen uptake, VO₂peak), and MF was assessed using isokinetic and functional performance tests. Associations between ECW/TBW ratio, fitness outcomes, and other variables were analyzed through multi-variate linear regression models adjusted for age and sex. Results: Higher ECW/TBW ratio was significantly associated with lower VO₂peak (β = −0.010, p = 0.048) and greater comorbidity burden (β = 0.003, p = 0.002). No significant associations were observed between ECW/TBW ratio and MF variables (p > 0.05). Conclusions: The ECW/TBW ratio is independently associated with comorbidity burden and CRF, but not with MF, in older adults with post-COVID-19 syndrome. The Charlson Comorbidity Index emerged as the strongest determinant of ECW/TBW ratio. These findings highlight the potential relevance of integrating hydration monitoring and CRF assessment into rehabilitation strategies, and support further investigation of their role in the clinical management of older adults with post-COVID-19 syndrome.
Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
(BioMed Central, 2024) Matallana, Carlota; Pera Román, Miguel; Espin Basany, Eloy; Biondo, Sebastiano; Badia, Josep M.; Limón, Enrique; Pujol Rojo, Miquel; Lacy, Borja de; Aliste, Luisa; Borràs, Josep Maria; Manchon Walsh, Paula
Abstract Background The Catalan Cancer Plan (CCP) undertakes periodic audits of cancer treatment outcomes, including organ/space surgical site infections (O/S-SSI) rates, while the Catalan Healthcare-associated Infections Surveillance Programme (VINCat) carries out standardized prospective surveillance of surgical site infections (SSI) in colorectal surgery. This cohort study aimed to assess the concordance between these two monitoring systems for O/S-SSI following primary rectal cancer surgery. Methods The study compared O/S-SSI incidence data from CCP clinical audits versus the VINCat Programme in patients undergoing surgery for primary rectal cancer, in 2011-12 and 2015-16, in publicly funded centres in Spain. The main outcome variable was the incidence of O/S-SSI in the first 30 days after surgery. Concordance between the two registers was analysed using Cohen’s kappa. Discordant cases were reviewed by an expert, and the main reasons for discrepancies evaluated. Results Pooling data from both databases generated a sample of 2867 patients. Of these, O/S-SSI was detected in 414 patients—235 were common to both registry systems, with satisfactory concordance (κ = 0.69, 95% confidence interval 0.65–0.73). The rate of discordance from the CCP (positive cases in VINCat and negative in CCP) was 2.7%, and from VINCat (positive in CCP and negative in VINCat) was 3.6%. External review confirmed O/S-SSI in 66.2% of the cases in the CCP registry and 52.9% in VINCat. Conclusions This type of synergy shows the potential of pooling data from two different information sources with a satisfactory level of agreement as a means to improving O/S-SSI detection. ClinicalTrials.gov Identifier: NCT06104579. Registered 30 November 2023
The Effects of a Participatory Intervention in Mental Health Units on Nurses' Perceptions of the Practice Environment: A Mixed Methods Study
(SAGE Publications, 2024-02-28) Moreno Poyato, Antonio Rafael; El Abidi El Ghazouani, Khadija; González-Palau, Francesca; Tolosa Merlos, Diana; Rodríguez-Nogueira, Òscar; Pérez-Toribio, Alonso; Casanova-Garrigós, Georgina; Roviralta-Vilella, Maria; Roldán Merino, Juan Francisco
BACKGROUND: The practice environment influences the quality of care and the nursing outcomes achieved in their workplaces. AIMS: To examine the perception of the clinical practice environment among nurses working in mental health units in the context of their participation in an action research study aimed at improving the nurse–patient relationship. METHOD: An explanatory sequential mixed methods study was designed. The data were collected in three phases in 18 mental health units (n = 95 nurses). Quantitative data were collected through the Practice Environment Scale of the Nursing Work Index, and qualitative data were collected through reflective diaries and focus groups in the context of participatory action research. RESULTS: The nurses’ assessment of their practice environment shifted from positive to negative. Nurse manager leadership was the aspect that worsened the most. In addition, the perception of their participation in the affairs of the center and nursing foundations for quality of care decreased. The nurses considered it essential to be able to influence decision-making bodies and that the institution should promote a model of care that upholds the therapeutic relationship in actual clinical practice. CONCLUSIONS: Nurses perceived that they should be involved in organizational decisions and required more presence and understanding from managers. Furthermore, nurses stated that institutions should promote nursing foundations for quality of care. This study contributes to understanding how nurses in mental health units perceive their work environment and how it affects the improvement of the nurse–patient relationship in clinical practice.
Multicenter cross-sectional study on sexual violence among university students: victims, perpetrators, and alcohol use
(Frontiers Media, 2026-02-26) Gomez-Ibañez, Rebeca; Serrat-Graboleda, Eva; Berenguer Simon, Alba; Ballester Ferrando, David; Reyes Amargant, Zaira; Galbany Estragués, Paola; Maestre González, Elena; Garrido Aguilar, Eva María; Burjalés Martí, Maria Dolors; Rodríguez-Martín, Dolors; Fuentes Pumarola, Concepció
Objective: This study aims to estimate the prevalence of sexual violence among university students (identification of sexual violence behaviors, self-recognition as victims and perpetrators) and its relationship with alcohol consumption and other associated factors. Methods: Descriptive cross-sectional multicenter study of students from six public universities in Catalonia, north-eastern Spain. Sexual violence has been categorized into three levels of severity, ranging from least to most severe. Results: 2,803 students participated (72.5% women). Regarding sexual violence victimization, 79% of respondents had experienced level 1, 59.8% level 2, and 7.5% level 3. Concerning perpetration, 15.6% had perpetrated level 1, 2.5% level 2 and 0.3% level 3. Sexual violence identification was high, with females identifying more situations than males (p < 0.001). 39.6% of students had felt pressured to drink alcohol and 65% had experienced alcohol-related blackouts in the previous year. Men consumed more alcohol than women (p < 0.001). Sexual violence perpetration was associated with males, students in 4th to 6th grade, pressure to consume alcohol, alcohol-related blackouts and alcohol consumption. Sexual violence victimization was associated with females, pressure to consume alcohol, alcohol-related blackouts and alcohol consumption. Conclusion: This study identifies a high prevalence of sexual violence among university students, consistent with international findings and signaling a concerning trend. The results also show a strong link between sexual violence and alcohol consumption in university leisure contexts. Existing evidence indicates that alcohol facilitates rather than causes sexual violence, creating circumstances in which sexual victimization becomes more likely. The study highlights the need for prevention strategies and educational programs addressing sexual violence and reducing its associated risk factors among university students.
Critical thinking level in nursing degree students according tosociodemographic and academic variables: A correlational study
(Elsevier, 2024-05-22) Basco Prado, Luis; Biurrun Garrido, Ainoa; Zuriguel Pérez, Esperanza; Roldán Merino, Juan Francisco; Mestres i Soler, Olga
Aims To determine the level of critical thinking of undergraduate nursing students during their clinical practice, as well as to identify the relationship between sociodemographic and academic variables. Background Nursing degree programs should prioritize the development of critical thinking skills in their curriculum and regularly assess students to ensure the acquisition of core competencies. Design Multicenter, descriptive, cross-sectional, correlational, descriptive study. Participants included were students from the Degree in Nursing enrolled during the academic year 2020–2021. Students were selected by convenience from three universities located in Catalonia, Spain. Data were collected from 429 students, with 98 being excluded due to incomplete data. Methods Data were collected by administering the Nursing Critical Thinking in Students Questionnaire and an ad hoc form of sociodemographic and academic characteristics. The STROBE guidelines checklist were followed. The study involves a secondary analysis of data from a previous study that presented psychometric analysis. Results No significant differences were observed in total Critical Thinking scores across various parameters including academic year, current situation, work experience in healthcare, previous academic training, family situation, or recent stressful events. On average, students demonstrated moderate critical thinking scores. However, statistically significant relationships emerged between critical thinking scores and gender (p=0.046), institution attended for undergraduate studies (p=0.019) and having satisfactory social relationships despite experiencing stressful events (p=0.330). Conclusions The study delves into the correlation between critical thinking skills and sociodemographic and academic factors, identifying students who may benefit from specific interventions and advocating for adaptable educational methods. It emphasizes the pivotal role of trust in fostering critical thinking in nursing education and suggests a connection between critical thinking and strong social relationships. In conclusion, evaluating critical thinking is crucial for addressing healthcare challenges, validating teaching strategies and promoting continuous improvement in nursing education.
Moral sensitivity of nursing students. Adaptation and validation of the moral sensitivity questionnaire in Spain.
(Public Library of Science (PLoS), 2022-06-16) Jiménez Herrera, María; Font Jiménez, Isabel; Bazo Hernández, Leticia; Roldán Merino, Juan Francisco; Biurrun Garrido, Ainoa; Hurtado Pardos, Bárbara
Ethical sensitivity is a requirement for people care as well as for decision-making in everyday practice. The aim is to present an adaptation and transcultural validation -in Spanish- of the Moral Sensitivity Questionnaire by Lützén et al. in Spain. In addition to that, we provide a practical implementation analysing the degree of moral sensitivity of nursing students. The data used for data collection were moral Sensitivity Questionnaire, socio-demographic data and a self-report questionnaire. The psychometric properties of the questionnaire were assessed, including validity and reliability. Fit indices of the overall model were computed. The fit indices of the Confirmatory Factor Analysis (CFA) indicate a poor fit, although the Exploratory Factor Analysis (EFA) revealed two dimensions that show a better fit of its indices. Women and those women with more experience in the clinical setting have a higher mean score, as well as those who study in centers where the strategic lines are the humanization of care. Female nursing students with more experience in the clinical setting and with more educational training present higher sensitivity indexes, as well as those who study in centers where the strategic lines are the humanization of care. The findings confirm that the Lützén et al. questionnaire is multidimensional. In the Spanish sample, it was necessary to group the three initial factors into two: sense of moral burden and moral strength—grouping the moral responsibility items into the above items to make the instrument more resilient.
Efectividad de una intervención digital compleja en los hábitos alimentarios de gestantes con obesidad preconcepcional
(Ediciones Mayo, S.A., 2022-10) González Plaza, Elena; Bellart Alfonso, Jordi; Luján Barroso, Leila; Crespo Mirasol, Esther; Viñas Llebot, Helena; Seguranyes Guillot, Glòria
Objetivo: Evaluar la efectividad de una intervención digital compleja, en gestantes con obesidad, con la provisión de consejos sobre hábitos alimentarios y el soporte virtual de una matrona a través de una app, respecto a los hábitos alimentarios, así como analizar el grado de satisfacción global con la intervención digital. Métodos: Se realizó un ensayo clínico paralelo aleatorizado con dos brazos 1:1 con grupo intervención (GI) y grupo control (GC). Se incluyeron 150 gestantes con obesidad preconcepcional. Ambos grupos recibieron el control prenatal habitual. La intervención en el GI fue el uso de una pulsera de actividad y la recepción de consejos sobre hábitos alimentarios mediante una app, y el soporte virtual de una matrona. Se utilizó el «Cuestionario de hábitos alimentarios para pacientes con sobrepeso y obesidad» en una escala Likert de 1 a 5. Las pruebas estadísticas fueron bilaterales y se evaluaron a un nivel α de 0,05. Los análisis se realizaron con SPSS v. 25 y SAS v. 9.4. Resultados: Se analizaron 110 (73,3 % del total) mujeres. En el GI la puntuación media de los hábitos alimentarios fue mayor que en el GC (3,49 ± 0,36 vs. 3,35 ± 0,41; p= 0,056), pero no se observaron diferencias estadísticamente significativas. En el GI, la puntuación media del consumo del tipo de alimentos fue mayor que en el GC (3,49 ± 0,78 vs. 3,18 ± 0,71; p= 0,019). El grado de satisfacción global fue de 4,76 ± 0,6 puntos de media. Conclusiones: El uso de una intervención digital compleja fue efectivo en la mejora del consumo del tipo de alimentos respecto a las gestantes que solo recibieron el control prenatal habitual.
Empleo y resolución de la gestión enfermera de la demanda en Cataluña.
(Ediciones ROL, 2022-07-19) Vara Ortiz, María Ángeles; Guix Comellas, Eva Maria; Fabrellas i Padrès, Núria
Introducción: la gestión enfermera de la demanda (GED) es la atención a los problemas agudos leves liderada por la enfermera y llevada a cabo en los centros de atención primaria de Cataluña desde el 2009. El objetivo del estudio es evaluar el grado de implantación y resolución de la GED en los centros del Institut Català de la Salut. Métodos: estudio observacional descriptivo transversal. El ámbito de estudio ha sido el de atención primaria del Institut Català de la Salut de Cataluña. Análisis de datos secundarios. Los datos han sido extraídos de la plataforma Longview. Las variables de estudio han sido en cuanto a la GED: el número de visitas, la resolución, los motivos de consulta y protocolos implantados en los equipos. Resultados: la GED en el territorio catalán presenta variabilidad en los porcentajes de resolución entre las diferentes gerencias territoriales. Los protocolos pediátricos presentan mayor resolución que los de adultos. Los protocolos con mayor resolución son los relacionados con la práctica usual de la enfermera, y los menos, los que históricamente resolvía el médico. Por último, existe correlación positiva entre los protocolos implementados y el número de usuarios visitados por la enfermera. Conclusiones: el liderazgo enfermero en la atención a enfermedades agudas leves es una práctica afianzada por las enfermeras de atención primaria; aunque existe heterogeneidad en la resolución de los motivos de consulta especialmente entre los que habitualmente atendía la enfermera y los que históricamente resolvía el médico.
Progress towards the clinical use of antimicrobial peptides: challenges and opportunities
(Taylor & Francis, 2023-06-14) Espinal, Paula; Fusté i Domínguez, Ester; Sierra Ortigosa, Josep Maria; Jiménez Galisteo, Mª Guadalupe; Vinuesa Aumedes, Teresa; Viñas, Miquel
Introduction: To overcome the challenge of multidrug resistance, natural and synthetic peptides are candidates to become the basis of innovative therapeutics, featuring diverse mechanisms of action. Traditionally, the time elapsed from medical discoveries to their application is long. The urgency derived from the emergence of antibiotic resistance recommends an acceleration of research to put the new weapons in the hands of clinicians. Areas covered: This narrative review introduces ideas and suggestions of new strategies that may be used as a basis upon which to recommend reduced development times and to facilitate the arrival of new molecules in the fight against microbes. Expert opinion: Although studies on new innovative antimicrobial treatments are being conducted, sooner rather than later, more clinical trials, preclinical and translational research are needed to promote the development of innovative antimicrobial treatments for multidrug resistant infections. The situation is worrying, no less than that generated by pandemics such as the ones we have just experienced and conflicts such as world wars. Although from the point of view of human perception, resistance to antibiotics may not seem as serious as these other situations, it is possibly the hidden pandemic that most jeopardizes the future of medicine.
A structured-data algorithm for semiautomated surveillance of surgical site infection after colorectal surgery: A diagnostic accuracy study.
(Elsevier Ltd., 2026-01-11) Casanova Portoles, Daniel; Badia, Josep M.; Forero, Carlos G.; Sánchez-Martínez, Néstor; Romero, Manel; Alonso-Solís, Toni; Limón, Enrique; Pujol Rojo, Miquel; Sancho, Juan
Background. Manual surveillance of surgical site infections (SSIs) after colorectalsurgery is resource-intensive, limiting scalability. Semiautomated algorithms based onstructured electronic health record (EHR) data may maintain high case-findingsensitivity while reducing workload.Methods. A retrospective diagnostic-accuracy study was conducted in a teachinghospital participating in a nationwide SSI surveillance programme. All electivecolorectal procedures performed between January 2010 and December 2023 wereincluded. SSIs were classified according to CDC-NHSN/ECDC criteria. Eight binaryEHR-derived “alerts” were combined into a composite rule (any alert positive). Manualsurveillance served as the reference standard. Performance was assessed overall, bySSI depth (superficial, deep, organ/space), and by procedure type (colon vs rectal).Discrimination (AUC), sensitivity, specificity, positive predictive value (PPV), andnegative predictive value (NPV) were calculated with 95% confidence intervals (CIs).Results. A total of 1,213 patients (1,085 colon; 128 rectal) were included. The overallSSI incidence was 11.2% (3.1% superficial, 1.2% deep, 6.8% organ/space). Thecomposite alert achieved an AUC of 0.859 (95% CI 0.838–0.878) for any SSI, withsensitivity 0.721, specificity 0.876, PPV 0.424, and NPV 0.961. At this operating point,19% of procedures would be flagged for manual verification, corresponding to anestimated 81% reduction in full chart reviews. Discrimination was highest fororgan/space infections (AUC 0.919; sensitivity 0.831; specificity 0.911). Performancefor deep SSI was intermediate (AUC 0.805), and for superficial SSI, more limited (AUC0.571). Sensitivity was higher for colon surgery (AUC 0.853) and specificity higher forrectal surgery (AUC 0.881).Conclusions. The structured-data algorithm demonstrated strong overall discriminationand excellent performance for organ/space infections, supporting the feasibility ofsemiautomated surveillance without compromising detection quality. External andprospective validation, definition of diagnostic safety thresholds, and workloadreductionanalyses are required to optimise implementation. Exploration of NLP addonsmay be considered where resources permit. ClinicalTrials.gov: NCT07130656.
Management of Deeply Impacted Molars with the Miniscrew-Supported Pole Technique.
(Hempstead, 2018-11) Lorente, Carmen; Lorente, Pedro; Perez-Vela, Maria; Esquinas López, Cristina; Lorente, Teresa
Impacted molars occur more often in the mandibular arch than in the maxillary arch, with an overall prevalence of .01-1.8%.(1-4) The most common type of impaction, a mesially inclined molar, is also the most successfully treated.(5) Even a horizontally impacted lower second molar can be uprighted. If a molar is diagnosed in a vertical position, however, its prognosis is more compromised and ankylosis should be suspected.(5,6).
Nurse Educators’ Self-Reported Level of Teaching Competenceand Its Correlation with Sociodemographic, Professional,Training and Research Variables: A Cross-SectionalMulticentre Study
(MDPI, 2026-01-27) Martinez-Sánchez, Isabel; Romero García, Marta; Alonso-Fernández, Sergio; Martínez Momblán, Ma. Antonia; Lleberia, Judith; Puig Llobet, Montserrat
Background: Nurses’ teaching skills in the clinical setting are crucial to ensuring that students receive high-quality training. Despite the growing importance of competency frameworks, there is little research on the relationship between nurses’ teaching competence and sociodemographic, professional, training, and research variables.Methods: This was a cross-sectional, descriptive, and correlational study conducted at nine hospitals linked to the clinical placement subjects of the Bachelor of Nursing of the University of Barcelona. The study population comprised all nurses directly involved in clinical teaching. Participants’ level of self-reported teaching competence was evaluated using the Spanish version of the Capabilities of Nurse Educators (S-CONE) questionnaire, and the sociodemographic, professional, and academic variables were collected in an ad hoc questionnaire. Descriptive statistics, non-parametric tests, and linear and logistic regression models were used to analyse the associations between the S-CONE total score and the variables collected. Results: The mean age of the participants (n = 596) was 41.9 years (standard deviation: 8.82), and 85.6% of them were women (n = 510). The overall mean S-CONE score was 3.81 (SD: 0.73). Higher scores were observed in those with advanced academic degrees, formal teacher training, and participation in academic activities. Professionals with mixed roles (clinical mentor and academic tutor) self-reported significantly higher competence levels. Multivariate analyses identified participation in conferences, tutoring of undergraduate theses, and involvement in research or development projects as the main predictors of higher teaching competence as measured by the S-CONE questionnaire. The lowest-scoring factor was research and evidence, which points to a potential area for improvement. No significant associations were found with age, sex, or years of clinical experience. Conclusions: Participants had a high self-reported level of teaching competence and rated themselves as competent overall, especially in professional practice and curriculum design. However, we identified areas for improvement related to pedagogical innovation and the use of evidence. The findings reinforce the importance of professional development and academic involvement to strengthen teacher competence.
A Multicomponent Communication Intervention to Reduce the Psycho-Emotional Effects of Critical Illness in ICU Patients Related to Their Level of Consciousness: CONECTEM
(MDPI, 2026-02-02) Prats Arimon, Marta; Puig Llobet, Montserrat; Eseverri-Rovira, Mar; Gallart, Elisabet; Téllez-Velasco, David; Sánchez Balcells, Sara; Agüera, Zaida; El Abidi El Ghazouani, Khadija; Lluch Canut, Ma. Teresa; Hidalgo Blanco, Miguel Ángel; Moreno Arroyo, Ma. Carmen
Antecedents/Objectius: Els pacients ingressats a les unitats de cures intensives (UCI) s’enfronten a situacions clíniques complexes que afecten tant el seu estat físic com el seu benestar psicològic. Els trastorns psicoemocionals, com ara el dolor, l’ansietat i l’estrès posttraumàtic, són altament prevalents en aquest context i afecten de manera significativa tant l’experiència del pacient com la qualitat de l’atenció proporcionada. Una comunicació efectiva pot ajudar a gestionar l’estat psicoemocional dels pacients i prevenir trastorns post-UCI. L’objectiu és avaluar l’efectivitat de la intervenció comunicativa CONECTEM en la millora del benestar psicoemocional dels pacients crítics ingressats a la UCI, pel que fa al dolor, l’ansietat i els símptomes d’estrès posttraumàtic.Mètodes: Es va dur a terme un estudi quasi-experimental amb un disseny pre–post-test i amb un grup control i un grup intervenció. L’estudi es va realitzar en dues UCIs d’un hospital terciari d’Espanya. Es van incloure un total de 111 pacients crítics i 180 interaccions infermera–pacient segons els criteris d’inclusió/exclusió. Les interaccions es van classificar segons el nivell de consciència del pacient en tres grups: G1 (Glasgow 15), G2 (Glasgow 14–9) i G3 (Glasgow < 9). En funció de les dificultats de comunicació del pacient, les infermeres seleccionaven una de les tres estratègies comunicatives de la intervenció CONECTEM (BAA low-tech, pictogrames, pissarra magnètica i musicoteràpia). El dolor es va avaluar mitjançant l’escala EVA o BPS, l’ansietat amb l’STAI i els símptomes de TEPT amb l’IES-R. L’escala RASS es va utilitzar per valorar el grau de sedació i agitació en pacients crítics amb ventilació mecànica. L’anàlisi de dades es va dur a terme amb ANOVA de mesures repetides per al pre–post-test, així com amb el test de correlació de Pearson i les proves estadístiques U de Mann–Whitney o Kruskal–Wallis.Resultats: Els resultats van mostrar diferències pre–post consistents amb el dolor després de la intervenció en pacients amb puntuacions Glasgow de 15 (p < 0,001) i de 14–9 (p < 0,001), i també en l’ansietat (p = 0,010), reduint aquest símptoma del 50% en el pre-test al 26,7% en el post-test. Els pacients del grup intervenció amb nivells de consciència (Glasgow 15–9) van tendir a disminuir els seus símptomes d’estrès posttraumàtic, amb reduccions en les mitjanes de l’escala IES en pacients amb Glasgow 15 [24,7 (±15,20) vs. 22,5 (±14,11)] i en pacients amb Glasgow 14–9 [30,2 (±13,56) vs. 27,9 (±11,14)], tot i que això no va ser significatiu. Atès que els pacients amb Glasgow inferior a 9 estaven profundament sedats (RASS -4), no es van observar diferències pre–post en relació amb els nivells d’agitació.Conclusions: Els resultats de la intervenció comunicativa CONECTEM van mostrar diferències entre les avaluacions pre i postintervenció en pacients amb una puntuació de la Glasgow Coma Scale de 15–9 pel que fa al dolor. Aquests resultats són coherents amb un possible benefici de la intervenció comunicativa CONECTEM, encara que calen estudis addicionals amb dissenys que permetin una inferència causal més sòlida per avaluar el seu impacte en el benestar psicoemocional dels pacients crítics
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.

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