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Caballol Angelats R, Aguilar Martín C, Carrasco-Querol N, Abellana R, González Serra G, Gràcia Benaiges D, Sancho Sol MC, Fusté Anguera I, Chavarria Jordana S, Berenguera A, Gonçalves AQ. Usefulness of a Multicomponent Group Intervention Program for Fibromyalgia Patients in Primary Care: A Qualitative Study of Health Professionals. Healthcare (Basel) 2023; 12:17. [PMID: 38200923 PMCID: PMC10779402 DOI: 10.3390/healthcare12010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 12/13/2023] [Accepted: 12/18/2023] [Indexed: 01/12/2024] Open
Abstract
OBJECTIVE To explore the perceptions and experiences of health professionals who participated in a multicomponent program for fibromyalgia (FM) patients based on health education, physical exercise and cognitive-behavioral therapy. METHODS In this qualitative, descriptive study that was based on a pragmatic and utilitarian approach, we conducted two focus groups (FGs) with 12 professionals (nurses and general practitioners) from the primary healthcare system of Spain who had been trained as FM experts. A thematic content analysis was carried out. RESULTS The findings were organized into four key domains, each with explanatory emerging themes. Overall, the professionals positively valued the program for the knowledge gain it offered, its integrated approach, the group effect and other benefits to patients. Work overload and peers' lack of acknowledgement of the program's value were identified as barriers. A reduction in the amount of content in each session, the creation of quality-of-care indicators and the promotion of the new professional role (FM expert) were proposed. CONCLUSIONS The FM experts supported the program and recognized its usefulness. To implement the program within the primary healthcare system, the program needs to be adjusted to accommodate professionals' and patients' reality, and institutional health policies must be improved by providing training on FM to the healthcare community.
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Affiliation(s)
- Rosa Caballol Angelats
- Equip d’Atenció Primària Tortosa Est, Institut Català de la Salut, 43500 Tortosa, Spain
- Unitat d’Expertesa en Síndromes de Sensibilització Central Terres de l’Ebre, Institut Català de la Salut, 43500 Tortosa, Spain
- Programa de Doctorat Medicina i Recerca Translacional, Departament de Fonaments Clínics, Facultat de Medicina, Universitat de Barcelona, 08036 Barcelona, Spain
| | - Carina Aguilar Martín
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Spain
- Unitat d’Avaluació, Direcció d’Atenció Primària Terres de l’Ebre, Institut Català de la Salut, 43500 Tortosa, Spain
| | - Noèlia Carrasco-Querol
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Spain
| | - Rosa Abellana
- Departament de Fonaments Clínics, Facultat de Medicina, Universitat de Barcelona, 08036 Barcelona, Spain
| | - Gemma González Serra
- Servei de Rehabilitació i Medicina Física, Hospital de Tortosa Verge de la Cinta, Gerència Territorial de Terres de l’Ebre, Institut Català de la Salut (ICS), 43500 Tortosa, Spain
| | - Dolors Gràcia Benaiges
- Servei de Rehabilitació i Medicina Física, Hospital de Tortosa Verge de la Cinta, Gerència Territorial de Terres de l’Ebre, Institut Català de la Salut (ICS), 43500 Tortosa, Spain
| | - Maria Cinta Sancho Sol
- Unitat d’Expertesa en Síndromes de Sensibilització Central Terres de l’Ebre, Institut Català de la Salut, 43500 Tortosa, Spain
- Centre de Salut Mental d’Adults de Fundació Pere Mata Terres de l’Ebre, 43500 Tortosa, Spain
| | - Immaculada Fusté Anguera
- Equip d’Atenció Primària Tortosa Est, Institut Català de la Salut, 43500 Tortosa, Spain
- Unitat d’Expertesa en Síndromes de Sensibilització Central Terres de l’Ebre, Institut Català de la Salut, 43500 Tortosa, Spain
| | - Susana Chavarria Jordana
- Equip d’Atenció Primària l’Ametlla de Mar—El Perelló, Institut Català de la Salut, 43860 L’Ametlla de Mar, Spain
| | - Anna Berenguera
- Unitat Transversal de Recerca, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
- Departament d’Infermeria, Universitat de Girona, 17003 Girona, Spain
- Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), 28041 Madrid, Spain
| | - Alessandra Queiroga Gonçalves
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Spain
- Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), 28041 Madrid, Spain
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Tortosa-Alted R, Martínez-Segura E, Berenguer-Poblet M, Reverté-Villarroya S. Handover of Critical Patients in Urgent Care and Emergency Settings: A Systematic Review of Validated Assessment Tools. J Clin Med 2021; 10:5736. [PMID: 34945032 PMCID: PMC8707112 DOI: 10.3390/jcm10245736] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 11/30/2021] [Accepted: 12/07/2021] [Indexed: 11/16/2022] Open
Abstract
The emergency handover of critical patients is used to describe the moment when responsibility for the care of a patient is transferred from one critical patient care healthcare team to another, requiring the accurate delivery of information. However, the literature provides few validated assessment tools for the transfer of critical patients in urgent care and emergency settings. To identify the available evaluation tools that assess the handover of critical patients in urgent and emergency care settings in addition to evaluations of their psychometric properties, a systematic review was carried out using PubMed, Scopus, Cinahl, Web of Science (WoS), and PsycINFO, in accordance with PRISMA guidelines. The quality of the studies was assessed using the COSMIN checklist. Finally, eight articles were identified, of which only three included validated tools for evaluating the handover of critical patients in emergency care. Content validity, construct validity, and internal consistency were the most studied psychometric properties. Three studies evaluated error and reliability, criterion validity, hypothesis testing, and sensitivity. None of them considered cross-cultural adaptation or the translation process. This systematic psychometric review shows the existing ambiguities in the handover of critically ill patients and the scarcity of validated evaluation tools. For all of these reasons, we consider it necessary to further investigate urgent care and emergency handover settings through the design and validation of an assessment tool.
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Affiliation(s)
- Ruth Tortosa-Alted
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; (R.T.-A.); (S.R.-V.)
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
| | - Estrella Martínez-Segura
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; (R.T.-A.); (S.R.-V.)
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
| | - Marta Berenguer-Poblet
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
| | - Sílvia Reverté-Villarroya
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; (R.T.-A.); (S.R.-V.)
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
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