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Molina-Rodríguez A, Suárez-Cortés M, Leal-Costa C, Ruzafa-Martínez M, Díaz-Agea JL, Ramos-Morcillo AJ, Jiménez-Ruiz I. Including audience response systems in debriefing. A mixed study during nursing simulation-based learning. BMC Nurs 2023; 22:353. [PMID: 37789299 PMCID: PMC10548674 DOI: 10.1186/s12912-023-01499-z] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 09/12/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND The audience response systems are being implemented to support active learning in nursing degree programs. The benefits of audience response systems have been studied in lecture-based classes and seminars, but their advantages or inconveniences when included in the debriefing phase of a high-fidelity clinical simulation have not been explored. The study aim was to discover student´s experience about using of interactive questions during debriefing, and the self-perceived effects on attention, participation and motivation. METHODS A Mixed-methods study was used exploratory sequential design in a university. The participants were 4th-year students enrolled in the Nursing Degree in a university in Southern Spain. (1) Qualitative phase: a phenomenological approach was utilized, and focus groups were used for data-collection. (2) Quantitative phase: cross-sectional descriptive study using a questionnaire designed "ad hoc", on the experiences on the use of interactive questions in the debriefing phase and the Debriefing Experience Scale. RESULTS (1) Qualitative phase: the students highlighted the facilitating role of the interactive questions during the reflection part of the debriefing, and mentioned that the interactive questions helped with stimulating attention, participation, and motivation during the analytical part of the debriefing; (2) Quantitative phase: it was observed that the best evaluated dimension was "Motivation", with a mean of 4.7 (SD = 0.480), followed by the dimension "Participation", with a mean of 4.66 (SD = 0.461), and lastly, the dimension "Attention", with a mean of 4.64 (SD = 0.418). CONCLUSIONS The use of interactive questions contributed the attention, participation, and motivation of the students during the debriefing, contributing towards a highly satisfactory experience of high-fidelity clinical simulation.
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Affiliation(s)
| | - María Suárez-Cortés
- Department of Nursing, Faculty of Nursing, University of Murcia, Murcia, Spain.
| | - César Leal-Costa
- Department of Nursing, Faculty of Nursing, University of Murcia, Murcia, Spain
| | | | - José Luis Díaz-Agea
- Department of Nursing, Faculty of Nursing, University of Murcia, Murcia, Spain
| | | | - Ismael Jiménez-Ruiz
- Department of Nursing, Faculty of Nursing, University of Murcia, Murcia, Spain
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Hernández-López MJ, Ruzafa-Martínez M, Leal-Costa C, Ramos-Morcillo AJ, Díaz-García I, López-Pérez MV, Hernández-Méndez S, García-González J. Effects of a Clinical Simulation-Based Training Program for Nursing Students to Address Social Isolation and Loneliness in the Elderly: A Quasi-Experimental Study. Healthcare (Basel) 2023; 11:2587. [PMID: 37761784 PMCID: PMC10531334 DOI: 10.3390/healthcare11182587] [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: 08/25/2023] [Revised: 09/16/2023] [Accepted: 09/18/2023] [Indexed: 09/29/2023] Open
Abstract
INTRODUCTION The population of older adults is rapidly increasing worldwide, presenting both prospects and complexities for society and healthcare professionals to maximize the functional capacity of this age group. Social isolation and loneliness significantly affect this population. The objective was to determine the effectiveness, satisfaction, and perceptions of the simulation-based education practices of a training program for nursing students, which was created to palliate the social isolation and loneliness of older adults. METHOD A quasi-experimental study was conducted with nursing students who participated in an online training program using teleservice based on high-fidelity clinical simulation. The program included asynchronous theoretical training and synchronous practical training using an online platform. Five scenarios were designed using simulated phone calls to address the social isolation and loneliness of older adults. RESULTS Twenty-five nursing students participated in the program, and they had a mean age of 27.44, with 76% of them being women. After the training program, the participants showed statistically significant improvements (p < 0.05) with respect to their knowledge and attitudes towards older adults, and the program was adapted to the best educational practices in simulations. CONCLUSIONS Simulation-based online training efficiently improved the knowledge and attitudes of nursing students towards older adults, improving their ability to address social isolation and loneliness. The high satisfaction and adhesion to the best educational practices underline the usefulness of high-fidelity online simulations, especially in situations in which face-to-face training is not feasible, and accessibility and equilibrium could be guaranteed between work and personal life.
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Affiliation(s)
- María Jesús Hernández-López
- Faculty of Social and Health Sciences, University of Murcia, Av de las Fuerzas Armadas, 30800 Lorca, Spain; (M.J.H.-L.); (I.D.-G.); (M.V.L.-P.); (S.H.-M.)
| | - María Ruzafa-Martínez
- Faculty of Nursing, University of Murcia, Av. Buenavista, 32, El Palmar, 30120 Murcia, Spain; (M.R.-M.); (A.J.R.-M.)
| | - César Leal-Costa
- Faculty of Nursing, University of Murcia, Av. Buenavista, 32, El Palmar, 30120 Murcia, Spain; (M.R.-M.); (A.J.R.-M.)
| | - Antonio Jesús Ramos-Morcillo
- Faculty of Nursing, University of Murcia, Av. Buenavista, 32, El Palmar, 30120 Murcia, Spain; (M.R.-M.); (A.J.R.-M.)
| | - Isidora Díaz-García
- Faculty of Social and Health Sciences, University of Murcia, Av de las Fuerzas Armadas, 30800 Lorca, Spain; (M.J.H.-L.); (I.D.-G.); (M.V.L.-P.); (S.H.-M.)
| | - María Verónica López-Pérez
- Faculty of Social and Health Sciences, University of Murcia, Av de las Fuerzas Armadas, 30800 Lorca, Spain; (M.J.H.-L.); (I.D.-G.); (M.V.L.-P.); (S.H.-M.)
| | - Solanger Hernández-Méndez
- Faculty of Social and Health Sciences, University of Murcia, Av de las Fuerzas Armadas, 30800 Lorca, Spain; (M.J.H.-L.); (I.D.-G.); (M.V.L.-P.); (S.H.-M.)
| | - Jessica García-González
- Faculty of Health Sciences, University of Almeria, Carr. Sacramento, s/n, La Cañada, 04120 Almería, Spain;
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Yacobis-Cervantes TR, García-Méndez JA, Leal-Costa C, Castaño-Molina MÁ, Suárez-Cortés M, Díaz-Agea JL. Telephone-Cardiopulmonary Resuscitation Guided by a Telecommunicator: Design of a Guiding Algorithm for Telecommunicators. J Clin Med 2023; 12:5884. [PMID: 37762824 PMCID: PMC10532037 DOI: 10.3390/jcm12185884] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 08/24/2023] [Accepted: 09/08/2023] [Indexed: 09/29/2023] Open
Abstract
BACKGROUND Out-of-hospital cardiac arrest is considered a global problem. In the last few years, there has been a growing interest in telephone-cardiopulmonary resuscitation guided by a telecommunicator. Indeed, several studies have demonstrated that it increases the chances of survival rate. This study focuses on the key points the operator should follow when performing telephone-cardiopulmonary resuscitation. The main objective of this paper is to design an algorithm to improve the telephone-cardiopulmonary resuscitation response protocol. METHODS The available evidence and the areas of uncertainty that have not been previously mentioned in the literature are discussed. All the information has been analyzed by two discussion groups. Later, a consensus was reached among all members. Finally, a response algorithm was designed and implemented in clinical simulation. RESULTS All the witnesses were able to recognize the OHCA, call for emergency assistance, follow all the operator's instructions, move the victim, and place their hands in the correct position to perform CPR. DISCUSSION The results of the pilot study provide us a basis for further experimental studies using randomization and experimental and control groups. CONCLUSIONS No standardized recommendations exist for the operator to perform telephone-guided CPR. For this reason, a response algorithm was designed.
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Affiliation(s)
| | - Juan Antonio García-Méndez
- Faculty of Nursing, Cartagena Campus, Catholic University of Murcia, 30310 Cartagena, Spain; (T.R.Y.-C.); (J.A.G.-M.)
| | - César Leal-Costa
- Faculty of Nursing, Campus de Ciencias de la Salud, University of Murcia, 30120 Murcia, Spain; (M.Á.C.-M.); (M.S.-C.); (J.L.D.-A.)
| | - María Ángeles Castaño-Molina
- Faculty of Nursing, Campus de Ciencias de la Salud, University of Murcia, 30120 Murcia, Spain; (M.Á.C.-M.); (M.S.-C.); (J.L.D.-A.)
| | - María Suárez-Cortés
- Faculty of Nursing, Campus de Ciencias de la Salud, University of Murcia, 30120 Murcia, Spain; (M.Á.C.-M.); (M.S.-C.); (J.L.D.-A.)
| | - José Luis Díaz-Agea
- Faculty of Nursing, Campus de Ciencias de la Salud, University of Murcia, 30120 Murcia, Spain; (M.Á.C.-M.); (M.S.-C.); (J.L.D.-A.)
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Zhong X, Tang F, Lai D, Guo X, Yang X, Hu R, Li D, Lu Y, Liu S, Leal-Costa C. The Chinese version of the Health Professional Communication Skills Scale: Psychometric evaluation. Front Psychol 2023; 14:1125404. [PMID: 37621938 PMCID: PMC10446878 DOI: 10.3389/fpsyg.2023.1125404] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 02/28/2023] [Indexed: 08/26/2023] Open
Abstract
Objective This study aims to translate the Health Professional Communication Skills Scale (HP-CSS) into Chinese and assess its psychometric properties. Methods A total of 836 healthcare professionals were recruited. The demographic characteristics form and HP-CSS were used for data collection. The psychometric properties of HP-CSS were evaluated by examining item analysis, construct validity, known-group discriminant validity, internal consistency, and split-half reliability. Results In terms of item analysis, the critical ratio (CR) of 18 items was both >3 (CR ranging from 9.937 to 28.816), and the score of each item was positively correlated with the total score (r ranging from 0.357 to 0.778, P < 0.001). The fit indices showed that the original correlated four-factor model of HP-CSS was adequate: χ2 =722.801; df = 126; χ2/df = 5.737; RMSEA = 0.075; CFI = 0.923; NNFI = 0.908; TLI = 0.906; IFI = 0.923. In terms of known-group discriminant validity, the HP-CSS total score was related to gender, occupation, work years, and communication skill training. Cronbach's α coefficient was 0.922, and the split-half reliability was 0.865 for the total scale. Conclusion The Chinese version of the HP-CSS is a reliable and valid instrument to evaluate communication skills among healthcare professionals in China.
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Affiliation(s)
- Xiaoying Zhong
- Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Fangmei Tang
- Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Dongmei Lai
- Department of Child Rehabilitation, Chengdu Integrated TCM Western Medicine Hospital, Chengdu First People's Hospital, Chengdu, Sichuan, China
| | - Xiujing Guo
- Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Xiaorong Yang
- Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology, Chengdu, Sichuan, China
| | - Rong Hu
- Mianyang Central Hospital, University of Electronic Science and Technology, Mianyang, Sichuan, China
| | - Dehua Li
- Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Yongguang Lu
- Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
| | - Sixu Liu
- Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China
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Soto-Castellón MB, Leal-Costa C, Pujalte-Jesús MJ, Soto-Espinosa JA, Díaz-Agea JL. Subjective mental workload in Spanish emergency nurses. A study on predictive factors. Int Emerg Nurs 2023; 69:101315. [PMID: 37348237 DOI: 10.1016/j.ienj.2023.101315] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 05/13/2023] [Accepted: 05/25/2023] [Indexed: 06/24/2023]
Abstract
INTRODUCTION Mental workload refers to the cognitive or intellectual requirements that a worker is subjected to in a workday. The objective of the present work was to discover the subjective mental workload of nursing staff at Hospital Emergency Units, and its relationship with sociodemographic, work, environmental factors at the workplace, and personality variables. METHOD A quantitative, descriptive, observational, and crosssectional study was conducted with 201 emergency nurses from 13 different provinces in Spain. Each participant completed 5 questionnaires (sociodemographic, work conditions, environmental conditions, personality, and subjective mental workload). Descriptive statistics were obtained, and Pearson's correlations and multivariate models (multiple linear regression) were performed. RESULTS The nurses had medium to high levels of mental workload. The environmental conditions had a direct relationship with the mental workload, especially with respect to noise and lighting. The participants obtained high scores in kindness, responsibility, openness/intellect, and extraversion. Positive and statistically significant relations were found between neuroticism and mental workload. Being female, older, and having stable employment or a permanent contract were associated with a greater mental workload of emergency nurses. CONCLUSION The domain of neuroticism personality, and the hygienic conditions in the workplace were the predictors with the most weight in the model. This study could be useful for defining aspects that need to be considered for the well-being of emergency nurses, such as lighting conditions or environmental noise in the workplace. It also invites reflection on the influence of personal factors (age, gender, personality) and work factors (type of contract, professional experience) on the mental workload of emergency nurses.
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Affiliation(s)
- María Belén Soto-Castellón
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - César Leal-Costa
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain.
| | - María José Pujalte-Jesús
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - Jesús Antonio Soto-Espinosa
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - José Luis Díaz-Agea
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain
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Ruzafa-Martínez M, Molina-Rodríguez A, Pérez-Muñoz V, Leal-Costa C, Ramos-Morcillo AJ. Effectiveness of the flipped classroom methodology on the learning of evidence-based practice of nursing students: Quasi-experimental design. Nurse Educ Today 2023; 128:105878. [PMID: 37352765 DOI: 10.1016/j.nedt.2023.105878] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 04/24/2023] [Accepted: 06/12/2023] [Indexed: 06/25/2023]
Abstract
BACKGROUND International organizations recognize the importance of evidence-based practice (EBP) for nurses. The objective of teaching EBP in the Nursing degree is to train future nurses on this subject. Different teaching models exist for this, from less active traditional models to more active ones such as the flipped classroom. OBJECTIVE To compare the degree of EBP competence of undergraduate nursing students after an EBP course, through the application of a traditional methodology versus a flipped classroom methodology. DESIGN Quasi-experimental study of non-equivalent groups. SETTING The study was composed by a group of students who received training on EBP with the traditional model (face-to-face), and another intervention group with whom the flipped classroom model was utilized, using the online teaching platform EBP-eToolkit. PARTICIPANTS The study was conducted with 4th-year Nursing degree students enrolled in the course evidence-based practice, in academic years 2019/20 and 2021/2022. METHODS Before and after the course, the students completed a questionnaire about EBP competence (EBP-COQ), and an objective test was given at the end of the year. RESULTS A sample of 152 students in the face-to-face group (control), and 143 students in the flipped classroom group (intervention) participated. The intervention group significantly improved its competence on attitude (p = 0.01, η2 = 0.022), skills (p = 0.019, η2 = 0.018), and global competence in EBP (p = 0.003, η2 = 0.030), with respect to those who were taught using the traditional method. However, there were no significant differences in the impact on knowledge, neither through the self-report dimension of the EBP-COQ (p = 0.188) nor the final test score, control group 6.89 (SD: 1.35) and flipped classroom group 7.12 (SD: 1.53) (p = 0.206). CONCLUSIONS The flipped classroom model is adequate for the teaching of EBP to undergraduate nursing students. It produced a slight increase in attitude, as well as in skills and global competence in EBP. Nevertheless, this increase was not significantly different from face-to-face learning in terms of impact on EBP knowledge.
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Affiliation(s)
| | | | - Verónica Pérez-Muñoz
- University of Murcia, Department of Sociosanitary Care, Faculty of Social and Health Sciences, Spain.
| | - César Leal-Costa
- Department of Nursing, Faculty of Nursing, University of Murcia, Spain.
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Díaz-Agea JL, Pujalte-Jesús MJ, García-Méndez JA, Adánez-Martínez G, Jiménez-Rodríguez D, Leal-Costa C. To Clap or Not to Clap: Relevance of "Applause" in Simulation-Based Learning Sessions. Simul Healthc 2023; 18:187-190. [PMID: 35322799 DOI: 10.1097/sih.0000000000000660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Applause is a common behavior during simulation case learning sessions. Some simulation facilitators believe that this should not be allowed, arguing that it can mislead students when they make mistakes during simulation. This study was conducted to explore the opinions of students about spontaneous applause (initiated by the participants), as a habitual behavior in the simulation sessions, in the undergraduate and postgraduate nursing degrees. METHODS A qualitative research study was conducted based on the content analysis of 7 focus groups composed of simulation students (N = 101, both undergraduate and graduate students). The participants were asked to conduct a debate about the following question: What is your opinion about the spontaneous applause given to participants by their peers at the completion of the scenario as they go to the debriefing, and why? An inductive method of content analysis was used to interpret the data. RESULTS The majority considered applause as a sign of support; one student disapproved of the practice. For most participants, receiving spontaneous applause from their peers after finishing the simulation represented a spontaneous example of moral support that reduced the participants' stress. CONCLUSIONS Applause within the context of clinical simulation is a motivational act, which should not be repressed by the facilitator, as long as it is a spontaneous and genuine act by the participants once the simulation experience ends.
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Affiliation(s)
- José L Díaz-Agea
- From the Catholic University of Murcia (J.L.D.-A., M.J.P.-J., J.A.G.-M.), Murcia; University of Murcia (G.A.-.M., C.L.-C.), Murcia, Spain; and University of Almeria (D.J.-R.), Almeria, Spain
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Celdrán-Navarro MDC, Leal-Costa C, Suárez-Cortés M, Molina-Rodríguez A, Jiménez-Ruiz I. Nursing Interventions against Bullying: A Systematic Review. Int J Environ Res Public Health 2023; 20:2914. [PMID: 36833610 PMCID: PMC9957155 DOI: 10.3390/ijerph20042914] [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] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 02/02/2023] [Accepted: 02/06/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: Bullying is a worldwide public health problem, with short- and long-term physical, mental, and socio-economic implications for all involved, including consequences as serious as suicide. (2) Objective: The aim of this study is to compile data on nursing interventions for preventing and addressing bullying at the international level. (3) Methods: A systematic review was conducted in accordance with the guidelines laid out in the PRISMA statement. The search included papers written in Spanish, English, and Portuguese over the previous five years from the following databases: Web of Science, CUIDEN, CINHAL, BDENF, Cochrane, Lilacs, and PubMed. The following descriptors were used: "Acoso escolar AND Enfermería", "Bullying AND Nursing" and "Intimidação AND Enferma-gem". Due to the heterogeneity in the methodology of the studies, a narrative synthesis of the results is provided. (4) The synthesis of results shows nurses' involvement in tackling and preventing bullying. Interventions are categorised into awareness raising; coping mechanisms; and approach/care, nursing skills in the face of bullying, and the role of the family in the face of bullying. (5) Conclusions: It is clear that at the international level, nursing is involved in planning and developing autonomous and interdisciplinary interventions to address and prevent bullying. The evidence paves the way for school nurses and family and community nurses to take steps to tackle this phenomenon.
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Affiliation(s)
| | - César Leal-Costa
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
| | | | | | - Ismael Jiménez-Ruiz
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
- ENFERAVANZA, Murcia Institute for BioHealth Research (IMIB-Arrixaca), El Palmar, 30120 Murcia, Spain
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Leal-Costa C, Carrasco-Guirao JJ, Adánez-Martínez MG, Díaz-Agea JL, Ramos-Morcillo AJ, Ruzafa-Martínez M, Suarez-Cortes M, Jiménez-Ruiz I. Development and psychometric testing of the non-technical skills scale in medical and surgical hospital units for nursing students. Nurse Educ Pract 2023; 67:103559. [PMID: 36682321 DOI: 10.1016/j.nepr.2023.103559] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 01/12/2023] [Accepted: 01/13/2023] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To develop and validate a tool to assess the non-technical skills of medical and surgical hospital units undergraduate nursing students. BACKGROUND In the area of healthcare, non-technical skills complement technical ones, and contribute to patient safety. High-fidelity simulation is an ideal resource for working on these skills. Thus, evaluation instruments are needed to understand the efficiency of this methodology. Although many evaluation instruments already exist, none measure non-technical skills of undergraduate nursing students in medical and surgical hospital units. DESIGN An instrumental study design was employed. METHODS Two-phases were used to develop and validate the scale: 1) Scale development. A group of experts defined the dimensions and components. Afterwards, the content was validated by experts, and a pilot study was conducted with undergraduate Nursing students. 2) Analysis of the psychometric properties of the scale. A total of 393 students were evaluated in high-fidelity simulation scenarios by three evaluators, through the use of the Non-Technical Skills in Medical and Surgical Hospital Units (NTS-Nursing) Scale. RESULTS The content validity indexes were adequate for the total of the items and the total of the scale. The statistical descriptors of the items, the internal structure, and the reliability (internal consistency and inter-evaluator reliability) were analyzed, as well as the external evidence of validity, with adequate values obtained. CONCLUSION The NTS-Nursing scale is a valid and reliable instrument. Its structure of 10 items makes its use fast and easy.
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Affiliation(s)
- César Leal-Costa
- Department of Nursing, Faculty of Nursing, University of Murcia, 30120 El Palmar, Murcia, Spain.
| | | | | | - José Luis Díaz-Agea
- Department of Nursing, Faculty of Nursing, University of Murcia, 30120 El Palmar, Murcia, Spain.
| | | | - María Ruzafa-Martínez
- Department of Nursing, Faculty of Nursing, University of Murcia, 30120 El Palmar, Murcia, Spain.
| | - María Suarez-Cortes
- Department of Nursing, Faculty of Nursing, University of Murcia, 30120 El Palmar, Murcia, Spain.
| | - Ismael Jiménez-Ruiz
- Department of Nursing, Faculty of Nursing, University of Murcia, 30120 El Palmar, Murcia, Spain.
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Rojas-Navarrete J, Leal-Costa C, de La Morena Valenzuela G, Morales-Moreno I, Jiménez-Ruiz I, Echevarría-Pérez P. Validity and reliability of the measurement instrument of the nursing outcome health-related Physical Fitness (2004), proposed and transculturally adapted to the Spanish context. BMC Nurs 2022; 21:340. [PMID: 36463204 PMCID: PMC9719198 DOI: 10.1186/s12912-022-01121-8] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 11/24/2022] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Presently, physical inactivity is the main public health problem in many countries worldwide. Physical activity promotes the maintenance or improvement of one's physical condition. Physical fitness has been established as the main biological marker of the state of health of an individual, and therefore, there is a clear need to measure health-related physical fitness through the use of a reliable and valid instrument. This study is a continuation of the transcultural adaptation process and a new proposal of the nursing outcome Physical Fitness (2004), found in the 5th Edition of the Nursing Outcomes Classification. The objective of this study was to examine the validity and reliability of the nursing outcome Health-Related Physical Fitness survey, proposed and transculturally adapted to the Spanish context. METHODS An instrumental study to validate the nursing outcome Physical Fitness (2004), from the 5th Edition of the Nursing Outcome Classification was carried out. It took place between the months of May, 2016 to May, 2017. On the first stage, the instrument proposed Health-Related Physical Fitness survey was administered to 160 adults who used the Health Services of Murcia, Spain by three independent evaluators. After 4 weeks, it was administered again to 33 participants to calculate the intra-rater reliability. Lastly, the SF-12v2 Health Survey was administered to obtain external evidence of validity. RESULTS The inter-rater reliability of the nursing outcome proposed obtained high values (between 0.91-0.99) in the evaluations performed by the three evaluators. As for the intra-rater reliability, high values were obtained (0.94-1), except for the item "balance", which was moderate (0.56). Lastly, a positive and statistically significant correlation (p < 0.05) was obtained between the Physical Component Summary, and the dimensions Physical Functioning and General Health from the SF-12v2 Health Survey, and the global score of the Health-Related Physical Fitness proposed instrument. CONCLUSIONS The validity and reliability results of the nursing outcome Health-Related Physical Fitness survey, proposed and transculturally adapted to the Spanish context, were adequate for its use by nurses with adults who use the Health Services of Murcia. However, this instrument must be analyzed with more diverse samples of health services users.
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Affiliation(s)
- Jessica Rojas-Navarrete
- grid.411967.c0000 0001 2288 3068Doctoral Program in Health Sciences, Universidad Católica San Antonio de Murcia, RN Hospital Universitario Virgen de La Arrixaca, Murcia, Spain
| | - César Leal-Costa
- grid.10586.3a0000 0001 2287 8496Faculty of Nursing, Universidad de Murcia, Murcia, Spain
| | | | - Isabel Morales-Moreno
- grid.411967.c0000 0001 2288 3068Faculty of Nursing, Universidad Católica San Antonio de Murcia, Murcia, Spain
| | - Ismael Jiménez-Ruiz
- grid.10586.3a0000 0001 2287 8496Faculty of Nursing, Universidad de Murcia, Murcia, Spain
| | - Paloma Echevarría-Pérez
- grid.411967.c0000 0001 2288 3068Faculty of Nursing, Universidad Católica San Antonio de Murcia, Murcia, Spain
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11
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Díaz-Agea JL, Macías-Martínez N, Leal-Costa C, Girón-Poves G, García-Méndez JA, Jiménez-Ruiz I. What can be improved in learning to care for people with autism? A qualitative study based on clinical nursing simulation. Nurse Educ Pract 2022; 65:103488. [DOI: 10.1016/j.nepr.2022.103488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/11/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
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12
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López-Barranco PJ, Jiménez-Ruiz I, Leal-Costa C, Andina-Díaz E, López-Alonso AI, Jiménez-Barbero JA. Violence in Dating Relationships: Validation of the CADRI Questionnaire in a Young Adult Population. Int J Environ Res Public Health 2022; 19:11083. [PMID: 36078798 PMCID: PMC9518131 DOI: 10.3390/ijerph191711083] [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] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 08/17/2022] [Accepted: 08/31/2022] [Indexed: 06/15/2023]
Abstract
UNLABELLED Dating violence in the young adult population is reaching alarming levels. However, the instruments used to measure it and their results are still heterogeneous. The main aim of this study was to validate the Conflict in Adolescent Dating Relationships Inventory questionnaire for a young adult Spanish university population aged between 19 and 25 years old, and to describe the types of violence perpetrated and suffered. MATERIAL AND METHODS Observational, descriptive, cross-sectional study. A validity analysis was carried out through a confirmatory factor analysis. The relative frequencies for each type of violence and the Chi2 test for two dichotomous variables were used to describe the different types of violence perpetrated and suffered. RESULTS The sample consisted of 976 young adults aged 19-25 years old (M = 21.7 years. SD = 1.8). The confirmatory factor analysis had an adequate structure and a good fit to the model. The types of violence perpetrated and suffered were described according to the sex of the participants, with significant differences found for verbal-emotional violence and physical violence exerted. CONCLUSIONS The confirmatory factor analysis allowed us to consider the application of the questionnaire to be correct for the study population.
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Affiliation(s)
| | | | | | - Elena Andina-Díaz
- Department of Nursing and Physiotherapy, University of León, 24071 León, Spain
| | - Ana I. López-Alonso
- Department of Nursing and Physiotherapy, University of León, 24071 León, Spain
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13
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Gombau-Giménez L, Almansa-Martínez P, Suarez-Cortés M, Molina-Rodríguez A, Leal-Costa C, Jiménez-Ruiz I. Obstetric Complications in Women from Sub-Saharan Africa-A Cross-Sectional Study. Int J Environ Res Public Health 2022; 19:10101. [PMID: 36011736 PMCID: PMC9408375 DOI: 10.3390/ijerph191610101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 08/08/2022] [Accepted: 08/10/2022] [Indexed: 06/15/2023]
Abstract
AIM The aim of this study was to identify and compare birthing complications in women originating from countries where they are at risk (may become victims) of FGM with those of Spanish women, all having given birth from 2012 to 2015 at the "Virgen de la Arrixaca" University Clinical Hospital in Murcia, Spain. METHODS A transversal, observational, quantitative study was carried out, retrospectively, comparing 245 sub-Saharan women originating from countries where FGM is practiced with 490 Spanish women, in terms of obstetric complications. Data collection was performed via electronic clinical records. RESULTS The sub-Saharan women presented higher rates of intrapartum and emergency caesareans, intense postpartum haemorrhages, concurrent episiotomies and tears (2nd and 3rd degree), failed inductions, and non-progressive labours, and a more severe risk of foetal distress when compared with Spanish women. CONCLUSIONS The fact that the sub-Saharan women originating from countries where FGM is practiced presented a greater number of birthing complications than the Spanish women proves the need for Spanish healthcare professionals to receive training towards cultural competency acquisition, in order to provide a multidisciplinary approach, with standardized action protocols focused fundamentally on prevention.
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Affiliation(s)
| | | | | | | | - César Leal-Costa
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
| | - Ismael Jiménez-Ruiz
- ENFERAVANZA, Murcia Institute for BioHealth Research (IMIB-Arrixaca), Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
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14
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Martín-Cocinas Fernández MC, Gómez-Díaz M, Gómez-Sánchez R, Conesa-Fuentes MC, Díaz-Agea JL, Leal-Costa C. Effects of an Emotional Education Program on Prisoners: An Experimental Study. J Forensic Nurs 2022; 18:106-116. [PMID: 35605164 DOI: 10.1097/jfn.0000000000000346] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Emotional education has beneficial effects on physical and/or emotional health, resulting in a better quality of life. Thus, it is beneficial to provide prisoners with emotional education, because of the difficulties they often have, to attain these benefits. PURPOSE The aim of the study was to analyze the effects of a nursing intervention program in emotional education for incarcerated persons. METHODS Experimental study with pretest-posttest repeated measures with a control group was conducted at a penitentiary center in the southeast of Spain. Forty-eight prisoners participated in the emotional education intervention program, and another 48 were part of the control group. The emotional intelligence questionnaire 24-item Trait Meta-Mood Scale, the resilience scale Connor-Davidson Resilience Scale, the Rosenberg Self-Esteem Scale, the Rathus Assertiveness Questionnaire, and the 36-item Short Form Health Survey were utilized. FINDINGS The intragroup, preintervention and postintervention comparisons in the study group showed improvements in self-esteem (p = 0.00, r = 0.51), resilience (p = 0.00, r = 0.42), assertiveness (p = 0.00, r = 0.46), and emotional intelligence in its dimensions of repair (p = 0.00, r = 0.32) and clarity (p = 0.02, r = 0.22) as well as in most of the quality of life dimensions. Significant intergroup differences were also found in all of these variables, except for attention and emotional clarity dimensions. CONCLUSION The intervention improved the socioemotional health and quality of life of the prisoners, highlighting the importance of these interventions to be performed by the nursing personnel on a regular basis as a programmed activity within prisons.
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Adánez-Martínez MG, Jiménez-Ruiz I, Carrillo-García C, Díaz-Agea JL, Ramos-Morcillo AJ, Molina-Rodríguez A, Ruzafa-Martínez M, Leal-Costa C. Telephone-Based Structured Communication Simulation Program for the Follow-Up of COVID-19 Cases and Contacts in Primary Care. Int J Environ Res Public Health 2022; 19:ijerph19073915. [PMID: 35409597 PMCID: PMC8997775 DOI: 10.3390/ijerph19073915] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/17/2022] [Accepted: 03/22/2022] [Indexed: 11/16/2022]
Abstract
(1) The COVID-19 pandemic has had many consequences on health systems worldwide. In the Spanish health system, telephone-based consultations were coupled to in-person consultations. This type of consultation was mainly a challenge for the primary care teams, who had to assume the greatest load of care provision. The objective of the present study was to discover the satisfaction and perception of health professionals related to a training program on efficient communication based on high-fidelity simulation. (2) Methods: A cross-sectional descriptive study based on a convergent and parallel mixed method. The satisfaction and perception of 275 health professionals associated with COVID-19 training based on the structured communication model CERCAR© was analyzed. (3) Results: The assessment of the satisfaction with the training and methodology was high. With respect to the transfer of information, the participants gave a high score to the categories of consolidation of learning, applicability to their work, and benefits for the institution. The qualitative results supported these findings. (4) Conclusions: The training program and its virtual modality were well received, and had a high degree of transference. The application of active, online learning methodologies is a relevant format for continuous education.
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Affiliation(s)
| | - Ismael Jiménez-Ruiz
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
- Correspondence: (I.J.-R.); (C.L.-C.); Tel.: +34-868-889-771 (C.L.-C.)
| | - César Carrillo-García
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
- Professional Development Unit, General Directorate of Human Resources, Murcian Health Service, 30003 Murcia, Spain
| | - José Luis Díaz-Agea
- Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain;
| | - Antonio Jesús Ramos-Morcillo
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
| | - Alonso Molina-Rodríguez
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
| | - María Ruzafa-Martínez
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
| | - César Leal-Costa
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
- Correspondence: (I.J.-R.); (C.L.-C.); Tel.: +34-868-889-771 (C.L.-C.)
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Díaz-Agea JL, Orcajada-Muñoz I, Leal-Costa C, Adánez-Martínez MG, De Souza Oliveira AC, Rojo-Rojo A. How Did the Pandemic Affect Communication in Clinical Settings? A Qualitative Study with Critical and Emergency Care Nurses. Healthcare (Basel) 2022; 10:373. [PMID: 35206987 PMCID: PMC8872094 DOI: 10.3390/healthcare10020373] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 01/24/2022] [Revised: 02/10/2022] [Accepted: 02/13/2022] [Indexed: 01/10/2023] Open
Abstract
The objective of the present study was to determine the subjective impact of the pandemic due to COVID-19 on communication, as perceived by nurses working at emergency services and Intensive Care Units at various hospitals in the Region of Murcia (Spain). A qualitative study was conducted based on the content analysis of 12 semi-structured individual interviews. The participant recruitment process was performed through a snowball sampling technique. Four main dimensions, eleven categories, and two sub-categories were obtained: (1) communication (communicative expressions, both verbal and non-verbal-, and limitations); (2) emotional aspects (positive, negative); (3) overload (first wave, second wave, and third wave); and (4) relationships (health professionals-patients, healthcare professionals, patients-family, and family-health professionals). The main findings of the study show that communication was slightly affected during the pandemic, especially the non-verbal kind, with verbal communication maintained and, in some occasions, strengthened. The lack of training in communication skills and its influence on the management of difficult periods was another important finding. Communication in general deteriorated during the pandemic, especially during the initial waves. Non-verbal communication was more affected due to the use of Personal Protective Equipment and the initial fear of infection, with this finding strongly observed in departments such as emergencies or critical care. The nurses who were interviewed underlined negative emotional aspects associated with a deficit in communication. The positive aspects described were associated with the creation of mutual support spaces and the group cohesion of the work teams during the pandemic. As an implication for current and future clinical practice, we recommend a coordinated institutional response to mitigate the potential emotional effects on workers by designing appropriate communication and emotional expression protocols.
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Affiliation(s)
- José Luis Díaz-Agea
- Faculty of Nursing, Universidad Católica de Murcia, 30107 Guadalupe, Spain; (J.L.D.-A.); (I.O.-M.); (A.C.D.S.O.); (A.R.-R.)
| | - Irene Orcajada-Muñoz
- Faculty of Nursing, Universidad Católica de Murcia, 30107 Guadalupe, Spain; (J.L.D.-A.); (I.O.-M.); (A.C.D.S.O.); (A.R.-R.)
| | - César Leal-Costa
- Faculty of Nursing, Universidad de Murcia, 30120 El Palmar, Spain
| | | | | | - Andrés Rojo-Rojo
- Faculty of Nursing, Universidad Católica de Murcia, 30107 Guadalupe, Spain; (J.L.D.-A.); (I.O.-M.); (A.C.D.S.O.); (A.R.-R.)
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17
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Díaz-Agea JL, Manresa-Parres M, Pujalte-Jesús MJ, Soto-Castellón MB, Aroca-Lucas M, Rojo-Rojo A, Leal-Costa C. What do I take home after the simulation? The importance of emergent learning outcomes in clinical simulation. Nurse Educ Today 2022; 109:105186. [PMID: 34838344 DOI: 10.1016/j.nedt.2021.105186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 09/18/2021] [Accepted: 10/25/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Clinical simulation learning includes a debriefing after the simulated experience. Debriefing consists of several stages. In this work we focus on the last stage (summary or transfer phase), in which the participants present the most relevant of what they learned during the session. OBJECTIVES To analyze the perception of 4th year Nursing Degree students on the most significant aspects they learned during the simulation sessions. METHOD A qualitative, cross-sectional and descriptive study was conducted, with students in their last year of the Nursing Degree at the Catholic University of Murcia. The opinions of 67 students from 5 groups, on the debriefing phase, were analyzed, by comparing them with the objectives that were initially proposed during the design of the scenarios used in the simulations. RESULTS A total of 78 clinical scenarios were analyzed, with 292 pre-established learning objectives, on a total sample of 67 students. The participants provided a total of 464 learning outcomes that were significant for them, of which 101 coincided with those that were initially planned (21.8%), while the rest, 363 (78.2%), were considered emergent (not planned a priori). For the most part, the learning outcomes described by the students were technical knowledge and/or skills (70.5%), as compared to non-technical knowledge and/or skills (29.5%). CONCLUSION For the most part, the learning outcomes considered by the students to be significant did not correspond with the objectives set a priori in the design of the scenarios. Most were emergent elements, especially those that referred to the technical knowledge and skills. The emergent knowledge must be considered crucial by the educators for the teaching and training of students.
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Affiliation(s)
- José Luis Díaz-Agea
- Department of Simulation, Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.
| | - Marina Manresa-Parres
- Department of Simulation, Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.
| | - María José Pujalte-Jesús
- Department of Simulation, Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.
| | - María Belén Soto-Castellón
- Department of Simulation, Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.
| | - Mario Aroca-Lucas
- Department of Simulation, Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.
| | - Andrés Rojo-Rojo
- Department of Simulation, Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain.
| | - César Leal-Costa
- Department of Nursing, Faculty of Nursing, University of Murcia, Spain.
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Adánez-Martínez MG, Palacio-Gaviria MP, Díaz-Agea JL, Jiménez-Ruiz I, Ramos-Morcillo AJ, Ruzafa-Martínez M, Molina Durán F, Leal-Costa C. Improving learning in the management of gender violence. Educational impact of a training program with reflective analysis of dramatized video problems in postgraduate nurses. Nurse Educ Today 2022; 109:105224. [PMID: 34810027 DOI: 10.1016/j.nedt.2021.105224] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 11/02/2021] [Accepted: 11/11/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Most gender-based violence victims who sought help in Spain did so through health services. Training on gender-based violence with active learning methodologies promotes the management of knowledge, reflection, and adaptation to change. Nurses, along with an educator, can construct knowledge with the same strategies they will use professionally. PURPOSE To evaluate the knowledge, skills, and attitudes associated of postgraduate nurses on gender-based violence before and after a reflection-based training program with dramatized problem-videos. The secondary objectives were to evaluate the knowledge in the activation of protocols, skills, and attitudes in the management of women who are victims of gender-based violence, the consolidation of learning, and the applicability to the workplace. METHODS Pre-post quasi-experimental study without a control group. A specifically validated and designed instrument was utilized to evaluate the dimensions of knowledge, skills, and attitudes when facing gender-based violence, before and after the training sessions, along with additional questions to assess if the participants possessed better tools to address gender-based violence. RESULTS The difference between the pre and post-tests was statistically significant for the dimensions knowledge, skills, and attitude (p < 0.05), with a smaller effect size in the dimensions skills and attitude. Also, high scores were observed in the consolidation of learning and applicability to the workplace. CONCLUSION Reflection-based training with dramatized problem-videos improved the acquisition of tools necessary for the detection and management of gender-based violence of nurses.
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Affiliation(s)
| | | | - José Luis Díaz-Agea
- Department of Nursing, Faculty of Nursing, Catholic University of Murcia, 30107 Guadalupe, Murcia, Spain.
| | - Ismael Jiménez-Ruiz
- Department of Nursing, Faculty of Nursing, University of Murcia, 30100 Espinardo, Murcia, Spain.
| | | | - María Ruzafa-Martínez
- Department of Nursing, Faculty of Nursing, University of Murcia, 30100 Espinardo, Murcia, Spain.
| | - Francesc Molina Durán
- Professional Development Unit, General Directorate of Human Resources, Murcian Health Service, Murcia, Spain.
| | - César Leal-Costa
- Department of Nursing, Faculty of Nursing, University of Murcia, 30100 Espinardo, Murcia, Spain.
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Lopez-Villegas A, Leal-Costa C, Perez-Heredia M, Villegas-Tripiana I, Catalán-Matamoros D. Knowledge Update on the Economic Evaluation of Pacemaker Telemonitoring Systems. Int J Environ Res Public Health 2021; 18:ijerph182212120. [PMID: 34831876 PMCID: PMC8624333 DOI: 10.3390/ijerph182212120] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Revised: 11/15/2021] [Accepted: 11/16/2021] [Indexed: 11/16/2022]
Abstract
(1) Introduction: In the last two decades, telemedicine has been increasingly applied to telemonitoring (TM) of patients with pacemakers; however, presently, its growth has significantly accelerated because of the COVID-19 pandemic, which has pushed patients and healthcare workers alike to seek new ways to stay healthy with minimal physical contact. Therefore, the main objective of this study was to update the current knowledge on the differences in the medium-and long-term effectiveness of TM and conventional monitoring (CM) in relation to costs and health outcomes. (2) Methods: Three databases and one scientific registry were searched (PubMed, EMBASE, Scopus, and Google Scholar), with no restrictions on language or year of publication. Studies published until July 2021 were included. The inclusion criteria were: (a) experimental or observational design, (b) complete economic evaluation, (c) patients with implanted pacemakers, and (d) comparison of TM with CM. Measurements of study characteristics (author, study duration, sample size, age, sex, major indication for implantation, and pacemaker used), analysis, significant results of the variables (analysis performed, primary endpoints, secondary endpoints, health outcomes, and cost outcomes), and further miscellaneous measurements (methodological quality, variables coded, instrument development, coder training, and intercoder reliability, etc.) were included. (3) Results: 11 studies met the inclusion criteria, consisting of 3372 enrolled patients; 1773 (52.58%) of them were part of randomized clinical trials. The mean age was 72 years, and the atrioventricular block was established as the main indication for device implantation. TM was significantly effective in detecting the presence or absence of pacemaker problems, leading to a reduction in the number of unscheduled hospital visits (8.34-55.55%). The cost of TM was up to 87% lower than that of CM. There were no significant differences in health-related quality of life (HRQoL) and the number of cardiovascular events. (4) Conclusions: Most of the studies included in this systematic review confirm that in the TM group of patients with pacemakers, cardiovascular events are detected and treated earlier, and the number of unscheduled visits to the hospital is significantly reduced, without affecting the HRQoL of patients. In addition, with TM modality, both formal and informal costs are significantly reduced in the medium and long term.
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Affiliation(s)
- Antonio Lopez-Villegas
- Social Involvement of Critical and Emergency Medicine, CTS-609 Research Group, Poniente Hospital, 04700 El Ejido-Almería, Spain;
| | - César Leal-Costa
- Nursing Department, University of Murcia, 30120 Murcia, Spain
- Correspondence: ; Tel.: +34-868-889-771
| | - Mercedes Perez-Heredia
- Research Management Department, Primary Care District Poniente of Almería, 04700 El Ejido-Almería, Spain;
| | | | - Daniel Catalán-Matamoros
- UC3M MediaLab, Department of Communication and Media Studies, Madrid University Carlos III, 28903 Madrid, Spain;
- Health Sciences Research Institute, University of Almería, 04120 Almería, Spain
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Pardos-Gascón EM, Narambuena L, Leal-Costa C, Ramos-Morcillo AJ, Ruzafa-Martínez M, van-der Hofstadt Román CJ. Psychological Therapy in Chronic Pain: Differential Efficacy between Mindfulness-Based Cognitive Therapy and Cognitive Behavioral Therapy. J Clin Med 2021; 10:jcm10163544. [PMID: 34441842 PMCID: PMC8397134 DOI: 10.3390/jcm10163544] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 08/09/2021] [Accepted: 08/10/2021] [Indexed: 11/16/2022] Open
Abstract
The objective of this study is to evaluate the differential efficacy between Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behavioral Therapy (CBT). A quasi-experimental design of repeated measures before and after the test (n = 57) was used with a non-equivalent control group from a previous cohort treated with CBT (n = 105). The t-test revealed significant differences in subjective quality of life for the MBCT group, and in quantity, optimum, and adequate sleep for the CBT group. The pre-post effect size comparison mostly showed slightly larger effect sizes in the MBCT group. CBT and MBCT had comparable efficacies, although a slight trend towards larger effect sizes in MBCT was found. Likewise, CBT seemed to improve sleep-related variables, while MBCT was associated with improvements in pain and quality of life.
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Affiliation(s)
| | - Lucas Narambuena
- Child-Youth Mental Health Unit, Can Misses Hospital, 07800 Ibiza, Spain;
| | - César Leal-Costa
- Faculty of Nursing, University of Murcia, 30100 Murcia, Spain;
- Correspondence: (C.L.-C.); (A.J.R.-M.); Tel.: +34-868-88-97-71 (C.L.-C.)
| | - Antonio Jesús Ramos-Morcillo
- Faculty of Nursing, University of Murcia, 30100 Murcia, Spain;
- Correspondence: (C.L.-C.); (A.J.R.-M.); Tel.: +34-868-88-97-71 (C.L.-C.)
| | | | - Carlos J. van-der Hofstadt Román
- Hospital Psychology Unit, Department of Health Psychology, Institute of Health and Biomedical Research of Alicante (ISABIAL), General University Hospital of Alicante, Miguel Hernández University, 03010 Alicante, Spain;
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Fernández-Salazar S, Ramos-Morcillo AJ, Leal-Costa C, García-González J, Hernández-Méndez S, Ruzafa-Martínez M. [Evidence-Based Practice competency and associated factors among Primary Care nurses in Spain]. Aten Primaria 2021; 53:102050. [PMID: 33892230 PMCID: PMC8090992 DOI: 10.1016/j.aprim.2021.102050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Revised: 02/16/2021] [Accepted: 02/17/2021] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To describe the Evidence-Based Practice (EBP) competency level in Primary Care (PC) nurses in Spain and to determine the associated factors. DESIGN Cross-sectional, national survey design, carried out between January and March 2020. SETTING PC in Spain. PARTICIPANTS Seven hundred eighty PC active nurses in the National Health Service with at least one year of professional experience. MAIN MEASUREMENTS (1) Sociodemographic, professional and access to scientific information variables; (2) outcome variable: EBP competency (attitude, knowledge, skills and utilization) assessed through the EBP-COQ Prof© questionnaire. Bivariate and multiple lineal regression analyses were carried out. RESULTS The mean score for the EBP competency of the PC nurses was 131.5 (standard deviation [SD] 17.0), according to dimensions: attitude 36.8 (SD 3.6); knowledge 38.2 (SD 8.9); skills 23.0 (SD 3.5); and utilization 33.3 (SD 6.1). The number of articles read in the last month has showed the most influence on all the EBP-COQ Prof© dimensions, followed by EBP training (more than 150h) and nursing students mentoring. The education level (master, specialist and doctorate) is associated with knowledge and skills dimensions, meanwhile belonging to a BPSO® center is associated with the EBP utilization. CONCLUSIONS These findings can guide PC service managers to plan strategies that improve the EBP competency level of the nurses, aimed mainly at achieving real application in clinical practice. However, it is necessary to consider the possible impact of selection bias on the results.
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Affiliation(s)
- Serafín Fernández-Salazar
- Estrategia de Cuidados de Andalucía, Servicio Andaluz de Salud, AGS Nordeste de Jaén, Úbeda, Jaén, España
| | | | - César Leal-Costa
- Departamento de Enfermería, Facultad de Enfermería, Campus de Espinardo, Universidad de Murcia, Murcia, España
| | - Jessica García-González
- Departamento de Enfermería, Facultad de Ciencias Sociosanitarias, Campus de Lorca, Universidad de Murcia, Lorca, Murcia, España
| | | | - María Ruzafa-Martínez
- Departamento de Enfermería, Facultad de Enfermería, Campus de Espinardo, Universidad de Murcia, Murcia, España
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Díaz-Agea JL, Pujalte-Jesús MJ, Leal-Costa C, García-Méndez JA, Adánez-Martínez MG, Jiménez-Rodríguez D. Motivation: bringing up the rear in nursing education. Motivational elements in simulation. The participants' perspective. Nurse Educ Today 2021; 103:104925. [PMID: 33962187 DOI: 10.1016/j.nedt.2021.104925] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 03/01/2021] [Accepted: 04/13/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Motivation is a fundamental element of human behavior and learning. We believe that this aspect has not been sufficiently addressed in the field of simulation-based learning in nursing. PURPOSE The aim of this study was to explore the views and perspectives of students involved in simulation-based learning related to their process of motivation. Also, to identify the motivational elements they perceived, as well as the aspects that could reduce their motivation in the simulation sessions. METHODS A qualitative study was conducted based on content analysis from 7 focus groups composed of simulation students (n = 101). RESULTS The study obtained 26 subcategories, 10 categories, and 2 emerging themes (in total, 17 motivational elements and 7 demotivational elements). CONCLUSION The motivational elements were related with the non-directive/imposing style of the facilitator, the adequate structure and planning of the sessions, the possibility of transferring what was learned to the real world, and especially the atmosphere created in the simulation session. The main demotivational elements were directed simulation, an uncomfortable environment, and the planning and structure of the sessions (with an excessive theoretical content or with stringent evaluations).
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Affiliation(s)
- José Luis Díaz-Agea
- Department of Nursing, Faculty of Nursing, Catholic University of Murcia, 30107 Guadalupe, Murcia, Spain.
| | - María José Pujalte-Jesús
- Department of Nursing, Faculty of Nursing, Catholic University of Murcia, 30107 Guadalupe, Murcia, Spain.
| | - César Leal-Costa
- Department of Nursing, Faculty of Nursing, University of Murcia, 30100 Espinardo, Murcia, Spain.
| | - Juan Antonio García-Méndez
- Department of Nursing, Faculty of Nursing, Catholic University of Murcia, 30107 Guadalupe, Murcia, Spain.
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Peñataro-Pintado E, Díaz-Agea JL, Castillo I, Leal-Costa C, Ramos-Morcillo AJ, Ruzafa-Martínez M, Rodríguez-Higueras E. Self-Learning Methodology in Simulated Environments (MAES©) as a Learning Tool in Perioperative Nursing. An Evidence-Based Practice Model for Acquiring Clinical Safety Competencies. Int J Environ Res Public Health 2021; 18:ijerph18157893. [PMID: 34360190 PMCID: PMC8345589 DOI: 10.3390/ijerph18157893] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 06/30/2021] [Accepted: 07/23/2021] [Indexed: 01/08/2023]
Abstract
Background: The self-learning Methodology in Simulated Environments (Spanish acronym: MAES©, (Murcia, Spain) is a type of self-directed and collaborative training in health sciences. The objective of the present study was to compare the level of competence of postgraduate surgical nursing students in the clinical safety of surgical patients, after training with the MAES© methodology versus traditional theoretical–practical workshops, at different points in time (post-intervention, after three months, six months post-intervention, and at the end of the clinical training period, specifically nine months post-intervention). Methods: We conducted a prospective study with an experimental group of surgical nursing postgraduate students who participated in MAES© high-fidelity simulation sessions, and a control group of postgraduate nursing students who attended traditional theoretical–practical sessions at two universities in Catalonia (Spain). The levels of competence were compared between the two groups and at different time points of the study. Results: The score was higher and statistically significantly different in the experimental group for all the competencies, with a large effect size at every measurement point previously mentioned. Conclusions: The postgraduate nurses were the most competent in the clinical safety of surgical patients when they trained with the MAES© methodology than when they learned through traditional theoretical–practical workshops. The learning of surgical safety competencies was more stable and superior in the experimental group who trained with MAES©, as compared to the control group.
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Affiliation(s)
- Ester Peñataro-Pintado
- Nursing Department, University School of Nursing and Occupational Therapy of Terrassa (EUIT), 08221 Terrassa, Spain;
- Nursing Department, International University of Catalonia (UIC), Campus Sant Cugat, 08195 Sant Cugat del Vallès, Spain; (I.C.); (E.R.-H.)
| | - José Luis Díaz-Agea
- Nursing Department, Catholic University of Murcia (UCAM), 30107 Guadalupe de Maciascoque, Spain
- Correspondence: (J.L.D.-A.); (A.J.R.-M.)
| | - Isabel Castillo
- Nursing Department, International University of Catalonia (UIC), Campus Sant Cugat, 08195 Sant Cugat del Vallès, Spain; (I.C.); (E.R.-H.)
- Nursing Department, University General Hospital of Catalonia (UIC), 08195 Sant Cugat del Vallès, Spain
| | - César Leal-Costa
- Nursing Department, University of Murcia, 30003 Murcia, Spain; (C.L.-C.); (M.R.-M.)
| | - Antonio Jesús Ramos-Morcillo
- Nursing Department, University of Murcia, 30003 Murcia, Spain; (C.L.-C.); (M.R.-M.)
- Correspondence: (J.L.D.-A.); (A.J.R.-M.)
| | | | - Encarna Rodríguez-Higueras
- Nursing Department, International University of Catalonia (UIC), Campus Sant Cugat, 08195 Sant Cugat del Vallès, Spain; (I.C.); (E.R.-H.)
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Pardos-Gascón EM, Narambuena L, Leal-Costa C, Ramos-Morcillo AJ, Ruzafa-Martínez M, van-der Hofstadt Román CJ. Effects of Mindfulness-Based Cognitive Therapy for Chronic Pain: A Multicenter Study. Int J Environ Res Public Health 2021; 18:6951. [PMID: 34209604 PMCID: PMC8297331 DOI: 10.3390/ijerph18136951] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 06/24/2021] [Accepted: 06/26/2021] [Indexed: 01/20/2023]
Abstract
The prevalence of chronic pain in Spain is 15%. The objective of this study was to evaluate the efficacy of mindfulness-based cognitive therapy on patients with chronic pain. A quasi-experimental design of repeated measures pre- and post-test (N = 57) was carried out at three hospitals from the province of Alicante. Self-reported assessment measurements of pain intensity, anxiety-depression symptoms, perception of health status, interference of pain on sleep, self-efficacy in pain, acceptance, and mindfulness attitude were included. The T-test indicates significant differences in intensity of present pain, mental quality of life, and depression (medium effect sizes), as well as in self-efficacy: total score, symptom management and pain control (medium effect sizes), sleep disturbances and quantity of sleep (large effect sizes). MBCT is effective in reducing many symptoms in patients with chronic pain, although its maintenance needs to be further investigated.
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Affiliation(s)
| | - Lucas Narambuena
- Child-Youth Mental Health Unit, Can Misses Hospital, 07800 Ibiza, Spain;
| | | | | | | | - Carlos J. van-der Hofstadt Román
- Hospital Psychology Unit, Department of Health Psychology, Institute of Health and Biomedical Research of Alicante (ISABIAL), General University Hospital of Alicante, Miguel Hernández University, 03010 Alicante, Spain;
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Amo-Setién FJ, Leal-Costa C, Abajas-Bustillo R, González-Lamuño D, Redondo-Figuero C. Factors associated with grip strength among adolescents: An observational study. J Hand Ther 2021; 33:96-102. [PMID: 30503041 DOI: 10.1016/j.jht.2018.10.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 09/24/2018] [Accepted: 10/31/2018] [Indexed: 02/03/2023]
Abstract
STUDY DESIGN Cross-sectional. INTRODUCTION The muscle strength has been studied in different populations in relation with individual and other factors. PURPOSE OF THE STUDY The purpose of this study was to determine values of grip strength in adolescents and to examine its association with sex, age, weight, height, nutritional status, handedness, and academic performance. METHODS A total of 452 adolescents (246 men and 206 women) aged 12 to 17 years were included in the study. Grip strength was measured using a Takei dynamometer. RESULTS Boys were significantly stronger than girls with both the dominant hand (33.1 kgf vs 25.0 kgf; mean difference = 8.1 kgf; P < .001) and the nondominant hand (30.9 kgf vs 23.1 kgf; mean difference = 7.8 kgf; P < .001), and there was a significant increase in strength values as the age rises in both sexes (P < .001). The dominant hand was stronger than the nondominant one (29.4 kgf vs 27.3 kgf; mean difference = 2.1 kgf; P < .001), except for left-handed subjects who were significantly stronger than right-handed ones in their nondominant hand. Furthermore, strength was positively associated with nutritional status and negatively associated with academic performance in men. CONCLUSIONS Sex, age, handedness, nutritional status, and academic performance have a significant influence on the grip strength values. There seems to be a sexual dimorphism in the relationship between strength and both nutritional status and academic performance.
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Affiliation(s)
| | - César Leal-Costa
- Department of Nursing, Catholic University of Murcia, Guadalupe, Murcia, Spain.
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26
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Leal-Costa C, Díaz-Agea JL, Ruzafa-Martínez M, Ramos-Morcillo AJ. [Work-related stress amongst health professionals in a pandemic]. An Sist Sanit Navar 2021; 44:123-124. [PMID: 33867529 DOI: 10.23938/assn.0940] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- C Leal-Costa
- Facultad de Enfermería. Universidad de Murcia. España.
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Hernández E, Camacho M, Leal-Costa C, Ruzafa-Martínez M, Ramos-Morcillo AJ, Cazorla E, Díaz-Agea JL. Does Multidisciplinary Team Simulation-Based Training Improve Obstetric Emergencies Skills? Healthcare (Basel) 2021; 9:healthcare9020170. [PMID: 33562857 PMCID: PMC7915121 DOI: 10.3390/healthcare9020170] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 02/01/2021] [Accepted: 02/01/2021] [Indexed: 11/16/2022] Open
Abstract
Clinical simulation in obstetrics has turned out to be a tool that can reduce the rate of perinatal morbidity and mortality. The objective of this study was to analyze the impact and evaluate the effects of training with high-fidelity simulation of obstetric emergencies on a multidisciplinary group. The quasi-experimental research study was structured in three phases: a first phase where the most important obstetric emergencies were determined, a second phase of design and development of the selected cases for simulation training, and a third and final phase where the abilities and satisfaction of the multidisciplinary team were analyzed. Three scenarios and their respective evaluation tools of obstetric emergencies were selected for simulation training: postpartum hemorrhage, shoulder dystocia, and breech delivery. The health professionals significantly improved their skills after training, and were highly satisfied with the simulation experience (p < 0.05). An inter-observer agreement between good and excellent reliability was obtained. Regarding conclusions, we can state that high-fidelity obstetric emergency simulation training improved the competencies of the health professionals.
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Affiliation(s)
- Encarna Hernández
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe, 30107 Murcia, Spain; (E.H.); (J.L.D.-A.)
| | - Marcos Camacho
- Hospital of Huercal-Overa, Av. de la Dra. Ana Parra, s/n, Huércal-Overa, 04600 Almería, Spain
- Correspondence: (M.C.); (C.L.-C.)
| | - César Leal-Costa
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain; (M.R.-M.); (A.J.R.-M.)
- Correspondence: (M.C.); (C.L.-C.)
| | - María Ruzafa-Martínez
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain; (M.R.-M.); (A.J.R.-M.)
| | - Antonio Jesús Ramos-Morcillo
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain; (M.R.-M.); (A.J.R.-M.)
| | - Eduardo Cazorla
- Department of Obstetrics and Gynecology, Hospital de Torrevieja, Carretera CV 95, s/n, Torrevieja, 03186 Alicante, Spain;
| | - José Luis Díaz-Agea
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe, 30107 Murcia, Spain; (E.H.); (J.L.D.-A.)
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Ramos-Morcillo AJ, Fernández-Salazar S, Leal-Costa C, Ruzafa-Martinez M. Evidence-based practice nurses' competency: Spanish national survey and establishment of a scale of the EBP-COQ-Prof©. J Nurs Manag 2020; 29:794-804. [PMID: 33259110 PMCID: PMC8246956 DOI: 10.1111/jonm.13220] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 11/05/2020] [Accepted: 11/25/2020] [Indexed: 11/28/2022]
Abstract
Aims To discover the level of evidence‐based practice competency of Spanish nurses, to develop a scale of the EBP‐COQ‐Prof© and to analyse the influence of different variables on the level of competency. Background The evidence‐based practice competency has previously been assessed using a wide variety of instruments, although these have methodological limitations and lack associated scales that allow for the interpretation of the score obtained. Method Observational, cross‐sectional, national study. Using an online questionnaire, data were obtained between January and March 2020 from nurses working in the National Health System. An ANOVA was performed along with multiple regression analyses. The T‐score and percentiles were calculated to obtain the scale of the EBP‐COQ‐Prof©. Results 2,942 nurses participated. The score for the evidence‐based practice competency was 130.29 (standard deviation 17.55). The multiple regression analysis showed a model comprised of 8 variables that explained 33% of the variance. Conclusions The Spanish nurses have a moderate level of evidence‐based practice competency. The scale classifies the subjects into 3 levels: low, moderate and high competency. Implications for Nursing Management The scale proposed for the EBP‐COQ‐Prof© could be utilized to facilitate the diagnosis of evidence‐based practice competency, and to monitor and plan individual and collective strategies to improve this competency.
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Affiliation(s)
| | | | - César Leal-Costa
- Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain
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Pujalte-Jesús MJ, Leal-Costa C, Díaz Agea JL. The inefficiency of ventilation in basic resuscitation. Should we improve mouth-to-mouth ventilation training of nursing students? Int Emerg Nurs 2020; 54:100951. [PMID: 33310433 DOI: 10.1016/j.ienj.2020.100951] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 09/04/2020] [Accepted: 09/10/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To analyse the differences in the quality of the basic cardiopulmonary resuscitation (CPR) between the algorithms of compressions with rescue ventilation (CPR [30:2]) and chest compressions only (CPR [C/O]). In addition, the specific objective was to study the effectiveness of the physical manoeuvre of mouth-to-mouth ventilations performed by nursing students after the completion of a simulation training program in Basic Life Support (BLS) standardized in the study plan approved for the Nursing Degree at a Spanish university. RESEARCH METHODOLOGY analytical, quasi-experimental, cross-sectional study with clinical simulation of 114 students enrolled in the third year of the Nursing Degree. RESULTS the mean depth of chest compressions was 47.6 mm (SD 9.5) for CPR [30:2] and 45 mm (SD 8.8) when CPR [C/O] was performed (t = 5.39, p < 0.0001, CI95% 1.69-3.65). The compressions with complete chest re-expansion were 106 (SD 55) for CPR [30:2] and 138 (SD 85) for CPR [C/O] [t = -4.75, p < 0.0001, CI95% -44.6 - (-18.4)]. Of the participants, 28.1% correctly ventilated with the head-tilt/chin-lift manoeuvre (Fisher: p < 0.0001). CONCLUSIONS As a whole, CPR with only chest compressions offers great advantages with respect to standard CPR, minimizing interruptions in compressions, maintaining coronary and cerebral perfusion and thus increasing the likelihood of return of spontaneous circulation. The problem of rescuers fatigue could be reduced with a greater number of relays between rescuers. We believe that is important to improve the acquisition of competencies in the management of the airway and the ventilation devices (such as the bag-valve mask).
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Affiliation(s)
| | | | - José Luis Díaz Agea
- Faculty of Nursing, Official Masters in Emergency and Special Care Nursing, Catholic University of Murcia, Spain.
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Pardos-Gascón EM, Narambuena L, Leal-Costa C, van-der Hofstadt-Román CJ. Differential efficacy between cognitive-behavioral therapy and mindfulness-based therapies for chronic pain: Systematic review. Int J Clin Health Psychol 2020; 21:100197. [PMID: 33363580 PMCID: PMC7753033 DOI: 10.1016/j.ijchp.2020.08.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 08/11/2020] [Indexed: 12/24/2022] Open
Abstract
Background/Objective: To assess the differential efficacy between mindfulness-based interventions and cognitive-behavioral Therapy (CBT) on chronic pain across medical conditions involving pain. Method: ProQuest, Science Direct, Google Scholar, Pubmed, and Embase databases were searched to identify randomized clinical trials. Measurements of mindfulness, pain, mood, and further miscellaneous measurements were included. Results: 18 studies met the inclusion criteria (fibromyalgia, n = 5; low back pain, n = 5; headache/migraine, n = 4; non-specific chronic pain, n = 4). In fibromyalgia, mindfulness based stress reduction (MBSR) was superior to the usual care and Fibroqol, in impact and symptoms. In low back pain, MBSR was superior to the usual care, but not to CBT, in physical functionality and pain intensity. There were no studies on differential efficacy between mindfulness and CBT for headache and non-specific chronic pain, but Mindfulness interventions were superior to the usual care in these syndromes. Conclusions: Mindfulness interventions are superior to usual cares in all diagnoses, but it is not possible to conclude their superiority over CBT. Comparisons between mindfulness interventions are scarce, with MBSR being the most studied. In central sensitization syndromes, variables associated with pain tend to improve with treatment. More research is needed to differentiate diagnosis and intervention.
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Affiliation(s)
| | | | | | - Carlos J van-der Hofstadt-Román
- Unidad de Psicología Hospitalaria, Hospital General Universitario de Alicante, Departamento de Psicología de la Salud, Universidad Miguel Hernández, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Spain
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Ruzafa-Martínez M, Fernández-Salazar S, Leal-Costa C, Ramos-Morcillo AJ. Questionnaire to Evaluate the Competency in Evidence-Based Practice of Registered Nurses (EBP-COQ Prof©): Development and Psychometric Validation. Worldviews Evid Based Nurs 2020; 17:366-375. [PMID: 33089629 PMCID: PMC7702117 DOI: 10.1111/wvn.12464] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND The availability of valid and reliable instruments, based on current competency frameworks, is essential to respond to the need for accurate measurement of the competency of registered nurses in evidence-based practice (EBP). AIMS To develop and validate a questionnaire capable of measuring EBP competencies in registered nurses following the competency framework developed by Melynk et al. (2014). METHODS The study was developed in two stages: (a) creation of the questionnaire based on an operational definition of the construct, its face, and content validation by 10 experts, and cognitive piloting; (b) psychometric evaluation of the questionnaire by a cross-sectional, and multicenter study between February and November 2018. Analyses were conducted of the questionnaire's reliability and construct validity (exploratory [EFA] and confirmatory [CFA] factor analyses). RESULTS First phase: The initial version of EBP-COQ© Prof contained 50 items grouped into four dimensions (attitudes, knowledge, skills, and utilization). After two expert validation rounds, a 35-item version was obtained with content validity index of 0.86. Second phase: The questionnaire was completed by 579 nurses; EFA with PROMAX rotation revealed that the four-factor model had the best fit (χ2 = 311.32; p = .001, root mean square error of approximation [RMSEA] = 0.000, 90% confidence interval [CI] = 0.000 - 0.010; comparative fit index [CFI] = 1), and it showed a good CFA fit index: CFI = 0.932, and RMSEA = 0.093 (90% CI = 0.097 - 0.108). Cronbach's α for each factor ranged from 0.817 (factor III) to 0.948 (factor II). LINKING EVIDENCE TO ACTION EBP-COQ Prof© is a valid, reliable, and easily administered questionnaire that measures the self-perceived competency of registered nurses in EBP based on an updated and specific competency framework. It permits the independent evaluation of attitudes, knowledge, and skills related to EBP and of its utilization in hospital and primary care settings, allowing the monitoring of compliance with EBP.
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Affiliation(s)
- María Ruzafa-Martínez
- Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain.,ICEBE: Nursing Care and Evidence-based Practice Research Group, University of Murcia, Murcia, Spain
| | | | - César Leal-Costa
- Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain.,ICEBE: Nursing Care and Evidence-based Practice Research Group, University of Murcia, Murcia, Spain
| | - Antonio Jesús Ramos-Morcillo
- Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain.,ICEBE: Nursing Care and Evidence-based Practice Research Group, University of Murcia, Murcia, Spain
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Lopez-Villegas A, Bautista-Mesa R, Peiro S, Catalan-Matamoros D, Robles-Musso E, Lopez-Liria R, Leal-Costa C. Cost-utility analysis of remote monitoring of users with pacemakers five years after implantation. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.568] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Cost-effectiveness studies on pacemakers have increased in the last years. However the number of long-term cost-utility studies is limited. The objective of this study was to perform a cost-utility analysis comparing remote monitoring (RM) versus conventional monitoring (CM) in hospital of patients with pacemakers, 5 years after implant.
Methods
Under a controlled, not randomized nor masked clinical trial, 82 patients with pacemaker were initially selected (CM = 52; RM = 30). Patients were monitored during 5 years, after what a total 34 for CM in hospital and 21 for RM finalised the study. A cost-utility analysis was conducted to assess cost-utility of RM in terms of costs per gained quality-adjusted life years (QALYs). Costs from National Health Service (NHS) and patient perspectives were considered.
Results
After 60-months of follow-up, total costs per patient were 23.02% lower in the RM than in the CM group, corresponding to a €82.10 cost saving per patient (p = 0.033). However, the reduction of in-hospital visits derived from RM does not impact significantly costs from the NHS perspective, with a cost saving of 15.04% per patient (p = 0.144). Patients in the CM group showed a slightly better QALY at the end of the study (3.579) than RM group (3.306). Costs/QALYs obtained by the RM group were higher than the CM group (p = 0.773). The incremental cost-effectiveness ratio of CM in comparison to RM becomes positive (€301.16).
Conclusions
This study confirms RM of patients with pacemakers appears still as a cost-effective alternative to conventional monitoring in hospital after 5 years.
Key messages
Total costs per patient were 23.02% lower in the Remote Monitoring than in the Conventional Monitoring group (p = 0.033). The reduction of in-hospital visits derived from Remote Monitoring does not impact significantly costs from the NHS perspective, with a cost saving of 15.04% per patient (p = 0.144).
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Affiliation(s)
- A Lopez-Villegas
- Social Involvement of Critical and Emergency Medicine, Hospital de Poniente, Almería, Spain
| | | | - S Peiro
- Health Services Research Unit, FISABIO-PUBLIC HEALTH, Valencia, Spain
| | - D Catalan-Matamoros
- Department of Journalism and Communication, Universidad Carlos III, Madrid, Spain
| | | | - R Lopez-Liria
- Department of Nursing Science, Physiotherapy and Medicine, Universidad de Almería, Almería, Spain
| | - C Leal-Costa
- Nursing Department, Universidad de Murcia, Murcia, Spain
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Lopez-Villegas A, Leal-Costa C, Catalan-Matamoros D, Robles-Musso E, Lappegard KT, Bautista-Mesa R, Peiro S, Lopez-Liria R. Socioeconomic impact of informal care provided to patients with remote monitoring of pacemakers. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The aging of the population leading patients with pacemakers to exhibit more comorbidities and, consequently, a greater need for both formal and informal care. The objective of this study was to assess personal characteristics, associated problems, workloads, time, and costs related to informal care provided to patients with pacemakers under remote monitoring (RM) vs. conventional monitoring (CM) at hospital, five years after implantation.
Methods
This is a controlled, non-randomised nor masked trial conducted with information obtained from the perspective of informal caregivers. The “Disability, personal autonomy, and dependency situations survey” was administered to collect information on sociodemographic characteristics, time, care difficulties, health status, professional aspects, and impact on economic, family, or leisure aspects of main caregivers providing care to patients with pacemakers.
Results
of the 50 patients who reported having informal caregivers, 42% belonged to the RM group. The average age was 63.14 years, 96% were women, and 72% was married. Informal caregivers lived in the homes of the patients in 70% of cases, and 88% indicated that they had to provide care six to seven days a week. The average cost per patient during the monitoring period studied was 13.17% lower in the RM group than in the CM group, and these differences were not statistically significant (p = 0.35).
Conclusions
This study found similar results in both groups of follow-up with respect to sociodemographic characteristics, workload, time, and problems associated with health, leisure and relatives. The costs associated with care were higher in the CM group.
Key messages
There are not significant differences between both groups of follow-up with respect to sociodemographic characteristics, workload, time, and problems associated with health, leisure and relatives. The average cost per patient during the monitoring period studied was 13.17% lower in the Remote Monitoring group than in the Conventional Monitoring group.
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Affiliation(s)
| | - C Leal-Costa
- Nursing Department, Universidad de Murcia, Murcia, Spain
| | - D Catalan-Matamoros
- Department of Journalism and Communication, Universidad Carlos III, Madrid, Spain
| | - E Robles-Musso
- Pacemaker Unit, Intensive Care Unit, Hospital de Poniente, Almería, Spain
| | - K T Lappegard
- Institute of Clinical Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway
| | | | - S Peiro
- Health Services Research Unit, FISABIO-PUBLIC HEALTH, Valencia, Spain
| | - R Lopez-Liria
- Department of Nursing Science, Physiotherapy and Medicine, Universidad de Almería, Almería, Spain
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Lopez-Villegas A, Lopez-Liria R, Leal-Costa C, Peiro S, Robles-Musso E, Bautista-Mesa R, Rocamora-Perez P, Lappegard KT, Catalan-Matamoros D. Long-term Quality of Life and Safety in Remote Monitoring of Patients with Pacemakers. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Health-related quality of life (HRQoL) and functional capacity values immediately after pacemaker implantation have been well established; however, not much has been known about its long-term effects. The present study compared the long-term effectiveness and safety of remote monitoring (RM) plus a clinic visit versus clinic visits alone during follow-up of adults implanted with PMs.
Methods
This study was a single-centre, controlled, non-randomised, non-blinded clinical trial. Data were collected pre-implantation and after 60 months. The patients in the PONIENTE study were assigned to two different groups: RM and conventional monitoring (CM). The EuroQol-5D (EQ-5D) questionnaire was used to assess HRQoL and Duke Activity Status Index was used for the functional capacity.
Results
After five years, 55 patients completed the study (RM = 21; CM = 34). EuroQol-5D and functional capacity values were improved; however, significant differences were observed only in the EQ5D visual analogue scale (p < 0.001).
Conclusions
Remote monitoring was equally feasible, reliable, safe, and clinically useful as CM. The frequencies of rehospitalisations and emergency visits did not differ between the groups. RM was found to be safe and effective in early detection and treatment of medical- and device-related events and in reducing hospital visits. Improved HRQoL was described not only immediately after PM implantation but also extended over a long time.
Key messages
Remote monitoring of patients with pacemakers was found to be safe and effective in early detection and treatment of medical- and device-related events and in reducing hospital visits. Patients included in both groups of follow-up were equally feasible, reliable, safe, and clinically useful.
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Affiliation(s)
| | - R Lopez-Liria
- Department of Nursing Science, Physiotherapy and Medicine, Universidad de Almería, Almería, Spain
| | - C Leal-Costa
- Nursing Department, Universidad de Murcia, Murcia, Spain
| | - S Peiro
- Health Services Research Unit, FISABIO-PUBLIC HEALTH, Valencia, Spain
| | - E Robles-Musso
- Intensive Care Unit, Hospital de Poniente, Almería, Spain
| | | | - P Rocamora-Perez
- Department of Nursing Science, Physiotherapy and Medicine, Universidad de Almería, Almería, Spain
| | - K T Lappegard
- Division of Medicine, Nordland Hospital, Bodø, Norway
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Ramos-Morcillo AJ, Harillo-Acevedo D, Armero-Barranco D, Leal-Costa C, Moral-García JE, Ruzafa-Martínez M. Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program. Int J Environ Res Public Health 2020; 17:E6248. [PMID: 32867353 PMCID: PMC7504213 DOI: 10.3390/ijerph17176248] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 08/25/2020] [Accepted: 08/26/2020] [Indexed: 12/15/2022]
Abstract
International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care.
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Affiliation(s)
| | | | - David Armero-Barranco
- Faculty of Nursing, University of Murcia, 30100 Murcia, Spain; (A.J.R.-M.); (M.R.-M.)
| | - César Leal-Costa
- Faculty of Nursing, University of Murcia, 30100 Murcia, Spain; (A.J.R.-M.); (M.R.-M.)
| | - José Enrique Moral-García
- Physical Activity and Sports Sciences, Faculty of Education, Pontifical University of Salamanca, 37007 Salamanca, Spain;
| | - María Ruzafa-Martínez
- Faculty of Nursing, University of Murcia, 30100 Murcia, Spain; (A.J.R.-M.); (M.R.-M.)
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Pujalte-Jesús MJ, Leal-Costa C, Ruzafa-Martínez M, Ramos-Morcillo AJ, Díaz Agea JL. Relief Alternatives during Resuscitation: Instructions to Teach Bystanders. A Randomized Control Trial. Int J Environ Res Public Health 2020; 17:ijerph17155495. [PMID: 32751430 PMCID: PMC7432336 DOI: 10.3390/ijerph17155495] [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] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/22/2020] [Accepted: 07/26/2020] [Indexed: 06/11/2023]
Abstract
To analyze the quality of resuscitation (CPR) performed by individuals without training after receiving a set of instructions (structured and unstructured/intuitive) from an expert in a simulated context, the specific objective was to design a simple and structured CPR learning method on-site. An experimental study was designed, consisting of two random groups with a post-intervention measurement in which the experimental group (EG) received standardized instructions, and the control group (CG) received intuitive or non-standardized instructions, in a public area simulated scenario. Statistically significant differences were found (p < 0.0001) between the EG and the CG for variables: time needed to give orders, pauses between chest compressions and ventilations, depth, overall score, chest compression score, and chest recoil. The average depth of the EG was 51.1 mm (SD 7.94) and 42.2 mm (SD 12.04) for the CG. The chest recoil median was 86.32% (IQR 62.36, 98.87) for the EG, and 58.3% (IQR 27.46, 84.33) in the CG. The use of a sequence of simple, short and specific orders, together with observation-based learning makes possible the execution of chest compression maneuvers that are very similar to those performed by rescuers, and allows the teaching of the basic notions of ventilation. The structured order method was shown to be an on-site learning opportunity when faced with the need to maintain high-quality CPR in the presence of an expert resuscitator until the arrival of emergency services.
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Abajas-Bustillo R, Amo-Setién F, Aparicio M, Ruiz-Pellón N, Fernández-Peña R, Silio-García T, Leal-Costa C, Ortego-Mate C. Using High-Fidelity Simulation to Introduce Communication Skills about End-of-Life to Novice Nursing Students. Healthcare (Basel) 2020; 8:healthcare8030238. [PMID: 32751157 PMCID: PMC7551064 DOI: 10.3390/healthcare8030238] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/20/2020] [Accepted: 07/23/2020] [Indexed: 11/16/2022] Open
Abstract
Background: High-fidelity simulation is being considered as a suitable environment for imparting the skills needed to deal with end-of-life (EOL) situations. The objective was to evaluate an EOL simulation project that introduced communication skills to nursing students who had not yet begun their training in real healthcare environments. Methods: A sequential approach was used. The "questionnaire for the evaluation of the end-of-life project" was employed. Results: A total of 130 students participated. Increasing the time spent in high-fidelity simulation significantly favored the exploration of feelings and fears regarding EOL (t = -2.37, p = 0.019), encouraged dialogue (t = -2.23, p = 0.028) and increased the acquisition of communication skills (t = -2.32, p = 0.022). Conclusions: High-fidelity simulation promotes communication skills related to EOL in novice nursing students.
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Affiliation(s)
- Rebeca Abajas-Bustillo
- Faculty of Nursing, University of Cantabria, 39008 Santander, Spain; (R.A.-B.); (M.A.); (N.R.-P.); (R.F.-P.); (T.S.-G.); (C.O.-M.)
| | - Francisco Amo-Setién
- Faculty of Nursing, University of Cantabria, 39008 Santander, Spain; (R.A.-B.); (M.A.); (N.R.-P.); (R.F.-P.); (T.S.-G.); (C.O.-M.)
- Correspondence: ; Tel.: +34-942-206-759
| | - Mar Aparicio
- Faculty of Nursing, University of Cantabria, 39008 Santander, Spain; (R.A.-B.); (M.A.); (N.R.-P.); (R.F.-P.); (T.S.-G.); (C.O.-M.)
| | - Noelia Ruiz-Pellón
- Faculty of Nursing, University of Cantabria, 39008 Santander, Spain; (R.A.-B.); (M.A.); (N.R.-P.); (R.F.-P.); (T.S.-G.); (C.O.-M.)
| | - Rosario Fernández-Peña
- Faculty of Nursing, University of Cantabria, 39008 Santander, Spain; (R.A.-B.); (M.A.); (N.R.-P.); (R.F.-P.); (T.S.-G.); (C.O.-M.)
| | - Tamara Silio-García
- Faculty of Nursing, University of Cantabria, 39008 Santander, Spain; (R.A.-B.); (M.A.); (N.R.-P.); (R.F.-P.); (T.S.-G.); (C.O.-M.)
| | | | - Carmen Ortego-Mate
- Faculty of Nursing, University of Cantabria, 39008 Santander, Spain; (R.A.-B.); (M.A.); (N.R.-P.); (R.F.-P.); (T.S.-G.); (C.O.-M.)
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Leal-Costa C, Tirado González S, Ramos-Morcillo AJ, Ruzafa-Martínez M, Díaz Agea JL, van-der Hofstadt Román CJ. Communication Skills and Professional Practice: Does It Increase Self-Efficacy in Nurses? Front Psychol 2020; 11:1169. [PMID: 32595561 PMCID: PMC7304242 DOI: 10.3389/fpsyg.2020.01169] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 05/06/2020] [Indexed: 11/13/2022] Open
Abstract
The relationship between nurses and their patients is changing significantly, resulting in a patient-focused model. This work aims to contribute new knowledge about the effect of communication skills on perceived self-efficacy of nursing professionals. A cross-sectional descriptive study was conducted with a final sample consisting of 242 nurses. Different instruments that measured communication skills and the general and specific self-efficacy of nursing professionals were utilized. A positive and statistically significant correlation (p < 0.01) between the communication skills and the perceived general and specific self-efficacy was obtained. Nursing professionals who have adequate communication skills feel more confident and more competent, fostering good interpersonal relationships with their patients, and therefore, their perceived general and specific self-efficacy improved as well. Teaching communication skills is important to help nurses cope with a broad range of stressors in their daily interactions with patients, increasing their perceived self-efficacy.
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Affiliation(s)
- César Leal-Costa
- Nursing Department, University of Murcia (UM), Murcia, Spain
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain
| | - Sonia Tirado González
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain
- Health Psychology Department, Miguel Hernandez University (UMH), Elche, Spain
| | | | | | | | - Carlos Javier van-der Hofstadt Román
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain
- Hospital Psychology Unit, University Hospital of Alicante, Alicante, Spain
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López-Liria R, López-Villegas A, Leal-Costa C, Peiró S, Robles-Musso E, Bautista-Mesa R, Rocamora-Pérez P, Lappegård KT, Catalán-Matamoros D. Effectiveness and Safety in Remote Monitoring of Patients with Pacemakers Five Years after an Implant: The Poniente Study. Int J Environ Res Public Health 2020; 17:ijerph17041431. [PMID: 32102208 PMCID: PMC7068341 DOI: 10.3390/ijerph17041431] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/11/2020] [Revised: 02/11/2020] [Accepted: 02/20/2020] [Indexed: 12/30/2022]
Abstract
Health-related quality of life (HRQoL) and functional capacity values immediately after pacemaker (PM) implantation have been well established; however, not much has been known about its long-term effects. The present study compared the long-term effectiveness and safety of remote monitoring plus a clinic visit versus clinic visits alone during follow-up of adults implanted with PMs. This study was a single-centre, controlled, non-randomised, non-blinded clinical trial. Data were collected pre-implantation and after 60 months. The patients in the PONIENTE study were assigned to two different groups: remote monitoring (RM) and conventional monitoring (CM). The EuroQol-5D (EQ-5D) questionnaire was used to assess HRQoL and Duke Activity Status Index was used for the functional capacity. After five years, 55 patients completed the study (RM = 21; CM = 34). EuroQol-5D and functional capacity values were improved; however, significant differences were observed only in the EQ5D visual analogue scale (p < 0.001). Remote monitoring was equally feasible, reliable, safe, and clinically useful as CM. The frequencies of rehospitalisations and emergency visits did not differ between the groups. RM was found to be safe and effective in early detection and treatment of medical- and device-related events and in reducing hospital visits. Improved HRQoL was described not only immediately after PM implantation but also extended over a long time.
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Affiliation(s)
- Remedios López-Liria
- Department of Nursing Science, Physiotherapy and Medicine, Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain;
| | - Antonio López-Villegas
- Social Involvement of Critical and Emergency Medicine, CTS-609 Research Team, Hospital de Poniente, 04700 Almeria, Spain
- Institute of Clinical Medicine. Faculty of Health Sciences, University of Tromsø, 9019 Tromsø. Norway;
- Correspondence: (A.L.-V.); (P.R.-P.); Tel.: +34-950-022-935
| | | | - Salvador Peiró
- Health Services Research Unit, FISABIO-PUBLIC HEALTH, 04700 Valencia, Spain;
| | | | | | - Patricia Rocamora-Pérez
- Department of Nursing Science, Physiotherapy and Medicine, Hum-498 Research Team, Health Research Centre, University of Almería, 04120 Almería, Spain;
- Correspondence: (A.L.-V.); (P.R.-P.); Tel.: +34-950-022-935
| | - Knut Tore Lappegård
- Institute of Clinical Medicine. Faculty of Health Sciences, University of Tromsø, 9019 Tromsø. Norway;
- Division of Medicine, Nordland Hospital, N-8092 Bodø, Norway
| | - Daniel Catalán-Matamoros
- Department of Communication Studies, Universidad Carlos III de Madrid, 28903 Madrid, Spain;
- Health Sciences CTS-451 Research Group, Health Research Centre, University of Almería, 04120 Almería, Spain
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Leal-Costa C, Tirado González S, Ramos-Morcillo AJ, Díaz Agea JL, Ruzafa-Martínez M, Van-der Hofstadt Román CJ. [Validation of the Communication Skills Scale in nursing professionals]. An Sist Sanit Navar 2019; 42:291-301. [PMID: 31859281 DOI: 10.23938/assn.0745] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND The Communication Skills Scale (CSS) is an instrument for evaluating communication skills in different health professionals; however, a differential analysis of their psychometric properties by professions and specific scales has not been performed. Therefore, the aim of the present study was to analyze the psychometric properties of the CSS and develop T-scores for the scale for nursing professionals. MATERIAL AND METHODS We developed an instrumental study to analyze the psychometric properties of the CSS, evaluating its items, reliability, evidence of validity and its internal structure. For this purpose, a battery of questionnaires was administered, which included the CSS, the General Self-efficacy Scale and the Specific Self-efficacy Scale for communication in difficult situations. RESULTS The questionnaires were applied to 692 nurses. Discrimination indices >0,30 were obtained in all items. The confirmatory factor analysis of the two models (with four oblique factors and adding a second-order factor) revealed that all items had adequate factor loadings and the fit indices of both models were good. The internal consistency was 0,88 for the total scale and between 0,70 and 0,77 for the dimensions. A positive relationship between communication skills and general and specific self-efficacy was obtained. CONCLUSION The CSS displayed appropriate psychometric properties (item analysis, internal structure, reliability and evidence of validity), relating the communication skills of nurses with their general and specific self-efficacy in communication in difficult situations.
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Affiliation(s)
- C Leal-Costa
- Departamento de Enfermería. Universidad de Murcia. Murcia.
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41
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Díaz Agea JL, Ramos-Morcillo AJ, Amo Setien FJ, Ruzafa-Martínez M, Hueso-Montoro C, Leal-Costa C. Perceptions about the Self-Learning Methodology in Simulated Environments in Nursing Students: A Mixed Study. Int J Environ Res Public Health 2019; 16:ijerph16234646. [PMID: 31766613 PMCID: PMC6926520 DOI: 10.3390/ijerph16234646] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/09/2019] [Revised: 11/20/2019] [Accepted: 11/21/2019] [Indexed: 11/16/2022]
Abstract
The self-learning methodology in simulated environments (MAES©) is an active method of education. The aim of this study was to analyze the perceptions and opinions of undergraduate and graduate nursing students about the self-learning methodology in simulated environments. A mixed, cross-sectional, descriptive study based on a survey tool made ad hoc (quantitative approach) and an open questionnaire (qualitative approach) was carried out. A sample of 149 undergraduate and 25 postgraduate nursing students were tested. The score was high for all the variables of the questionnaire analyzed: for perception of simulation performance, M = 73.5 (SD = 14.5), for motivation, M = 23.9 (SD = 5.9), for the opinion about facilitators, M = 25.9 (SD = 4.5), and for the promotion of team work, M = 16.9 (SD = 3.4). Five dimensions were identified and evaluated in the qualitative research. The students were pleased with MAES© and had a positive perception, since they considered that MAES© increased their learning.
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Affiliation(s)
| | | | | | - María Ruzafa-Martínez
- Faculty of Nursing, University of Murcia, 30100 Espinardo, Spain;
- Correspondence: (A.J.R.-M.); (M.R.-M.)
| | | | - César Leal-Costa
- Faculty of Nursing, University of Murcia, 30100 Espinardo, Spain;
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Amo-Setién F, Abajas-Bustillo R, Sarabia-Cobo C, Parás-Bravo P, Leal-Costa C, Redondo-Figuero C, Bandini L. Prevalence and factors associated with overweight and obesity among Spanish students attending special education schools. J Appl Res Intellect Disabil 2019; 33:364-372. [PMID: 31701604 DOI: 10.1111/jar.12679] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Revised: 09/23/2019] [Accepted: 10/12/2019] [Indexed: 01/23/2023]
Abstract
BACKGROUND Some studies suggest that children and adolescents with intellectual disability (ID) are at elevated risk of obesity. The objective was to determine the prevalence of and factors associated with overweight and obesity among students attending special education schools in Cantabria, Spain. METHODS Cross-sectional design. A sample of n = 220 students with intellectual disability attending seven special education schools was selected using convenience sampling. Body mass index was classified into four categories according to the International Obesity Task Force (IOTF) criteria: underweight; normal weight; overweight; obesity. RESULTS The prevalence of overweight/obesity was 40.9% (95% CI: 34.6-47.5). Obesity was more frequent among females (26.0%) than males (9.8%), with an OR = 3.23 (95% CI: 1.53-6.85). Participants with Down syndrome showed an increased risk of obesity compared to other conditions (p = .005). CONCLUSIONS The prevalence of overweight/obesity among children, adolescents and young adults with intellectual disability was remarkably high, with females in general and students of both sexes with Down syndrome at particularly high risk.
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Affiliation(s)
- Francisco Amo-Setién
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - Rebeca Abajas-Bustillo
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - Carmen Sarabia-Cobo
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - Paula Parás-Bravo
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - César Leal-Costa
- Department of Nursing, Catholic University of Murcia, Murcia, Spain
| | | | - Linda Bandini
- Department of Health Sciences, Boston University, Boston, Massachusetts
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Ramos-Morcillo AJ, Leal-Costa C, García-Moral AT, Del-Pino-Casado R, Ruzafa-Martínez M. Design and Validation of an Instrument to Evaluate the Learning Acquired by Nursing Students from a Brief Tobacco Intervention (BTI-St©). Int J Environ Res Public Health 2019; 16:ijerph16203944. [PMID: 31623268 PMCID: PMC6843560 DOI: 10.3390/ijerph16203944] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2019] [Revised: 10/12/2019] [Accepted: 10/14/2019] [Indexed: 06/10/2023]
Abstract
The aim of this study was to design and validate an instrument, based on the WHO 5As+5Rs model, to test the acquisition by nursing students of a brief tobacco intervention (BTI) learning. A validation design of an instrument following the criterion referenced tests model using videos of simulated BTIs in the primary care setting was carried out. The study included 11 experts in smoking prevention/care and 260 second-year nursing students. The study was in two stages: (1) selection and recording of clinical simulations (settings), and (2) test construction. Content was validated by applying the Delphi consensus technique and calculating the Content Validity Ratio (CVR) and Content Validity Index (CVI). A pilot test was conducted for item analysis. Reliability was evaluated as internal consistency (Kuder-Richardson [KR-20]) and test-retest temporal stability (intraclass correlation coefficient [ICC]). Three simulation settings were recorded. An instrument (BTI-St®) was developed with 23 items for dichotomous (yes/no) response. CVR was >70% for all items, KR-20 of 0.81-0.88, and ICC between 0.68 and0.73 (p < 0.0001). The BTI-St® is a robust and reliable instrument that is easily and rapidly applied. It follows the WHO 5As+5Rs model and offers objective criterion-referenced evaluation of BTI learning in nursing students.
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Affiliation(s)
| | - César Leal-Costa
- Department of Nursing, Faculty of Nursing, University of Murcia, 30100 Espinardo, Spain.
| | - Ana Teresa García-Moral
- Jaén Nordeste Sanitary District, Regional Ministry of Health of the Andalusian Regional Government, Úbeda, 23400 Jaén, Spain.
| | - Rafael Del-Pino-Casado
- Department of Nursing, School of Health Sciences, University of Jaén, 23071 Jaén, Spain.
| | - María Ruzafa-Martínez
- Department of Nursing, Faculty of Nursing, University of Murcia, 30100 Espinardo, Spain.
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Leal-Costa C, Ramos-Morcillo AJ, Martínez Zaragoza F, Bernabeu Juan P, Rodríguez-Marín J, Ruzafa-Martínez M, van-der Hofstadt Román CJ. Personality and psychopathology in potential live kidney donors: A cluster analysis of personality features. PLoS One 2019; 14:e0221222. [PMID: 31412089 PMCID: PMC6693753 DOI: 10.1371/journal.pone.0221222] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2019] [Accepted: 08/01/2019] [Indexed: 12/02/2022] Open
Abstract
Background The previous psychosocial evaluation of the potential living kidney donors (PLKD) requires a detailed understanding of the psychosocial benefits and the possible damages of the act of donation. Objective The aim was to create clusters by using the clinical patterns of personality and to evaluate their influence on psychopathological variables. Methods Observational, analytical and cross-sectional study that included the PLKD from February 2009 to March 2017. The patients were referred to the Hospital Psychology Unit by the Transplant Coordination Unit. The total sample was composed of 100 participants. The socio-demographic characteristics, the relationship with the recipient and the Millon Clinical Multiaxial Inventory were included. Results The final sample was composed by 100 PLKD. The mean age of the participants was 45.70, and most were women (70%). The analysis showed a final result of 3 personality clusters that best represented the data, in agreement with the DSM-5 classification. The PLKD from cluster 3 obtained greater scores in all the clinical syndromes. Conclusions The personality evaluation of the PLKD could help with the planning of monitoring protocols of the participants who were classified to cluster 3, in order to improve their post-transplant psychosocial adjustment. This result makes us consider the usefulness of the psychosocial evaluation to preserve the psychological health of the PLKD.
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Affiliation(s)
- César Leal-Costa
- Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL—Fundación FISABIO), Alicante, Spain
| | | | | | | | - Jesús Rodríguez-Marín
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL—Fundación FISABIO), Alicante, Spain
- Health Psychology Department, Miguel Hernandez University (UMH), Elche, Spain
- Hospital Psychology Unit, University Hospital of Alicante, Alicante, Spain
| | | | - Carlos Javier van-der Hofstadt Román
- Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL—Fundación FISABIO), Alicante, Spain
- Health Psychology Department, Miguel Hernandez University (UMH), Elche, Spain
- Hospital Psychology Unit, University Hospital of Alicante, Alicante, Spain
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Abajas-Bustillo R, Amo-Setién FJ, Leal-Costa C, Ortego-Mate MDC, Seguí-Gómez M, Durá-Ros MJ, Zonfrillo MR. Comparison of injury severity scores (ISS) obtained by manual coding versus "Two-step conversion" from ICD-9-CM. PLoS One 2019; 14:e0216206. [PMID: 31042768 PMCID: PMC6493742 DOI: 10.1371/journal.pone.0216206] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 04/16/2019] [Indexed: 12/03/2022] Open
Abstract
Background The International Classification of Diseases (ICD) is the standard diagnostic tool for classifying and coding diseases and injuries. The Abbreviated Injury Scale (AIS) is the most widely used injury severity scoring system. Although manual coding is considered the gold standard, it is sometimes unavailable or impractical. There have been many prior attempts to develop programs for the automated conversion of ICD rubrics into AIS codes. Objective To convert ICD, Ninth Revision, Clinical Modification (ICD-9-CM) codes into AIS 2005 (update 2008) codes via a derived map using a two-step process and, subsequently, to compare Injury Severity Score (ISS) resulting from said conversion with manually coded ISS values. Methods A cross-sectional retrospective study was designed in which medical records at the Hospital Universitario Marqués de Valdecilla of Cantabria (HUMV) and the Complejo Hospitalario of Navarra (CHN), both in Spain, were reviewed. Coding of injuries using AIS 2005 (update 2008) version was done manually by a certified AIS specialist and ISS values were calculated. ICD-9-CM codes were automatically converted into ISS values by another certified AIS specialist in a two-step process. ISS scores obtained from manual coding were compared to those obtained through this conversion process. Results The comparison of obtained through conversion versus manual ISS resulted in 396 concordant pairs (70.2%); the analysis of values according to ISS categories (ISS<9, ISS 9–15, ISS 16–24, ISS>24) showed 493 concordant pairs (87.4%). Regarding the criterion of “major trauma” patient (i.e., ISS> 15), 538 matching pairs (95.2%) were obtained. The conversion process resulted in underestimation of ISS in 112 cases (19.9%) and conversion was not possible in 136 cases (19%) for different reasons. Conclusions The process used in this study has proven to be a useful tool for selecting patients who meet the ISS>15 criterion for “major trauma”. Further research is needed to improve the conversion process.
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Affiliation(s)
- Rebeca Abajas-Bustillo
- Nursing Department, Faculty of Nursing, University of Cantabria, Cantabria, Spain, IDIVAL Nursing Research Group
| | - Francisco José Amo-Setién
- Nursing Department, Faculty of Nursing, University of Cantabria, Cantabria, Spain, IDIVAL Nursing Research Group
| | - César Leal-Costa
- Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain
- * E-mail:
| | - María del Carmen Ortego-Mate
- Nursing Department, Faculty of Nursing, University of Cantabria, Cantabria, Spain, IDIVAL Nursing Research Group
| | - María Seguí-Gómez
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - María Jesús Durá-Ros
- Nursing Department, Faculty of Nursing, University of Cantabria, Cantabria, Spain, IDIVAL Nursing Research Group
| | - Mark R. Zonfrillo
- Hasbro Children’s Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, United States of America
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Leal-Costa C, Díaz-Agea JL, Tirado-González S, Rodríguez-Marín J, van-der Hofstadt CJ. [Communication skills: a preventive factor in Burnout syndrome in health professionals]. An Sist Sanit Navar 2017; 38:213-23. [PMID: 26486527 DOI: 10.23938/assn.0070] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Health professionals are a group that suffers high levels of job stress and burnout. The aim of this study is to demonstrate empirically that the healthcare count on communication skills helps prevent Burnout Syndrome. METHOD An observational, analytical, cross-sectional study was proposed, involving a sample of 927 health professionals (197 doctors, 450 nurses and 280 auxiliary nurses). Participants completed questionnaires measuring communication skills in health care (EHC-PS) and the Maslach Burnout Inventory Human Services Survey (MBI-HSS). RESULTS A negative and statistically significant correlation between the different dimensions of communication skills and emotional exhaustion and depersonalization dimensions of burnout was obtained. On the other hand, a positive and statistically significant correlation between the dimensions of communication skills and the personal accomplishment dimension of burnout was observed. CONCLUSIONS It was shown that the communication skills of health professionals provide protection from and cushion Burnout Syndrome.
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Affiliation(s)
- C Leal-Costa
- Universidad Católica de Murcia, Murcia, 30107, Spain.
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Díaz-Agea JL, Jiménez-Rodríguez D, García-Méndez JA, Hernández-Sánchez E, Sáez-Jiménez A, Leal-Costa C. Patient-Oriented Debriefing: Impact of Real Patients’ Participation during Debriefing. Clin Simul Nurs 2017. [DOI: 10.1016/j.ecns.2017.04.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Leal-Costa C, Díaz-Agea J, Tirado-González S, Rodríguez-Marín J, van-der Hofstadt C. Las habilidades de comunicación como factor preventivo del síndrome de Burnout en los profesionales de la salud. An Sist Sanit Navar 2015. [DOI: 10.4321/s1137-66272015000200005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Leal-Costa C, Tirado-González S, Rodríguez-Marín J, Vander-Hofstadt-Román CJ. Psychometric properties of the Health Professionals Communication Skills Scale (HP-CSS). Int J Clin Health Psychol 2015; 16:76-86. [PMID: 30487852 PMCID: PMC6225029 DOI: 10.1016/j.ijchp.2015.04.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2014] [Accepted: 04/01/2015] [Indexed: 12/30/2022] Open
Abstract
One of the main features of the relationship between health professionals and their patients is that their effects can be measured. To do this, we need instruments that are well built and that have proven their validity and reliability empirically and experimentally. The objective of this study is to analyse the psychometric properties of the Health Professionals Communication Skills Scale (HP-CSS), which evaluates the communication skills that health professionals use to relate to their patients. The sample consisted of 410 health professionals in the region of Murcia, Spain, and 517 in the province of Alicante, Spain. We obtained descriptive statistics and discrimination indices of the items, the internal structure of the scale using both exploratory and confirmatory factor analysis, the internal consistency, the temporal stability, and the external evidence of validity. The results indicate that the HP-CSS is a valid and reliable instrument and is also useful for the purpose and context in which it will be used.
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