Pardavila-Belio, M.I. (Miren Idoia)

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    Necesidades de los familiares de un paciente terminal institucionalizado en un centro geriátrico. Caso clínico
    (Sociedad Española de Enfermería Geriátrica y Gerontológica, 2015) Pueyo-Garrigues, M. (María); Pardavila-Belio, M.I. (Miren Idoia); Pueyo-Garrigues, S. (Sara)
    Los cuidados al final de la vida se ofrecen en una variedad de contextos en todo el mundo, incluyendo los centros residenciales. El objetivo de este trabajo es profundizar en las necesidades de la familia de un paciente terminal institucionalizado en un centro residencial. Para ello, se presenta un caso clínico que, junto con la evidencia científica, nos ayuda a determinar cuáles son las necesidades de la familia en este momento. El análisis del caso se estructura en cuatro subtemas: necesidad de contacto y comunicación entre la familia y los profesionales sanitarios, necesidad de presencia médica, necesidad de presencia enfermera y necesidades emocionales y sociales. Este trabajo evidencia la importancia de desarrollar, por parte del profesional de enfermería, un plan de identificación y atención de las necesidades familiares. Este enfoque familiar permitirá proporcionar una asistencia de mayor calidad, que derivará en una mejora de la salud de los miembros de la familia.
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    Seminario de búsqueda bibliográfica
    (2017) Pardavila-Belio, M.I. (Miren Idoia)
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    Asistencia Ventricular definitiva como alternativa al trasplante cardíaco en un paciente ingresado en una unidad de cuidados intensivos: un caso clínico
    (2012) Raquel; Jimeno-San-Martin, L. (Leticia); del-Barrio-Linares, M.B. (Miriam Begoña); Elorza, J. (Jennifer); Pardavila-Belio, M.I. (Miren Idoia); Lopez-Alfaro, M.P. (Maria Pilar)
    Rincon-Burgui, R., Jimeno-San Martin, L., Elorza, J., et al. "Asistencia Ventricular definitiva como alternativa al trasplante cardíaco en un paciente ingresado en una unidad de cuidados intensivos: un caso clínico" en XXXVIII Congreso Nacional de la Sociedad Española de Enfermería Intensiva y Unidades Coronarias, celebrado en Santander (España) del 10 de junio de 2012 al 13 de junio de 2012
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    Knowledge, attitudes, behavioral and organizational factors of health professions students for a competent smoking cessation practice: An instrument adaptation and psychometric validation study in Spanish and English samples
    (Elsevier, 2023) Feliu, A. (Adriana); Andrés, A. (Ana); Pueyo-Garrigues, M. (María); Lluch-Canut, M.T. (María Teresa); Barrozo, T. (Teresa); Pardavila-Belio, M.I. (Miren Idoia); Moreno, C. (Carmen); Agüera, Z. (Zaida); Tricas-Sauras, S. (Sandra); Puig, M. (Montserrat); Roca, J. (Judith); Antón, L. (Laura); Martínez, C. (Cristina); Duaso, M.J. (M. J.); Cornejo, M. (Marco)
    Background: To improve smoking cessation, training of health professions students is essential. However, no specific instrument is available to assess factors that may affect students' learning about smoking cessation practice. Aim: To adapt and validate the Knowledge, Attitudes, Behaviors and Organization questionnaire in the population of undergraduate health professions students. Design: Methodological research. Methods: The researchers conducted this study with 511 Spanish and 186 English health professions students from four different universities. We used a four-step approach: 1) adaptation of the items to the target population and validation of the content by a panel of experts; 2) a pilot study to test face validity; 3) linguistic adaptation of the Spanish version to English; and 4) the psychometric assessment based on construct validity, criterion validity and internal consistency. Results: Exploratory factor analysis revealed four subscales for the Spanish version, namely 'Individual knowledge and skills', 'Individual attitudes and beliefs', 'Organizational support' and 'Organizational resources', which accounted for 85.1% of the variance. Confirmatory factor analysis in the holdout Spanish and English samples revealed adequate goodness-of-fit values, supporting the factor structure. Hypotheses testing demonstrated significant differences by capacitation in smoking cessation interventions and degree courses, providing further evidence regarding construct validity. All the subscales correlated positively with the criterion variables (5 A's smoking cessation model), except for the 'Organizational resources' subscale, which was not significantly correlated with the 5 A's. The overall Cronbach's alpha was.83 for the Spanish version and.88 for the English one. Conclusions: Our results provide empirical support for the use of the Knowledge, Attitudes, Behaviors and Organization questionnaire for Students as a reliable and valid instrument to assess knowledge, attitudes, behaviors and organization perceptions in health professions students, which is essential for competent smoking cessation practice. Interestingly, 'Organizational resources' subscale presented the lowest correlations among factors and did not correlate with any component of the 5 A's, suggesting the need of enhancing students' responsibility and involvement during their internships, as well as the interest of some organizations.
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    Joint association of the Mediterranean diet and smoking with all-cause mortality in the Seguimiento Universidad de Navarra (SUN) cohort
    (2022) Martinez-Gonzalez, M.A. (Miguel Ángel); Toledo, E. (Estefanía); Pardavila-Belio, M.I. (Miren Idoia); Ruiz-Canela, M. (Miguel); Barbería-Latasa, M. (María); De-la-O-Pascual, V. (Víctor); Hershey-de-la-Cruz, M.S. (María Soledad); Martin-Moreno, J.M. (J.M.)
    Objectives: Although low-quality diets and smoking are independently associated with higher mortality risk, a joint analysis of both risk factors in relation to mortality has not been sufficiently studied. The aim of this study was to explore the effect modification between level of adherence to a Mediterranean dietary pattern (MedDiet) and smoking status on all-cause, cancer, and cardiovascular mortality.Methods: We conducted a prospective analysis to assess the association between diet and smoking status in the SUN (Seguimiento Universidad de Navarra) cohort study. Deaths were confirmed by review of the National Death Index. Participants were classified into six categories according to the MedDiet (adherence/non-adherence) and their exposure to smoking (never/former/current smoker). Multivariate-adjusted Cox regression models were fitted to estimate hazard ratios (HR) and 95% confidence intervals (CIs) for mortality. During a mean follow-up of 11.5 y (SD 4.5), we observed 18 948 participants (mean age 38.4 y; SD 12.4) and 431 deaths (51.3% cancer deaths). Results: A higher risk for death was found among smokers with a low adherence to the MedDiet (HR, 2.20; 95% CI, 1.45-3.34) compared with never smokers with high adherence to the MedDiet. The P value for supra-multiplicative effect modification was not statistically significant, meaning that the effect of both factors is multiplicative. A higher risk for premature death from cancer was found in smokers and in those nonadherent with the MedDiet.Conclusion: Smoking and poor adherence to the MedDiet exerted a multiplicative effect in increasing allcause mortality and cancer-related mortality in a Spanish population of university graduates.(c) 2022 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
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    Personal and contextual factors to the successful implementation of a family nursing approach in oncology care
    (Sage, 2022) Esandi, N. (Nuria); Pueyo-Garrigues, M. (María); Canga-Armayor, A.D. (Ana Dolores); Pardavila-Belio, M.I. (Miren Idoia); Alfaro-Díaz, C. (Cristina); Canga-Armayor, N. (Navidad)
    The aim of this study was to explore nurses’ attitudes and beliefs about the importance of families in nursing care, as well as the barriers and facilitators within the clinical context that influence the implementation offamily nursing in an in-patient oncology service. A cross-sectional study design, incorporating quantitative and qualitative measurements, was used with a sample of nurses in Spain from an oncology service (N = 39). In general, oncology nurses reported positive attitudes and beliefs about the importance of family in nursing care. However, they did not effectively involve the family in their daily clinical practice. This was due to the nurses’ lack of clinical skills and competence to work with families as well as contextual factors such as the lack of time and workload that acted as barriers to the implementation of family-oriented care. This study identified areas of improvement that are needed to promote the effective and sustainable implementation of family nursing knowledge in clinical practice settings.
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    Peer-led interventions to reduce alcohol consumption in college students: A scoping review
    (2022) Pueyo-Garrigues, M. (María); Canga-Armayor, A.D. (Ana Dolores); Pardavila-Belio, M.I. (Miren Idoia); Alfaro-Díaz, C. (Cristina); Canga-Armayor, N. (Navidad); Pueyo-Garrigues, S. (Sara); Lavilla-Gracia, M. (María)
    Risky alcohol consumption among college students is a significant public health issue. In the college setting, students can collaborate in the implementation of peer-led interventions. To date, evidence of peer-led programmes in reducing harmful alcohol consumption in this population is inconclusive. The aim of the current scoping review is to provide a broad overview by systematically examining and mapping the literature on peer-led interventions for preventing risky alcohol consumption by college students. The specific aims were to (1) identify the underlying focus of the interventions and assess their (2) effectiveness and (3) feasibility. A comprehensive search was conducted in PubMed, PsycINFO, CINAHL, Cochrane Library, Web of Science, DART-Europe, RCAAP, Trove and ProQuest. The inclusion criteria were peer-led interventions that exclusively addressed alcohol consumption, college students as the target population and interventional studies (randomised controlled trials, quasi-experimental studies, systematic reviews and meta-analyses of interventions). The methodological quality of the articles was evaluated. From 6654 potential studies, 13 were included. Nine interventions were described within these studies: Voice of Reason programme, Brief Advice sessions, Peer Theatre, Alcohol Education programme, Perceptions of Alcohol Norms intervention, Motivational Intervention, Alcohol Skills Training programme, Lifestyle Management Class and the Brief Alcohol Screening and Intervention for College Students. Only the last showed significant reductions in three of the four outcome measures: quantity and frequency of drinking, estimated peak blood alcohol concentration and alcohol-related consequences. It did not significantly decrease the number of heavy-drinking episodes. Peer interventions may be effective in preventing alcohol use among college students, although the evidence is weak and scarce. Further research is needed to strengthen the findings about peer-led interventions.
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    ¿Son efectivos los programas de cesación tabáquica en estudiantes universitarios? Revisión sistemática
    (2016) Pueyo-Garrigues, M. (María); Canga-Armayor, A.D. (Ana Dolores); Pardavila-Belio, M.I. (Miren Idoia); Canga-Armayor, N. (Navidad); Garcia-Vivar, C. (Cristina); Rodriguez-Cruz, L. (Lisseth)
    Pardavila-Belio, M. I., Canga, A., Garcia-Vivar, C., et al. “¿Son efectivos los programas de cesación tabáquica en estudiantes universitarios? Revisión sistemática” en JBI European Region Best Practices Symposium 2016, celebrado en Madrid (España) del 27 al 28 de abril de 2016
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    Efectividad de un programa de cesación tabáquica para estudiantes universitarios. Estudio de intervención
    (2017-07-05) Pardavila-Belio, M.I. (Miren Idoia); Canga-Armayor, N. (Navidad); Garcia-Vivar, C. (Cristina)
    Objetivo: Evaluar la efectividad de un programa de cesación tabáquica destinado y adaptado a las características de los jóvenes y llevado a cabo por profesionales de enfermería. Diseño: Ensayo aleatorizado de intervención que compara una intervención multicomponente, diseñado específicamente para estudiantes universitarios, con el consejo breve, a los 6 meses de seguimiento. El tipo de aleatorización empleado fue simple. Ámbito de estudio: Este estudio se llevó a cabo en la Universidad de Navarra, España. Participantes: Un total de 255 fumadores de estudiantes universitarios (18-24 años) fueron asignados al azar a un grupo de intervención (n = 133) o al grupo control (n = 122). Intervención: Intervención multicomponente basada en la Teoría de la Influencia Triádica de Flay. La intervención consistió en una entrevista motivacional, de 50 minutos de duración, realizada por una enfermera, y material de autoayuda online. En el seguimiento se incluyó un e-mail de apoyo, una sesión de terapia grupal y una sesión individual. Medidas de resultado: La principal medida de resultado fue la incidencia de abandonos en el grupo control y en el grupo intervención, a los seis meses de la primera sesión, con validación bioquímica. Los resultados secundarios del estudio consistieron en el número medio de cigarrillos/día fumados, en el número de personas que intentaron dejar de fumar durante el programa y en el cambio de actitud hacia la conducta tabáquica (Modelo de Estadios de Cambio de Prochaska y DiClemente), a los 6 meses. Resultados: A los 6 meses de seguimiento, la incidencia de abandono tabáquico con validación bioquímica fue de 21.1% en el grupo de intervención y de un 6,6% en el grupo control (Diferencia = 14,5%; Intervalo de Confianza del 95% 6,1-22,8; Riesgo Relativo = 3,21; Intervalo de Confianza del 95% = 1,52 a 6,78). A los 6 meses, la diferencia en el número medio de cigarrillos fue estadísticamente significativa a favor del grupo intervención (diferencia = -2,2; Intervalo de Confianza = -3,6 a -0,9). Conclusiones: Un programa de cesación tabáquica multicomponente, especialmente diseñado para universitarios, y llevado a cabo por una enfermera, es más efectivo que el consejo breve.
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    Práctica basada en la evidencia
    (2017) Pardavila-Belio, M.I. (Miren Idoia)