Canga-Armayor, N. (Navidad)

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    Efectividad de las intervenciones familiares en centros geriátricos. Una revisión sistemática
    (2015) Canga-Armayor, A.D. (Ana Dolores); Canga-Armayor, N. (Navidad); Villanueva-Lumbreras, A. (Amaya); Garcia-Vivar, C. (Cristina)
    La institucionalización en un centro geriátrico supone en muchas ocasiones un acontecimiento estresante, tanto para la persona mayor dependiente como para su familia. Durante el ingreso, especialmente en los primeros meses, la familia puede tener sentimientos de pérdida, tristeza, fracaso o culpabilidad. En este contexto, resulta fundamental el apoyo y orientación de los profesionales del centro, a través de intervenciones efectivas que aborden las necesidades tanto del residente como de su familia. El objetivo de esta revisión sistemática es identificar cuáles son las intervenciones familiares más efectivas para ayudar a las familias durante el proceso de institucionalización en un centro gerontológico. Se han identificado dos tipos de intervenciones: aquellas que se centran en la relación familia-personal sanitario y, las que se enfocan a grupos de apoyo a familiares, siendo estas últimas las más efectivas. Por otro lado, la mayoría de intervenciones tienen un enfoque individual, centrándose en el cuidador principal, sin abordar la unidad familiar. Por último, hay una escasez de artículos de calidad que presenten resultados sobre intervenciones familiares en el ámbito geriátrico, identificándose una ausencia de estos estudios en el contexto español.
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    Effectiveness of web-based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta-analysis
    (2024) Esandi, N. (Nuria); Carver, H. (Hannah); Pueyo-Garrigues, M. (María); Alfaro-Díaz, C. (Cristina); Parr, A. (Amy); Canga-Armayor, N. (Navidad); Lavilla-Gracia, M. (María)
    Meta-analysis was conducted to examine standalone web-based personalised feedback interventions (PFI) delivered in non-structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender-focus, type-of-content and accessibility were conducted. Characteristics of the sample, the intervention and study quality were examined as moderators.ApproachTen databases were searched from 2000 to 2023. Eligible articles involved only randomised controlled trials. Random-effects meta-analysis was conducted to calculate the effect size on weekly alcohol consumption comparing web-PFIs and non-active controls. Meta-regressions were applied to explore effect moderators.Key FindingsThirty-one studies were included in the narrative synthesis, 25 of which were meta-analysed. Results found significant effect size differences on weekly alcohol consumption in favour of the intervention group in the short- (SMD = 0.11, 95% confidence interval [CI] 0.06, 0.15) and long-term period (SMD = 0.09, 95% CI 0.02, 0.15). Subgroup analyses identified that interventions which were gender-specific, multicomponent and had unlimited access had higher and significant effect sizes, although they were very similar with respect to comparative groups. Moderator analyses showed that times feedback was accessed significantly contributed to the effectiveness of the intervention. Effects diminished over time, although they remained significant.ImplicationsThe meta-analysis evidences the effectiveness of web-PFI for addressing university students' alcohol use, decreasing by 1.65 and 1.54 drinks consumed per week in the short- and long-term, respectively.ConclusionsThe results offer empirical evidence that supports the significant, although small, effect of web-PFI delivered remotely in universities. Future research should focus on increasing their impact by introducing booster sessions and content components based on students' preferences.
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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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    Training nursing students in motivational interviewing for alcohol misuse: a mixed method study
    (2023) Fotopoulou, M. (M.); Esandi, N. (Nuria); Pueyo-Garrigues, M. (María); Canga-Armayor, A.D. (Ana Dolores); Alfaro-Díaz, C. (Cristina); Canga-Armayor, N. (Navidad); Lavilla-Gracia, M. (María)
    Background: Motivational interviewing led by nurses has been demonstrated to be effective in reducing alcohol consumption among university students. However, most of these professionals feel that they lack the competence necessary for motivational interviewing due to a lack of formal training in the nursing curriculum. Objectives: To design, implement and evaluate a motivational interviewing training course for alcohol misuse in an undergraduate nursing curriculum and to explore students' experiences with this course. Design: A mixed-methods study involving a descriptive comparative quantitative design and qualitative focus group interviews with nursing students. Settings: An elective nursing course in a Spanish university. Participants: A total of 21 fourth-year nursing students. Methods: The course was developed as a twelve-week, two-hour course. It comprised three modules covering the concepts, tools and skills associated with motivational interviewing for alcohol misuse. Quantitative and qualitative data were collected after the completion of the course to evaluate the training received by students; these data were categorized using Kirkpatrick's model. The quantitative results included students' satisfaction, knowledge, skills and attitudes, which were measured using an ad hoc questionnaire, a multiple-choice exam, and two rater-based assessments (the Peer Proficiency Assessment instrument and an evidence-based checklist). Qualitative focus groups were used to explore students' experiences of the entire programme. Results: Students' satisfaction with the course was rated 9 out of 10, highlighting the usefulness and adequacy of the course content. The quantitative and qualitative results both indicated that all students acquired the knowledge necessary to perform motivational interviewing and significantly improved their motivational interviewing microskills. Only half of the students reached the level of proficiency in two of the three ratios calculated. The three main themes identified pertained to the learning atmosphere, module methodologies, and students' self-perceptions of competence. Finally, the students reported having transferred their learning to clinical practice. Conclusion: A course on motivational interviewing for alcohol misuse positively influences nursing students both personally and in terms of their future professional work by improving their knowledge, skills, attitudes and self-perceived competence.
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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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    Validación del Cuestionario de Orientación a la Vida (OLQ-13) de Antonovsky en una muestra de estudiantes universitarios en Navarra
    (2016) Guillen-Grima, F. (Francisco); Aguinaga-Ontoso, I. (Inés); Lizarbe-Chocarro, M. (Marta); Canga-Armayor, N. (Navidad)
    Fundamento. El sentido de coherencia interna (SOC), concepto central del modelo salutogénico descrito por Aaron Antonovsky, se ha empleado como predictor de medidas de salud percibida y objetiva, se relaciona fuerte y positivamente con comportamientos saludables, y se desarrolla principalmente en la juventud y en la época de estudiante. Los universitarios son un grupo de jóvenes diana para aplicar medidas promotoras de salud en función de su nivel SOC, siendo necesario comprobar la calidad de la medición de la escala. El objetivo es validar y estudiar las propiedades psicométricas de la escala SOC en los estudiantes de la Universidad de Navarra, y conocer su evolución temporal. Sujetos y método. Se analizaron los estudiantes de nuevo acceso de la Universidad de Navarra. Estudio de cohortes con seguimiento a los tres años. Los instrumentos utilizados fueron el cuestionario de orientación a la vida (OLQ-13), la Escala del Estrés Percibido (EEP) y el Índice de malestar. Se estudiaron la calidad de los datos y viabilidad, asunciones escalares, estabilidad temporal, fiabilidad, validez de criterio concomitante y clínica, y estructura factorial y análisis confirmatorio de los datos obtenidos. Se utilizaron los paquetes estadísticos SPSS v. 19 y Amos v.7. Resultados. La muestra ha sido de 508 estudiantes, 33,5% varones y el 65,9% mujeres. Fiabilidad alta (Alfa de Cronbach de 0,814). Adecuada validez convergente con la EEP. Inadecuada validez clínica. Análisis de componentes principales con tres factores que explican el 50,73% de la varianza. Conclusiones. Instrumento válido que permite proponerlo como herramienta para aplicar medidas promotoras de salud en jóvenes.
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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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    Is motivational interview effective to smoking cessation in young adults? A systematicreview and meta-analysis
    (2016) Pueyo-Garrigues, M. (María); Pardavila-Belio, M.I. (Miren Idoia); Canga-Armayor, N. (Navidad); Rodriguez-Cruz, L. (Lisseth)
    Pardavila-Belio, M. I.; Pueyo, M.; Canga, M. N.; Rodriguez-Cruz, L., "Is motivational interview effective to smoking cessation in young adults? A systematicreview and meta-analysis", en JBI European Region Best Practices Symposium 2016, celebrado en Madrid del 27 al 28 de abril de 2016
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    Rol avanzado en enfermería: master en ciencias de la enfermería
    (Facultad de Enfermería, Universidad de Navarra, 2010) Canga-Armayor, N. (Navidad); Garcia-Vivar, C. (Cristina)
    El contexto profesional, socio sanitario y académico donde se desarrolla la profesión de enfermería, ha experimentado un profundo proceso de transformación a nivel mundial y en nuestro país. La sociedad del siglo XXI está sumida en numerosos e importantes cambios relacionados con los avances científicos y tecnológicos, el desarrollo económico, la educación de la población, el fenómeno de la globalización, aspectos demográficos, la inmigración, cambios en los patrones epidemiológicos, etc. Estos cambios están influyendo en el sistema de salud y en el ámbito donde se desarrollan los cuidados de salud. Ante estos cambios, la enfermería necesita, necesitamos, preparar a buenos líderes, buenos docentes y buenos profesionales clínicos, con capacidad crítica y de razonamiento y la habilidad de tomar decisiones en base a la mejor evidencia disponible. Es decir, la enfermería necesita desarrollar ahora más que nunca nuevas formas de trabajar que incluyan roles y perfiles innovadores, una mayor apertura de enfoques de cuidado así como la oportunidad de demostrar mayor liderazgo en el desarrollo de los servicios de salud. La enfermería de rol avanzado puede dar respuesta a estas cuestiones. Numerosos estudios internacionales han evidenciado el impacto positivo de la enfermera de rol avanzado en el ámbito hospitalario, la llamada “clinical nurse specialist” (enfermera especialista), en relación con una mayor satisfacción de los pacientes, la reducción de costes para los servicios sanitarios, así como una disminución de complicaciones al alta1. Otras investigaciones desarrolladas2-3 han evidenciado también el claro beneficio de la enfermera de rol avanzado en la atención primaria de salud, conocida en el ámbito americano y anglosajón como “nurse practitioner” (enfermera practicante). No cabe duda de que la incorporación de nuevos perfiles profesionales, como es la enfermería de práctica avanzada, tiene beneficios tanto para la atención del paciente y familia, el equipo de enfermería así como para el sistema sanitario. Pero: ¿A qué nos referimos con una enfermera de rol o práctica avanzada? Como siempre existen muchas definiciones del concepto. Por ejemplo, Bryant-Lukosious y colaboradores4 definen el concepto de práctica avanzada como “la frontera futura para la práctica de enfermería y 116 Rol avanzado y Master el desarrollo profesional. Es una forma de ver el mundo que permite cuestionar la práctica actual, la creación de nuevo conocimiento de enfermería y la mejora de los cuidados y servicios de salud” (p. 520). Por su parte, el Consejo Internacional de Enfermería (CIE) define a una enfermera de práctica avanzada como “una enfermera profesional que ha adquirido la base de conocimiento de experto, cuyas características se ajustan al contexto y/o al país en donde está autorizada para trabajar. Un título de master es el recomendado como nivel de entrada”5. A pesar de la diversidad de definiciones, todas recogen una característica común para desarrollar una práctica avanzada de enfermería: la adquisición de estudios de posgrado, bien de master o de doctorado para desarrollar las competencias de una enfermera de rol avanzado.
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    Cross-cultural adaptation and psychometric testing of the spanish version of Iceland health care practitioner illness beliefs questionnaire
    (2020) Esandi, N. (Nuria); Pueyo-Garrigues, M. (María); Gutiérrez-Alemán, M.T. (María Teresa); Canga-Armayor, A.D. (Ana Dolores); Pardavila-Belio, M.I. (Miren Idoia); Alfaro-Díaz, C. (Cristina); Canga-Armayor, N. (Navidad)
    The beliefs of nursing professionals who care for families experiencing illness are fundamental to the quality of the nurse-family relationship and the level of the nurse's involvement in the therapeutic process of Family Systems Nursing. It is essential to have valid and reliable instruments for assessing nurses' illness beliefs, especially in the Spanish context where no instruments have been identified to date. The Iceland Health Care Practitioner Illness Beliefs Questionnaire (ICE-HCP-IBQ) is a reliable and valid measure of professionals' beliefs about their understanding of the meaning of the illness experience of families. The purpose of this study was to adapt and psychometrically test the Spanish version of the ICE-HCP-IBQ (N= 249 nurses). The exploratory factor analysis showed one-factor solution with good internal consistency (Cronbach's alpha = .91) and test-retest reliability (r= .72,p< .01). This questionnaire is a promising tool for mapping nurse's illness beliefs and monitoring the effectiveness of family nursing educational interventions in the Spanish context.