Facultad de Enfermería
Permanent URI for this communityhttps://hdl.handle.net/10171/16754
See
216 results
Filtering
Settings
Results
- Peer-led BASICS intervention to reduce alcohol consumption and alcohol-related consequences among university students: a randomized controlled trial(Frontiers Media, 2023) Lavilla-Gracia, M. (María); Pueyo-Garrigues, M. (María); Calavia, D. (Diego); Esandi, N. (Nuria); Alfaro-Díaz, C. (Cristina); Canga-Armayor, N. (Navidad)Introduction: Alcohol consumption is the main substance abused during university and is associated with physical, legal, emotional, social, and cognitive consequences. The peer-led BASICS intervention has been shown to be efective in decreasing the quantity and frequency of drinking, the estimated peak blood alcohol concentration (BAC), and the number of binge drinking episodes among this population. Objective: This study evaluated the eectiveness of the peer-led BASICS intervention to reduce risky alcohol consumption among university students in the Spanish context. Materials and methods: A two-arm randomized controlled trial in a university in northern Spain including 308 first- and second-year university students recruited between October 2022 to March 2023. The intervention was a 30-min in- person peer-ledmotivational interview. Participants were assessed at baseline and 1-month postintervention. The primary outcome was the quantity and frequency of alcohol consumption during a typical week. The intervention eect was verified using a mixed factorial ANOVA model. Results: Compared with students in the control group, students who received the intervention reduced the number of drinks per week by 5.7 (95% CI 5.54, 5.86); the number of drinks consumed in a typical weekend by 5.2 (95% CI 5.07, 5.33); the number of drinks consumed on the occasion of greatest consumption by 4.9 (95% CI 4.78, 5.02); the number of binge drinking episodes by 1.4 (95% CI 1.37, 1.43); the peak BAC on a typical week and on the occasion of greatest consumption decreased by 0.06 (95% CI 0.058, 0.062) and 0.09 (95% CI 0.088, 0.092); the number of alcohol-related consequences by 5.8 (95% CI 5.67, 5.93); and the motivation to change their alcohol use increased by −0.8 (95% CI −0.85, −0.75). Conclusion: The peer-led BASICS intervention is eective in changing alcohol consumption and its related consequences among Spanish university students in the short term. The action of nursing students as counselors positively impacted drinking patterns among their peers.
- Development of burnout and moral distress in intensive care nurses: an integrative literature review(Elsevier, 2024) Salas-Bergüés, V. (V.); Olano-Lizarraga, M. (Maddi); Martín-Martín, J. (Jesús); Pereira-Sánchez, M. (Miriam)Aims: To describe, through an integrative literature review, the factors contributing to the development of burnout and moral distress in nursing professionals working in intensive care units and to identify the assessment tools used most frequently to assess burnout and moral distress. Methods: An integrative literature review was carried out. PubMed, CINAHL, PsycINFO, SciELO, Dialnet, Web of Science, Scopus, and Cochrane databases were reviewed from January 2012 to February 2023. Additionally, snowball sampling was used. The results were analysed by using integrative synthesis, as proposed by Whittemore et al., the Critical Appraisal Skills Programme for literature reviews, the Strengthening the Reporting of Observational Studies in Epidemiology guidelines for quantitative observational studies, and the Joanna Briggs Institute checklist for qualitative research were used to evaluate evidence quality. Results: Forty-one articles were selected for review: 36 were cross-sectional descriptive articles, and five were literature reviews. The articles were grouped into five-factor categories: 1) personal factors, 2) organisational factors, 3) labour relations factors, 4) end-of-life care factors, and 5) factors related to coronavirus disease 2019 (COVID-19). The Maslach Burnout Inventory-Human Services Survey and the Moral Distress Survey-Revised instruments were the most commonly used to measure burnout and moral distress. Conclusions: This review highlights the multiple personal, organisational, relational, situational, and end-of-life factors promoting burnout and moral distress among critical care nurses. Interventions in these areas are necessary to achieve nurses' job satisfaction and retention while improving nurses' quality of care.
- Intervención basics, liderada por pares, para reducir el consumo de alcohol en estudiantes universitarios. Un ensayo clínico aleatorizado.(2024-10-14) Lavilla-Gracia, M. (María); Pueyo-Garrigues, M. (María); Canga-Armayor, N. (Navidad)Introducción. La Promoción de la Salud no es exclusiva del sistema sanitario, siendo la universidad un entorno con mucha potencialidad. En este contexto, las enfermeras docentes e investigadores tienen un papel clave; más allá del rol asistencial, las enfermeras pueden contribuir a la Promoción de la Salud trabajando sobre tres esferas de influencia: la docencia, el cuidado directo a la comunidad universitaria, y la investigación. En el ámbito de la docencia, tienen la capacidad de integrar la Promoción de la Salud en los planes de estudio académicos, como se ilustra con el diseño de la asignatura "Entrevista motivacional y proceso de cambio". En lo que respecta a la comunidad universitaria, se ha demostrado que los estudiantes, capacitados previamente, pueden desempeñar un papel significativo como agentes de salud, influyendo positivamente en diversos patrones de conducta de sus compañeros, como es el consumo de alcohol, que constituye la sustancia psicoactiva más prevalente en esta población. La tercera esfera de influencia se enfoca en la investigación, con énfasis en la implementación y evaluación de intervenciones promotoras de salud, como las que se llevan a cabo a través del Aula Saludable de la Universidad de Navarra. Objetivos. El propósito general de esta tesis fue evaluar la efectividad del programa Brief Alcohol Screening and Intervention for College Students (BASICS), liderado por pares, para reducir el consumo de alcohol en estudiantes universitarios. Los objetivos específicos del programa fueron: a) disminuir la cantidad de consumo de alcohol ingerido en una semana y fin de semana normal, y en la ocasión de mayor consumo; b) disminuir los episodios de binge drinking en estudiantes universitarios que reciben el programa de intervención; c) reducir la concentración estimada de alcohol en sangre (eBAC) alcanzada en una semana normal y en la ocasión de mayor consumo (eBAC pico); d) reducir el número de consecuencias negativas experimentadas a corto plazo derivadas del consumo de alcohol; y e) aumentar la motivación para cambiar el consumo de alcohol en los estudiantes que reciban la intervención en comparación con los del grupo control. Metodología. Con el propósito de lograr los objetivos planteados, se procedió en primer lugar, a realizar una revisión de la literatura con el fin de identificar las intervenciones, lideradas por pares, disponibles en la literatura, orientadas a reducir el consumo de alcohol en el ámbito universitario. Posteriormente, se evaluó un curso de capacitación en entrevista motivacional para abordar el consumo de alcohol destinado a los estudiantes que iban a liderar el programa. Finalmente, se realizó un Ensayo Clínico Aleatorizado para evaluar la efectividad del programa seleccionado. Resultados. En la revisión de la literatura se identificó que el programa BASICS fue el único que mostró reducciones significativas en tres de las cuatro medidas de resultado: cantidad y frecuencia del consumo de alcohol, concentración estimada de alcohol en sangre y consecuencias relacionadas con el alcohol. Se concluyó, por tanto, que la intervención BASICS, liderada por pares, puede ser efectiva para prevenir el consumo de alcohol entre estudiantes universitarios, aunque la evidencia es débil y escasa. El curso de capacitación en entrevista motivacional y alcohol fue valorado positivamente por parte de los estudiantes con una satisfacción alta (9/10). Los resultados cuantitativos y cualitativos indicaron que todos los estudiantes adquirieron el conocimiento necesario para realizar entrevistas motivacionales, y mejoraron significativamente sus micro-habilidades de entrevista motivacional. Finalmente, el programa BASICS demostró que los estudiantes que recibieron la intervención redujeron la cantidad de bebidas consumidas en una semana normal en 5.7 (IC 95% 5.54, 5.86); el número de bebidas consumidas en un fin de semana normal en 5.2 (IC 95% 5.07, 5.33); el número de bebidas consumidas en la ocasión de mayor consumo en 4.9 (IC 95% 4.78, 5.02); el número de episodios de consumo excesivo de alcohol en 1.4 (IC 95% 1.37, 1.43); la concentración estimada de alcohol en sangre alcanzada en una semana normal y en la ocasión de mayor consumo disminuyó en 0.06 (IC 95% 0.058, 0.062) y 0.09 (IC 95% 0.088, 0.092); y el número de consecuencias relacionadas con el consumo de alcohol en 5.8 (IC 95% 5.67, 5.93). Asimismo, aumentaron la motivación para cambiar su consumo de alcohol en 0.8 (IC 95% 0.85, 0.75). Conclusión. Esta tesis doctoral sugiere que el programa BASICS, liderado por pares, es efectivo para reducir el consumo de alcohol y sus consecuencias en estudiantes universitarios. Estos resultados aportan valiosos conocimientos al campo de las intervenciones dirigidas al uso de alcohol en el entorno universitario, enfatizando la efectividad de enfoques liderados por pares.
- Instruments for assessing family functioning in adults patients with cancer: a systematic review of measurement properties(Elsevier, 2024) Esandi, N. (Nuria); Pueyo-Garrigues, M. (María); Dieperink, K.B. (Karin B.); Moller-Clausen, A. (Anne); Alfaro-Díaz, C. (Cristina); Canga-Armayor, N. (Navidad)Objectives: To identify instruments for assessing family functioning in adults patients with cancer and summarize their psychometric properties. Methods: Psychometric systematic literature review was conducted to June 2023 using four databases: PubMed, CINAHL, Psych INFO, and Web of Science. The psychometric properties of the instruments and the methodological quality of the studies were evaluated using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to rate the best available evidence. Results: Forty-four studies reporting 13 instruments were included. The instruments measured varied attributes of family functioning and the dimensions were heterogeneous. The Cancer Communication Assessment Tool for Patients and Families (CCAT-PF) was rated the highest in terms of both methodological rigor and instrument quality. However, the Family Adaptability and Cohesion Evaluation Scale (FACES) and the Ice-Expressive Family Functioning Questionnaire (ICE-EFFQ) offer a more comprehensive measure of family functioning, since they assess multiple dimensions of family functioning and demonstrate high-quality measurement properties. Conclusions: Instruments to assess family functioning were heterogeneous and exhibited limited reliability and validity. The FACES and the ICE-EFFQ seem to be the most suitable measures for adult cancer patients and their families. Future research should aim to refine the content of existing instruments and rigorously assess their psychometric properties. Implications for Nursing Practice: Given the profound impact of cancer on family functioning, the initial step in crafting effective interventions is providing valid and reliable instruments to measure the impact of these interventions. This paper could assist nursing professionals in making informed decisions regarding the most suitable instrument for assessing family functioning in adults patients living with life-threatening illness as is the case with cancer.
- La formación académica de las enfermeras que desarrollan roles de práctica avanzada(Elsevier, 2024) Canga-Armayor, N. (Navidad)La profesión enfermera, sin perder su esencia, está en continua evolución para poder afrontar y responder a los retos de salud de la población, en constante cambio. La enfermera de práctica avanzada (EPA) es un claro ejemplo de este desarrollo. El desempeño de roles avanzados conlleva una mayor responsabilidad, expansión y profundidad de la práctica enfermera, lo cual solo es posible con una formación adicional al grado (un máster o doctorado en enfermería) y una mayor pericia en la práctica clínica, en un área de especialización concreta. La EPA esta intrínsecamente ligada al nivel de educación, es decir, un mayor desarrollo académico de la enfermera promueve el avance de una práctica autónoma. Este artículo aborda la formación de las enfermeras de práctica avanzada y se centra en sus aspectos nucleares; proporcionando información detallada sobre las competencias, la estructura curricular, el plan de estudios y los componentes claves de los programas de formación. Finalmente, se hace una mención especial a la formación de roles avanzados en el ámbito de los cuidados críticos.
- Postoperative management and nursing care after implantation of a total artificial heart: Scoping review(Elsevier, 2024) Fernández, E. (Elena); Romero, C. (C.); Bengoechea, L. (L.); Jimeno-San-Martin, L. (Leticia); Goñi-Viguria, R. (Rosana); Rabago, G. (Gregorio); Mendiluce, N. (N.); Regaira-Martínez, E. (Elena)Introduction: End-stage heart failure (HF) is a condition whose only successful long-term treatment, with a survival of more than 10 years, is heart transplantation. However, limited organ availability and the progressive increase in the number of patients with advanced HF have served as an impetus for the development of implantable mechanical assistive devices. Aim: To provide an overview of postoperative management and nursing care after the implementation of a Total Artificial Heart (TAH). Methods: A scoping review was carried out by consulting the PUBMED, CINAHL, and COCHRANE databases. From all the documents located, information was extracted on the date of publication, country of publication, type of study, and results of interest to answer the research question. In addition, the degree of recommendation was identified. Results: Twenty-three documents were included in the scoping review. Results were classified in relation to: 1) description of the CAT SynCardia®; 2) nursing care in the immediate postoperative period (management of the device and management of hematological, infectious, nephrological, nutritional complications, related to immobilization, sleep-rest disturbances, psychological disorders, and patient and family education); and 3) follow-up at home. Conclusions: The complexity of implantation of the TAH, the multiple related complications that can arise during this process, both in the immediate post-operative and late, require a standardised and multidisciplinary management. The absence of standardised protocols raises the need for future studies to measure the effectiveness of care in patients with TAH. A multidisciplinary approach is crucial. Nurses must acquire autonomy and involvement in decision-making and develop competencies to address the patient's and family's physiological and psychosocial needs.
- Real-world and game-based learning to enhance decision-making(Elsevier, 2024) Vazquez-Calatayud, M. (Mónica); Gómez-Urquiza, J. (José); García-García, R. (Raquel); Regaira-Martínez, E. (Elena)Background: The evolving healthcare landscape necessitates highly qualified nurses equipped with a myriad of soft skills, including decision-making. Traditional teaching models have led to innovative, active methods that prioritise student participation and enhance crucial soft skill development, such as decision- making. Considering the recognised importance of improving clinical decision-making skills and the need for innovative training, a literature gap is present in assessing the effect of real world and game-based learning on decision-making abilities. Objectives: This study aimed to investigate the effect of real-world and game-based learning, specifically using case-based learning and escape room, on decision-making competence in postgraduate nursing students in academic and clinical settings. Design: A descriptive, cross-sectional, quantitative intervention study was conducted, combining case-based learning and escape room methods sequentially. Settings: The study was conducted among postgraduate nursing students at the University of Navarra in Spain. Participants: Sixty-six postgraduate nursing students, mostly women, participated in the study. Methods: The study integrated case-based learning and escape room sequentially. Data were collected through an ad hoc online questionnaire, recorded escape times from the escape room, and academic scores. Results: The study enrolled 66 participants with an average professional experience of 4.2 years. Academic results showed high scores in case resolution (average: 8.34) and knowledge tests (average: 9.21). Out of 11 groups, 81.8 % successfully escaped the escape room within 30 min, with positive questionnaire responses indicating enthusiasm, enjoyment and perceived effectiveness of the activities. Conclusions: Real-world and game-based learning significantly enhanced decision-making competence in postgraduate nursing students across academic and clinical settings, demonstrating the importance of diverse teaching methods. Further research, including comparative studies and longitudinal analyses, is needed to evaluate the educational benefits of integrating case-based learning and escape room methods in nurse education and to refine assessment tools while monitoring long-term student progress.
- Nursing educational framework: A new nurse-driven, conceptually guided approach(Wiley, 2023) Esandi, N. (Nuria); Jones, D. (Dorothy); La-Rosa-Salas, V. (Virginia); Perez-Diez-del-Corral, M. (Mercedes); Choperena-Armendáriz, A. (Ana)Purpose: The aim of this article is to present the Nursing Educational Framework (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum. Data sources: Empirical and theoretical literature studies were reviewed to define the framework rationale and its components. Data synthesis: A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in the development process. Conclusions: The NEF contains central guiding principles and concepts that are intended to provide structural consistency across its included programs from a humanistic person/family-centered approach. Implications for nursing practice: This comprehensive theory-guided framework allows educators to suggest specific directions for nursing practice within the nursing discipline and articulate nursing’s unique and specialized approach to promoting excellent patient care outcomes. It can assist students to develop critical lens from a person/family- centered relationship-based practice approach.
- Cassandra and A Room of One's Own: A common cry of frustration(John Wiley & Sons, 2024) Díaz‐Dorronsoro, I. (Inés); Choperena-Armendáriz, A. (Ana)In this manuscript, we explore the connections between Florence Nightingale's Cassandra and Virginia Woolf's A Room of One's Own while taking the authors' personal and social contexts into account. We conduct a detailed textual analysis from a feminist perspective. Cassandra and A Room of One's Own exhibit singular textual commonalities, such as evidence of trauma, the integration of myth and fiction as literary devices aimed at facilitating the author's access to various social spheres, the use of interpellations to impact the audience, and an argument for education as a path by which privileged women can enter the public realm. Both authors' personal wounds and intellectual frustrations influenced their work, thus making their writing very powerful
- Cuidados de enfermería en el contexto de visita domiciliaria integral en un adulto mayor de la comuna de Vichuquén(2016) Hernández-Leal, M.J. (María José); Aravena-Rendic, P. (Pamela)La dependencia severa afecta en múltiples aspectos la vida a quien la padece, pero también a todo su entorno familiar, especialmente a quien asume el rol de cuidador principal. Esta tarea se hace más compleja cuando la ubicación geográfica es adversa. Es por esto que se desarrolló un programa de intervención de enfermería basado en visitas domiciliarias integrales y enfermera gestor de caso con el fin de prestar apoyo a la familia con el propósito de que les permitan mantener su funcionalidad y adaptación a su nueva condición.