Depósito Académico
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Las colecciones que forman el Depósito Académico se asemejan a la estructura organizativa de la Universidad de Navarra a fecha de 2010: Facultades, Departamentos, Escuelas, etc.
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- Are nursing interventions effective in improving quality of life in cancer survivors? A systematic review(Lippincott Williams & Wilkins, 2022) Elizondo-Rodríguez, N. (Nerea); La-Rosa-Salas, V. (Virginia); Rodríguez-Matesanz, I. (Irati); Domingo-Oslé, M. (Marta); Garcia-Vivar, C. (Cristina); Ambrosio, L. (Leire)Background: Cancer survivors (CSs) have needs that can negatively impact their quality of life (QoL). Oncology nurses play a key role in providing comprehensive care in cancer survivorship, although little is known about their impact on health outcomes. Objective: The aim of this study was to determine the effectiveness of nursing interventions to improve QoL and satisfaction with care of CSs. Methods: A systematic review was conducted. PubMed, CINAHL, PsycINFO, and Cochrane databases were searched for experimental studies. The Joanna Briggs Institute Checklist for Randomized Controlled Trials was used to verify the quality of the studies (Prospero reference: CRD42020148294). Results: Of the 8 clinical trials eligible for inclusion, 5 demonstrated that interventions conducted by nurses improved the overall QoL or some of its domains in CSs. The included studies focused on short-term survival; no studies in long-term CSs were identified. Two studies assessed satisfaction with care of survivors, obtaining positive results. Conclusions: Nursing interventions seem to improve the QoL of short-term CSs. However, because of the low number of studies identified, the findings of this systematic review should be interpreted with caution. Implications for practice: Further studies are necessary to strengthen the implementation of effective nursing intervention in cancer practice. Research should particularly be conducted with long-term CSs as there is lack of data on this specific stage of cancer.
- Nurses' freedom of expression: Rights, obligations and responsibilities(Blackwell Scientific, 2022) González-Luis, H. (Hildegart); Santillan-Garcia, A. (Azucena); Azurmendi, A. (Ana); Tricas-Sauras, S. (Sandra)Aim: This commentary aims to spark debate on the ethical, legal, professional and institutional challenges faced by nurses' use and interactions when using traditional, mass and social media. Background: Freedom of expression is a core value of democratic systems. However, it appears to be a complex right when exercised by nurses in traditional media and/or during online interactions. Active use of these types of media can help promote healthcare incentives and reach larger audiences, or even influence public policy. Nevertheless, with the increase in social media use, some nurses have been found to have engaged in unprofessional practices, which, in some serious cases, have led to their dismissal. Evaluation: We identified specific instances of conflicts-most commonly related to breach of privacy, inappropriate interactions on social media or a simple lack of knowledge or guidance regarding its use-and formal complaints concerning nurses' freedom of expression. Key issues: While nursing codes do exist, professional guidelines concerning the use of mass and social media are still much needed. With the advent of social media, there may be ambiguity regarding how nurses engage with and make use of these platforms. In order to ensure that nurses interact professionally with any form of media, clear ethical, legal and professional frameworks of use are needed. Specific codes exist, such as the new ICN code of ethics or the NMC code, among other initiatives, but more comprehensive guidance is needed in order to support nurses in using better judgement regarding their media interactions. While the existence of such frameworks may not fix the problem of incorrect use, it can help those nurses looking for clear guidance when interacting with mass media or using social media. Also, it is important that more professionals are aware that such guidance exists, since understanding the limits and dangers of certain interactions would ultimately protect nurses' and patients' rights. Conclusion: The increasing use of media platforms by nurses calls for further professional guidance regarding its professional utilization. To date, limited guidance exists to support media interactions. In an interconnected world that favours media interaction in both professional and private spheres, the development and widespread dissemination of clear guidance for professionals must also detail two essential points: how professionals can better interact with media platforms and also how they can avoid having unethical media interactions in the first place. Implications for nursing management: The existence of a solid, comprehensive framework for generalized media use should ensure that nurses can exercise their right to freedom of expression. Clearer limitations should support nurses' professional presence and interactions in the media.
- Hacia una “familia cuidadora sostenible”(Gobierno de Navarra, 2013) Canga-Armayor, A.D. (Ana Dolores)La necesidad de cuidados derivada de las situaciones de dependencia ha existido siempre, aunque ciertamente lo que ha cambiado en las últimas décadas es su dimensión, su importancia y su naturaleza debido, sobre todo, al creciente número de personas mayores en la población, así como a la prevalencia de los procesos crónicos . Estos escenarios tienen un peso determinante en la configuración del nivel de dependencia y discapacidad , requiriendo, en la mayoría de los casos, servicios socio-sanitarios que promuevan el cuidado y el mantenimiento de la autonomía familiar
- Sobre los cuidadores de personas dependientes(Gobierno de Navarra, 2014) Canga-Armayor, A.D. (Ana Dolores)Tras leer con gran interés y detenimiento el artículo “Influencia del ámbito, rural o urbano, en la percepción de los apoyosy las necesidades de las personas cuidadoras en el hospital”, publicado en el último número de esta revista, no puedo menos que felicitar a sus autores por la temática elegida, así como por el ámbito donde han llevado a cabo su investigación. El estudio de Gorlat-Sánchez y colaboradores incide directamente en el campo de los cuidados informales realizados por la familia, que tanta importancia tienen para lograr la sostenibilidad del Sistema Sanitario. Concretamente se centran en el modo de dar respuestas y atención a las personas cuidadoras, tal y como propone la Ley de Dependencia (Ley de Promoción de la Autonomía Personal y Atención a las Personas en Situación de Dependencia).
- Presence of the family during emergency care: Patient and family living(FapUNIFESP (SciELO), 2019) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Angelo, M. (Margareth); Misue-Matsuda, L. (Laura); Felix-de-Oliveira, M.L. (Magda Lúcia); Garcia-Vivar, C. (Cristina)Objective: to understand how family members and adult patients perceive the family’s presence in emergency care. Method: qualitative study that used Symbolic Interactionism as a theoretical reference and the Data Grounded Theory as a methodological reference. Data collection took place in two emergency rooms, located in southern Brazil, between October 2016 and February 2017, through open interviews with four patients and eight relatives. Results: the relative presence in the emergency care was signified/perceived as positive, due to the benefits identified for patients, family members and health professionals. However, the experience was also marked by mishaps for the family-patient relationship, such as fear, doubts, anguish about the forced separation of family members and the experience of feelings of regret. Conclusion: due to the fact that the presence of the family in the emergency room is perceived as positive and beneficial, it is suggested that the health services, to the extent of their possibilities, implement this practice. However, such units need to be better prepared to mitigate the pitfalls faced by patients and their families.
- Interventions to empower cardiorenal patients: A systematic review(Wiley, 2021) Vazquez-Calatayud, M. (Mónica); Ania-González, N. (Noelia); Olano-Lizarraga, M. (Maddi)Aims: To identify the most effective interventions to empower cardiorenal patients.Design: A systematic review of the literature has been carried out.Data sources: The PubMed, CINAHL, PsycINFO and Cochrane databases were re-viewed, and journals in the field were manually searched between January and February 2020.Review methods: Five randomized clinical trials and quasi-experimental studies that met the selection and CONSORT & TREND methodological quality criteria were selected.Results: The evidence supports that there are no existing interventions aimed at em-powering cardiorenal patients. However, the interventions to empower people with chronic kidney disease and heart failure suggest that their integration should address seven domains: patient education, sense of self- management, constructive coping, peer sharing, enablement, self-efficacy and quality of life.Conclusion: A gap has been revealed in the literature regarding the empowerment of cardiorenal patients. This review provides relevant information to help design, imple-ment and evaluate interventions to empower these patients by describing the strate-gies used to empower people experiencing both chronic conditions and the tools used for their assessment.Impact: There is a need for further research to design, implement and evaluate a mul-tidimensional intervention that favours the empowerment of cardiorenal patients by using valid and reliable instruments that measure the domains that constitute it in an integrated manner. Interventions aimed at empowering the cardiorenal patient should include seven domains: patient education, sense of self-management, constructive coping, peer sharing, enablement, self-efficacy and quality of life.
- Recommendations by the Spanish Society of Hospital Pharmacy, the Spanish Society of Oncology Nursing and the Spanish Society of Medical Oncology for the safe management of antineoplastic medication in cancer patients(Springer Science and Business Media LLC, 2019) Beorlegui, P. (Patricia); Doménech‑Climent, N. (Nuria); Peñuelas, Á. (Á.); Sepúlveda, J.M. (Juan Manuel); González‑Pérez, C. (César); Vera, R. (R.); Gorgas, M.Q (M. Q.); Quer, N. (N.); Ayala-de-la-Peña, F. (F.); Virizuela, J.A. (J. A.); Otero, M.J. (M. J.)Aim: To define recommendations that permit safe management of antineoplastic medication, minimise medication errors and improve the safety of cancer patients undergoing treatment. Methods: By reviewing the literature and consulting the websites of various health organisations and agencies, an expert committee from the Spanish Society of Hospital Pharmacy and the Spanish Society of Medical Oncology defined a set of safe practices covering all stages of providing cancer therapy to patients. The Spanish Society of Oncology Nursing revised and endorsed the final list. Results: In total, 68 recommendations arranged in five sections were defined. They include issues concerning the training of health professionals, the technological resources needed, treatment planning, informing the patient and his/her family, the processes of prescribing, preparing, dispensing and administering cancer therapy (orally, parenterally or intrathecally), assessing patient adherence and treatment toxicity. Conclusions: It is essential for healthcare establishments to implement specific measures designed to prevent medication errors, in order to ensure the safety of cancer patients treated with antineoplastic medication.
- A pilot study on the Spanish version of the Psychosocial Adjustment to Illness Scale (PAIS‐SR) with carers of people with Parkinson's disease(Wiley, 2019) Portillo, M.C. (María Carmen); Navarta-Sánchez, M. V. (Mª Victoria); Ursua-Sesma, M.E. (M. Eugenia); Riverol, M. (Mario); Raquel; Ambrosio, L. (Leire)Aim: To report the cross-cultural adaptation and pilot study of the ongoing validation of the Spanish version of the Psychosocial Adjustment to Illness Scale with carers of people with Parkinson's disease. Design: Cross-cultural adaptation and pilot study with a cross-sectional validation design of the Spanish version of the Psychosocial Adjustment to Illness Scale - Carers. Methods: Twenty-one carers of people with Parkinson's disease from a Primary Care practice in Spain were recruited and completed the PAIS-Carers, the SF-36 Health Survey, the Brief COPE Inventory and an assessment form. SPSS 23.0 was used to determine viability/acceptability and preliminary aspects of internal consistency of the instrument. Results: Five of the seven domains presented floor effect (71.42%), and only one presented ceiling effect (14.28%). The internal consistency of the scale and domains showed acceptable values (over 0.7). The content validity of the Spanish version seemed satisfactory with positive comments in general from participants.
- Care during Breastfeeding: Perceptions of Mothers and Health Professionals(Universidad de Antioquia, 2019) Lopez-Dicastillo, O. (Olga); Garay-Unjidos, N. (Nicole); Calabacero-Florechaes, C. (Cristina); Contreras-Véliz, J. (Javiera); Campos-Romero, S. (Solange); Jara-Suazo, D. (Daniel); Lucchini-Raies, C. (Camila); Márquez-Doren, F. (Francisca)Objectives: To know the perceptions of mothers and health professionals in relation to the care provided and received during breastfeeding at primary health care level. Methods: A qualitative exploratory study was conducted with breastfeeding mothers (10) and primary health care professionals (24). Data was gathered through in-depth interviews and focus groups. Data analysis was performed through thematic content analysis. The rigor of the study was ensured by the Guba and Lincoln criteria for qualitative research. Ethical aspects were addressed through the informed consent process, confidentiality, and methodological rigor. Results: The experience of providing/receiving breastfeeding support was revealed as a dynamic, multidimensional care and support process, through three central themes: 1. Influence of previous care and support experiences during the breastfeeding process; 2. Importance of the context within which care is framed; and 3. Addressing emotions to establish trust between professionals and mothers. Conclusions: The study findings contribute to further understanding a complex phenomenon, such as breastfeeding support and care for mothers/families, from the experience of the actors involved, deepening the experiences of both in integrated manner. In addition, the relational, organizational, and contextual dimensions that influence support, and that should guide care, are also highlighted.
- Student's Inventory of Professionalism (SIP): A tool to assess attitudes towards professional development based on palliative care undergraduate education(MDPI, 2019) Noguera, A. (Antonio); Arbea-Moreno, L. (Leire); Centeno, C. (Carlos); Arantzamendi-Solabarrieta, M. (María); López-Fidalgo, J. (Jesús); Acitores, A. (Alberto); Gea, A. (Alfredo)Introduction: Quality medical education, centered on a patient's needs, is crucial to develop the health professionals that our society requires. Research suggests a strong contribution of palliative care education to professionalism. The aim of this study was to design and validate a self-report inventory to measure student's professional development. Method: Sequential exploratory strategy mixed method. The inventory is built based on the themes that emerged from the analysis of four qualitative studies about nursing and medical students' perceptions related to palliative care teaching interventions (see Ballesteros et al. 2014, Centeno et al. 2014 and 2017, Rojí et al. 2017). The structure and psychometrics of the inventory obtained is tested in two different surveys with two different groups of medical students. Inventory reliability and construct validity are tested in the first survey group. To verify the inventory structure, a confirmatory factor analysis is performed in a second survey group. Results: The inventory has 33 items and seven dimensions: a holistic approach, caring for and understanding the patient, personal growth, teamwork, decision-making, patient evaluation, and being a health care professional. Cronbach's-alpha was 0.73-0.84 in all seven domains, ICC: 0.95. The confirmatory factor analysis comparative fit index (CFI) was 1 with a standardized root mean square Index 0.088 (SRMR) and obtained a 0.99 goodness-of-fit R-square coefficient. Conclusions: this new inventory is grounded on student's palliative care teaching experiences and seems to be valid to assess student's professional development.