Garcia-Vivar, C. (Cristina)

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    Are nursing students trained to meet the needs of cancer survivors and their families? New challenges, new opportunities
    (2019) La-Rosa-Salas, V. (Virginia); Domingo-Oslé, M. (Marta); Garcia-Vivar, C. (Cristina)
    Current cancer treatments, along with more effective prevention measures, are producing increased cancer survival globally;(1) becoming – in many cases – a chronic disease.(2) Care of patients and families, living with a chronic disease, like cancer, constitutes one of the principal challenges for most health systems because they represent a heavy burden in terms of morbidity and mortality and carry a high percentage of the public expenditure in health.(3) Above all, the impact of cancer entails suffering and represents an important limitation in the quality of life, productivity, and functional state of the sick individuals and those living with them, that is, their family. More so, with evidence of the progressive increase of the number of older people with cancer, who are more prone to having comorbidities and other problems associated with their age, like dementia, depression, cerebrovascular accident, and diabetes.
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    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.
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    La teoría fundamentada como metodología de investigación cualitativa en enfermería
    (Fundación Index, 2010) Lopez-Dicastillo, O. (Olga); Arantzamendi-Solabarrieta, M. (María); Gordo Luis, C. (Cristina); Garcia-Vivar, C. (Cristina)
    La teoría fundamentada (TF) es un diseño de investigación cualitativa, reconocido a nivel internacional, que ha sido utilizado para desarrollar teorías sobre fenómenos de salud relevantes. Sin embargo, en el ámbito de la enfermería española, la TF ha tenido escasa consideración. Por ello, este artículo se centra en esta metodología cualitativa e ilustra su contribución en la investigación enfermera en España y su utilidad para la Enfermería. También, se presentan brevemente las características metodológicas distintivas de la teoría fundamentada.
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    Meanings attributed by family and patients to family presence in emergency rooms
    (2019) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Gomes-Simoes-Maciel, D. (Daniela); Misue-Matsuda, L. (Laura); Garcia-Vivar, C. (Cristina); Guedes-dos-Santos, J.L. (José Luís)
    Objective: to understand the process that leads adult and family patients to support family presence in emergency care. Method: a qualitative study that adopted Symbolic Interactionism as a theoretical reference and the Grounded Theory as a methodological framework. The theoretical sample consisted of 15 relatives and 15 patients assisted at two emergency units in the South of Brazil. Data were analyzed using open, axial and selective coding. Results: the central category ¿Convergence of ideas: family members and patients supporting family presence in emergency care? is supported by the categories: Affectionate relationship among family members?; Tacit obligation to care for the sick relative?; Benefits for the family?; Benefits for the patient?; and Benefits for the health team?. Conclusion: family presence in emergency care provides maintenance and strengthening of affectionate bonds among relatives and the experience of more sensitive and qualified care.
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    Non-use of primary care routine consultations for individuals with hypertension
    (2018) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Raquel; Garcia-Vivar, C. (Cristina); Pimenta, A.M. (Adriano Marçal)
    The objectives of this study were to identify, among individuals with hypertension, sociodemographic factors associated with non-use of routine medical appointments available in primary care and check if non-use of consultations interferes with noncompliance with pharmacotherapy, uncontrolled blood pressure and hospitalization. This is a cross-sectional study with random and stratified sampling. A total of 422 individuals living in the city of Maringá, Paraná, were interviewed. There were crude and adjusted analyses using logistic regression, estimating odds ratios and 95% confidence intervals. It was found that, in the six months preceding the interview, 47 (11.1%) individuals did not use routine appointments. Being male, nonwhite and using only public health services were associated with non-use of consultations. Most of those who did not use consultations also failed to comply with pharmacotherapy and presented dysregulated blood pressure. Healthcare professionals need to develop strategies in order to increase attendance of hypertensive individuals to medical appointments, giving priority to population groups of men, nonwhite individuals and those who use public health services. Greater use of consultations can assist in blood pressure control and reduce complications.
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    Horizonte 2025 para la atención a la cronicidad
    (2020) Garcia-Vivar, C. (Cristina); Ambrosio, L. (Leire)
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    Methodological quality of grounded theory research with families living with chronic illness
    (2018) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Garcia-Vivar, C. (Cristina)
    Aim The aim of this study was to assess the methodological quality of Grounded Theory (GT) studies related to families living with chronic illness, and the extent to which the common methodological elements of GT are being attended to by researchers. Method Systematic review. Four databases were searched for GT studies, published between 2010 and 2015. To assess the methodological quality of the studies, seven elements of rigor were identified: constant comparative analysis, coding process, theoretical sampling, theoretical data saturation, memos, diagram and central category/theoretical model. Results Of the forty-seven articles included, twenty-four (51.0%) were classified as excellent, fifteen (31.9%) as fair and eight (17.1%) as poor. Most articles used the constant comparative analysis (93.5%), coding process (91.3%), theoretical data saturation (85.0%) and the development of central category or theoretical model (80.7%). However, only thirty-four studies (72.3%) presented diagrams, thirty-three (70.2%) used theoretical sampling, and thirty studies (63.7%) reported having used memos. Conclusion This review updates the state of the art about the methodological quality of GT research with families living with chronic illness and it highlights the need for consensus regarding the methodological elements to be described in GT studies in family nursing.
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    Family centered care in emergency departments: perception of brazilian nurses and doctors
    (2017) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Garcia-Vivar, C. (Cristina); Oliveira de Arruda, G. (Guilherme)
    Objective: To know the perception of doctors and nurses working in Emergency Care Units (ECU, in Brazil known as "UPA") on Family Centered Care (FCC). Methods: Descriptive study with qualitative approach conducted in two emergency units in Southern Brazil. Participated 32 health professionals, whose speeches were recorded, transcribed and subjected to content analysis. Results: The majority of respondents was unaware of the FCC, however, perceived it as a practice which values the family presence and allows its insertion in care. Many believed to be difficult to implement the FCC in Brazilian UPA, due to professional unpreparedness on the subject, high numbers and turnover of patients, the small physical space and socio-cultural profile of the population served. Conclusion: There is an urge for discussion of this care reference with managers and professionals, so that gradually, and to the extent of its possibilities, care to families in emergency units is expanded.
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    Co-design and validation of a family nursing educational intervention in long-term cancer survivorship using expert judgement
    (2023) Doménech‑Climent, N. (Nuria); Arbea-Moreno, L. (Leire); La-Rosa-Salas, V. (Virginia); Domingo-Oslé, M. (Marta); Garcia-Vivar, C. (Cristina); Ulibarri-Ochoa, A. (Ainhoa)
    The number of cancer survivors is increasing exponentially thanks to early screening, treatment, and cancer care. One of the main challenges for healthcare systems and professionals is the care of cancer survivors and their families, as they have specific needs that are often unmet. Nursing students, as future healthcare professionals, need education to face these new health demands. They will need to develop specific competencies to help them care for and empower this emerging population. The aim of the study was to co-design and validate an educational intervention on long-term cancer survivorship for nursing, through a multidisciplinary panel of experts. Group interviews were conducted with a panel of 11 experts, including eight professionals from different backgrounds (oncology, cancer nursing, pharmacology, and education), a long-term cancer survivor, a family member of a cancer survivor, and a nursing student. The experts validated a pioneer educational intervention to train nursing students in long-term cancer survival. The co-design and validation of the intervention from an interdisciplinary perspective and with the participation of long-term cancer survivors and their families was considered relevant as it included the vision of all the stakeholders involved in long-term cancer survivorship.
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    Instrumentos para la valoración de las necesidades de los familiares de pacientes ingresados en cuidados intensivos: una revisión sistemática
    (Gobierno de Navarra, 2012) Olano-Lizarraga, M. (Maddi); Garcia-Vivar, C. (Cristina)
    El ingreso de un familiar en una unidad de cuidados intensivos es un evento estresante para los miembros de la familia. Durante ese periodo, la familia padece situaciones de miedo, incertidumbre y cansancio, y dedica toda su atención a la evolución del familiar ingresado. En ese contexto, resulta imprescindible el apoyo y la atención por parte de los profesionales sanitarios mediante la valoración de las necesidades propias de la familia. Existen diversos instrumentos creados para la valoración de dichas necesidades. A través de esta revisión sistemática, se pretende identificar cuáles son esos cuestionarios y analizar críticamente sus características para ofrecer a los profesionales que trabajan en áreas de críticos unos cuestionarios válidos y fiables que puedan utilizar en el abordaje a las familias.