Oroviogoicoechea, C. (Cristina)
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- Nurses' protocol-based care decision-making: a multiple case study(2020) Vazquez-Calatayud, M. (Mónica); Pumar-Mendez, M.J. (María Jesús); Pittiglio, L. (Laura); Oroviogoicoechea, C. (Cristina)Aim: To describe and explain nurses' protocol-based care decision-making. Background: Protocol-based care is a strategy to reduce variability in clinical practice. There are no studies looking at protocol-based care decision-making. Understand this process is key to successful implementation. Method: A multiple embedded case study was carried out. Nurses' protocol-based care decision-making was studied in three inpatient wards (medical, surgical and medical-surgical) of a university hospital in northern Spain. Data collection was performed between 2015 and 2016 including documentary analysis, non-participant observations, participant observations and interviews. Analysis of quantitative data involved descriptive statistics and qualitative data was submitted to Burnard's method of content analysis (1996). The data integration comprised the integration of the data set of each case separately and the integration of the findings resulting from the comparison of the cases. The following the thread method of data integration was used for this purpose. The SRQR guideline was used for reporting. Results: The multiple embedded case study revealed protocol-based care decision-making as a linear and variable process that depends on the context and consists of multiple interrelated elements, among which the risk perception is foremost. Conclusion: This study has allowed progress in protocol-based care decision-making characterisation. This knowledge is crucial to support the design of educational and management strategies aimed at implementing protocol-based care. Relevance to clinical practice: Strategies to promote protocol-based care should address the contexts of practice and the ability of professionals' to accurately assess the degree of risk of clinical activity. Hence, it will promote quality of care, patient safety and efficiency in healthcare cost.
- The meaning of living with chronic heart failure(2017) Olano-Lizarraga, M. (Maddi); Perez-Diez-del-Corral, M. (Mercedes); Martín-Martín, J. (Jesús); Ara-Lucea, M.P. (María Pilar); Saracibar, M.I. (María Isabel); Simon-Ricart, A. (Aurora); Oroviogoicoechea, C. (Cristina)
- Experiences of frontline nurse managers during the COVID-19: a qualitative study(Wiley, 2021) Esain, A. (Ainhoa); Vazquez-Calatayud, M. (Mónica); Paloma-Mora, B. (Beatriz); Rumeu-Casares, M.C. (María del Carmen); Regaira, E. (Elena); Oroviogoicoechea, C. (Cristina)Aim The aim of this study is to explore the experiences of Jordanian first-line nurse managers during COVID-19. Background Nurses are exposed to life-threatening occupational risks during COVID-19. Exploring the first-line nurse managers' experiences will help in designing health policies to better deal with such emerging crises. Methods A descriptive phenomenological study was conducted. A purposive sample was used to recruit 16 first-line nurse managers from Jordanian hospitals. Semistructured interviews were conducted. Phenomenological data analysis method was used to analyse the data. Results Four major themes emerged: (a) unprecedented pressure (first-line nurse managers revealed their suffering with the unprecedented demanding situations during COVID-19 pandemic); (b) strengthening system and resilience (nurse managers employed several strategies to strengthen the health system and enhance resilience); (c) building a supportive team (the presence of a robust supportive system is vital to deal with the pandemic); and (d) maturity during the crisis (exposure to a new experience developed nurse managers management skills and self-awareness). Conclusions The unprecedented pressure associated with COVID-19 drained first-line nurse managers physically and psychosocially. Providing adequately trained staff and medical equipment is important to better deal with crises. Implications for Nursing Management Strengthening emergency training and improving emergency response plans of hospitals are essential.
- Transforming care in nursing: a concept analysis(Taylor & Francis, 2016) Vazquez-Calatayud, M. (Mónica); Saracibar, M.I. (María Isabel); Pumar-Mendez, M.J. (María Jesús); Oroviogoicoechea, C. (Cristina)Although the concept of ‘Transforming care’ is promising for improving healthcare, there is no consensus in the field as to its definition. The aim of this concept analysis is to develop a deeper understanding of the term ‘Transforming care’ within the nursing discipline, in order to facilitate its comprehension, implementation and evaluation. We performed a comprehensive literature review on electronic databases such as Medline (PubMed), Cinahl (Ebsco), Cochrane Library, PsycINFO (Ovid), Web of Science, Wiley- Blackwell, ScienceDirect and SpringerLink, and used Walker and Avant’s approach to analyse the concept. From the 20 studies selected for this analysis, three main attributes of ‘Transforming care’ were identified: patient-centredness, evidence-based change, and transformational leadership-driven. We suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation is guided by the following key ideas: 1) fostering a culture of continuous improvement; 2) encouraging bottom-up initiatives; 3) promoting patient-centred care; and 4) using transformational leadership. Lastly, the evaluation of ‘Transforming care’ initiatives should assess care processes, and professionals’ and patients’ outcomes.
- The significance of exploring conceptual equivalence within the process of the cross-cultural adaptation of tools: The case of the Patient's Perception of Feeling Known by their Nurses Scale(Wiley, 2023) Zaragoza-Salcedo, A. (Amparo); Osacar, E. (Elena); Saracíbar-Razquin, M. (Maribel); Oroviogoicoechea, C. (Cristina)Introduction: The exploration of conceptual equivalence within the process of the cross-cultural adaptation of tools is usually neglected as it generally assumed that the theoretical construct of a tool is conceptualized in the same way in both the original and target culture. This article attempts to throw light on the contribution of the evaluation of conceptual equivalence to the process of adaptation, and for tool development. To illustrate this premise, the example of the cross-cultural adaptation of the Patients' Perception of Feeling Known by their Nurses (PPFKN) Scale is presented. Design: An adapted version of the Sousa and Rojjanasrirat (Journal of Evaluation in Clinical Practice, 2011, 17(2), 268-274) guidelines was used to translate and culturally adapt the PPFKN Scale to Spanish language and culture. A qualitative descriptive study was added to the traditional process of translation and pilot study to explore the concept in the target culture and recognize conceptual equivalence. Methods: Experts in the tool concept, bilingual translators and the author of the tool participated in the translation of the original tool into Spanish. A pilot study of the Spanish version with a sample of 44 patients and a panel of six experts from different fields evaluated its clarity and relevance. In addition, seven patients participated in a descriptive qualitative study using semi-structured individual interviews to explore the phenomenon in the new culture. A content analysis following the Miles, Huberman & Saldaña (Qualitative data analysis, a methods sourcebook, 2014) approach was used to analyze qualitative data. Results: The cross-cultural translation and adaptation of the PPFKN scale into Spanish required a thorough revision. More than half of the items needed discussions to reach consensus regarding the most appropriate Spanish term. In addition, the study confirmed the four attributes of the concept identified in the American context and allowed for new insights within those attributes to appear. Those aspects reflected characteristics of the phenomenon of being known in the Spanish context and were added to the tool in the format of 10 new items. Conclusions: A comprehensive cross-cultural adaptation of tools should incorporate, together with the study of linguistic and semantic equivalence, the analysis of the conceptual equivalence of the phenomenon in both contexts. The identification, acknowledgment and study of the conceptual differences between two cultures in relation to a phenomenon becomes an opportunity for deeper study of the phenomenon in both cultures, for understanding of their richness and depth, and for the proposal of changes that may enhance the content validity of the tool. Clinical relevance: The evaluation of conceptual equivalence of tools within the process of cross-cultural adaptation will make it possible for target cultures to rely on tools both theoretically sound and significant. Specifically, the cross-cultural adaptation of the PPFKN scale has facilitated the design of a Spanish version of the tool that is linguistically, semantically and theoretically congruent with Spanish culture. The PPFKN Scale is a powerful indicator that evidences nursing care contribution to the patient's experience.
- Validez y fiabilidad de la versión española de la guía de valoración oral (OAG) en pacientes con cáncer(Gobierno de Navarra, 2015) De-la-Hera, C. (Concepción); Soteras-Ramírez, M.A. (María Ángeles); Beortegui, E. (E.); Aznárez-Arroyo, M.A. (María Ángeles); Carvajal, A. (Ana); Oroviogoicoechea, C. (Cristina)Fundamento. El instrumento Oral Assessment Guide (OAG) es una herramienta diseñada y ampliamente utilizada para evaluar problemas de la mucosa oral en pacientes con cáncer, sin embargo no está validada en español. El objetivo de este trabajo es traducir y validar al español la escala de la valoración de la cavidad oral (OAG) diseñada por Eilers. Método. El proceso de traducción se realizó utilizando el método de traducción retrotraducción por bilingües. El estudio se llevó a cabo en pacientes con cáncer ambulatorios y hospitalizados del Departamento Onco-hematológico y con enfermeras que trabajaban con pacientes de cáncer. Se evaluaron las siguientes propiedades psicométricas de la OAG: consistencia interna, validez concurrente con la escala de la mucositis de la OMS, la armonía interjueces entre dos enfermeras diferentes. También se recogió la percepción de los pacientes y enfermeras sobre la utilización de la OAG. Resultados. Se obtuvo una adecuada versión española de la OAG. Todos los participantes (n=40) completaron el estudio. La consistencia interna con el alpha de Cronbach fue de 0,71 y la armonía interjueces obtuvo un índice de Kappa moderado y bueno en la mayoría de los ítems (k=0,4-0,81) excepto en “lengua y encía” (k=0,33-0,37). La validez concurrente con la escala de la mucositis de la OMS fue aceptable (r=0,458). Todas las enfermeras (n=6) consideraron que la escala era fácil de entender y útil en la práctica clínica. Los pacientes dijeron que no les pareció incómoda la valoración de la boca con la escala. Conclusiones. La versión española de la OAG es un instrumento válido y fiable en pacientes con cáncer. Es una escala fácil de usar en la práctica clínica y bien aceptada por los pacientes.
- Jornadas sobre rol avanzado en enfermería(Facultad de Enfermería, Universidad de Navarra, 2010) Portillo, M.C. (María Carmen); Arantzamendi-Solabarrieta, M. (María); Garcia-Vivar, C. (Cristina); Oroviogoicoechea, C. (Cristina)
- Implementation and evaluation of a training programme to promote the development of professional competences in nursing: A pilot study(Elsevier, 2020) Martín-Pérez, S. (Sonsoles); Llácer, T. (Teresa); La-Rosa-Salas, V. (Virginia); Goñi-Viguria, R. (Rosana); Zaragoza-Salcedo, A. (Amparo); Pardavila-Belio, M.I. (Miren Idoia); Choperena-Armendáriz, A. (Ana); Errasti-Ibarrondo, M.B. (María Begoña); Oroviogoicoechea, C. (Cristina)Background: Clinical narratives may be used as a means to improve the acquisition of clinical competences. Even though there are studies that recognize the potential value of clinical narratives to promote nursing professional development, there is no evidence that shows their value as a tool to improve nurses' competences to provide person-centred nursing care. Purpose: To evaluate the preliminary efficacy of narratives for the development of three nursing professional competences -respect, intentional presence and knowing the person- for providing person-centred care. Method: Using a pre-post quasi-experimental design, a pilot study with a total of 34 nurses enrolled in a training course of nursing specialization was conducted between September 2016 and June 2017. All the nurses received a multi-component intervention based on the Critical Reflective Inquiry model. The strategies of this programme consisted of writing three narratives, attending two masterclasses, participating in a discussion group, and participating in a face-to-face interview. The NarratUN Evaluation tool was used to assess the outcomes. Changes among nurses were analysed using the Wilcoxon signed Rank test. Results: The difference in the means between the pre- and post-intervention scores were statistically significant for respect [0.59 (95% CI 0.23-0.95; p = 0.001)], intentional presence [0.75 (95% CI 0.32-1.17; p < 0.0001)] and knowing the person [0.62 (95% CI 0.25-0.99; p = 0.001)]. The difference in the mean score for use of the narrative and reflection also increased significantly [0.65 (95% CI 0.32-0.98, p < 0.001)]. Conclusions: The use of narratives combined with other reflective strategies (masterclass sessions and discussion groups) proved to be effective for the development of professional competences of nurses.
- Atributos del rol avanzado en enfermería: práctica clínica directa(Facultad de Enfermería, Universidad de Navarra, 2010) Oroviogoicoechea, C. (Cristina)La práctica avanzada surge en una confluencia de necesidades del paciente (mayor complejidad, envejecimiento y comorbilidad) y del sistema de salud (avances tecnológicos, cambios organización, escasez médicos) junto a un desarrollo de las oportunidades de educación (Ramirez et al, 2002). En otros países la formación de master ha llevado al desarrollo de lo que se conoce como práctica avanzada de enfermería, un concepto complejo por las circunstancias en las que ha surgido y la variabilidad que existe. Los cambios en el entorno sanitario han ido ampliando y perfilando el perfil. Las enfermeras de práctica avanzada han sido claves en estos procesos integrándose activamente en ellos.El desarrollo del master y doctorado en enfermería en nuestro contexto abre puertas no solo a un mayor desarrollo del conocimiento e investigación en enfermería sino también a nuevos perfiles profesionales que logren un desarrollo y avance de la práctica diaria de enfermería. Bryant-Lukosious et al (2004) afirman: “La práctica avanzada es la frontera futura para la práctica de enfermería y 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” (pp 520). Este capítulo pretende abordar una de las competencias de la enfermera de práctica avanzada: la práctica clínica directa. La práctica avanzada es la confluencia de distintas competencias pero la práctica clínica se considera la competencia central e informa las demás; aunque realizan otras actividades el cuidado directo es la base necesaria para articular el resto de competencias.