Enfermeria Clinica最新文献

英文中文

Catastrofismo, encefalomielitis miálgica/síndrome de fatiga crónica y fibromialgia: cómo las preguntas de investigación «construyen» realidades 灾难、肌痛性脑炎/慢性疲劳综合症和纤维肌痛：研究问题如何“构建”现实

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2024.10.002

Cristina Oter-Quintana , Almudena Alameda-Cuesta

引用次数: 0

Enfoques metodológicos para la planificación de la ratio enfermera/paciente en los sistemas de salud: qué sabemos y qué necesitamos saber 规划卫生系统中护士/病人比率的方法：我们知道什么，我们需要知道什么

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2025.502305

Ana María Porcel-Gálvez , José Miguel Morales-Asencio

The nurse-to-patient ratio planning presents a global challenge in healthcare systems, with significant disparities across countries. It is a widely studied phenomenon, yet methodological and conceptual gaps persist. In Spain, the nurse-to-1,000-inhabitant ratio (6.2) remains below the OECD average (8.8), resulting in an estimated shortage of 100,000 nurses. This issue is exacerbated by political decisions influenced by economic, cultural, and organisational factors.

This work aims to review existing methodological approaches for determining nurse staffing levels, identifying their strengths, limitations, and potential improvements to ensure the efficient and safe allocation of resources.

Five methodological approaches are analysed: expert judgement, distribution-based methods, time measurement, correlation between staffing levels and adverse events, and stratification by patient complexity. National and international data are compared, and their impact on safety, efficiency, and costs is assessed.

The study confirms that higher nurse staffing levels reduce mortality and adverse events. Models based on patient complexity, such as INICIARE, provide a more precise and adaptable approach.

In conclusion, nurse staffing planning should be based on a model that stratifies patient complexity levels according to care dependency while minimising institutional variability. It should be linked to clinical outcomes, patient safety, staff competencies, and workforce stability. Additionally, research should extend to primary and social care settings, where evidence remains limited.

护士与患者比例规划是医疗保健系统中的一项全球性挑战，各国之间存在显著差异。这是一个被广泛研究的现象，但方法和概念上的差距仍然存在。在西班牙，护士与1000名居民的比率（6.2）仍然低于经合组织的平均水平（8.8），导致估计短缺10万名护士。受经济、文化和组织因素影响的政治决策加剧了这一问题。这项工作旨在回顾现有的方法方法，以确定护士人员配备水平，确定其优势，局限性和潜在的改进，以确保资源的有效和安全分配。分析了五种方法学方法：专家判断，基于分布的方法，时间测量，人员配备水平与不良事件之间的相关性，以及患者复杂性分层。比较国内和国际数据，并评估其对安全性、效率和成本的影响。研究证实，较高的护士配备水平可以降低死亡率和不良事件。基于患者复杂性的模型，如INICIARE，提供了一种更精确和适应性更强的方法。总之，护士人员配置规划应基于一个模型，该模型根据护理依赖程度对患者的复杂程度进行分层，同时最大限度地减少制度差异。它应与临床结果、患者安全、工作人员能力和劳动力稳定性联系起来。此外，研究应扩展到初级和社会保健环境，这方面的证据仍然有限。

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引用次数: 0

Efecto del etnocentrismo y las actitudes profesionales en la sensibilidad moral en matronas y enfermeras: un estudio transversal y correlacional basado en la web 种族中心主义和职业态度对助产士和护士道德敏感度的影响：一项基于网络的横向相关研究

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2024.10.006

Şahika Şimşek Çetinkaya, Canan Kaş, Demet Güney

Objective

The aim of this study was to investigate relation between ethnocentrism, professional attitudes and moral sensitivity of midwives and nurses working in Turkey using linear regression model.

Method

A descriptive and cross-sectional and correlational study was adopted. Data were collected online between 20/10/2023-25/12/2023. The study was completed with total of 400 nurses and midwives. Data were collected through a personal information form, the Generalised Ethnocentrism Scale (GENE), the Moral Sensitivity Questionnaire (MSQ) and Inventory of Professional Attitude at Occupation (IPAO).

Results

Nurses’ and midwives’ ethnocentric attitudes were high and their professional and moral sensitivity was moderate. A negative and statistically significant relationship was found between GENE and MSQ (r = −0.150 and P < .05). Moreover, it is concluded that ethnocentrism and professional attitudes have a negative effect on the moral sensitivity of nurses and midwives.

Conclusions

Based on these results, interventions aimed at improving the ethnocentric and professional attitudes of nurses and midwives will also contribute to improve their moral sensitivity.

目的运用线性回归模型探讨土耳其助产士和护士的种族中心主义、职业态度和道德敏感性之间的关系。方法采用描述性、横断面和相关性研究。数据于2023年10月20日至2023年12月25日在线收集。这项研究共有400名护士和助产士完成。通过个人信息表、广义种族中心主义量表（GENE）、道德敏感性问卷（MSQ）和职业职业态度量表（IPAO）收集数据。结果护士和助产士的种族中心主义态度较高，职业和道德敏感性中等。基因与MSQ呈负相关且有统计学意义（r = - 0.150, P < 0.05）。此外，研究还发现，种族中心主义和职业态度对护士和助产士的道德敏感性有负面影响。结论基于这些结果，旨在改善护士和助产士的种族中心主义和职业态度的干预措施也有助于提高他们的道德敏感性。

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引用次数: 0

Impulsando la excelencia en el cuidado del paciente pediátrico en el marco del proyecto Nursing Research Challenge 在护理研究挑战项目框架内促进卓越的儿科护理

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2025.502199

Patricia Monserrat Rodríguez Camacho , Bárbara González Álvarez

引用次数: 0

Cambios en la actitud de los profesionales sanitarios frente a la vacunación antigripal tras la pandemia por COVID-19 2019冠状病毒病大流行后卫生保健专业人员对流感疫苗接种态度的变化

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2025.502189

Marta Sánchez-Zaballos , David Zuazua-Rico , Lucía Alonso-Méndez , Yolanda Queipo-Herías , María Pilar Mosteiro-Díaz , Alba Maestro-Gonzalez

Objective

To analyse the attitude of health professionals towards influenza vaccination before and during the COVID-19 pandemic, as well as to identify differences between them and with respect to sociodemographic and occupational variables.

Methods

Cross-sectional descriptive study comparing the results of the 2017-2018 and 2020-2021 influenza vaccination campaigns. Sociodemographic, occupational, and vaccination-related variables were collected. A descriptive and bivariate analysis were performed, as well as a binary logistic regression model.

Results

A total of 973 health professionals participated, with an average age of 41,13 (SD 11,16), showing a higher prevalence of vaccination during the 2020-2021 season (OR = 1,04; IC 95% 1,03-1,05; p < 0,001). The percentage of men who were vaccinated was higher in the 2020-2021 campaign (P=.02), in which a greater number of professionals with a non-stable contract (P<.001) and lower mean age (P=.03) were also vaccinated. There were multiple statistical differences when comparing the reasons for accepting or refusing the vaccine, with more people being more likely to be vaccinated during the pandemic if there was a favourable atmosphere in the work or family environment (P<.001).

Conclusions

Health professionals áttitude towards influenza vaccination during the COVID-19 pandemic showed better results than the previous campaign, with a higher number of professionals vaccinated and a better perception of immunisation. Differences were also found between the campaigns and socio-demographic variables (sex, age, and type of employment contract).

目的分析2019冠状病毒病（COVID-19）大流行前和期间卫生专业人员对流感疫苗接种的态度，并确定两者之间以及在社会人口统计学和职业变量方面的差异。方法采用横断面描述性研究，比较2017-2018年和2020-2021年流感疫苗接种活动的结果。收集社会人口学、职业和疫苗接种相关变量。进行了描述性和双变量分析，以及二元逻辑回归模型。结果共有973名卫生专业人员参与调查，平均年龄为41,13岁（标准差为11,16），显示2020-2021年流感季疫苗接种率较高（OR = 1,04; IC = 95% 1,03-1,05; p < 001）。在2020-2021年的运动中，接种疫苗的男性比例更高（P=.02），其中更多具有非稳定合同（P=. 001）和较低平均年龄（P=.03）的专业人员也接种了疫苗。在比较接受或拒绝接种疫苗的原因时，存在多种统计差异，如果在工作或家庭环境中有良好的氛围，更多人更有可能在大流行期间接种疫苗（P<.001）。结论卫生专业人员áttitude在2019冠状病毒病大流行期间对流感疫苗接种的态度较前一次运动取得了更好的效果，接种疫苗的专业人员数量增加，对免疫接种的认识也有所提高。在运动和社会人口变量（性别、年龄和雇佣合同类型）之间也发现了差异。

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引用次数: 0

Análisis de la función gestora de la enfermera escolar en España: uso de registros e interacción con atención primaria, comunidad educativa y otras instituciones 西班牙学校护士的管理作用分析：使用注册表以及与初级保健、教育界和其他机构的互动

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2025.502200

Ana Magdalena Vargas-Martínez , Daniel Guillén-Martínez , Tamara Domingo Pérez , Alba Soilán Enríquez , José Antonio Zafra-Agea , Itziar Hoyos Cillero , Marta Lima-Serrano , Lorena Tarriño-Concejero

Aim

To analyse the managerial function of school nurses in Spain.

Method

A cross-sectional descriptive study with a sample of 376 school nurses from non-university public, private, and charter educational centres, as well as special education centres nationwide. Data collection was conducted through a self-administered and anonymous questionnaire designed by experts in school nursing, carried out from March to June 2023 via an online platform.

Results

The managerial function of school nurses in Spain is evident in their interaction with both educational and healthcare domains. The results underscore the importance of intersectoral collaboration. 96.28% of nurses maintain clinical records. The integration of school nurses into primary care is significantly associated with the service that employs the nurse, contract type, contractual situation, type of educational centre, and membership in rural or socially transformative areas.

Conclusions

School nurses play a crucial role in promoting a healthy and safe educational environment. Clinical data recording is essential for monitoring and ensuring care quality. The data highlight the need to implement policies that provide legal assurance for the activities of school nurses and ensure safety for students and the entire educational community.

目的分析西班牙学校护士的管理职能。方法对全国非大学公立、私立和特许教育中心以及特殊教育中心的376名学校护士进行横断面描述性研究。数据收集通过学校护理专家设计的自我管理和匿名问卷进行，于2023年3月至6月通过在线平台进行。结果西班牙学校护士的管理功能在他们与教育和医疗保健领域的互动中是明显的。结果强调了部门间合作的重要性。96.28%的护士保留临床记录。将学校护士纳入初级保健与雇用护士的服务、合同类型、合同情况、教育中心类型以及农村或社会变革地区的成员关系密切。结论学校护士在促进健康安全的教育环境中起着至关重要的作用。临床数据记录对于监测和确保护理质量至关重要。这些数据强调需要实施政策，为学校护士的活动提供法律保障，确保学生和整个教育界的安全。

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引用次数: 0

Modelo Cuidarte: adopción institucional de un modelo de cuidado enfermero basado en la teoría de King 照护模式：基于金理论的照护模式的机构采用

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2025.502333

Jose Alberto Florez-Hernández , Laura Cristina Zapata-Henao , Fernando Antonio Cardona-Restrepo , Camilo Duque-Ortiz

Basing care practice on a theoretical approach is useful for reasoning and critical thinking, making practice more orderly and effective. This article presents the experience of structuring a Conceptual-Theoretical-Empirical (CTE) system that guided the creation of the «Modelo Cuidarte» (Cuidarte Model) at a clinic in Medellín, Colombia. The objective of this work was to build a theoretical framework, based on King's proposals, to underpin this care model.

The experience took place at a high-complexity, Catholic, university clinic between August 2023 and August 2024. The initial five phases of the methodology proposed by Fawcett and DeSanto-Madeya for developing theoretical models were followed: 1) formulating an idea or vision; 2) forming a working group; 3) structuring a planning committee and a long-term plan; 4) reviewing institutional and nursing department strategic documents, and 5) building and developing the CTE.

As a result, Imogene M. King's Conceptual System and Theory of Goal Attainment were selected as the theoretical bases to ground the practice of the institution's nursing team.

King's conceptual model establishes the vision of care, while her theory, through the transaction model, guides its practical articulation. This theoretical framework drives the Cuidarte Model, which fosters patient- and family-centered care, promotes their participation in the Nursing Care Process, and encourages nurse autonomy and decision-making.

基于理论方法的护理实践有助于推理和批判性思维，使实践更加有序和有效。本文介绍了在哥伦比亚Medellín的一家诊所构建概念-理论-经验（CTE）系统的经验，该系统指导了«Modelo Cuidarte»（Cuidarte模型）的创建。这项工作的目的是建立一个理论框架，基于金的建议，以支持这种护理模式。这种体验发生在2023年8月至2024年8月期间，地点是一家高度复杂的天主教大学诊所。福西特和德桑托-马迪亚提出的发展理论模型的方法论的最初五个阶段如下：1)形成一个想法或愿景；2)成立工作组；3)组建规划委员会，制定长期规划；4)审查机构和护理部门战略文件；5)建设和发展CTE。因此，Imogene M. King的概念系统和目标实现理论被选为该机构护理团队实践的理论基础。金的概念模型建立了护理的愿景，而她的理论通过交易模型指导了护理的实践表达。这一理论框架推动了Cuidarte模式，它促进了以患者和家庭为中心的护理，促进了他们在护理过程中的参与，并鼓励护士的自主权和决策。

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引用次数: 0

Monitorización de la actividad física mediante acelerometría en pacientes con enfermedad pulmonar obstructiva crónica 通过加速测量监测慢性阻塞性肺病患者的身体活动

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2024.10.011

Cristina Sacristán-Galisteo , Tamara del Corral , Daniel López-Padilla , M. Carmen Gómez , Ibai López-de-Uralde-Villanueva , Patricia Martín-Casas

Objectives

The main objective of the study was to analyze the characteristics of physical activity in people with Chronic Obstructive Pulmonary Disease. Secondarily, the association between the number of steps per day and the baseline sociodemographic and clinical characteristics of the sample was evaluated.

Methods

A multicenter longitudinal descriptive study was carried out in four Primary Care centers in Madrid. The participants were 80 people diagnosed with COPD. In a face-to-face interview, sociodemographic information and clinical characteristics were collected. Physical activity was measured over a week with a three-axis accelerometer that recorded wear time, number of steps per day, walking time, and time spent performing light, moderate, vigorous, and very vigorous physical activity.

Results

The average time of use of the accelerometer was 6.84 ± 0.4 days. The number of daily steps taken was 6902.24 ± 3994.01 with a walking time of 78.07 ± 41.85 minutes/day. The time of light physical activity was 69.66 ± 46.42 minutes/day, of moderate activity 92.76 ± 42.91 minutes/day, of vigorous activity 9.93 ± 13.6 minutes/day and of very active activity vigorous 0.26 ± 0.64 minutes/day.

Conclusions

The participants mainly carried out physical activity of light and moderate intensity, complying with current recommendations, while the time dedicated to vigorous and very vigorous activities was reduced and was insufficient.

目的本研究的主要目的是分析慢性阻塞性肺疾病患者的身体活动特征。其次，评估每天步数与样本的基线社会人口学和临床特征之间的关系。方法在马德里4个初级保健中心进行多中心纵向描述性研究。参与者是80名被诊断患有慢性阻塞性肺病的人。在面对面的访谈中，收集了社会人口学信息和临床特征。在一周的时间里，用三轴加速度计测量了身体活动，记录了磨损时间、每天的步数、步行时间以及进行轻度、中度、剧烈和非常剧烈的身体活动所花费的时间。结果加速度计的平均使用时间为6.84±0.4 d。每日行走步数为6902.24±3994.01步，步行时间为78.07±41.85分钟/天。轻度运动时间为69.66±46.42分钟/天，中度运动时间为92.76±42.91分钟/天，剧烈运动时间为9.93±13.6分钟/天，剧烈运动时间为0.26±0.64分钟/天。结论参与者主要进行轻、中强度的体育活动，符合当前的建议，而用于剧烈运动和非常剧烈运动的时间减少且不足。

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引用次数: 0

El reto de la reto de incorporar la participación ciudadana en la investigación en cuidados 将公民参与护理研究的挑战

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-09-01 DOI: 10.1016/j.enfcli.2025.502365

Azucena Pedraz-Marcos

引用次数: 0

Análisis de los factores de riesgo asociados a flebitis en el catéter venoso periférico. Proyecto Flebitis Zero 外周静脉导管静脉炎相关危险因素分析。Flebitis Zero项目

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502298

Marta Ferraz-Torres , Maria Elena Sancho-Sena , Amaya Eguillor de la Torre , Laura Cambra Vidart , Maria Belén Suarez-Mier , Maria Ines Corcuera-Martinez

Introduction

It is necessary to know the rate of phlebitis associated with its use and the risk factors associated with peripheral vascular catheter management that directly influence the presence of phlebitis.

Methodology

observational descriptive study, carried out after the implementation of the Zero Phlebitis Project in a large-capacity (>1,000 beds) urban tertiary hospital of reference in Navarra. The implementation of the Zero Phlebitis Project was carried out progressively, incorporating 4 units (2 medical and 2 surgical) per year, ending in February 2023. Subsequently, data collection for the present study began in May 2023.

Results

687 catheters were included, 48.3% (332) catheters were implanted in men versus 51.7% (355) in women with a mean age of 68 (SD 18.64). A phlebitis rate of 11.93% was detected, with catheter caliber and insertion site factors being directly related to the presence of phlebitis.

Conclusions

The presence of phlebitis is marked by both modifiable factors, being recommended the use of small caliber devices and the forearm area the indicated ones to decrease the rate of phlebitis.

前言：有必要了解静脉炎的发生率与静脉炎的使用相关，以及与周围血管导管管理相关的直接影响静脉炎存在的危险因素。方法：观察性描述性研究，在纳瓦拉市一家大容量（1000张床位）城市三级参考医院实施零静脉炎项目后进行。零静脉炎项目逐步实施，每年纳入4个单位（2个医疗单位和2个外科单位），到2023年2月结束。随后，本研究的数据收集于2023年5月开始。结果共纳入687根导管，男性置入48.3%（332根），女性置入51.7%（355根），平均年龄68岁（SD 18.64）。静脉炎检出率为11.93%，导管口径、插入部位等因素与静脉炎的发生有直接关系。结论静脉炎的存在具有两种可改变因素，建议使用小口径器械，前臂区域是静脉炎的适应症。

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