Enfermeria clinica (English Edition)最新文献

Objetive: In the care of renal patients, prioritising their quality of life and nursing care is essential. Research links patients' perceptions of care quality to improved outcomes such as safety, clinical efficacy, treatment adherence, and preventive practices. This study aimed to evaluate the quality of life and care perception in these patients and explore potential associations between these dimensions.

Material and methods: A cross-sectional descriptive study was conducted with 43 patients attending an advanced CKD clinic. Quality of life was assessed using the KDQOL-36 questionnaire, while the IECPAX questionnaire measured perceived care quality. Sociodemographic and clinical data were collected from patient records. Participants completed the questionnaires during routine visits, with scores analysed to identify associations between variables.

Results: The study included 60% men (n = 28) and 32% women (n = 15), with a mean age of 78 years (±16). Among participants, 45% were diabetic, 79% hypertensive, and 58% took more than five medications daily. Mean scores were 78.76 (±12.15) for KDQOL-36 and 5.54 (±2.64) for IECPAX. Significant differences were found in the physical role domain between men and women (p = 0.01) and for individuals over 65 years (p = 0.04). Higher IECPAX scores were associated with taking more than five medications (p = 0.05). However, no correlation was observed between KDQOL-36 and IECPAX scores.

Conclusions: The findings suggest that quality of life and perceived care quality are independent in advanced CKD patients. While this study provides insights, larger multicentre studies are needed to validate these results. These findings highlight the importance of addressing both aspects separately to improve outcomes in this population.

Aim: To explore Spanish nurse managers' perceptions of their professional activities using the validated Spanish version of the Nursing Managers' Work Perception Scale (E-EPTGE).

Methods: A cross-sectional, descriptive-correlational study was conducted between December 2024 and April 2025. Using non-probabilistic snowball sampling, 140 nurse managers participated via an online survey promoted by national nursing organisations. The E-EPTGE (42 items, eight dimensions) measured the frequency of managerial activities on a 4-point Likert scale. Descriptive and non-parametric statistical analyses (Mann-Whitney, Kruskal-Wallis) were performed.

Results: The sample was predominantly female (81.4%), aged 41-50 (45.7%), with substantial nursing experience. The E-EPTGE showed excellent internal consistency (α = .961). Mean overall item score was 3.19, reflecting frequent engagement in managerial activities. Highest-rated dimensions included Professional, Ethical and Legal Practice (M = 3.54) and Planning and Organisation (M = 3.49). The lowest-rated was Political Intervention and Advisory (M = 2.70), suggesting reduced participation in institutional governance. Significant differences were found across age and experience groups (p < .05), indicating a positive correlation between maturity and perceived managerial competence.

Conclusions: Spanish nurse managers' report strong involvement in ethical leadership and operational planning but show limited engagement in strategic roles. Enhancing leadership training and institutional inclusion is critical. The E-EPTGE demonstrates to be a robust tool for evaluating managerial competencies and informing evidence-based strategies for nursing leadership development.

Introduction: Patients with kidney failure on hemodialysis face significant physical, emotional, and social challenges that affect their quality of life. Providing humane care, listening to their concerns, and addressing their emotional needs means understanding and alleviating their suffering as a key element of comprehensive, patient-centered care.

Objective: To identify the emotional needs of people receiving hemodialysis treatment, and to propose future lines of research, practical actions aimed at improving the quality of care based on Jean Watson's Theory of Humanized Care.

Method: Qualitative descriptive research, employing semi-structured interviews with hemodialysis patients (n = 9) from September 2021 to June 30, 2022. Data were analyzed using thematic coding supported by ATLAS.ti 22 software.

Results: Four main categories were identified: (1) Promoting and accepting the expression of their feelings. (2) Recognizing the patient's vulnerability. (3) Perceive humanized nursing care and (4) Enhancing the relationship of assistance and trust between nurses and patients.

Conclusion: Kidney patients need to feel heard when expressing their emotions and feelings, being recognized as vulnerable and at risk of physical or emotional harm. They require nursing care based on respect for their dignity, compassion and empathy, a supportive and trusting connection based on attentive listening, and a close and supportive bond throughout the care process. These findings reinforce the relevance of Watson's theory in guiding ethical, emotional, and holistic approaches in nursing practice. Therefore, our attention should not focus solely on technical aspects but also on the patient's emotional needs.

Objective: Morocco, due to its geographical position, is experiencing a growing influx of irregular sub-Saharan migrants attempting to transit to Europe. This study aims to identify the barriers that this population faces in accessing healthcare in city Tétouan of northern Morocco.

Method: A qualitative approach was employed, involving semi-structured interviews with 30 undocumented sub-Saharan migrants recruited through a non-governmental organization in city of Tétouan. Independent double-coding and an internal review of the transcripts were conducted to minimize subjective bias and strengthen the reliability of the findings. Recruitment via one NGO may have biased the sample and limited generalizability. Face-to-face interviews could also have introduced social desirability bias, affecting the accuracy of participant responses.

Results: Participants reported facing difficulties during their migratory journey (detentions, mistreatment, and injuries). The loss of social status and concerns about the future are sources of stress (19 out of 30 respondents). Twenty-six out of 30 respondents engage in begging to earn money. Financial accessibility is the main barrier to healthcare access for these migrants. Participants identified a positive impact from the role of the NGO in supporting migrants through healthcare services and covering part of the costs of consultations and medications. For these migrants, regularizing their status remains the only way to achieve optimal living conditions.

Conclusion: This study reveals major legal, language, and financial obstacles to healthcare for undocumented migrants in Tetouan and highlights the urgent need for public health efforts through stronger collaboration between policymakers and NGOs.

Introduction: Heart failure is a complex disease requiring urgent hospitalization for decompensation. Nurses play important role in accurately identifying signs of clinical deterioration. Although standardized terminologies are used worldwide to standardize practice concepts and language, there is a gap in the literature on cross-mapping in heart failure patients.

Objective: To identify and map nursing terms from medical records of hospitalized heart failure patients to nursing diagnoses with clinical indicators according to NANDA-I.

Method: Documentary study cross-mapping data from medical records of adult heart failure patients hospitalized for ≥24 h. Inclusion criteria included records containing medical diagnosis and nursing documentation for three consecutive days. Nursing terms were manually identified and extracted following specific rules for subsequent NANDA-I mapping. Records lacking sufficient information to infer nursing diagnoses were excluded. The study received research ethics committee approval.

Results: Sixty-eight medical records of heart failure patients were included. Nursing records contained limited information, hindering nursing diagnosis identification through cross-mapping. Insufficient details on clinical deterioration or improvement compromised analysis of diagnostic progression over the three consecutive days for mapped diagnoses, most frequent were: "Risk for infection", "Risk for falls in adults", "Risk for decreased activity tolerance", "Imbalanced nutrition: less than body requirements", and "Acute pain". Key indicators identified included vulnerability in elderly populations and frailty with high risk for falls.

Conclusion: Cross-mapping identified nursing diagnoses and clinical indicators; however, inconsistent documentation limited understanding of clinical progression. Standardizing and ensuring completeness of nursing records can facilitate more effective clinical monitoring and improve communication and health outcomes.

Aim: To investigate caregivers' knowledge and practices related to management of pediatric asthma, and identify the existing gaps for improvement.

Methods: A cross-sectional study was conducted on 120 caregivers of asthmatic children who were attending pediatric OPDs of selected hospitals by total enumerative technique. Data were collected using reliable, structured and pretested tools comprising various aspects of asthma management knowledge and practices.

Results: The majority (63.33%) caregivers had overall poor knowledge of asthma, while 31.67% had average knowledge and only 5.00% had good knowledge. 94.17% had difficulty utilizing Meter Dose Inhalers (MDI) efficiently and only 5.83% caregivers performed well. Considerable challenges were found in executing Nebulization Technique (NT), with only 4.17% users operating effectively. Similarly, the use of Peak Flow Meter (PFM) resulted in 92.50% poor performance, and all of the caregivers failed to demonstrate Pursed Lip Breathing (PLB) Technique properly. The knowledge of the caregivers showed positively correlations with their technical applications such as MDI, NT, and PFM (p < 0.001).

Conclusion: The study highlights a significant gap in asthma management of the caregivers especially with respect to nebulization, MDI use, PLB technique, and PFM techniques. Recognizing the critical role that these therapies serve in reducing exacerbations and enhancing quality of life, focused education and trainings of caregivers are emphasized to minimize acute asthma episodes in children.

Aim: To examine the relationship between readiness for clinical practice and heel prick skills among trainee nurses during a period when practical training was interrupted due to distance education.

Methods: This descriptive and correlational study was conducted between April and June 2024 at an university in Eastern Türkiye. Data were collected face-to-face using the Casey-Fink Readiness for Practice Scale and the Self-Reported Heel Prick Blood Collection Knowledge and Practices Scale. Ethical approval was obtained from the Ataturk University Faculty of Medicine Non-Invasive Clinical Research Ethics Committee (DocumentID: B.30.2.ATA.0.01.00/85), and institutional permission was granted. Data were analyzed using IBM SPSS® 22.0 with descriptive statistics, independent t-tests, and Pearson correlation analysis.

Results: Intern nurses who chose the profession willingly reported significantly higher readiness scores. A weak but statistically significant positive correlation was found between readiness for practice and heel prick blood collection skills, particularly in pre-procedure considerations (P < .05).

Conclusions: Intern nurses' readiness for practice is positively associated with their self-reported competence in newborn heel prick blood collection. Enhancing readiness through targeted educational interventions may improve practical skill performance in clinical procedures, especially when in-person training is limited.