Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502193
Jorgina Serra-López , Antonia Miranda , Ana Soria , Nuria López , Eduardo Castañón , Margarita Majem
Introduction
Immunotherapy is revolutionizing oncological treatment, but its unique toxicity profile emphasizes the need for multidisciplinary teams involving nurses. In the absence of guidelines tailored for nurses, a comprehensive guide focusing on patient history and care is presented.
Objective
To outline the methodology for creating a practical guide for nurses, aimed at improving care for patients undergoing oncologic immunotherapy by focusing on comprehensive support and complementing pharmacological treatment.
Method
A guide was developed following Evidence-Based Nursing principles, with the involvement of experts from Spanish oncology scientific societies. Through evidence searches, external review, and editing, robust and applicable recommendations were ensured.
Results
The guide focuses on toxicity management, incorporating an algorithm for its handling, along with detailed descriptions and recommendations for early symptom identification from the nursing perspective.
Conclusion
The guide emphasizes the essential role of oncology nurses in immunotherapy, highlighting their contribution from advanced roles. Endorsed by scientific societies, it serves as an evidence-based resource.
{"title":"Clinical practice guide for nurses that optimizes nurse’s comprehensive care of patients undergoing immunotherapy","authors":"Jorgina Serra-López , Antonia Miranda , Ana Soria , Nuria López , Eduardo Castañón , Margarita Majem","doi":"10.1016/j.enfcle.2025.502193","DOIUrl":"10.1016/j.enfcle.2025.502193","url":null,"abstract":"<div><h3>Introduction</h3><div>Immunotherapy<span> is revolutionizing oncological treatment, but its unique toxicity profile emphasizes the need for multidisciplinary teams involving nurses. In the absence<span> of guidelines tailored for nurses, a comprehensive guide focusing on patient history and care is presented.</span></span></div></div><div><h3>Objective</h3><div>To outline the methodology for creating a practical guide for nurses, aimed at improving care for patients undergoing oncologic immunotherapy by focusing on comprehensive support and complementing pharmacological treatment.</div></div><div><h3>Method</h3><div><span>A guide was developed following Evidence-Based Nursing principles, with the involvement of experts from Spanish oncology </span>scientific societies. Through evidence searches, external review, and editing, robust and applicable recommendations were ensured.</div></div><div><h3>Results</h3><div>The guide focuses on toxicity management, incorporating an algorithm for its handling, along with detailed descriptions and recommendations for early symptom identification from the nursing perspective.</div></div><div><h3>Conclusion</h3><div>The guide emphasizes the essential role of oncology nurses in immunotherapy, highlighting their contribution from advanced roles. Endorsed by scientific societies, it serves as an evidence-based resource.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502193"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502360
Sara Martínez-de Castro , Ana Bermúdez-Saiz , José Luis Cobo-Sánchez
This case report presents the nursing approach to a 38-year-old woman diagnosed with restrictive-type anorexia nervosa (AN) since the age of 15 and autism spectrum disorder (ASD) at 35. The patient was admitted due to structured suicidal ideation with a high risk of acting on it, triggered by the experience of significant personal losses. A comprehensive assessment was conducted using Gordon’s functional health patterns, identifying the following nursing diagnoses: ineffective health self-management, impaired social interaction, imbalanced nutrition: less than body requirements, and constipation. Additionally, collaborative problems such as insomnia, chronic pain, and suicidal behaviour risk were identified. The care plan was designed following the Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC), incorporating individualised interventions that included adapting the environment to the sensory and communicative needs associated with ASD, as well as implementing a personalized educational strategy to promote health self-management. After three months of hospitalization, notable improvements were observed in emotional regulation, coping mechanisms, and the resolution of suicidal ideation. Furthermore, a weight gain of 7 kg was achieved, placing the patient within the normal BMI range. This case highlights the importance of specialised mental health nursing care and the need to tailor interventions to comprehensively address the needs resulting from the coexistence of ASD and AN.
{"title":"Case report: Autism spectrum disorder as the basis of a feeding problem. A view from nursing care","authors":"Sara Martínez-de Castro , Ana Bermúdez-Saiz , José Luis Cobo-Sánchez","doi":"10.1016/j.enfcle.2025.502360","DOIUrl":"10.1016/j.enfcle.2025.502360","url":null,"abstract":"<div><div>This case report presents the nursing approach to a 38-year-old woman diagnosed with restrictive-type anorexia nervosa (AN) since the age of 15 and autism spectrum disorder (ASD) at 35. The patient was admitted due to structured suicidal ideation with a high risk of acting on it, triggered by the experience of significant personal losses. A comprehensive assessment was conducted using Gordon’s functional health patterns, identifying the following nursing diagnoses: ineffective health self-management, impaired social interaction, imbalanced nutrition: less than body requirements, and constipation. Additionally, collaborative problems such as insomnia, chronic pain, and suicidal behaviour risk were identified. The care plan was designed following the Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC), incorporating individualised interventions that included adapting the environment to the sensory and communicative needs associated with ASD, as well as implementing a personalized educational strategy to promote health self-management. After three months of hospitalization, notable improvements were observed in emotional regulation, coping mechanisms, and the resolution of suicidal ideation. Furthermore, a weight gain of 7 kg was achieved, placing the patient within the normal BMI range. This case highlights the importance of specialised mental health nursing care and the need to tailor interventions to comprehensively address the needs resulting from the coexistence of ASD and AN.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502360"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502407
Marta Lima-Serrano
{"title":"Nursing and school: the necessary evidence-based presence with a focus on the health of the educational community","authors":"Marta Lima-Serrano","doi":"10.1016/j.enfcle.2025.502407","DOIUrl":"10.1016/j.enfcle.2025.502407","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502407"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145594929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502216
Abdulnasser Ahmed Haza’a , Marzoq Ali Odhah , Saddam Ahmed Al-Ahdal , Mohammed Sadeq Al-Awar , Abdulfatah Saleh Al-Jaradi , Laila Mutahar Al-Nathariy , Lama Mohammed Al-Jaboobi
Background
Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.
Objectives
To examine the pain behavior of patients on mechanical ventilation during nursing interventions.
Methods
A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana’a -Yemen. Pain was evaluated before and during the nursing interventions via the "Ramsay Sedation Scale" and "Behavioral Pain Scale". The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of 0.05 was considered to indicate statistical significance.
Results
The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation, oral care, repositioning, perineum care, and intravenous cateterización through fluctuations all physiological parameters during these procedures.
Conclusion
Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.
{"title":"Pain behaviour of critically ill patients on mechanical ventilation during nursing interventions at governmental hospitals–Sana'a-Yemen","authors":"Abdulnasser Ahmed Haza’a , Marzoq Ali Odhah , Saddam Ahmed Al-Ahdal , Mohammed Sadeq Al-Awar , Abdulfatah Saleh Al-Jaradi , Laila Mutahar Al-Nathariy , Lama Mohammed Al-Jaboobi","doi":"10.1016/j.enfcle.2025.502216","DOIUrl":"10.1016/j.enfcle.2025.502216","url":null,"abstract":"<div><h3>Background</h3><div>Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.</div></div><div><h3>Objectives</h3><div>To examine the pain behavior of patients on mechanical ventilation during nursing interventions.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana’a -Yemen. Pain was evaluated before and during the nursing interventions via the \"Ramsay Sedation Scale\" and \"Behavioral Pain Scale\". The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of 0.05 was considered to indicate statistical significance.</div></div><div><h3>Results</h3><div>The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation<span>, oral care, repositioning, perineum care, and intravenous cateterización through fluctuations all physiological parameters during these procedures.</span></div></div><div><h3>Conclusion</h3><div>Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502216"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502211
Nilton João Chantre Leite , Armando Manuel Mendonça Raimundo , Romeu Duarte Carneiro Mendes , Soraia Daniela Pires Ferreira , José Francisco Filipe Marmeleira
Aim
This study aimed to investigate the impact of a multimodal exercise programme on the Health-Related Quality of Life (HRQoL) in patients with type 2 diabetes mellitus (T2DM).
Methods
A quasi-experimental study with a single-group design and repeated measures was used. Twenty-six patients with T2DM (aged 68.58 ± 6.15 years, with a diabetes duration of 14.81 ± 8.35 years) participated in a motor-cognitive exercise programme that consisted of 60-minute sessions, three times per week for eight weeks. Data were collected at two baseline measurements (pretest 1 and pretest 2) and the final measurement (post-test). Health-related quality of life was assessed using the EuroQol five-dimensions-3-level questionnaire.
Results
Although the repeated measure analysis showed no significant differences between measures at all time points, a small positive effect was found on the pain/discomfort domain and EuroQol visual analogue scale eight weeks after participating in the exercise programme.
Conclusions
These results show promising effects of the motor-cognitive intervention on health-related quality of life in patients with T2DM. However, given the study's limitations, such as the small sample size and lack of a control group, further research is needed to investigate the intervention's efficacy.
{"title":"Impact of a motor-cognitive intervention on Health-Related Quality of Life in patients with type 2 diabetes","authors":"Nilton João Chantre Leite , Armando Manuel Mendonça Raimundo , Romeu Duarte Carneiro Mendes , Soraia Daniela Pires Ferreira , José Francisco Filipe Marmeleira","doi":"10.1016/j.enfcle.2025.502211","DOIUrl":"10.1016/j.enfcle.2025.502211","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to investigate the impact of a multimodal exercise programme on the Health-Related Quality of Life (HRQoL) in patients with type 2 diabetes mellitus (T2DM).</div></div><div><h3>Methods</h3><div>A quasi-experimental study with a single-group design and repeated measures was used. Twenty-six patients with T2DM (aged 68.58 ± 6.15 years, with a diabetes duration of 14.81 ± 8.35 years) participated in a motor-cognitive exercise programme that consisted of 60-minute sessions, three times per week for eight weeks. Data were collected at two baseline measurements (pretest 1 and pretest 2) and the final measurement (post-test). Health-related quality of life was assessed using the EuroQol five-dimensions-3-level questionnaire.</div></div><div><h3>Results</h3><div>Although the repeated measure analysis showed no significant differences between measures at all time points, a small positive effect was found on the pain/discomfort domain and EuroQol visual analogue scale eight weeks after participating in the exercise programme.</div></div><div><h3>Conclusions</h3><div>These results show promising effects of the motor-cognitive intervention on health-related quality of life in patients with T2DM. However, given the study's limitations, such as the small sample size and lack of a control group, further research is needed to investigate the intervention's efficacy.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502211"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502253
Victor Fernandez-Alonso , Ana Maria Hernandez-Matias , Manuela Perez-Gomez , Marina Gómez de Quero-Cordoba , Maria Nieves Moro-Tejedor
Aim
To analyze the health-related quality of life perceived by patients undergoing a liver transplant and the relationship with mental health and other factors. clinical and sociodemographic characteristics during the first year after transplant.
Method
Observational, descriptive study, carried out in a tertiary hospital in Madrid from January 2020 to December 2021. Sociodemographic and clinical variables, Model for End-Stage Liver Disease sodium, health-related quality of life questionnaire. and scale were collected. hospital anxiety and depression. A descriptive and regression analysis of effects was performed to assess health-related quality of life.
Results
The patient sample was n = 56, with n = 45 (67.2%) men. The physical quality of life score was lower in women, presence of depressive symptoms and greater risk of liver disease. After the transplant, cardiovascular risk factors worsened, but quality of life improved significantly, maintaining a relationship with anxiety/depression.
Conclusion
Liver transplant impacts patient’s quality of life with significant physical improvement. Mental health is significantly impacted by depressive and anxious symptoms. The level of risk of the disease appears to play an important role, although with effects that vary over time. The nurse must guide post-transplant care towards an optimal quality of life, promoting adherence to treatment, and reducing risks by promoting physical activity and healthy habits.
{"title":"Evolution of health-related quality of life in adult liver transplant recipients","authors":"Victor Fernandez-Alonso , Ana Maria Hernandez-Matias , Manuela Perez-Gomez , Marina Gómez de Quero-Cordoba , Maria Nieves Moro-Tejedor","doi":"10.1016/j.enfcle.2025.502253","DOIUrl":"10.1016/j.enfcle.2025.502253","url":null,"abstract":"<div><h3>Aim</h3><div>To analyze the health-related quality of life perceived by patients undergoing a liver transplant and the relationship with mental health and other factors. clinical and sociodemographic characteristics during the first year after transplant.</div></div><div><h3>Method</h3><div>Observational, descriptive study, carried out in a tertiary hospital in Madrid from January 2020 to December 2021. Sociodemographic and clinical variables, Model for End-Stage Liver Disease sodium, health-related quality of life questionnaire. and scale were collected. hospital anxiety and depression. A descriptive and regression analysis of effects was performed to assess health-related quality of life.</div></div><div><h3>Results</h3><div>The patient sample was n = 56, with n = 45 (67.2%) men. The physical quality of life score was lower in women, presence of depressive symptoms and greater risk of liver disease. After the transplant, cardiovascular risk factors worsened, but quality of life improved significantly, maintaining a relationship with anxiety/depression.</div></div><div><h3>Conclusion</h3><div>Liver transplant impacts patient’s quality of life with significant physical improvement. Mental health is significantly impacted by depressive and anxious symptoms. The level of risk of the disease appears to play an important role, although with effects that vary over time. The nurse must guide post-transplant care towards an optimal quality of life, promoting adherence to treatment, and reducing risks by promoting physical activity and healthy habits.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502253"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502254
Cristina López-Muñoz , Marta Aranda-Gallardo , Francisco Rivas-Ruiz , Ana Belén Moya-Suárez , José Carlos Canca-Sanchez
Objective
To determine the clinical and functional characteristics and to compare the survival of a group of patients with multiple pathologies with PEG versus another group with similar characteristics of comorbidity and nutritional status, fed orally.
Method
A retrospective cohort study of hospitalized patients at the Costa del Sol Hospital (2016−21) was conducted. The inclusion criteria were multi-pathological patients belonging to categories E and G, defined in the Assistance Process of the Ministry of Health, with dysphagia and nutritional risk. All patients with PEG were included. The non-PEG group was obtained with simple random sampling. Dysphagia was evaluated with the volume-viscosity clinical examination method. Analytical parameters, survival, PROFUND index and nutritional risk were also evaluated. Statistical analysis and a Cox multivariate regression model (95% CI) were performed with a significance level of P < .05.
Results
A total of 1928 patients with multiple pathologies were categorized, almost 30% with dysphagia. 84 patients were fed by PEG. Of the 434 orally fed subjects, 84 were selected, a total sample of 168 patients. The most frequent diagnoses were neurological disease and/or dementia versus stroke in the non-PEG group. Both groups presented malnutrition in more than 70% and an intermediate-high PROFUND. Adjusting the groups with nutritional status and the PROFUND index, the PEG group had a better prognosis (P = .035).
Conclusions
The adjustment of the studied population with the PROFUND index and its nutritional status determines a longer survival of patients with PEG.
{"title":"Survival of multi-pathological inpatients with nutritional risk according to their PROFUND index","authors":"Cristina López-Muñoz , Marta Aranda-Gallardo , Francisco Rivas-Ruiz , Ana Belén Moya-Suárez , José Carlos Canca-Sanchez","doi":"10.1016/j.enfcle.2025.502254","DOIUrl":"10.1016/j.enfcle.2025.502254","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the clinical and functional characteristics and to compare the survival of a group of patients with multiple pathologies with PEG versus another group with similar characteristics of comorbidity and nutritional status, fed orally.</div></div><div><h3>Method</h3><div>A retrospective cohort study of hospitalized patients at the Costa del Sol Hospital (2016−21) was conducted. The inclusion criteria were multi-pathological patients belonging to categories E and G, defined in the Assistance Process of the Ministry of Health, with dysphagia and nutritional risk. All patients with PEG were included. The non-PEG group was obtained with simple random sampling. Dysphagia was evaluated with the volume-viscosity clinical examination method. Analytical parameters, survival, PROFUND index and nutritional risk were also evaluated. Statistical analysis and a Cox multivariate regression model (95% CI) were performed with a significance level of <em>P</em> < .05.</div></div><div><h3>Results</h3><div>A total of 1928 patients with multiple pathologies were categorized, almost 30% with dysphagia. 84 patients were fed by PEG. Of the 434 orally fed subjects, 84 were selected, a total sample of 168 patients. The most frequent diagnoses were neurological disease and/or dementia versus stroke in the non-PEG group. Both groups presented malnutrition in more than 70% and an intermediate-high PROFUND. Adjusting the groups with nutritional status and the PROFUND index, the PEG group had a better prognosis (<em>P =</em> .035).</div></div><div><h3>Conclusions</h3><div>The adjustment of the studied population with the PROFUND index and its nutritional status determines a longer survival of patients with PEG.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502254"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502332
Agustín Tristán-López
{"title":"Letter to the Editor regarding the article “Comparison of Content Validity Indices for Clinical Nursing Research: A Practical Case”","authors":"Agustín Tristán-López","doi":"10.1016/j.enfcle.2025.502332","DOIUrl":"10.1016/j.enfcle.2025.502332","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502332"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcle.2025.502242
Melike Durmaz , Saide Faydali
Objective
This study was conducted to examine the relationship between nurses' moral sensitivity and the culture of patient safety.
Methodology
This study was designed using a cross-sectional design. The data collection was carried out using a 'Questionnaire,' the 'Moral Sensitivity Questionnaire (MSQ),' and the 'Patient Safety Culture Scale (PSCS).' The data was obtained from 254 nurses who agreed to participate in the research through an online survey method conducted between January 01–31, 2023.
Results
High scores on the autonomy and holistic approach sub-dimensions of the moral sensitivity scale were found to contribute to an increase in patient safety culture scores. High levels of both moral sensitivity and patient safety culture were reported among nurses. However, only a negative and weak significant relationship was found between the autonomy subscale of the moral sensitivity scale and the management and leadership subscale of the patient safety culture scale.
Conclusions
Accordingly, it was recommended that separate strengthening initiatives be conducted for nurses in terms of moral sensitivity and patient safety culture. To further explore the relationship between nurses' moral sensitivity and patient safety culture, future studies involving nurses from diverse cultural backgrounds and various healthcare settings, utilizing both qualitative and quantitative research methods, were suggested.
{"title":"Relationship between nurses' moral sensitivity and patient safety culture: Cross-sectional study","authors":"Melike Durmaz , Saide Faydali","doi":"10.1016/j.enfcle.2025.502242","DOIUrl":"10.1016/j.enfcle.2025.502242","url":null,"abstract":"<div><h3>Objective</h3><div>This study was conducted to examine the relationship between nurses' moral sensitivity and the culture of patient safety.</div></div><div><h3>Methodology</h3><div>This study was designed using a cross-sectional design. The data collection was carried out using a 'Questionnaire,' the 'Moral Sensitivity Questionnaire (MSQ),' and the 'Patient Safety Culture Scale (PSCS).' The data was obtained from 254 nurses who agreed to participate in the research through an online survey method conducted between January 01–31, 2023.</div></div><div><h3>Results</h3><div>High scores on the autonomy and holistic approach sub-dimensions of the moral sensitivity scale were found to contribute to an increase in patient safety culture scores. High levels of both moral sensitivity and patient safety culture were reported among nurses. However, only a negative and weak significant relationship was found between the autonomy subscale of the moral sensitivity scale and the management and leadership subscale of the patient safety culture scale.</div></div><div><h3>Conclusions</h3><div>Accordingly, it was recommended that separate strengthening initiatives be conducted for nurses in terms of moral sensitivity and patient safety culture. To further explore the relationship between nurses' moral sensitivity and patient safety culture, future studies involving nurses from diverse cultural backgrounds and various healthcare settings, utilizing both qualitative and quantitative research methods, were suggested.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502242"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To predict the emotional responses and coping strategies of Moroccan professional nurses and nursing students during COVID-19 pandemic.
Methods: From April 2021 to June 2021, a quantitative comparative study was conducted with 68 professional nurses and 50 nursing students. Participants' responses were based on a self-administered questionnaire that included sociodemographic variables, the Positive and Negative Affect Schedule Scale (PANAS), and the brief Coping Orientation to Problems Experienced Inventory (COPE).
Results: A total of 118 participants complete responses, with mean ages ranging from 19 to 58 (M = 27.59, SD ± 8.98), and majority were female (n = 79, 66.9%). In terms of avoidance coping, male professional nurses reported significantly higher mean score (27.73, SD ± 3.69) than female nurses (25.71, SD ± 3.98) (t = -2.085, P = .041). The result of multiple regression showed that for professional nurses, approach and avoidance coping are associated with age (β = .76, P < .001; β = .98, P < .001; respectively), seniority in the profession (β = -.94, P < .001; β = -1.13, P < .001; respectively), and positive affect scores (β = .33, P < .01; β = .32, P < .01; respectively). Conversely, nursing students revealed a different profile, with age significantly associated with approach coping (β = .95, P < .001) and avoidance coping (β = .95, P < .001). Notably, in contrast to avoidance coping, approach coping increased significantly with a positive affect score (β = .29, P < .01).
Conclusion: The use of various coping strategies by nurses in challenging situations highlights the crucial need for training in effective coping techniques for managing emotional reactions, as they have a considerable impact on mental well-being and the quality of nursing care.
{"title":"Understanding emotional reactions and coping strategies in Moroccan nurses and nursing students during COVID-19: A multiple regression analysis.","authors":"Imane Attar, Fatine Hadrya, Meftaha Senhaji, Igor Cigarroa, Abdenbi Bendriss, Anis Sfendla","doi":"10.1016/j.enfcle.2025.502309","DOIUrl":"10.1016/j.enfcle.2025.502309","url":null,"abstract":"<p><strong>Objective: </strong>To predict the emotional responses and coping strategies of Moroccan professional nurses and nursing students during COVID-19 pandemic.</p><p><strong>Methods: </strong>From April 2021 to June 2021, a quantitative comparative study was conducted with 68 professional nurses and 50 nursing students. Participants' responses were based on a self-administered questionnaire that included sociodemographic variables, the Positive and Negative Affect Schedule Scale (PANAS), and the brief Coping Orientation to Problems Experienced Inventory (COPE).</p><p><strong>Results: </strong>A total of 118 participants complete responses, with mean ages ranging from 19 to 58 (M = 27.59, SD ± 8.98), and majority were female (n = 79, 66.9%). In terms of avoidance coping, male professional nurses reported significantly higher mean score (27.73, SD ± 3.69) than female nurses (25.71, SD ± 3.98) (t = -2.085, P = .041). The result of multiple regression showed that for professional nurses, approach and avoidance coping are associated with age (β = .76, P < .001; β = .98, P < .001; respectively), seniority in the profession (β = -.94, P < .001; β = -1.13, P < .001; respectively), and positive affect scores (β = .33, P < .01; β = .32, P < .01; respectively). Conversely, nursing students revealed a different profile, with age significantly associated with approach coping (β = .95, P < .001) and avoidance coping (β = .95, P < .001). Notably, in contrast to avoidance coping, approach coping increased significantly with a positive affect score (β = .29, P < .01).</p><p><strong>Conclusion: </strong>The use of various coping strategies by nurses in challenging situations highlights the crucial need for training in effective coping techniques for managing emotional reactions, as they have a considerable impact on mental well-being and the quality of nursing care.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502309"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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