Pub Date : 2026-01-19DOI: 10.1016/j.enfcle.2026.502417
Estefanía Canedo, Paula San Martín-González, Natalia Quintero-Flórez, María Manuela Martins
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.
{"title":"Perceptions of managerial practice among Spanish nurse managers: a cross-sectional study using the E-EPTGE instrument.","authors":"Estefanía Canedo, Paula San Martín-González, Natalia Quintero-Flórez, María Manuela Martins","doi":"10.1016/j.enfcle.2026.502417","DOIUrl":"10.1016/j.enfcle.2026.502417","url":null,"abstract":"<p><strong>Aim: </strong>To explore Spanish nurse managers' perceptions of their professional activities using the validated Spanish version of the Nursing Managers' Work Perception Scale (E-EPTGE).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502417"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020727","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 : 2026-01-19DOI: 10.1016/j.enfcle.2026.502361
Yassin Nouar, Nisrin El Mlili, Adil Najdi
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.
{"title":"Barriers to accessing healthcare among irregular sub-Saharan migrants in northern Morocco.","authors":"Yassin Nouar, Nisrin El Mlili, Adil Najdi","doi":"10.1016/j.enfcle.2026.502361","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502361","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502361"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020760","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}
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.
{"title":"Evaluation of caregivers' knowledge and practices in pediatric asthma management in rural India: A cross-sectional study.","authors":"Sunaina Sharma, Rajkumari Sylvia Devi, Ashok Kumar Srivastava, Sanchita Pugazhendi, Kamli Prakash, Salam Bhopen Singh","doi":"10.1016/j.enfcle.2026.502404","DOIUrl":"10.1016/j.enfcle.2026.502404","url":null,"abstract":"<p><strong>Aim: </strong>To investigate caregivers' knowledge and practices related to management of pediatric asthma, and identify the existing gaps for improvement.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502404"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020776","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 : 2026-01-19DOI: 10.1016/j.enfcle.2026.502338
Sultan Esra Sayar, Süheyla Yaralı
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.
{"title":"Readiness and heel prick skills in intern nurses: A correlational study.","authors":"Sultan Esra Sayar, Süheyla Yaralı","doi":"10.1016/j.enfcle.2026.502338","DOIUrl":"10.1016/j.enfcle.2026.502338","url":null,"abstract":"<p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502338"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020730","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 : 2026-01-01Epub Date: 2025-11-20DOI: 10.1016/j.enfcle.2025.502363
Cigdem Bilge , Meltem Kaydirak , Sema Nur Gurel , Defne Yurtsever , Nuriye Dik
Aim
This study aimed to examine the association between HPV vaccine hesitancy and attitudes towards the early detection of cervical cancer among women of reproductive age.
Method
This study uses a descriptive and correlational design. Data were collected between 15 May and 15 October 2023 from a sample of 1240 women of reproductive age using Google’s online snowball survey tool. Data collection tools included an Information Form, the Attitudes Towards Early Diagnosis of Cervical Cancer Scale, and the Vaccination Hesitancy and Reasons Form based on the WHO 3Cs model. Descriptive statistics (mean, standard deviation, frequency), the Mann-Whitney U test, Kruskal-Wallis test and Bonferroni post-hoc analysis were used to analyse the data. The reliability of the scale was assessed using Cronbach’s alpha. Ethical approval was obtained from the Ethics Committee of Mugla Sitki Kocman University (Protocol No: 220186/Decision No: 15), and participants gave informed consent electronically prior to participation.
Results
The participants' mean age was 20.66 ± 2.38 years. Statistically significant differences were observed between variables such as educational status, income level, and primary residence, and attitudes toward HPV vaccination (P < .05). Smoking status was identified as a significant factor influencing vaccination attitudes (P = .001). Friends (38.4%) and the Internet (31.1%) were reported as the primary sources of information about HPV vaccination. Regarding barriers, 54.7% of participants stated they did not know where to obtain the vaccine, and 25% identified the requirement for multiple doses as a challenge. Concerns about vaccine safety (51.4%), fear of infertility (28.2%), and potential allergic reactions (19.7%) were also noted. Beliefs about the necessity of vaccination and its role in preventing cancer significantly influenced attitudes and hesitancy (P < .001). Overall, HPV vaccine hesitancy was closely associated with participants’ level of knowledge, beliefs, and sociodemographic characteristics.
Conclusions
To reduce vaccine hesitancy, it is important to establish accessible and trustworthy information channels, engage healthcare professionals more actively in HPV vaccination advocacy, and conduct public health campaigns targeting young adults through popular digital platforms. In addition, addressing structural barriers — such as the cost of the vaccine, access to vaccination centres and concerns about side effects — through policy-level action could significantly improve uptake of the vaccine and encourage participation in cervical cancer screening programs.
{"title":"Relationship between HPV vaccine hesitancy and attitudes towards early detection of cervical cancer in women of reproductive age","authors":"Cigdem Bilge , Meltem Kaydirak , Sema Nur Gurel , Defne Yurtsever , Nuriye Dik","doi":"10.1016/j.enfcle.2025.502363","DOIUrl":"10.1016/j.enfcle.2025.502363","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to examine the association between HPV vaccine hesitancy and attitudes towards the early detection of cervical cancer among women of reproductive age.</div></div><div><h3>Method</h3><div>This study uses a descriptive and correlational design. Data were collected between 15 May and 15 October 2023 from a sample of 1240 women of reproductive age using Google’s online snowball survey tool. Data collection tools included an Information Form, the Attitudes Towards Early Diagnosis of Cervical Cancer Scale, and the Vaccination Hesitancy and Reasons Form based on the WHO 3Cs model. Descriptive statistics (mean, standard deviation, frequency), the Mann-Whitney <em>U</em> test, Kruskal-Wallis test and Bonferroni post-hoc analysis were used to analyse the data. The reliability of the scale was assessed using Cronbach’s alpha. Ethical approval was obtained from the Ethics Committee of Mugla Sitki Kocman University (Protocol No: 220186/Decision No: 15), and participants gave informed consent electronically prior to participation.</div></div><div><h3>Results</h3><div>The participants' mean age was 20.66 ± 2.38 years. Statistically significant differences were observed between variables such as educational status, income level, and primary residence, and attitudes toward HPV vaccination (<em>P</em> < .05). Smoking status was identified as a significant factor influencing vaccination attitudes (<em>P</em> = .001). Friends (38.4%) and the Internet (31.1%) were reported as the primary sources of information about HPV vaccination. Regarding barriers, 54.7% of participants stated they did not know where to obtain the vaccine, and 25% identified the requirement for multiple doses as a challenge. Concerns about vaccine safety (51.4%), fear of infertility (28.2%), and potential allergic reactions (19.7%) were also noted. Beliefs about the necessity of vaccination and its role in preventing cancer significantly influenced attitudes and hesitancy (<em>P</em> < .001). Overall, HPV vaccine hesitancy was closely associated with participants’ level of knowledge, beliefs, and sociodemographic characteristics.</div></div><div><h3>Conclusions</h3><div>To reduce vaccine hesitancy, it is important to establish accessible and trustworthy information channels, engage healthcare professionals more actively in HPV vaccination advocacy, and conduct public health campaigns targeting young adults through popular digital platforms. In addition, addressing structural barriers — such as the cost of the vaccine, access to vaccination centres and concerns about side effects — through policy-level action could significantly improve uptake of the vaccine and encourage participation in cervical cancer screening programs.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 1","pages":"Article 502363"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582832","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 : 2026-01-01Epub Date: 2025-11-20DOI: 10.1016/j.enfcle.2025.502362
Rubén López , Paula Cisternas-Vallejos , Valentina Vilches-Gómez , Lydia Lera , Ignacio Roa , Alejandro Gómez-Bruton , Pablo A. Lizana
Objectives
The number of older adults is rising annually, which is accompanied by an increase in the number of individuals residing in long-term care facilities. Muscle mass is a determinant of mobility and autonomy in these individuals. Therefore, the aim of the present study is to evaluate the association between malnutrition and cognitive impairment with low muscle mass among institutionalized older adults.
Methods
Patients’ sociodemographic data and body measurements were analyzed. Low muscle mass was determined by leg perimeter being < 31 cm; cognitive status was evaluated with the Pfeiffer test; and nutritional status, was assessed with the Mini Nutritional Assessment Short-Form. Logistic regression models were used to analyze whether malnutrition and cognitive impairment are associated with low muscle mass, adjusted for gender and age.
Results
Among participants with low muscle mass, 50% presented malnutrition and 59% presented high cognitive deterioration. Participants with a high cognitive deterioration and malnutrition showed a greater risk of low muscle mass (OR 6.75; P = .003 and OR 6.58; P = .007, respectively) regardless of gender and age.
Conclusions
Both malnutrition and cognitive deterioration were associated with low muscle mass which is determinant to maintain mobility and independence in older adults.
{"title":"Are cognitive level and nutritional status determinants of low muscle mass? A cross-sectional study in institutionalized older adults","authors":"Rubén López , Paula Cisternas-Vallejos , Valentina Vilches-Gómez , Lydia Lera , Ignacio Roa , Alejandro Gómez-Bruton , Pablo A. Lizana","doi":"10.1016/j.enfcle.2025.502362","DOIUrl":"10.1016/j.enfcle.2025.502362","url":null,"abstract":"<div><h3>Objectives</h3><div>The number of older adults is rising annually, which is accompanied by an increase in the number of individuals residing in long-term care facilities. Muscle mass is a determinant of mobility and autonomy in these individuals. Therefore, the aim of the present study is to evaluate the association between malnutrition and cognitive impairment with low muscle mass among institutionalized older adults.</div></div><div><h3>Methods</h3><div>Patients’ sociodemographic data and body measurements were analyzed. Low muscle mass was determined by leg perimeter being < 31 cm; cognitive status was evaluated with the Pfeiffer test; and nutritional status, was assessed with the Mini Nutritional Assessment Short-Form. Logistic regression models were used to analyze whether malnutrition and cognitive impairment are associated with low muscle mass, adjusted for gender and age.</div></div><div><h3>Results</h3><div>Among participants with low muscle mass, 50% presented malnutrition and 59% presented high cognitive deterioration. Participants with a high cognitive deterioration and malnutrition showed a greater risk of low muscle mass (OR 6.75; <em>P</em> = .003 and OR 6.58; <em>P</em> = .007, respectively) regardless of gender and age.</div></div><div><h3>Conclusions</h3><div>Both malnutrition and cognitive deterioration were associated with low muscle mass which is determinant to maintain mobility and independence in older adults.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 1","pages":"Article 502362"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582836","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 : 2026-01-01Epub Date: 2025-12-13DOI: 10.1016/j.enfcle.2025.502358
Sara Chiquero Valenzuela , José Luis Jiménez Laínez , María Piedad García Ruíz , María Dolores López Franco
We present the clinical case of a 64-year-old multi-pathological patient who presents numerous skin tears in the upper extremities.
The aim is to restore skin integrity in a patient with numerous skin tears (ST) on both forearms using a new class I medical device composed of elastic and adjustable medical grade encapsulated gel.
Once the NANDA International diagnostic labels were identified using the NNNConsult online tool, the expected results were planned along with the nursing interventions.
The care plan and cure guidelines are detailed based on the consensus evidence of the International Skin Tear Advisory Panel, also including preventive activities in risk areas (General Health, Mobility and Skin), in addition to the implementation of a new class I medical device. Finally, skin integrity is restored.
This work shows the positive preventive and therapeutic results in fragile skin and ST when carrying out a multiple care strategy with a new medical device.
{"title":"Prevention and treatment of skin tears using a class I medical device: A clinical case with multiple injuries","authors":"Sara Chiquero Valenzuela , José Luis Jiménez Laínez , María Piedad García Ruíz , María Dolores López Franco","doi":"10.1016/j.enfcle.2025.502358","DOIUrl":"10.1016/j.enfcle.2025.502358","url":null,"abstract":"<div><div>We present the clinical case of a 64-year-old multi-pathological patient who presents numerous skin tears in the upper extremities.</div><div>The aim is to restore skin integrity in a patient with numerous skin tears (ST) on both forearms using a new class I medical device composed of elastic and adjustable medical grade encapsulated gel.</div><div>Once the NANDA International diagnostic labels were identified using the NNNConsult online tool, the expected results were planned along with the nursing interventions.</div><div>The care plan and cure guidelines are detailed based on the consensus evidence of the International Skin Tear Advisory Panel, also including preventive activities in risk areas (General Health, Mobility and Skin), in addition to the implementation of a new class I medical device. Finally, skin integrity is restored.</div><div>This work shows the positive preventive and therapeutic results in fragile skin and ST when carrying out a multiple care strategy with a new medical device.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 1","pages":"Article 502358"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758477","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 : 2026-01-01Epub Date: 2025-11-13DOI: 10.1016/j.enfcle.2025.502215
Estela Hernández Bello , Alberto Hernández Embid , María Luisa de la Rica Escuin
Introduction
Advance planning, and its registration in the advance directives document, makes it possible to define goals and preferences, assuring patients of the fulfillment of their wishes, and facilitating decision making by professionals in an end-of-life process. In people admitted to an ICU for treatment, life support or pathologies, communication can be difficult.
Objectives
To identify how many patients admitted to an ICU had VAD recorded during the years 2019 and 2021, and to study the relationships with age, sex, pathology, population of origin, reason for discharge, and whether the record was before or after admission, and to study whether there were changes in the record after the first year of the pandemic.
Methodology
Cross-sectional descriptive study carried out in an ICU in Zaragoza during the years 2019 and 2021. The study population consisted of all patients admitted during the study period. A descriptive and bivariate analysis of the variables under study was performed, establishing a confidence level of p < 0.05.
Results
In 2019 there were 694 people admitted, 63% of whom were men, with a mean age of 66 years (SD = 14.5). 1.7% had VAD registered. Only 3 of 12 persons registered their VAD after ICU admission. In 2021 there were 1,137 patients admitted, the majority being men (64.1%), with mean age 63.43 years (SD = 14.6). Of the patients admitted in 2021, 1.8% had VAD recorded. Only 4 people out of 21 registered VAD after admission to the ICU. Only a relationship could be established between having registered VAD and origin in the year 2021, being more frequent in those who lived in the city.
Conclusion
The registration of VAD in patients admitted to our service was scarce, with no differences observed between the years 2019 and 2021. Most had the DVA registered before admission to the ICU, so it is considered important to raise awareness of making adequate planning of care wishes in the last days of life.
{"title":"Registration of advance directives in patients admitted to an intensive care unit: A prevalence study","authors":"Estela Hernández Bello , Alberto Hernández Embid , María Luisa de la Rica Escuin","doi":"10.1016/j.enfcle.2025.502215","DOIUrl":"10.1016/j.enfcle.2025.502215","url":null,"abstract":"<div><h3>Introduction</h3><div>Advance planning, and its registration in the advance directives document, makes it possible to define goals and preferences, assuring patients of the fulfillment of their wishes, and facilitating decision making by professionals in an end-of-life process. In people admitted to an ICU for treatment, life support or pathologies, communication can be difficult.</div></div><div><h3>Objectives</h3><div>To identify how many patients admitted to an ICU had VAD recorded during the years 2019 and 2021, and to study the relationships with age, sex, pathology, population of origin, reason for discharge, and whether the record was before or after admission, and to study whether there were changes in the record after the first year of the pandemic.</div></div><div><h3>Methodology</h3><div>Cross-sectional descriptive study carried out in an ICU in Zaragoza during the years 2019 and 2021. The study population consisted of all patients admitted during the study period. A descriptive and bivariate analysis of the variables under study was performed, establishing a confidence level of p < 0.05.</div></div><div><h3>Results</h3><div>In 2019 there were 694 people admitted, 63% of whom were men, with a mean age of 66 years (SD = 14.5). 1.7% had VAD registered. Only 3 of 12 persons registered their VAD after ICU admission. In 2021 there were 1,137 patients admitted, the majority being men (64.1%), with mean age 63.43 years (SD = 14.6). Of the patients admitted in 2021, 1.8% had VAD recorded. Only 4 people out of 21 registered VAD after admission to the ICU. Only a relationship could be established between having registered VAD and origin in the year 2021, being more frequent in those who lived in the city.</div></div><div><h3>Conclusion</h3><div>The registration of VAD in patients admitted to our service was scarce, with no differences observed between the years 2019 and 2021. Most had the DVA registered before admission to the ICU, so it is considered important to raise awareness of making adequate planning of care wishes in the last days of life.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 1","pages":"Article 502215"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530873","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 : 2026-01-01Epub Date: 2025-12-04DOI: 10.1016/j.enfcle.2025.502401
Enoc Isaí Hernández-Cantú , Kareli Montserrath Alcaraz-Ávalos , María Guadalupe Martínez-León , Héctor Alberto Covarrubias-Arriaga , Giselle Alexandra Luevano-Díaz
Objective
To assess the impact of implementing a Bad News Communication Protocol (BNCP) on nurses’ communication skills, patients’/families’ perceived communication quality, and the frequency of communication-related hospital conflicts.
Method
Quasi-experimental pretest–posttest study with 247 nurses at a secondary-level hospital. Communication skills were measured using a 5-point Likert questionnaire (α = 0.89). Patients’/families’ perception was assessed with 356 structured 5-point Likert surveys (pre = 178; post = 178). Communication-related conflicts were extracted from institutional complaint and internal-report records six months before and after implementation. Paired t-tests, Chi-square tests, and ANOVA were used.
Results
Communication-skills scores increased from 2.8 ± 0.9 to 4.2 ± 0.7 (t = 15.87; p < 0.001). In patients’/families’ perception, “poor” decreased from 18.5% to 5.6%, “fair” from 28.7% to 6.7%, “good” rose from 34.3% to 44.9%, and “excellent” from 18.5% to 42.7% (χ² = 36.21; p < 0.001). Communication-related conflicts dropped from 78 to 29 (−62.8%; p < 0.001).
Conclusions
BNCP implementation improved nurses’ communication skills, enhanced patients’/families’ perception, and reduced conflicts. Embedding structured communication protocols in nursing continuing education may enhance care quality.
{"title":"Implementation of a bad news communication protocol in nursing: Impact on communication skills","authors":"Enoc Isaí Hernández-Cantú , Kareli Montserrath Alcaraz-Ávalos , María Guadalupe Martínez-León , Héctor Alberto Covarrubias-Arriaga , Giselle Alexandra Luevano-Díaz","doi":"10.1016/j.enfcle.2025.502401","DOIUrl":"10.1016/j.enfcle.2025.502401","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the impact of implementing a Bad News Communication Protocol (BNCP) on nurses’ communication skills, patients’/families’ perceived communication quality, and the frequency of communication-related hospital conflicts.</div></div><div><h3>Method</h3><div>Quasi-experimental pretest–posttest study with 247 nurses at a secondary-level hospital. Communication skills were measured using a 5-point Likert questionnaire (α = 0.89). Patients’/families’ perception was assessed with 356 structured 5-point Likert surveys (pre = 178; post = 178). Communication-related conflicts were extracted from institutional complaint and internal-report records six months before and after implementation. Paired t-tests, Chi-square tests, and ANOVA were used.</div></div><div><h3>Results</h3><div>Communication-skills scores increased from 2.8 ± 0.9 to 4.2 ± 0.7 (<em>t</em> = 15.87; <em>p</em> < 0.001). In patients’/families’ perception, “poor” decreased from 18.5% to 5.6%, “fair” from 28.7% to 6.7%, “good” rose from 34.3% to 44.9%, and “excellent” from 18.5% to 42.7% (χ² = 36.21; <em>p</em> < 0.001). Communication-related conflicts dropped from 78 to 29 (−62.8%; <em>p</em> < 0.001).</div></div><div><h3>Conclusions</h3><div>BNCP implementation improved nurses’ communication skills, enhanced patients’/families’ perception, and reduced conflicts. Embedding structured communication protocols in nursing continuing education may enhance care quality.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 1","pages":"Article 502401"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688589","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 : 2026-01-01Epub Date: 2025-12-13DOI: 10.1016/j.enfcle.2025.502415
Edwin Gustavo Estrada-Araoz
{"title":"Mental health literacy: a formative response to suicide risk among nursing students","authors":"Edwin Gustavo Estrada-Araoz","doi":"10.1016/j.enfcle.2025.502415","DOIUrl":"10.1016/j.enfcle.2025.502415","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 1","pages":"Article 502415"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758517","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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