Enfermeria clinica (English Edition)最新文献

Objective: To evaluate and compare the health-related quality of life of parents of newborns admitted to the Neonatal Intensive Care Unit, during neonatal hospitalization and at home, and to identify the factors that influence it by analyzing sex differences.

Method: Observational, prospective, and analytical study conducted with 92 parents of 46 newborns admitted to the Neonatal Intensive Care Unit. Health-related quality of life was assessed using the PedsQL-FIM 2.0 questionnaire at three different time points. Sociodemographic variables of the parents and clinical data of the newborns, including the use of medical devices, were recorded. The study was approved by the Ethics Committee, and statistical analysis was performed using the Jamovi® v.2.3.13 software.

Results: The mean age of the parents was 35,41 ± 6,20 years; 51,32% were women. No correlation was found between age and quality of life at any of the time points, but differences were observed by sex in emotional well-being during intensive care (P = .007), physical health and activities during hospitalization (P = .01), and daily activities at home (P = .01). Quality of life was negatively associated with the duration of medical device use, both in intensive care and during hospitalization.

Conclusions: Age does not influence the quality of life of parents. However, women showed lower scores in emotional well-being and cognitive function. Prolonged use of medical devices is associated with poorer quality of life, which improves as the newborn's health condition evolves favorably.

Objective: The use of teaching methods that challenge and stimulate students' interest and clinical decision-making skills is pertinent. The appropriate use of educational software can reduce teaching problems and facilitate learning in pediatric medication administration. The objective was todetermine the effectiveness of the use of software in the training of nursing professionals at the University de los Llanos.

Method: Quantitative quasi-experimental pre-post study with a control group. The competence administration of medications in pediatrics were evaluated by means of the instrument called structured objective clinical examination, which is recognized by the acronym ECOE which has constructed validity and an alpha value of 0.68, it is known and used for the evaluation of clinical competencies.

Results: The students of both groups received training in the selected procedure and performed the ECOE for the administration of medications in pediatrics. The intervention group was administered the software. Statistical analysis was performed with ANCOVA, students who learned with the software presented on average 0.75 more score or rating, compared to those of traditional teaching.

Conclusions: It was possible to determine that learning with educational software and the clinical simulation favored learning in the administration of medications in pediatrics; this study provides solid evidence that demonstrates the need for further research in this area to improve the knowledge, skills and attitudes of future nursing professionals.

Objective: To know and understand the experience lived by clinical nurses who tutor newly graduated peers during their hiring stage in hospitals and other health organisations in the country.

Method: Qualitative study of phenomenological approach carried out in Chile between the months of September 2019 to January 2020, Covid-19 prepandemic. An in-depth interview was conducted with fifteen clinical nurses. The data analysis was guided by the methodological principles of Alfred Schütz's social phenomenology, the results in the light of his theory and the scientific references associated with the subject.

Results: Three categories and twelve themes emerged in this study. Despite differences in their sociodemographic data, all fifteen participants reported similar experiences in the role of peer tutoring recent graduates. They all mentored from their own mentoring experience and without guidelines from their organization, faced the same difficulties and needs, and raised the same criticisms for improvement related to changes that would allow them to improve their performance.

Conclusions: From the perspective of the fifteen nurses it was possible to know and understand how they live the experience of mentoring newly graduated peers in the workplace, however, the results should be taken with caution due to the limitations of the study. Further research on this topic is recommended.

Aim: To describe the role of Executive Nurse Leaders (ENLs) in the response to the COVID-19 pandemic in Spain.

Method: A qualitative descriptive study with an ethnographic approach and direct qualitative content analysis was designed. Twenty-five semi-structured interviews were conducted with ENLs who held senior management positions in one of the two management areas: autonomous health policy and healthcare organisation. The study includes the following executive roles: Chief Nurse Executive in autonomous government policy, Chief Executive Officer, Chief Nurse Officer, and Assistant Chief Nurse Officer in healthcare organisations. The sample includes most autonomous communities in Spain.

Results: Four themes and seven subthemes were identified. Theme 1. Health crisis: Negative outlook on the situation despite the new opportunities made possible by the pandemic. Theme 2. Action areas: The ENLs were involved in areas of management: autonomous policy, healthcare organisation and shared areas. Theme 3. Accompanying patients: Widespread criticism of visitation bans and the nurses' response to the restrictions. Theme 4. Communication: Characteristics' communication description, information management and communication strategies towards staff or the public.

Conclusions: The results demonstrate the vital role that ENLs played in managing the response to the pandemic. In the context studied, the interviewees' scope and degree of participation differed in each autonomous community. Understanding the role of ENLs helps respond to major healthcare challenges, raises their leadership visibility and facilitates social and institutional recognition. Advocating for the involvement of ENLs at the executive levels studied will help to improve the country's preparedness for future health crises.