Pub Date : 2025-11-01Epub Date: 2025-10-17DOI: 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 : 2025-11-01Epub Date: 2025-06-16DOI: 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}
Aim: Intimate partner violence (IPV) against pregnant women during pregnancy is a major concern to healthcare practitioners globally due to the negative impact on the health of the woman and her unborn child. This study determined the level of intimate partner violence experienced among pregnant women and the factors influencing the occurrence.
Method: A cross-sectional descriptive research design was employed, and data were collected from 394 pregnant women attending two selected public healthcare facilities in Lagos State, Nigeria. The World Health Organization Multi-Country Study on Women's Health and Domestic Violence Against Women questionnaire was used to collect the information. Frequency and percentage were used to determine the experience of IPV and Binomial regression was used to predict the associated factors on the experience of IPV at significance set at P < .05.
Results: The results revealed that 28.45 of pregnant women had experienced IPV. The Pregnant women who are married were 2.4 times more likely to experience IPV compared to those who are pregnant but not married (adjusted OR = 2.392, 95% CI 1.854-3.954; P = .030). Pregnant women who did not planned for the pregnancy were 4 times more likely to experience IPV (adjusted OR = 4.012, 95% CI 2.119-8.333; P = .008). Also, pregnant women from polygamous settings were more likely to experience IPV compared with those in monogamous family (adjusted OR = 3.420, 95% CI 1.979-6.321; P = .026).
Conclusion: This study concluded that about one quarter of the pregnant women had experienced IPV. Some of the factors contributing to the experience are the low monthly income of the pregnant women, polygamous settings and unplanned pregnancy. Therefore, there is a need for more enlightenment on the factors responsible for intimate partner violence among pregnant women.
目的：怀孕期间对孕妇的亲密伴侣暴力（IPV）是全球保健从业人员关注的一个主要问题，因为它对妇女及其未出生婴儿的健康产生负面影响。本研究确定了孕妇遭受亲密伴侣暴力的程度以及影响其发生的因素。方法：采用横断面描述性研究设计，从尼日利亚拉各斯州两家选定的公共医疗机构就诊的394名孕妇中收集数据。使用了世界卫生组织关于妇女健康和对妇女的家庭暴力的多国研究问卷来收集信息。用频率和百分比来确定IPV经历，用二项回归来预测IPV经历的相关因素，显著性设置为p。结果：28.45%的孕妇经历过IPV。已婚孕妇发生IPV的可能性是未婚孕妇的2.4倍（调整后OR = 2.392, 95% CI 1.854 -3.954; p = 0.030）。未计划怀孕的孕妇发生IPV的可能性高出4倍（调整后OR = 4.012, 95% CI 2.119 - 8.333; p = 0.008）。此外，与一夫一妻制家庭的孕妇相比，一夫多妻制家庭的孕妇更容易发生IPV（调整后OR = 3.420, 95% CI 1.979 - 6.321; p = 0.026）。结论：这项研究得出结论，大约四分之一的孕妇经历过IPV。造成这种经历的一些因素是孕妇的月收入低、一夫多妻的环境和意外怀孕。因此，有必要更多地了解造成孕妇亲密伴侣暴力的因素。
{"title":"Experience of intimate partner violence among pregnant women attending antenatal clinic of healthcare facilities in Nigeria.","authors":"Oluwaseyi Isaiah Olabisi, Tolulope Esther Olabisi, Ajibola Omobola Ojo, Chizoma Millicent Ndikom","doi":"10.1016/j.enfcle.2025.502296","DOIUrl":"10.1016/j.enfcle.2025.502296","url":null,"abstract":"<p><strong>Aim: </strong>Intimate partner violence (IPV) against pregnant women during pregnancy is a major concern to healthcare practitioners globally due to the negative impact on the health of the woman and her unborn child. This study determined the level of intimate partner violence experienced among pregnant women and the factors influencing the occurrence.</p><p><strong>Method: </strong>A cross-sectional descriptive research design was employed, and data were collected from 394 pregnant women attending two selected public healthcare facilities in Lagos State, Nigeria. The World Health Organization Multi-Country Study on Women's Health and Domestic Violence Against Women questionnaire was used to collect the information. Frequency and percentage were used to determine the experience of IPV and Binomial regression was used to predict the associated factors on the experience of IPV at significance set at P < .05.</p><p><strong>Results: </strong>The results revealed that 28.45 of pregnant women had experienced IPV. The Pregnant women who are married were 2.4 times more likely to experience IPV compared to those who are pregnant but not married (adjusted OR = 2.392, 95% CI 1.854-3.954; P = .030). Pregnant women who did not planned for the pregnancy were 4 times more likely to experience IPV (adjusted OR = 4.012, 95% CI 2.119-8.333; P = .008). Also, pregnant women from polygamous settings were more likely to experience IPV compared with those in monogamous family (adjusted OR = 3.420, 95% CI 1.979-6.321; P = .026).</p><p><strong>Conclusion: </strong>This study concluded that about one quarter of the pregnant women had experienced IPV. Some of the factors contributing to the experience are the low monthly income of the pregnant women, polygamous settings and unplanned pregnancy. Therefore, there is a need for more enlightenment on the factors responsible for intimate partner violence among pregnant women.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502296"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432984","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 : 2025-09-01Epub Date: 2025-09-09DOI: 10.1016/j.enfcle.2025.502333
Jose Alberto Florez-Hernández , Laura Cristina Zapata-Henao , Fernando Antonio Cardona-Restrepo , Camilo Duque-Ortiz
Basing care practice on a theoretical approach is useful for reasoning and critical thinking, making practice more orderly and effective. This article presents the experience of structuring a Conceptual-Theoretical-Empirical (CTE) system that guided the creation of the «Modelo Cuidarte» (Cuidarte Model) at a clinic in Medellín, Colombia. The objective of this work was to build a theoretical framework, based on King's proposals, to underpin this care model.
The experience took place at a high-complexity, Catholic, university clinic between August 2023 and August 2024. The initial five phases of the methodology proposed by Fawcett and DeSanto-Madeya for developing theoretical models were followed: 1) formulating an idea or vision, 2) forming a working group, 3) structuring a planning committee and a long-term plan, 4) reviewing institutional and nursing department strategic documents, and 5) building and developing the CTE.
As a result, Imogene M. King's Conceptual System and Theory of Goal Attainment were selected as the theoretical bases to ground the practice of the institution's nursing team.
King's conceptual model establishes the vision of care, while her theory, through the transaction model, guides its practical articulation. This theoretical framework drives the Cuidarte Model, which fosters patient- and family-centered care, promotes their participation in the Nursing Care Process, and encourages nurse autonomy and decision-making.
基于理论方法的护理实践有助于推理和批判性思维，使实践更加有序和有效。本文介绍了在哥伦比亚Medellín的一家诊所构建概念-理论-经验（CTE）系统的经验，该系统指导了«Modelo Cuidarte»（Cuidarte模型）的创建。这项工作的目的是建立一个理论框架，基于金的建议，以支持这种护理模式。这种体验发生在2023年8月至2024年8月期间，地点是一家高度复杂的天主教大学诊所。福西特和德桑托-马德亚提出的理论模型发展方法的最初五个阶段是：1)提出一个想法或愿景，2)组建一个工作组，3)组建一个计划委员会和一个长期计划，4)审查机构和护理部门的战略文件，5)建立和发展CTE。因此，Imogene M. King的概念系统和目标实现理论被选为该机构护理团队实践的理论基础。金的概念模型建立了护理的愿景，而她的理论通过交易模型指导了护理的实践表达。这一理论框架推动了Cuidarte模式，它促进了以患者和家庭为中心的护理，促进了他们在护理过程中的参与，并鼓励护士的自主权和决策。
{"title":"Cuidarte Model: Institutional adoption of a nursing care model based on King’s theory","authors":"Jose Alberto Florez-Hernández , Laura Cristina Zapata-Henao , Fernando Antonio Cardona-Restrepo , Camilo Duque-Ortiz","doi":"10.1016/j.enfcle.2025.502333","DOIUrl":"10.1016/j.enfcle.2025.502333","url":null,"abstract":"<div><div>Basing care practice on a theoretical approach is useful for reasoning and critical thinking, making practice more orderly and effective. This article presents the experience of structuring a Conceptual-Theoretical-Empirical (CTE) system that guided the creation of the «Modelo Cuidarte» (Cuidarte Model) at a clinic in Medellín, Colombia. The objective of this work was to build a theoretical framework, based on King's proposals, to underpin this care model.</div><div>The experience took place at a high-complexity, Catholic, university clinic between August 2023 and August 2024. The initial five phases of the methodology proposed by Fawcett and DeSanto-Madeya for developing theoretical models were followed: 1) formulating an idea or vision, 2) forming a working group, 3) structuring a planning committee and a long-term plan, 4) reviewing institutional and nursing department strategic documents, and 5) building and developing the CTE.</div><div>As a result, Imogene M. King's Conceptual System and Theory of Goal Attainment were selected as the theoretical bases to ground the practice of the institution's nursing team.</div><div>King's conceptual model establishes the vision of care, while her theory, through the transaction model, guides its practical articulation. This theoretical framework drives the Cuidarte Model, which fosters patient- and family-centered care, promotes their participation in the Nursing Care Process, and encourages nurse autonomy and decision-making.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502333"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042486","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 : 2025-09-01Epub Date: 2025-03-19DOI: 10.1016/j.enfcle.2025.502161
María José Rodríguez-Castro , Alda Elena Cortés-Rodríguez
Aim
To evaluate the effects of Platelet-Rich Plasma (PRP) in facial rejuvenation.
Methods
A systematic review was conducted from November 2022 to September 2024. Literature searches were performed in the databases PubMed, CINAHL, SCOPUS, Cuiden and Scielo using the terms platelet rich plasma, rejuvenation, skin, plasma skin regeneration, and platelet rich plasma rejuvenation. Studies published with participants over 18 years old, using exclusively PRP for facial rejuvenation, were selected. Reviews and meta-analyses, as well as studies involving patients with conditions that could affect the treatment, were excluded.
Results
Nine clinical trials and two observational study were included. Clinically, four studies indicated that PRP improved wrinkles and skin texture. Histologically, this substance induced a cascade of growth factors that increased dermal density, reducing wrinkles and improving skin luminosity and hydration. Despite these observations, discrepancies were observed regarding the different application techniques (topical or injected) and doses administered. Adverse effects were rare, including bruising and edema caused by injections and occasionally, papules, scaling, and dryness at the injection site.
Conclusion
Platelet-rich plasma may be effective for facial rejuvenation based on histological results and patient references. However, further studies are needed to determine the most the most appropriate procedure for its administration.
{"title":"Efficacy of platelet-rich plasma in facial rejuvenation: A systematic review","authors":"María José Rodríguez-Castro , Alda Elena Cortés-Rodríguez","doi":"10.1016/j.enfcle.2025.502161","DOIUrl":"10.1016/j.enfcle.2025.502161","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the effects of Platelet-Rich Plasma (PRP) in facial rejuvenation.</div></div><div><h3>Methods</h3><div>A systematic review<span> was conducted from November 2022 to September 2024. Literature searches were performed in the databases PubMed, CINAHL, SCOPUS, Cuiden and Scielo using the terms platelet rich plasma, rejuvenation, skin, plasma skin regeneration<span>, and platelet rich plasma rejuvenation. Studies published with participants over 18 years old, using exclusively PRP for facial rejuvenation, were selected. Reviews and meta-analyses, as well as studies involving patients with conditions that could affect the treatment, were excluded.</span></span></div></div><div><h3>Results</h3><div><span><span>Nine clinical trials and two observational study were included. Clinically, four studies indicated that PRP improved wrinkles and skin texture. Histologically, this substance induced a cascade of growth factors that increased dermal density, reducing wrinkles and improving skin luminosity and hydration. Despite these observations, discrepancies were observed regarding the different application techniques (topical or injected) and doses administered. </span>Adverse effects were rare, including bruising and edema caused by injections and occasionally, papules, scaling, and dryness at the </span>injection site.</div></div><div><h3>Conclusion</h3><div>Platelet-rich plasma may be effective for facial rejuvenation based on histological results and patient references. However, further studies are needed to determine the most the most appropriate procedure for its administration.</div></div><div><h3>PROSPERO register number</h3><div>CRD42024513433.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502161"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674545","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 : 2025-09-01Epub Date: 2025-06-23DOI: 10.1016/j.enfcle.2025.502190
Sara Diogo Gonçalves , Rita S. Matos
Emotional fatigue, a significant component of burnout, is increasingly recognized as a critical issue affecting healthcare professionals and other high-stress occupations. This systematic review identifies the causes, consequences, and coping strategies associated with emotional fatigue in healthcare workers. A comprehensive search of peer-reviewed articles was conducted across multiple databases. The selection criteria focused on studies that explicitly addressed emotional fatigue, its determinants, impacts, and coping mechanisms. The review identified common causes of emotional fatigue, such as prolonged exposure to high-stress environments, lack of social support, and insufficient recovery time. Consequences include decreased job performance, increased absenteeism, and a higher risk of mental health disorders. Coping strategies include mindfulness practices, organizational support, and the implementation of work-life balance interventions. The findings underscore the importance of addressing emotional fatigue through both individual and systemic approaches. While coping strategies can mitigate some effects, organizational changes are essential to create a supportive work environment. Emotional fatigue is a critical issue that requires attention at both the individual and organizational levels.
{"title":"Understanding emotional fatigue: A systematic review of causes, consequences, and coping strategies","authors":"Sara Diogo Gonçalves , Rita S. Matos","doi":"10.1016/j.enfcle.2025.502190","DOIUrl":"10.1016/j.enfcle.2025.502190","url":null,"abstract":"<div><div><span><span><span>Emotional fatigue, a significant component of burnout, is increasingly recognized as a critical issue affecting healthcare professionals and other high-stress occupations. This systematic review identifies the causes, consequences, and coping strategies associated with emotional fatigue in healthcare workers. A comprehensive search of peer-reviewed articles was conducted across multiple databases. The selection criteria focused on studies that explicitly addressed emotional fatigue, its determinants, impacts, and coping mechanisms. The review identified common causes of emotional fatigue, such as prolonged exposure to high-stress environments, lack of </span>social support, and insufficient recovery time. Consequences include decreased job performance, increased absenteeism, and a higher risk of </span>mental health<span> disorders. Coping strategies include mindfulness practices, organizational support, and the implementation of work-life balance interventions. The findings underscore the importance of addressing emotional fatigue through both individual and systemic approaches. While coping strategies can mitigate some effects, organizational changes are essential to create a supportive </span></span>work environment. Emotional fatigue is a critical issue that requires attention at both the individual and organizational levels.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502190"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499690","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}
{"title":"Promoting excellence in pediatric patient care within the framework of the Nursing Research Challenge project","authors":"Patricia Monserrat Rodríguez Camacho , Bárbara González Álvarez","doi":"10.1016/j.enfcle.2025.502199","DOIUrl":"10.1016/j.enfcle.2025.502199","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502199"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183880","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 : 2025-09-01Epub Date: 2025-04-25DOI: 10.1016/j.enfcle.2025.102160
Cristina Sacristán-Galisteo , Tamara del Corral , Daniel López-Padilla , M. Carmen Gómez , Ibai López-de-Uralde-Villanueva , Patricia Martín-Casas
Objectives
The main objective of the study was to analyze the characteristics of physical activity in people with Chronic Obstructive Pulmonary Disease. Secondarily, the association between the number of steps per day and the baseline sociodemographic and clinical characteristics of the sample was evaluated.
Methods
A multicenter longitudinal descriptive study was carried out in four Primary Care centers in Madrid. The participants were 80 people diagnosed with COPD. In a face-to-face interview, sociodemographic information and clinical characteristics were collected. Physical activity was measured over a week with a three-axis accelerometer that recorded wear time, number of steps per day, walking time, and time spent performing light, moderate, vigorous, and very vigorous physical activity.
Results
The average time of use of the accelerometer was 6.84 ± 0.4 days. The number of daily steps taken was 6902.24 ± 3994.01 with a walking time of 78.07 ± 41.85 min/day. The time of light physical activity was 69.66 ± 46.42 min/day, of moderate activity 92.76 ± 42.91 min/day, of vigorous activity 9.93 ± 13.6 min/day and of very active activity vigorous 0.26 ± 0.64 min/day.
Conclusions
The participants mainly carried out physical activity of light and moderate intensity, complying with current recommendations, while the time dedicated to vigorous and very vigorous activities was reduced and was insufficient.
{"title":"Monitoring of physical activity using accelerometry in patients with chronic obstructive pulmonary disease","authors":"Cristina Sacristán-Galisteo , Tamara del Corral , Daniel López-Padilla , M. Carmen Gómez , Ibai López-de-Uralde-Villanueva , Patricia Martín-Casas","doi":"10.1016/j.enfcle.2025.102160","DOIUrl":"10.1016/j.enfcle.2025.102160","url":null,"abstract":"<div><h3>Objectives</h3><div>The main objective of the study was to analyze the characteristics of physical activity in people with Chronic Obstructive Pulmonary Disease. Secondarily, the association between the number of steps per day and the baseline sociodemographic and clinical characteristics of the sample was evaluated.</div></div><div><h3>Methods</h3><div>A multicenter longitudinal descriptive study was carried out in four Primary Care centers in Madrid. The participants were 80 people diagnosed with COPD. In a face-to-face interview, sociodemographic information and clinical characteristics were collected. Physical activity was measured over a week with a three-axis accelerometer that recorded wear time, number of steps per day, walking time, and time spent performing light, moderate, vigorous, and very vigorous physical activity.</div></div><div><h3>Results</h3><div>The average time of use of the accelerometer was 6.84 ± 0.4 days. The number of daily steps taken was 6902.24 ± 3994.01 with a walking time of 78.07 ± 41.85 min/day. The time of light physical activity was 69.66 ± 46.42 min/day, of moderate activity 92.76 ± 42.91 min/day, of vigorous activity 9.93 ± 13.6 min/day and of very active activity vigorous 0.26 ± 0.64 min/day.</div></div><div><h3>Conclusions</h3><div>The participants mainly carried out physical activity of light and moderate intensity, complying with current recommendations, while the time dedicated to vigorous and very vigorous activities was reduced and was insufficient.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 102160"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059730","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}
The complexity of hemodialysis care imposes self-care requiring an adequate health literacy level adapted to the context of this disease. This study aimed to assess and determine the predictive factors of health literacy specific to hemodialysis patients in the Marrakech-Safi region of Morocco.
Method
This was a quantitative cross-sectional study of hemodialysis patients in public hemodialysis centers in the Marrakech-Safi region. The specific literacy of hemodialysis patients was assessed using a validated questionnaire consisting of 26 items and 7 sub-dimensions, which was either self-administered or administered by the investigator during the hemodialysis session. The predictive factors of health literacy in hemodialysis patients were identified using multiple linear regression.
Results
A total of 380 patients were included in the study. Women accounted for 58.2% of the patients. A percentage of 72.9% were under 65 years of age, 56.1% were illiterate, 61.8% were married, and 52.4% lived in urban areas. The mean duration of hemodialysis was 2.36 ± 0.53 years, 62.4% had hypertension, 57.4% had a high Interdialytic Weight, and 15.3% were diabetic. The mean total score was 10.46 ± 4.16 out of 26. Communicative literacy, critical literacy, and patient safety had the lowest mean scores. Multiple regression analysis revealed that patients with higher education levels, those living in urban areas, single individuals, and those with longer hemodialysis experience were more likely to have a higher total score.
Conclusion
Considering the results of our study, most hemodialysis patients in the Marrakech-Safi region had inadequate literacy about their own health.
{"title":"Health literacy specific to hemodialysis patients and associated factors: A cross-sectional study in Morocco","authors":"Loubna Mazzi , Abdelhafid Benksim , Mounia Amane , Mohamed Cherkaoui","doi":"10.1016/j.enfcle.2025.502249","DOIUrl":"10.1016/j.enfcle.2025.502249","url":null,"abstract":"<div><h3>Objective</h3><div>The complexity of hemodialysis<span> care imposes self-care requiring an adequate health literacy level adapted to the context of this disease. This study aimed to assess and determine the predictive factors<span> of health literacy specific to hemodialysis patients in the Marrakech-Safi region of Morocco.</span></span></div></div><div><h3>Method</h3><div><span>This was a quantitative cross-sectional study of hemodialysis patients in public hemodialysis centers in the Marrakech-Safi region. The specific literacy of hemodialysis patients was assessed using a validated questionnaire consisting of 26 items and 7 sub-dimensions, which was either self-administered or administered by the investigator during the hemodialysis session. The predictive factors of health literacy in hemodialysis patients were identified using </span>multiple linear regression.</div></div><div><h3>Results</h3><div>A total of 380 patients were included in the study. Women accounted for 58.2% of the patients. A percentage of 72.9% were under 65 years of age, 56.1% were illiterate, 61.8% were married, and 52.4% lived in urban areas. The mean duration of hemodialysis was 2.36 ± 0.53 years, 62.4% had hypertension, 57.4% had a high Interdialytic Weight, and 15.3% were diabetic. The mean total score was 10.46 ± 4.16 out of 26. Communicative literacy, critical literacy, and patient safety had the lowest mean scores. Multiple regression analysis revealed that patients with higher education levels, those living in urban areas, single individuals, and those with longer hemodialysis experience were more likely to have a higher total score.</div></div><div><h3>Conclusion</h3><div>Considering the results of our study, most hemodialysis patients in the Marrakech-Safi region had inadequate literacy about their own health.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 5","pages":"Article 502249"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327969","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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