Enfermeria clinica (English Edition)最新文献_第9页

Nurses’ and Nursing students’ perceptions of their knowledge and satisfaction in managing wound infections: A cross-sectional study 护士和护生对伤口感染管理知识和满意度的认知：一项横断面研究。

Enfermeria clinica (English Edition)

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.502165

Javier Sánchez-Gálvez , Míriam Sánchez-Hernández , Eva Vegue-Parra , José María Rumbo-Prieto , Daniel Fernández-García , Santiago Martínez-Isasi

Objective

To analyze the perception and satisfaction of nurses and nursing students regarding their knowledge of the clinical management of infected wounds in Spain.

Methods

A cross-sectional descriptive study was conducted using an ad hoc questionnaire with 18 questions on knowledge of infected wounds, divided into three sections, and was distributed electronically to nurses and nursing students over a two-month period. The questionnaire was piloted with a group of nurses and students, and data were collected anonymously and voluntarily.

Results

A total of 520 completed questionnaires were collected, including 158 from professionals and 362 from students. Professionals demonstrated a significantly higher average knowledge score than students (4.7 ± 0.13 vs 3.8 ± 0.09; p < 0.001). Students performed worse in questions related to biofilm and assessment of subtle and manifest signs of infection in wounds. Specifically, only 45% of students correctly identified the role of bacterial biofilm in wound infections. Significant differences were observed in various items (p < 0.05) favoring non-clinical professionals over clinical professionals, particularly regarding biofilm and the use of topical antiseptics. Overall, professionals expressed significant satisfaction with their knowledge compared to students (p < 0.05).

Conclusion

Nursing professionals, especially those with teaching, research, and/or managerial roles, demonstrate a greater perception of knowledge in specific areas. However, both professionals and students exhibit gaps in perceived knowledge regarding the management of wound infections, highlighting the importance of continuous education and the review of teaching strategies to address these deficiencies. Implementing a specific mandatory subject is suggested to ensure the quality of nursing education in this area from undergraduate level.

目的：分析西班牙护士和护生对感染伤口临床管理知识的认知及满意度。方法：采用一份特设调查问卷进行横断面描述性研究，问卷共有18个问题，涉及感染伤口的知识，分为三个部分，在两个月内以电子方式分发给护士和护生。问卷调查是在一组护士和学生中试行的，数据是匿名和自愿收集的。结果：共收集问卷520份，其中专业人员158份，学生362份。专业人员的平均知识得分显著高于学生（4.7±0.13比3.8±0.09）；结论：护理专业人员，特别是那些从事教学、研究和/或管理工作的护理专业人员，在特定领域表现出更强的知识感知能力。然而，专业人员和学生在伤口感染管理的认知知识方面都存在差距，这突出了继续教育和审查教学策略以解决这些缺陷的重要性。建议实施特定的必修科目，以确保该地区从本科阶段开始的护理教育质量。

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引用次数: 0

Navigating the ethical landscape of healthcare professionals in social networks: Reflections to avoid shipwrecks 浏览社交网络中医疗保健专业人员的道德状况，反思如何避免沉船事故。

Enfermeria clinica (English Edition)

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.502194

Sara Chiquero-Valenzuela , Joan Enric Torra-Bou , Pablo Lopez-Casanova , Luis Aranton-Areosa

引用次数: 0

Reducing medical fear among children using simulated health care spaces: A randomized controlled trial 利用模拟医疗空间减少儿童对医疗的恐惧：随机对照试验

Enfermeria clinica (English Edition)

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.102126

Nelia Soto-Ruiz , Paula Escalada-Hernández , Cristina García-Vivar , Marta Ferraz-Torres , Amaia Saralegui-Gainza , Leticia San Martín-Rodríguez

Purpose

This study aimed to evaluate the effectiveness of an intervention that involved interactions within a simulated health care space to reduce medical fear among children in infant classes.

Methods

An experimental study involving 86 children divided into an intervention group and a control group with pre- and postintervention measurements was undertaken. The intervention, known as the Health-Friendly Program, consisted of showing children various scenarios that simulated different medical contexts so that they could interact in them, experiment with the materials and ask questions. Medical fear was evaluated using the Spanish version of the revised “Child Medical Fear Scale”, which provides a score of the medical fear level ranging between 0 and 34 points. The pretest and posttest levels of medical fear in the intervention and control groups were compared with Student's t test.

Results

The children in the intervention group experienced a significant reduction in fear by 3.21 points (SD: 6.50) compared to the children in the control group. This reduction in fear was shown in all four dimensions of the scale: intrapersonal fears, procedural fears, environmental fears and interpersonal fears.

Conclusion

The Health-Friendly Program provides an innovative intervention to reduce medical fear among children based on information, confrontation strategies and simulation scenarios. This study suggests the potential benefit of incorporating educational interventions in schools in collaboration with university and health care simulation centers.

目的：本研究旨在评估一项干预措施的有效性，该干预措施涉及在模拟医疗保健空间内的互动，以减少婴儿班儿童的医疗恐惧。方法：将86名儿童分为干预组和对照组，进行干预前后测量。这项干预被称为“健康友好计划”，包括向儿童展示各种模拟不同医疗环境的场景，以便他们能够在其中互动，试验材料并提出问题。医疗恐惧是用西班牙语版修订的“儿童医疗恐惧量表”进行评估的，该量表提供了0到34分之间的医疗恐惧等级分数。采用学生t检验比较干预组和对照组医疗恐惧的测试前和测试后水平。结果：干预组儿童的恐惧比对照组儿童显著降低3.21分（SD: 6.50）。这种恐惧的减少体现在量表的四个维度上：个人恐惧、程序恐惧、环境恐惧和人际恐惧。结论：健康友好项目提供了一种基于信息、对抗策略和模拟场景的创新干预措施，以减少儿童的医疗恐惧。这项研究表明，与大学和卫生保健模拟中心合作，将教育干预纳入学校的潜在好处。

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引用次数: 0

Characterization of the alcohol consumption pattern of patients admitted to a hospitalization unit 住院病人饮酒模式的特征分析

Enfermeria clinica (English Edition)

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcle.2025.102129

Alicia María Bueno-Hernández, María Carmen Muñoz-Pérez, María Gema González-García, Cristina Márquez-Palanco, Gemma Cuadrado-Céspedes, Vicenta García-Borrero

Objectives

To determine the pattern of alcohol consumption, the sociodemographic, habit and clinical profile of the patients admitted and to explore the usefulness of the Alcohol Use Disorders Identification Test (AUDIT) questionnaire for detecting alcohol consumption in the Digestive Unit of the Juan Ramón Jiménez University Hospital (HUJRJ) of Huelva.

Methods

Cross-sectional observational analytical quantitative study. A total of 150 participants were recruited.

Results

According to AUDIT, 36% of the patients had a low-risk profile, 17.3% of the patients had risky consumption and 8.6% had harmful consumption or were possibly dependent. 28% reported never consuming alcohol and 10% were confirmed ex-consumers. There was a significant association (p < 0.01) between the pattern of alcohol consumption and the variables employment status, smoking, use of other drugs and diagnosis at discharge. The variables age (p 0.015), sex (p 0.011) and number of diagnostic tests during admission (p 0.025) were not significant. A significant difference (p < 0.01) was observed between men and women with a risky consumption profile in the work situation variable. Of the risk consumers, 23.1% had alcoholic liver disease.

Conclusions

Stratification of patients admitted to the HUJRJ according to alcohol consumption through AUDIT has revealed different sociodemographic, habit and clinical profiles. The detection of the pattern of alcohol consumption in Specialized Care by nurses could improve the care strategy for these patients.

目的：确定住院患者的酒精消费模式、社会人口学、习惯和临床特征，并探讨酒精使用障碍识别测试（审计）问卷在胡尔瓦Juan Ramón jimemadnez大学医院（HUJRJ）消化科检测酒精消费的有用性。方法：横断面观察分析定量研究。总共招募了150名参与者。结果：审计结果显示，36%的患者为低危人群，17.3%的患者为高危人群，8.6%的患者为有害人群或可能存在依赖人群。28%的人报告从未饮酒，10%的人证实曾经饮酒。结论：通过审计对HUJRJ根据饮酒情况对患者进行分层，揭示了不同的社会人口统计学、习惯和临床特征。通过对专科护理中酒精消费模式的检测，可以改善对这些患者的护理策略。

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引用次数: 0

Perceived satisfaction and humanized nursing care in surgical patients public hospital of Peru 秘鲁公立医院外科病人感知满意度与人性化护理。

Enfermeria clinica (English Edition)

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcle.2025.102128

Isabel Natividad Urure Velazco , Luisa Antonia Pacheco Villa García , Karen Leticia Llerena Ururi , Pedro Luis Berrocal Pacheco

Introduction

Humanized care is the first aspect to consider to satisfy the surgical patient who will be or has undergone a surgical intervention.

Objetive

Determine the relationship that exists between perceived satisfaction and humanized nursing care in surgical patients in a public hospital in Peru.

Method

Descriptive, observational, correlational study, with a quantitative approach, with probabilistic sampling of 241 surgical patients. A validated questionnaire adapted to our reality was used, reporting a Cronbach Alpha coefficient of 0.890 (satisfaction) and 0.904 (humanized nursing care), presenting 36 multiple choice questions.

Results

The age group of 18−29 years predominated in 26.6% (n = 64), with the average age X = 42.6 years with a DS of 14.47, female sex with 55.2% (n = 133), single marital status 48.5% (n = 117) and secondary education level was 60.2% (n = 145). The majority of patients were satisfied with the care received, reporting 84.6% (n = 204), also found in the dimensions: Humane 81.8% (n = 197), timely 78.8% (n = 190) and safe 80.1% (n = 193). The perceived humanized nursing care was good 81.3% (n = 196), it was also evident in the dimensions: Phenomenological 78.4% (n = 189), interaction 75.9% (n = 183), scientific 61, 8% (n = 149) and human needs (82.2%) (n = 198).

Conclusions

A moderate correlation was found between the variables, behaving in a moderately positive manner, that is, the higher the level of satisfaction, the higher the level of humanized nursing care in the surgical patient, and vice versa.

导读：人性化护理是满足即将或已经接受手术干预的手术患者的首要考虑。目的：探讨秘鲁某公立医院外科病人感知满意度与人性化护理之间的关系。方法：描述性、观察性、相关性研究，采用定量方法，对241例手术患者进行概率抽样。采用了一份符合我们实际情况的有效问卷，Cronbach Alpha系数为0.890（满意度）和0.904（人性化护理），共36道选择题。结果：18-29岁年龄组占26.6% (n = 64)，平均年龄X = 42.6岁，DS为14.47，女性占55.2% (n = 133)，单身婚姻状况占48.5% (n = 117)，中等教育程度占60.2% （n = 145）。大多数患者对所接受的护理满意，报告84.6% (n = 204)，在维度上也发现：人性化81.8% (n = 197)，及时性78.8% （n = 190）和安全性80.1% （n = 193）。对人性化护理的满意度为81.3% (n = 196)，在现象学维度78.4% （n = 189）、互动维度75.9% （n = 183）、科学维度61.8% （n = 149）、人性需求维度82.2% （n = 198）。结论：各变量之间呈中等正相关，即满意度越高，手术患者的人性化护理水平越高，反之亦然。

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引用次数: 0

Editor's note 编者注

Enfermeria clinica (English Edition)

Pub Date : 2025-01-01 DOI: 10.1016/S2445-1479(25)00012-8

引用次数: 0

Lifestyles and their association with stress and sleep during the COVID-19 lockdown in students 在新冠肺炎封锁期间，学生的生活方式及其与压力和睡眠的关系

Enfermeria clinica (English Edition)

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcle.2025.102137

María José Martín-Lama , Rubén Morilla-Romero-de-la-Osa , Juan Manuel Praena-Fernández

Aim/question

To assess lifestyle changes during Covid-19 lockdown and how they are associated with mental health through stress and sleep of university students in health sciences.

Methods

Cross-sectional design with a descriptive analysis of lifestyles and multivariate logistic regression to determine their association with stress, insomnia and perceived health were carried out.

Results

Most of 153 students were not active smokers, but the rate of not consumer was less than 20%. The multivariate models showed the influence of stress, insomnia and self-perceived health on each other, with the participation of factors related with diet pattern and alcohol consumption.

Conclusions

It is widely known that insomnia increases with stress; in our study it is also negatively influenced and, therefore, in a healthy way, by adherence to the Mediterranean diet, which is consistent with the results described by other authors.

These results are important for organizing mental Health care for young students, as well as for young people from vulnerable populations where it is foreseeable that the effects derived from lifestyles on the stress- insomnia-health axis will be magnified.

目的/问题：评估2019冠状病毒病封锁期间生活方式的变化，以及这些变化如何通过压力和睡眠与健康科学专业大学生的心理健康相关联。方法：采用横断面设计，对生活方式进行描述性分析和多因素logistic回归，以确定其与压力、失眠和感知健康的关系。结果：153名学生中绝大多数为非主动吸烟者，但不吸烟者比例低于20%。多变量模型显示，压力、失眠和自我感知健康之间存在相互影响，饮食模式和饮酒相关因素也参与其中。结论：众所周知，失眠随着压力的增加而增加；在我们的研究中，它也受到负面影响，因此，以一种健康的方式，坚持地中海饮食，这与其他作者描述的结果一致。这些结果对于为年轻学生以及弱势群体的年轻人组织精神卫生保健非常重要，因为可以预见，生活方式对压力-失眠-健康轴的影响将被放大。

{"title":"Lifestyles and their association with stress and sleep during the COVID-19 lockdown in students","authors":"María José Martín-Lama , Rubén Morilla-Romero-de-la-Osa , Juan Manuel Praena-Fernández","doi":"10.1016/j.enfcle.2025.102137","DOIUrl":"10.1016/j.enfcle.2025.102137","url":null,"abstract":"<div><h3>Aim/question</h3><div>To assess lifestyle changes during Covid-19 lockdown and how they are associated with mental health through stress and sleep of university students in health sciences.</div></div><div><h3>Methods</h3><div>Cross-sectional design with a descriptive analysis of lifestyles and multivariate logistic regression to determine their association with stress, insomnia and perceived health were carried out.</div></div><div><h3>Results</h3><div>Most of 153 students were not active smokers, but the rate of not consumer was less than 20%. The multivariate models showed the influence of stress, insomnia and self-perceived health on each other, with the participation of factors related with diet pattern and alcohol consumption.</div></div><div><h3>Conclusions</h3><div>It is widely known that insomnia increases with stress; in our study it is also negatively influenced and, therefore, in a healthy way, by adherence to the Mediterranean diet, which is consistent with the results described by other authors.</div><div>These results are important for organizing mental Health care for young students, as well as for young people from vulnerable populations where it is foreseeable that the effects derived from lifestyles on the stress- insomnia-health axis will be magnified.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 1","pages":"Article 102137"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124039","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}

引用次数: 0

Emergency nursing staff’s well-being, burnout, and sleep on 12-hour shifts 急诊护理人员的健康、倦怠和12小时轮班的睡眠。

Enfermeria clinica (English Edition)

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcle.2025.102141

Indalecio Miguel Sánchez Onrubia , Ernesto José Resta Sánchez , Tamara Cabañero Contreras , Ana Belén Perona Moratalla , Milagros Molina Alarcón

Objective

To know job satisfaction, work-family balance, sleep quality, and burnout in nursing staff after the introduction of the 12-h rotating shift in the emergency department of a tertiary hospital.

Method

Cross-sectional observational design carried out in February 2023 for the first collection (T1) and October 2023 for the second collection (T2) in emergency nursing staff. Sociodemographic data, work and family reconciliation, job satisfaction, degree of burnout, and sleep quality were collected.

Results

In T1, 66.7% (74) of professionals answered, with an average age of 44.72 years (SD:10.60). 50% were on a 12-h shift. In T2, 91.9% (102) of professionals answered, with an average age of 44.75 years (SD11.07). 54.9% were on a 12-h shift. 71.2% in T1 and 66.7% in T2 were somewhat or very satisfied with the flexibility of their work schedules. 8.9% in T1 and 10.3% had a high overall burnout. In T1, the average global PSQI score was 7.66 (SD:3.82) and in T2 it was 8.46 (SD:4.05). Significant differences were found in terms of work and family reconciliation between the different rotating shifts analyzed (P < .05), and not significant for the rest of the variables.

Conclusions

Emergency nursing staff prefer 12-h shifts as they facilitate work-family reconciliation and do not negatively affect sleep, burnout, or job satisfaction.

目的：了解某三级医院急诊实行12小时轮班制后护理人员的工作满意度、工作家庭平衡、睡眠质量及倦怠程度。方法：采用横断面观察设计，于2023年2月对急诊护理人员进行第一次采集（T1），于2023年10月进行第二次采集（T2）。收集社会人口学数据、工作与家庭和谐度、工作满意度、倦怠程度和睡眠质量。结果：T1中有66.7%（74人）的专业人士回答，平均年龄为44.72岁（SD:10.60）。50%的人是12小时一班。在T2中，91.9%（102名）的专业人士回答，平均年龄为44.75岁（SD11.07）。54.9%的人工作12小时。71.2%的T1和66.7%的T2对工作时间的灵活性比较满意或非常满意。8.9%的T1和10.3%的整体倦怠程度较高。T1期PSQI评分为7.66 (SD:3.82)， T2期为8.46 （SD:4.05）。结论：急诊护理人员更倾向于12小时轮班，因为12小时轮班有利于工作与家庭的协调，并且对睡眠、职业倦怠和工作满意度没有负面影响。

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引用次数: 0

Improving and decentralising neuropaediatric healthcare in Nicaragua by implementing an education programme. A pre-experimental study 通过实施一项教育方案，改善尼加拉瓜的神经儿科保健并使其权力下放。预实验研究。

Enfermeria clinica (English Edition)

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcle.2025.102131

Jean Rémy Mongbet-Ayouné , Giancarlo Lucchetti , Bárbara Badanta

Objective

To improve and decentralize neuropediatric healthcare in Nicaragua by implementing an education program.

Method

This study was carried out as an international cooperation proyecto between September 2018 and June 2019. It was a pre-experimental and before-after design (on a single group) of the implementation of an education program. A total of 19 pediatrics and 6 nurses participated in a training program, and neuropediatric healthcare services were decentralized from the National Children’s Hospital in Managua (La Mascota) to 19 regional and departmental hospitals in Nicaragua.

Results

For the implementation of this education program, nine Indicadors were measured during the training process and at the end of the proyecto and different results were obtained. The neuropediatric care, that was totally centered in a single hospital, has suffered drastic changes, increasing the number of electroencephalographs and follow up of patients in the regional hospitals, while reducing external consultations and waiting time for consultations in the central hospital. Likewise, a neuropediatric network was established, training was provided, and brochures were developed, resulting in an improving satisfaction of families with the care provided for their children.

Conclusions

Our results revealed the real-life effectiveness of this education program in improving neuropediatric care in Nicaragua, supporting nonspecialized pediatricians and nurses for acting as decentralizing agents. The proposal reinforces universal access to basic health by focusing on different social determinants and may serve as a model to other low-income countries.

目的：通过实施一项教育计划来改善和分散尼加拉瓜的神经儿科保健。方法：本研究作为国际合作项目，于2018年9月至2019年6月进行。它具有教育计划实施的预实验和前后设计（针对单个群体）。共有19名儿科护士和6名护士参加了培训方案，神经儿科保健服务从马那瓜（拉马斯科塔）的国家儿童医院下放到尼加拉瓜的19个地区和省级医院。结果：针对该教育计划的实施，在培训过程中和项目结束时对9项指标进行了测量，并获得了不同的结果。完全以一家医院为中心的神经儿科护理发生了巨大变化，增加了地区医院的脑电图检查和患者随访次数，同时减少了在中心医院就诊的外部会诊和等待时间。同样，建立了一个神经儿科网络，提供了培训，编写了小册子，使家庭对其子女得到的照顾越来越满意。结论：我们的研究结果揭示了该教育项目在改善尼加拉瓜神经儿科护理方面的现实有效性，支持非专业儿科医生和护士作为分散代理人。该建议侧重于不同的社会决定因素，从而加强普遍获得基本保健，并可作为其他低收入国家的典范。

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引用次数: 0

Scope of nursing practice in medical-surgical hospitalization and intensive care units 内科外科住院和重症监护病房的护理实践范围。

Enfermeria clinica (English Edition)

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcle.2025.102124

Amaia Saralegui-Gainza , Nelia Soto-Ruiz , Paula Escalada-Hernández , Cristina García-Vivar , Leticia San Martín-Rodríguez

Aim

To analyze the scope of nursing practice in medical-surgical and intensive care units in the Spanish context and its relationship with individual characteristics of nurses and their work environment.

Methods

A cross-sectional observational study was carried out in 29 medical-surgical hospitalisation units and five intensive care units for adults in the public network of Navarre. The main variable, nurses' scope of practice, was measured using the Spanish version of the D'Amour questionnaire. Descriptive and inferential statistics were used to analyse the data, with a significance level of 0.05.

Results

A total of 310 nurses participated in the study, and the results showed acceptable levels of nursing scope of practice. Age and working in intensive care units were significant factors in identifying differences in nurses' scope of practice activities. The correlation analysis revealed a statistically significant association between age and the likelihood of expressing lower scores in the dimension "Patient- and family-centered care." In contrast, younger nurses exhibited significantly lower scores in the "Quality of care and patient safety" dimension.

Conclusions

To address the shortage of nurses in health systems, it is essential to understand the scope of nursing practice. The challenge is not only to increase the number of nurses but also to ensure that they are working in the full range of their professional roles.

目的：分析西班牙背景下内科外科和重症监护病房的护理实践范围及其与护士个人特征和工作环境的关系。方法：在纳瓦拉公共网络的29个内科外科住院单位和5个成人重症监护单位进行横断面观察研究。主要变量是护士的执业范围，使用西班牙版的D' amour问卷进行测量。采用描述统计和推理统计对数据进行分析，显著性水平为0.05。结果：共有310名护士参与了研究，结果显示护理实践范围达到可接受水平。年龄和在重症监护室工作是确定护士实践活动范围差异的重要因素。相关分析显示，年龄与在“以病人和家庭为中心的护理”维度中表达较低得分的可能性之间存在统计学上显著的关联。相比之下，年轻护士在“护理质量和患者安全”维度上的得分明显较低。结论：为了解决卫生系统护士短缺的问题，了解护理实践的范围是至关重要的。我们面临的挑战不仅是增加护士的人数，而且还要确保她们在其专业角色的全部范围内工作。

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引用次数: 0