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Introduction
Since 1999, I'm working at the university as a professor and researcher in the area of Nursing and within the Department of Community Nursing, Preventive Medicine and Public Health and History of Science at the University of Alicante, occupying different positions and, currently, as a professor of university with 4 five-years teaching periods and 4 six-years of research periods.
Additional affiliations
January 1999 - present
Publications
Publications (230)
El diseño y la validación de herramientas constituye un pilar fundamental de la investigación enfermera, donde es imprescindible incorporar las metodologías y los análisis más actuales para poder garantizar la validez y la fiabilidad en su aplicación clínica.
El objetivo de este trabajo es describir las características del análisis Rasch y la metod...
Background/Objectives: It is well known that there are differences in the academic and employment preferences of nursing students once they have completed their undergraduate studies in nursing. These preferences are largely influenced by students’ affinity for certain thematic areas over others. Therefore, the objective of this study was to identi...
The design and validation of tools constitutes a fundamental pillar of nursing research, where it is essential to incorporate the most current methodologies and analyses in order to guarantee validity and reliability in their clinical application. The aim of this paper is to describe the characteristics of the RASCH analysis and the methodology for...
Purpose
This study aims to assess the diagnostic accuracy of non‐culture‐based methodologies for detecting microorganisms in chronic wounds.
Methods
We systematically reviewed studies that evaluated the diagnostic accuracy of alternative tests in chronic wound samples, excluding studies focused on animal samples or unrelated conditions. The search...
Background: In the management of individuals with venous leg ulcers, education serves as a pivotal tool for acquiring knowledge, fostering appropriate attitudes, and promoting best practices. Consequently, assessing knowledge, skills, attitudes, confidence, and commitment becomes essential, necessitating the development of suitable evaluation instr...
Background:
Fear of childbirth affects women worldwide and can have adverse consequences. Midwives have implemented a number of interventions, autonomously or as part of a professional team. However, midwives have been unable to identify the most appropriate intervention for ensuring the reduction or alleviation of this fear to provide the best pe...
Objective: To establish the construct validity of the Spanish version of the BARRIERS scale.
Method: Methodological study of validation of a measurement instrument based on data from previously published studies. The study population consisted of nurses from the Basque Health Service and the Canary Health Service. The following variables were extra...
Objective: To establish the construct validity of the Spanish version of the BARRIERS scale.
Method: Methodological study of validation of a measurement instrument based on data from previously published studies. The study population consisted of nurses from the Basque Health
Service and the Canary Health Service. The following variables were extra...
Escape room games are educational gamification technologies that consist of introducing a team of players into a physical or digital space in search of clues to answer puzzles, riddles or enigmas and solve a mystery or problem. This study aims to determine the effectiveness of escape room games on the training of nursing students in an internationa...
REVISIONES Termografía infrarroja como método de diagnóstico en quemaduras: una revisión exploratoria de la literatura Infrared thermography as a method of diagnosis in burns: an exploratory review of the literature ABSTRACT Objectives: To review the use and efficacy of infrared thermography as a diagnostic instrument and measurement of burns. Meth...
Escape room’s games are educational gamification technologies that consist of introducing a team of players into a physical or digital space to solve a mystery or a problem in search of clues to solve puzzles, riddles, or enigmas. This study aims to determine the effectiveness of escape room’s games on the training of nurses and nursing students. A...
Chronic wounds, especially those that are hard-to-heal, constitute a serious public-health problem. Although progress has been made in the development of wound dressings for healing, there is little high-quality evidence of their efficacy, with no evidence of superiority in the use of one hydrogel over another. To evaluate the superiority of a hydr...
Despite the fact that obesity is the main risk factor for endometrial cancer, there is limited evidence regarding the effects of body weight change on overweight and obese women treated for early-stage endometrial can its impact on cancer outcomes. A retrospective cohort study was performed including all overweight and obese patients with early-sta...
Obstetric violence refers to dehumanized or derogative treatment of women in their pregnancy, childbirth or postpartum periods and may be manifested in different ways. Currently, there is no tool validated in Spain to measure women's perception of obstetric violence. The objective of this study was to carry out the cultural adaptation and validatio...
Introduction/Background
Obesity is the main risk factor for endometrioid endometrial cancer. The AHA/ACC/TOS Guideline for the Management of Overweight and Obesity states that a 5% weight loss produces clinically significant improvements in some cardiovascular risk factors such as diabetes, lipid profile, and HTA. However, there are not studies whi...
Obstetric Violence refers to dehumanized or derogative treatment of women in their pregnancy, childbirth or postpartum periods and may be manifested through the attitudes of health professionals or the performance of unjustified or outdated practices without maternal consent. Currently, there is no tool validated in Spain to measure women’s percept...
Many advanced wound healing dressings exist, but there is little high-quality evidence to support them. To determine the performance of a novel amorphous hydrogel (EHO-85) in relation to its application, we compared its rheological properties with those of other standard hydrogels (SH), and we assessed the induction of acceleration of the early sta...
En los cuidados a las personas que tienen heridas uno de los principales factores que retrasan la cicatrización es la infección. En las heridas agudas, la infección, mayoritariamente, está producida por la invasión del tejido por microorganismos planctónicos metabólicamente activos que provocan una respuesta inflamatoria del huésped. Las heridas qu...
Midwifery empowerment is an important topic. The most widely used instrument to measure the perceived empowerment of midwives is the Perceptions of Empowerment in Midwifery Scale (PEMS), which has not been validated in Spain. The aim of this study was to translate and adapt the PEMS to the Spanish context. This research was carried out in two phase...
Objectives
to cross-culturally adapt the scale Resultados en la valoración y evolución de la cicatrización de las heridas - RESVECH 2.0 for Brazilian Portuguese; to estimate the internal consistency and construct and criterion validity of the scale in the evaluation of venous ulcers.
Methods
methodological study, based on international guidelines...
Background
Venous ulcers usually present a torpid evolution with a negative impact on patients’ quality of life. In primary care, they account for 2.5% of nursing consultations and their treatment represents high costs for national health systems. These patients usually have a low level of physical activity, with muscle pump dysfunction of the lowe...
Aim:
To get consensus on the knowledge and skills that nursing students need to acquire regarding venous leg ulcer care, the strategies that can be applied during education and to design a first draft of a questionnaire to assess knowledge to be validated.
Background:
Venous leg ulcers' care is included on undergraduate nursing education program...
Objectives
to cross-culturally adapt the scale Resultados en la valoración y evolución de la cicatrización de las heridas - RESVECH 2.0 for Brazilian Portuguese; to estimate the internal consistency and construct and criterion validity of the scale in the evaluation of venous ulcers.
Methods
methodological study, based on international guidelines...
Background: Venous ulcers usually present a torpid evolution with a negative impact on patients' quality of life. In primary care, they account for 2.5% of nursing consultations and their treatment represents high costs for national health systems. These patients usually have a low level of physical activity, with muscle pump dysfunction of the low...
Background:
The dosage and safety of nutritional supplements for patients with venous ulcers are still not well established.
Aim:
To evaluate the effects of a high calorie, high protein, arginine-, zinc-, and vitamins A, C, and E-enriched nutritional supplement on the biochemical profile, dietary intake, anthropometry, muscle strength, and chara...
Monitorización y fotografía científica de las heridas crónicas DOCUMENTO TÉCNICO GNEAUPP Nº VII "Monitorización y fotografía científica de las heridas crónicas" 2ª Edición-Septiembre 2022 GRUPO NACIONAL PARA EL ESTUDIO Y ASESORAMIENTO EN ÚLCERAS POR PRESIÓN Y HERIDAS CRÓNICAS
Peripheral artery disease is one of the main factors involved in the onset of ischemic etiology ulcers of the lower limb in patients older than 70 years old. The appearance of this disease leads to an increase in the morbidity and mortality and even affects the quality of life of the person who suffers from this disease. All this makes it necessary...
INTRODUCCIÓN En el año 2002, el Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas (GNEAUPP) elaboró la prime-ra edición sobre recomendaciones de antisépticos en heridas crónicas 1 , documento que fue elemento clave para apoyarnos en nuestra práctica asistencial diaria. Han pasado ya 20 años desde aquella edici...
Aim
According to our scoping review questions, three aims were formulated to synthesize the evidence published on: 1) the content 2) the best or most appropriate teaching-learning methods for training nurses and undergraduate nursing students in venous leg ulcer care, and 3) to identify the level of knowledge in nurses and undergraduate nursing stu...
Aim:
The aim of this study was to determine the prevalence of feelings of being a second victim among midwives and obstetricians in Spain and to explore possible differences between the two professions.
Design:
Cross-sectional descriptive-analytical observational study.
Methods:
An online survey collecting several variables was administered th...
INTRODUCCIÓN En los últimos años, el conocimiento acerca de las heridas crónicas ha sufrido un gran desarrollo merced a investigaciones científicas de cali-dad, mayoritariamente lideradas por enfermeras, que ha generado un cuerpo de evidencia que sustenta su atención. Estamos inmersos en un proceso del reconocimiento de profesionales enfermeros exp...
The fear of childbirth is a topical concern, yet the issue has barely been studied in Spain, and only one fear of childbirth measurement instrument has been validated in the country. The aim of this study was to translate, adapt and validate the Fear of Childbirth Questionnaire (CFQ) for use in Spain, as well as to describe and evaluate the psychom...
Objective: To assess the benefit of protective ostomies on anastomotic leak rate, urgent re-operations, and mortality due to anastomotic leak complications in ovarian cancer surgery.
Methods: A systematic literature search was performed in MEDLINE, Web of Science, ClinicalTrials.gov, and the Cochrane Central Register of Controlled Trials for all s...
Objective:
To assess the benefit of protective ostomies on anastomotic leak rate, urgent re-operations, and mortality due to anastomotic leak complications in ovarian cancer surgery.
Methods:
A systematic literature search was performed in MEDLINE, Web of Science, ClinicalTrials.gov, and the Cochrane Central Register of Controlled Trials for all...
Background and aims
Worse self-care is associated with a higher risk of readmission and mortality in patients with heart failure (HF). Little is known about how the interplay between clinical and psycho-social factors may modulate self-care behaviours in these patients. The aim of our study was to identify clinical, and particularly psycho-social f...
This 8-week, multicenter, randomized, active-controlled, observer-blinded clinical trial was designed to demonstrate the accelerating effect on wound healing of the novel Olea europaea leaf extract hydrogel (EHO-85) by comparing it to a widely used amorphous hydrogel. Results showed that EHO-85 significantly accelerated wound healing, regardless of...
The prevalence of chronic wounds is increasing due to the population aging and associated pathologies, such as diabetes. These ulcers have an important socio-economic impact. Thus, it is necessary to design new products for their treatment with an adequate cost/effectiveness ratio. Among these products are amorphous hydrogels. Their composition can...
Objectives:
This study aimed to assess the validity and psychometric properties of the Spanish version of the Second Victim Experience and Support Tool (SVEST-E) questionnaire.
Methods:
This was a cross-sectional study aimed at midwives and obstetricians in Spain. An online survey was conducted consisting of 2 parts: the first part collected dif...
The excess of free radicals in the wound environment contributes to its stagnation during the inflammatory phase, favoring hard-to-heal wounds. Oxidative stress negatively affects cells and the extracellular matrix, hindering the healing process. In this study, we evaluated the antioxidant and wound-healing properties of a novel multifunctional amo...
Hoy en día existen diversos factores que han propiciado que existan
microorganismos cada vez más resistentes a los antibióticos actuales, y el descubrimiento de nuevas generaciones de antibióticos es costosa y difícil, por eso a nivel mundial se realizan campañas de uso racional de los antibióticos.
Uno de los problemas de esta estrategia es que, a...
Objetivos: Describir y analizar la incidencia de úlceras por presión
(UPP) en una unidad geriátrica de recuperación funcional de un hospital geriátrico y examinar los posibles factores de riesgo. Métodos: Estudio retrospectivo de dos series cronológicas de incidencia de UPP en la unidad geriátrica, de media estancia o convalecencia. Conformaron las...
Diabetic foot ulcers (DFU) negatively affect the quality of life (QoL) of people with diabetes. The Cardiff Wound Impact Schedule (CWIS) questionnaire has been designed to measure the QoL of people with chronic foot wounds. However, no studies have been specifically designed to validate this instrument in a Spanish population. In this prospective s...
Aims
The assumption that improved self-care in the setting of heart failure (HF) care necessarily translates into improvements in long-term mortality and/or hospitalization is not well established. We aimed to study the association between self-care and long-term mortality and other major adverse HF events (MAHFE).
Methods and results
We conducted...
Incontinence-associated dermatitis (IAD) has been studied over the last decades, but gaps in the knowledge related to its identification, etiological agents, and risk factors remain. We carried out a scoping review about IAD that included systematic reviews, experimental, and observational studies about IAD and its potential risk factors. We retrie...
Aim
to analyse trends in mortality by Pressure Ulcers (PU) in Spain, between 1999-2016.
Methods
Mortality due to PU in residents in Spain over 65, where a PU was underlying/basic cause of death, was analysed. Data for populations and deaths were gathered from the Spanish National Statistics Institute. Variables were age, sex, year of death and und...
Introducción:
La reciente pandemia de COVID-19 ha representado la utilización por parte de los profesionales de la salud de diferentes equipos de protección individual (EPI), lo que ha dado lugar a la aparición de lesiones cutáneas asociadas a los mismos (LC-EPI). Conocer la epidemiología, las características y los factores relacionados con el uso...
Purpose
The aim of this study was to evaluate the validity of lower limb chronic venous disease (CVD) diagnoses entered in a large electronic health record database in primary care in Catalonia, Spain; to investigate the reliability of these data for research purposes; and to estimate the prevalence and incidence of CVD, chronic venous insufficien...
Background:
Chronic wounds give rise to major costs and resource consumption in health care systems, due to their protracted healing time. Incidence and prevalence data are scarce or nonexistent in community settings.
Objective:
The aim of the present epidemiological study was to analyse and determine the prevalence of chronic wounds in the comm...
Currently, there is an intense debate about the terminology, etiology, epidemiology, and current strategies for the prevention and management of so-called chronic wounds. Specifically, for certain types of wounds, the terminology is changing due to new insights into the physiopathology and etiology, leading to new theoretical models of wound develo...
Background
Nursing home residents are vulnerable to chronic wounds. However, the prevalence data are scarce.
Aim
The purpose of this study was to determine the prevalence of pressure ulcers and/or leg ulcers in nursing home residents, and describe the characteristics of the nursing homes, the residents and the wounds, as well as possible associati...
Objective
A score to identify local wound infections was developed by a panel of experts from seven European countries. The Therapeutic Index for Local Infections (TILI) score was designed for health professionals who are not specialised in wound care. This study was carried out to test the validity of the TILI score in everyday practice.
Method
C...
Objective
Local wound infections are a major challenge for patients and health professionals. Various diagnostic and therapeutic options are available. However, a generally accepted standard is still lacking in Europe. The aim was to develop an easy-to-use clinical score for the early detection of local wound infections, as a basis for decision-mak...
Objective
To determine the number of specialised wound care units/clinics (SWCUs) in Spain, at present, and to describe their most important characteristics.
Method
This was an observational study with a descriptive-analytical, cross-sectional, multicentre approach, where the studied population consisted of SWCUs in Spain. A specific data-collecti...
Objective
To determine the degree of satisfaction of women after childbirth at the Hospital Universitario Materno-Infantil of Gran Canaria (HUMIC) and to establish possible relationships between the degree of satisfaction and the variables studied.
Method
A cross-sectional, descriptive, observational study with an analytical component. The study p...
Childbirth is one of life’s great miracles. It is a time of joy and at times fear, exhilaration and relief, with the spectrum of human emotions for some women experienced simultaneously. Notwithstanding the physical toll childbirth takes on the female body, wound complications related to the birth can occur, often an unfortunate result of multiple...
The presence of venous leg ulcers (VLU) is associated with emotional disorders in individuals who have conditions, such as depression, anxiety, and sleeping problems, which result in a reduced perceived quality of life by these individuals. The study aim was to describe the perceived quality of life and associated factors for individuals with VLU....
Objetivos: Describir la incidencia de lesiones por presión (LPP)
en pacientes pediátricos atendidos en unidades de críticos, así como
diferentes variables relacionadas con la metodología de su cálculo.
Introducción: Las LPP constituyen un serio problema de salud con
importantes repercusiones en los pacientes que las sufren. Las UCI
pediátricas...
Diabetic foot ulcer (DFU) is a chronic complication that negatively affects the quality of life (QoL) of diabetic patients. In Spain, there is no specifically designed and validated instrument to assess the QoL of patients with DFU. Our aim was to adapt the Diabetic Foot Ulcer Scale-Short Form (DFS-SF) questionnaire to a Spanish population and vali...
Objective:
To determine the degree of satisfaction of women after childbirth at the Hospital Universitario Materno-Infantil of Gran Canaria (HUMIC) and to establish possible relationships between the degree of satisfaction and the variables studied.
Method:
A cross-sectional, descriptive, observational study with an analytical component. The stu...
Resumen
Objetivo
Evaluar si el vendaje de 2 capas es más efectivo que el vendaje de crepé en la cicatrización de úlceras venosas tras 12 semanas de seguimiento.
Diseño
Ensayo clínico aleatorizado multicéntrico.
Emplazamiento
22 Centros de Salud de Madrid.
Participantes
Mayores de 18 años, con diagnóstico de úlceras venosas. Se aleatorizaron 93...
Objective
To assess the level of self-care in the population with diabetes and determine the risk of diabetic foot lesions through the use of 3 stratification systems as well as to establish the degree of concordance between these systems.
Methods
Observational, cross-sectional and descriptive study carried out in the Basic Health Area of Santa Br...
Objectives:
This study is aimed at analyzing the impact of the main factors contributing to short and long-term mortality in patients at final stages of heart failure (HF).
Setting:
Patients attended at any of the 279 primary health care centers belonging to the Institut Català de la Salut, in Catalonia (Spain).
Participants:
Patients with Adv...
Objetivo:Evaluar el nivel de autocuidados en la población con diabetes y determinar el riesgo de padecer lesiones de pie diabético mediante el uso de 3 sistemas de estratificación, así como establecer el grado de concordancia entre estos sistemas.
Método:Estudio observacional, transversal y descriptivo realizado en la Zona básica de salud de Santa...
Objetivo:
Verificar a consistência interna e estabilidade do Charing Cross Venous Ulcer Questionnaire - Brasil (CCVUQ-Brasil).
Métodos:
Trata-se de uma pesquisa metodológica realizada em duas regiões do Brasil (Goiânia e Niterói), no período de junho de 2016 a junho de 2018. A amostra para a consistência interna foi composta por 112 pessoas e para...
Incontinence-associated dermatitis (IAD) is a type of irritant contact dermatitis, which is frequently observed in patients with fecal and/or urinary incontinence. It manifests as an inflammation of the surface of the skin characterized by erythema, and occasionally skin erosion. It is a prevalent and clinically relevant condition, with serious rep...
The use of information and communication technologies is increasingly widespread in health-disease practices and, therefore, also in wound care area. There are many applications that have been developed in this regard but few have been evaluated regarding their usefulness. In this article we present, as a case, HELCOS, an integrated system for the...
Introducción:
Se han publicado diversos sistemas de clasificación para las lesiones de pie diabético, si bien ninguno de los propuestos ha sido asumido por la comunidad científica como el sistema a utilizar por todos, y esto es debido a múltiples razones.
Objetivos:
Dar visibilidad a los nuevos sistemas de clasificación de pie diabético surgidos e...
En la singladura de los Documentos Técnicos emanados del seno del
GNEAUPP es reiterada su voluntad de contribuir con ellos a aumentar el
conocimiento en el ámbito de la atención de las heridas, y disminuir la
variabilidad en la práctica clínica proponiendo intervenciones basadas en la
última evidencia científica; y para ello, abandonando formas de...
Introducción:
Las heridas crónicas representan un problema actual que genera un impacto a muchos niveles y cuyo tratamiento se basa en infinidad de productos disponibles actualmente en el mercado. A medida que avanza la tecnología se desarrollan nuevos dispositivos que mejoran el tratamiento y repercuten en beneficios para los pacientes. La terapia...
