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March 2012 - present
January 2009 - present
September 2000 - present
Publications
Publications (86)
Background
Family Presence During Invasive Procedures (FPDI) generates controversy among healthcare professionals. Twibell and her team designed an instrument that measured nurses’ Risk-Benefit and Self-Confidence perceptions regarding family presence during resuscitation and was used in numerous studies.
Objectives
Evaluate the new tool for Famil...
Background:
Breathlessness is a serious and distressing symptom and a common reason why patients require prehospital care by ambulance clinicians. However, little is known about how patients experience this care when they are in a state of breathlessness.
Aim:
The aim of this study is to describe the lived experiences of being cared for by ambul...
Introduction
Continuing care, which is an extension of post-discharge care, is recognized as a crucial element of high-quality health services and is essential to patients. This systematic review aims to identify the effectiveness of continuing care for patients with stomas.
Methods
PubMed, EMBASE, Cochrane Trial Register and Web of Science databa...
Background: Family presence during invasive procedures (FPDI) generates controversy in healthcare professionals.
Objective: Evaluate the FPRB-FPSC tool for invasive procedures and find out the opinions of the medical and nursing staff on FPDI.
Method: Descriptive quantitative. Online and paper questionnaire modified from a previous cross-cultural t...
Background
Various enhanced patient instructions (EPIs) have been used for bowel preparation (BP) and our previous meta-analysis also demonstrated the efficacy of EPIs in increasing the colonic polyp and adenoma detection rates; however, the optimal method for adequate BP has not yet been developed.
Objective
We performed a network meta-analysis t...
Aim: This study aimed to analyse risk and protective factors for teen suicide and bullying.
Background: Research shows that high percentages of bully-victims report suicidal thinking or suicide attempts.
Design: This was an international integrative review.
Data sources: Five databases including CINAHL, Scopus, PubMed, Google Scholar and Cuiden wer...
Abstract Background Family Presence during Cardiopulmonary Resuscitation has been studied both to identify the opinions of health professionals, patients, and family members, and to identify benefits and barriers, as well as to design protocols for its implementation. R. Twibell and her team designed an instrument that measured nurses’ perceptions...
Background: There are data suggesting that passive leg raising (PLR) improves hemodynamics during cardiopulmonary resuscitation (CPR). This trial aimed to determine the effectiveness and safety of PLR during CPR in out-of-hospital cardiac arrest (OHCA).
Methods: We conducted a randomized clinical trial with blinded assessment of the outcomes that a...
Purpose
To understand the phenomenon of communication related to knowing diagnosis and prognosis, by exploring the perspectives of patients with advanced cancer and those of their caregivers, physicians and nurses.
Methods
Drawing upon a multi-perspective design, a total of 27 semi-structured interviews involving four different groups of stakehold...
Objectives: The role of automatic tube compensation (ATC) compared to other spontaneous breathing trials (SBTs) in critically ill receiving mechanical ventilation remains uncertain. The aim of this meta-analysis was to determine the role of ATC in critically ill patients compared to alternative SBT techniques. Methods: We searched PubMed, Cochrane...
Objective:
To establish and validate the Colostomy Disgust Scale (CDS) for assessing disgust in colostomy patients.
Design:
Triphasic, cross-sectional psychometric study.
Setting:
A total of 423 patients with colostomy (222 first samples and 201 s samples) were recruited from a tertiary hospital between January 2015 and April 2016.
Methods:...
Aim
This paper is a report of a study exploring the relationship between stoma acceptance and stoma care self‐efficacy in patients with colostomy and whether self‐disgust and stigma play mediating roles in this relationship.
Design
A cross‐sectional survey design.
Method
In all, 476 participants were recruited from a tertiary hospital and complet...
Background: Oral mucositis is one of the most frequent, irreversible and distressing complications faced by head and neck cancer (HNC) patients undergoing radiotherapy. Several studies have investigated the role of honey in the prevention and alleviation of radiation-induced oral mucositis in HNC patients, however, a definitive conclusion has not y...
Background:
Oral mucositis is one of the most frequent, irreversible and distressing complications faced by head and neck cancer (HNC) patients undergoing radiotherapy. Several studies have investigated the role of honey in the prevention and alleviation of radiation-induced oral mucositis in HNC patients, however, a definitive conclusion has not...
Background:
Moral emotions are a key element of our human morals. Emotions play an important role in the caring process. Decision-making and assessment in emergency situations are complex and they frequently result in different emotions and feelings among health-care professionals.
Methods:
The study had qualitative deductive design based on con...
BACKGROUND
Since the 1980s, the controversial issue of family presence during cardiopulmonary resuscitation has been studied, as well as to identify the perceptions, opinions and beliefs of health professionals, patients and family members, as well as to identify benefits, barriers and design training and protocols for its implementation. In 2008,...
Background Since the 1980s, the controversial issue of family presence during cardiopulmonary resuscitation has been studied both to identify the perceptions, opinions and beliefs of health professionals, patients and family members, and to identify benefits and barriers, as well as to design training programs and protocols for its implementation....
BACKGROUND
Family Presence during Cardiopulmonary Resuscitation has been studied both to identify the opinions of health professionals, patients, and family members, and to identify benefits and barriers, as well as to design protocols for its implementation. R.Twibell and her team designed an instrument that measured nurses’ perceptions of Risks-B...
Background
In cancer care, many clinical contexts still lack a good-quality patient–health professional communication about diagnosis and prognosis. Information transmission enables patients to make informed choices about their own healthcare. Nevertheless, disclosure is still an ethically challenging clinical problem in cancer care. High-quality c...
The knowledge acquired during university education about organ donation and transplantation (ODT) decisively influences the information future health professionals transmit. This is important in ODT where the participation of the general public is essential to obtain organs.
Objective
To determine notions of Spanish medicine and nursing students o...
Research on self‐disgust is relevant to psychopathologic tendencies because it has been shown to play a critical role in several mental disorders. Examining self‐disgust and exploring its role in mental health are significant goals. The purpose of this study was to translate the Questionnaire for the Assessment of Self‐Disgust (QASD) into Chinese a...
Introduction:
Information provided by health care professionals is crucial to create a climate of social opinion. This is important in organ donation and transplantation (ODT), where the participation of the general public is essential to obtain organs.
Objective:
To determine the attitude toward the Law of Presumed Consent (LPC) among Spanish u...
A primary care physician (PCP) not only accompanies the patient in the process of an illness, but throughout his or her life. The confidence we have in these health professionals is fundamental, and their favorable attitude toward organ donation and transplantation (ODT) has a significant influence on the population.
Objective:
To analyze trust i...
Abstract Background The rapid triage and treatment system for paediatrics (RETTS-p) has been used by the emergency medical services (EMS) in the west of Sweden since 2014. The performance of the RETTS-p in the pre-hospital setting and the agreement between the EMS nurse’s field assessment and the hospital diagnosis is unknown. The aim of this study...
Aims:
to describe nurses' experiences regarding the care relationship built with medical-surgical patients in acute hospitalization units, and the association with their clinical practice.
Background:
Nurses' commitment to care, and their relationships as well, are the core of quality of care. Nurses consider that the emotional commitment is ess...
Background and aim of the work:
Caring nursing practice is central aspect of quality of services. It is important to assess nurses' caring experience in terms of perceived caring efficacy to make them aware of their outcomes and improve their strategies. The aims of the study was to analyze: (1) the caring efficacy level, (2) differences between t...
Introducción La supervivencia de la parada cardiaca extrahospita-laria es escasa 1. La calidad de las compresiones torácicas (CT), con una profundidad y frecuencia adecuadas para permitir el retorno del esternón a su posición, es clave para optimizar el gasto cardiaco durante la reanimación cardiopulmonar (RCP) 2. Las lesiones de la caja torácica s...
Objectives:
To determine the incidence of serious rib cage damage (SRD) and serious visceral damage (SVD) secondary to cardiopulmonary resuscitation (CPR) and to explore associated factors.
Material and methods:
We analyzed data from the prospective registry of cases of sudden death in Tarragona, Spain (the ReCaPTa study). Cases were collected f...
Caring is the essence of nursing practice. Caring Efficacy scale was developed with the purpose of measuring nurses’ perceived self-efficacy in orienting and maintaining caring relationships with patients. Since any instruments measuring caring self-efficacy have not been developed in Italy, the study aimed at culturally adapting and validating Car...
Background:
The use of passive leg raising (PLR) in cardiopulmonary resuscitation (CPR) is sometimes discussed and even recommended. The effect of this intervention has never been properly addressed. We planned to determine whether PLR in out-of-hospital cardiac arrest (OHCA) is associated with an improved survival to 30 days.
Methods:
In eight...
Background
Limitation of life-sustaining treatment is increasingly common in critical care units, and controlled donation after circulatory death is starting to be included as an option within patient care plans. Lack of knowledge and misunderstandings can place a barrier between healthcare professionals.
Objective
To determine the perceptions, kn...
BACKGROUND:
Limitation of life-sustaining treatment is increasingly common in critical care units, and controlled donation after circulatory death is starting to be included as an option within patient care plans. Lack of knowledge and misunderstandings can place a barrier between healthcare professionals.
OBJECTIVE:
To determine the perceptions,...
Background:
Limitation of life-sustaining treatment is increasingly common in critical care units, and controlled donation after circulatory death is starting to be included as an option within patient care plans. Lack of knowledge and misunderstandings can place a barrier between healthcare professionals.
Objective:
To determine the perceptions...
Background:
Intimate partner violence (IPV) is one of the most important challenges facing today's society. Health professionals, and nurses in particular, play a leading role in addressing this problem. Having an instrument to study Nursing students' perception of this type of violence may enable appropriate and necessary educational strategies f...
The limitation of life-sustaining treatment is common practice in critical care units, and organ donation after circulatory death has come to be included as an option within this care plan. Lack of knowledge and misunderstandings can raise barriers between health-care providers (e.g., confusion about professional roles, lack of collaboration, doubt...
Background:
High expectations about acupuncture might contribute to larger
treatment effects (Prady et al., 2015). However, problems in the assessment
are well known: 1) floor or ceiling effects lower variance; 2)
expectation measures include general beliefs about complementary
medicine; 3) construct validity of expectation measures remains unclear...
The attitudes and knowledge of nursing personnel regarding organ and tissue donation can influence the decision to donate. This study aimed to determine these two factors among nurses at a district hospital in Barcelona, Spain. A survey was carried out using a 35 item questionnaire. Results were subjected to descriptive and comparative statistical...
Introduction:
Electrocardiographic interpretation skills are key to provide a fast attention to patients with thoracic pain. The aim of the study was to determine the current level of competence in electrocardiographic interpretation of nurses in emergency departments.
Methods:
Cross-sectional, multicenter study via an ad hoc questionnaire. Subj...
Content: In the area of cancer care, the communication issue about diagnosis and prognosis has started since a long time ago. Nevertheless there are still findings on distortions of communication with people with cancer. Patients', relative-caregivers', doctors' and nurses' perspectives about communication and awareness of diagnosis and prognosis h...
rovira i virgili, tarragona, España Contenido del Resumen: El avance de la tecnología y los procesos administrativos en los sistemas sanitarios ha llevado a una atención deshumanizada con objetivos empresariales de eficiencia , eficacia y efectividad, dando prioridad a estas últimas más que al ser. La enfermería como esencia está en el cuidado fund...
Background
Several studies have shown the effectiveness of reflexology in different health problems as well as obtaining a high degree of relaxation during its application. A previous study suggested a possible relation between the relaxation obtained during the reflexology session and the sleep. However, the design of the study did not provide evi...
Introduction:
Mortality after out of hospital cardiac arrest (OHCA) is high and a shockable rhythm is a key predictor of survival. A concomitant need for repeated shocks appears to be associated with less favourable outcome.
Aim:
To, among patients found in ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) describe: a) fac...
Aim: To evaluate, using a simulated haemodynamic circulation model, whether passive leg raising (PLR) is able to improve the effect during cardiopulmonary resuscitation (CPR); to expose the possible reasons why PLR works or not.
Materials and Methods: We adapted a circulatory model for CPR with PLR. First we compared cardiac output (CO), coronary p...
Aim: This article aims to synthesize evidence from a systematic review on the conceptualization of spirituality related to nursing care.
Background: Over the last few decades, the concept of spirituality has been studied and defined, in relation to illness, and conceptualizations were been formulated from different scientific disciplines and therap...
Background
Cardiovascular diseases are one of the leading causes of death in the industrialized world. Sudden cardiac death is very often the first manifestation of the disease and it occurs in the prehospital setting.The determination of the sudden cardiac death phenotype is challenging. It requires prospective studies in the community including m...
Purpose: In Sweden, the ambulance response time from call to arrival is 11 minutes in patients with an out-of-hospital cardiac arrest (OHCA). However, there is a small group of OHCA patients (20%) in whom this delay is minimized, namely those that occur minutes before or after the arrival of the ambulance. Despite CPR and/or defibrillation within o...
A1154
Principal features in potsurgical patients with multidrug-resistant
organisms isolation, acquired before the admission at the
intensive care unit.
G.E. Kaminsky, R. Carreño, A. Escribá, M. Fuentes, V. Gálvez, R. Del Olmo, B. Nieto, C. Vaquerizo, J. Alvarez, M.A. De la Torre, E. Torres. Hospital Universitario de Fuenlabrada, Intensive Care Un...
Recent studies on reflexology describe the appearance of different application-associated effects, attributed to a self-regulatory mechanism related to treatment efficacy. On the other hand, sleep is a physiological process of vital importance for health. Its main value lies in restoring the natural balance between neuronal centers. Among its assoc...
La implementación de la práctica basada en la evidencia es clave para la práctica profesional. Sin embargo, continúa siendo un reto en el cuidado crítico del paciente.
Background:
Semi-recumbent position is recommended to prevent ventilator-associated pneumonia. Its implementation, however, is below optimal.
Objectives:
We aimed to assess real semi-recumbent position compliance and the degree of head-of-bed elevation in Spanish intensive care units, along with factors determining compliance and head-of-bed ele...
Background
The acquisition of experience is a major concern for nurses in intensive care units. Although the emotional component of the clinical practice of these nurses has been widely studied, greater examination is required to determine how this component influences their learning and practical experience.
Objective
To discover the relationship...
Conclusion:
Among patients with bacteraemia, 75% used the EMS, and these patients were older, included more men, and suffered from more severe symptoms and signs. The EMS nurse suspected sepsis in six percent of cases. Regardless of whether or not patients with true pathogens were isolated, a suspicion of sepsis by the EMS clinician at the scene w...
Background:
The aim of this study was a) To identify predictors of the use of aspirin in the pre-hospital setting in acute myocardial infarction (AMI) and b) To analyze whether the use of any of the recommended medications was associated with outcome.
Methods:
All patients with a final diagnosis of AMI, transported by the Emergency Medical Servi...
Aim:
To create a questionnaire (CAPCRI-Q) to determine the factors associated with the compliance of the semi-recumbent position in patients under mechanical ventilation.
Methods:
A closed questionnaire was created using a literature review and clinical practice. The initial version consisted of 61 items placed into 5 categories: patient factors...
http://www.scielo.mec.pt/pdf/rpesm/n13/n13a03.pdf
RESUMEN
El embarazo, a nivel fisiológico y emocional, es percibido de forma diferente por cada mujer según la personalidad y/o contexto asistencial en que se encuentre. Algunas gestantes ante la inminencia del parto, podrían presentar estados de ansiedad y miedos, que algunos autores relacionan co...
Physiologically and emotionally, pregnancy is perceived differently by different women and can depend on Pregnancy is perceived in different manners by each woman and might depend on their personality and the health-care healthcare context. Just before childbirth just before delivery, some expectant mothers may feel anxious and afraid, anxiety and...
Background
Ambulance professionals often address conflicts between ethical values. As individuals’ values represent basic convictions of what is right or good and motivate behaviour, research is needed to understand their value profiles.
Objectives
To translate and adapt the Managerial Values Profile to Spanish and Swedish, and measure the presenc...
To evaluate head-of-bed elevation (HOBE) compliance in mechanically ventilated (MV) patients during different time periods, in order to identify factors that may influence compliance and to compare direct-observation compliance with checklist-reported compliance.
A prospective observational study was carried out in a polyvalent Intensive Care Unit....
Background
Decision-making and assessment in emergency situations are complex and result many times in ethical conflicts between different healthcare professionals.
Aim
To analyse and describe situations that can generate ethical conflict among nurses working in emergency situations.
Methods
Qualitative analysis. A total of 16 emergency nurses to...
Background
It is estimated that about 275,000 inhabitants experience an out-of-hospital cardiac arrest (OHCA) every year in Europe. Survival in out-of-hospital cardiac arrest is relatively low, generally between five per cent and 10%. Being able to explore new methods to improve the relatively low survival rate is vital for people with these condit...
The effect of passive leg raising (PLR) in cardiac arrest is not clearly established but PLR has been associated with increased coronary perfusion pressure and increase in End tidal carbon dioxide (EtCO2) during cardiopulmonary resuscitation (CPR).1 A case in which PLR was used successfully has recently been published.2 None declared.
Aim:
The aim of this study is to describe the outcome changes after out-of-hospital cardiac arrest (OHCA) in Gothenburg, Sweden, after introduction of mechanical chest compression (MCC).
Methods:
Following introduction of MCC, 1183 OHCA patients were treated from November 1, 2007, to December 31, 2011 (period 2). They were compared with 1218 OHC...
Introduction: The ambulance crew faces different kinds of ethical problems in their daily work, such as conflicts between ethical values and standards that are critical for the health care. This gives a complexity of the situations, which becomes a constant challenge in the care practice and often creates high pressure and discomfort among for the...
The care of patients with gastrointestinal bleeding from oesophageal varices during inter-hospital transfer is a complex procedure to different causes. Some of these include, the high number of parameters to take into account, the monitoring of the electro-medical equipment, the instability of the patient and their needs or the short time available...
The objective of this article is to do a critical appreciation from the theoretical and practical perspectives of the professional role, in an effort to exceed the language and the dominant practice. We highlight the necessity of working beyond the descriptions of autonomous tasks and tasks of collaboration, and showing forms which situate our prac...
The objective of this article is to do a critical appreciation from the theoretical and practical perspectives of the professional role, in an effort to exceed the language and the dominant practice. We highlight the necessity of working beyond the descriptions of autonomous tasks and tasks of collaboration, and showing forms which situate our prac...
Objective: In this paper, the interest for exploring the living experiences, representations and social practices of family members of persons who have Alzheimer disease within different cultural contexts is outlined. Seen from three concrete empiric polls, our objective is to analyze how family-member care takers identify, designate and interpret...
El embarazo está considerado socialmente como una situación de riesgo, por lo que las mujeres deben someterse a diferentes técnicas, con la finalidad de su detección precoz. En este trabajo analizamos dos de ellas: la ecografía y la amniocentesis con el objetivo de conocer sus usos y las representaciones que de ellas se desprenden. El análisis se r...
ResumenIdioma Desde el campo de la antropología médica María Jiménez destaca los beneficios que desde la antropología pueden aportarse a la bioética. Un acercamiento teórico y metodológico contribuiría a entender la asistencia sanitaria e implementar la humanización de la misma, revelar que las asunciones morales y las normas éticas no son universa...