Mónica Vázquez Calatayud

Universidad de Navarra | UNAV · Universidad de Navarra Clinic (CUN)

ENFI-452; No. of Pages 2 Enfermería Intensiva xxx (xxxx) xxx-xxx www.elsevier.es/ei CARTA A LA EDITORA Respuesta a «Higiene oral con clorhexidina: una recomendación única no sirve para todos» In response to «Oral care with chlorhexidine: One size does not fit all» Estimada Editora, Agradecemos los comentarios de Llauradó-Serra et al. en relación co...

Background: Person-centred practices - following national and international developments in health-care policies - have become a key approach in healthcare. The Person-Centred Practice Inventory - Staff is an instrument based on the theoretical framework Person-Centred Practice that focuses on the staff's perspective and how they experience person...

Background: There is a gap in the literature on identifying and describing effective interventions for the retention of newly graduated registered nurses in hospital settings. To the best of our knowledge, no systematic review has been conducted on this issue. Aim: To identify effective interventions that promote the retention of newly graduated...

Background: Nurses' perceptions of preceptorships for undergraduate nursing students are crucial for designing effective and tailor-made strategies to improve nurses' involvement, motivation, commitment, and satisfaction in preceptorships. Objectives: The aim of this study was to determine nurses' perceptions of preceptorships for nursing students...

Aim: The aims of this paper are (1) to present the results of the development, content validation and implementation study of the Relationship Competencies Guiding Tool; (2) to provide examples of how each item in the tool is reflected in clinical narratives written by nurses and justify the corresponding scores after the evaluation; (3) to presen...

Objective: To explore the existing knowledge in the literature about nurses' clinical leadership in the intensive care unit. Methods: A scoping review was conducted according to Arksey & O'Malley's methodology. The search process encompassed five main online databases, PubMed (including MEDLINE), CINAHL, PsycINFO, Scopus and Cochrane, for the pe...

Background: Person-centered care has become a key global approach that seeks to provide answers to all factors of the complex health care-related processes. This has led to the development of theoretical frameworks that represent the components of person-centered care. The internationally recognized Person-Centred Practice Framework (PCPF) (McCorm...

Purpose/aims: To explore nurses' perceptions of clinical nurse specialist practice as implemented in a highly specialized university hospital in Spain. Design: A descriptive qualitative study was carried out in 3 inpatient wards, with a clinical nurse specialist within the team, at a high specialized university hospital in Spain. Method: Semis...

During the COVID-19 pandemic, the world’s healthcare systems were extremely strai- ned. Intensive care units were stretched to capacity and healthcare facilities were forced to set up spaces to care for critically ill patients. Professionals were required to work in strenuous conditions, completely disrupting their work routines. In this scenario,...

Objective: To assess the satisfaction of novel nurses with high-fidelity clinical simulation in CPR training, during Covid-19. Methods: Cross-sectional descriptive observational study. Satisfaction Scale in High Fidelity Clinical Simulation was used, a validated 33-item questionnaire with a Likert-type response. Descriptive statistics and non-pa...

Resumen El autocuidado diádico en la insuficiencia cardiaca crónica (ICC) es clave para garantizar la continuidad del tratamiento, disminuir las complicaciones y los reingresos, y minimizar la sobrecarga del cuidador, pero demanda estrategias específicas. El objetivo fue identificar las intervenciones de autocuidado diádico en la ICC en el contexto...

Resumen El impacto negativo de la pandemia sobre las tasas de infecciones controladas ha evidenciado la necesidad de reanudar la aplicación de las recomendaciones de los Proyectos Zero (PZ). En este artículo, en primer lugar, se realiza un análisis de la situación de las unidades de cuidados intensivos de España durante la pandemia. A continuación...

Resumen La pandemia por el SARS-Cov-2 ha impactado negativamente en la aplicación de las recomendaciones de Neumonía Zero y se ha acompañado de un incremento de las tasas de Neumonía asociada a ventilación mecánica (NAVM) en las unidades de cuidados intensivos de España. Con el objetivo de disminuir las tasas actuales a 7 episodios por 1000 días de...

Aim: To identify the most effective interventions to facilitate nurses' clinical leadership in the hospital setting. Background: There is a gap in the literature on the identification and measurement of effective interventions for leadership skill development among clinical nurses in hospitals. To the best of our knowledge, no systematic review...

Background: Integrating the family of patients with kidney failure on comprehensive conservative care could benefit patients, families, and the health care system. However, there is a knowledge gap in this phenomenon since no systematic review has focused on the families' needs who care for individuals with kidney failure on comprehensive conserva...

Understanding the unique experience of nursing students providing frontline support in COVID-19 hospital wards is crucial for the design of strategies to improve crisis management and mitigate future pandemic outbreaks. Limited research concerning this phenomenon has been published. This qualitative study aimed to understand the experience of provi...

Aim To explore experiences of front-line nurse managers during COVID-19. Background The COVID-19 pandemic has complicated care provision and health care management around the world. Nurse managers have had to face the challenge of managing a crisis with precarious resources. Little research has been published about the experiences of nurse manager...

RESUMEN Presentación del caso: Paciente de 76 años residente en un centro geriátrico, con Alzheimer en fase moderada, que manifiesta agitación y estrés ante una situación incómoda. Ante la aparición de estos cambios conductuales, tanto la enfermera a su cuidado como la familia desconocen cómo actuar. Objetivos: Identificar, con base en la literatur...

Aims To identify the most effective interventions to empower cardiorenal patients. Design A systematic review of the literature has been carried out. Data sources The PubMed, CINAHL, PsycINFO and Cochrane databases were reviewed, and journals in the field were manually searched between January and February 2020. Review methods Five randomized cl...

Abstract Background: Establishing the level of chronic cardiac inpatient empowerment is essential. By doing so, it is possible to identify groups with a lower level. It also provides a basis for designing effective strategies to improve their control over decision making and the actions that affect their health and wellness. The shortage of studie...

Objective: To describe the use of ICT by nursing professionals. Methods: Crosssectional descriptive study, through a self-administered survey based on bibliography, was carried out. This instrument measures the nursing professionals’ ICT use, which consists of 14 closed questions and two open ones. Results: The response rate was 25.7% (264/1.026)....

The empowerment of patients with chronic heart failure (CHF) is key to improving their quality of life, autonomy, self-esteem, level of satisfaction and healthcare costs. The aim was to identify the most effective nursing interventions to promote the empowerment of patients with CHF in the hospital context. Eight articles were selected for review (...

Nurses’ continuing professional development (CPD) improves the quality of nursing care, patients’ safety, nurses’ satisfaction and healthcare costs. However, evidence has shown that nurses do not always participate in their CPD and that CPD does not always address nurses’ real needs. To examine this issue, a systematic review of the literature on n...

Aim To describe and explain nurses' protocol‐based care decision‐making. Background Protocol‐based care is a strategy to reduce variability in clinical practice. There are no studies looking at protocol‐based care decision‐making. Understand this process is key to successful implementation. Method A multiple embedded case study was carried out. N...

Objectives: The "Pneumonia Zero" project is a nationwide multimodal intervention based on the simultaneous implementation of a comprehensive evidence-based bundle measures to prevent ventilator-associated pneumonia in critically ill patients admitted to the ICU. Design: Prospective, interventional, and multicenter study. Setting: A total of 18...

Purpose: to evaluate an intervention on recently integrated nurses aiming at improving their research capability. Methods: a pre-post intervention study in a university hospital. The intervention was based on a theoretical-practical program in Evidence-Based Nursing (EBN) over a five-month period. Intervention results were assessed by means of the...

Although the concept of ‘Transforming care’ is promising for improving healthcare, there is no consensus in the field as to its definition. The aim of this concept analysis is to develop a deeper understanding of the term ‘Transforming care’ within the nursing discipline, in order to facilitate its comprehension, implementation and evaluation. We p...

The existing variability in clinical practice is high and constitutes one of the principal problems in healthcare quality. Protocol-based care (PBC) can help resolve this problem by facilitating a way of standardizing clinical practice that respects the individuality of patients. Knowledge related to nurses' decision making in PBC is insufficient f...

Context The study setting was a medical inpatient ward of a medium size hospital in the north of Spain. It was deemed an information-rich source for the understanding of nurses' decision making in protocol based care (PBC), given that it constitutes a natural environment where staff nurses make decisions regarding the use of a wide variety of proto...

Objetivo: Evaluar el impacto de una intervención de enfermería en la prevención y tratamiento de úlceras por presión (UPP). Metodología: Diseño cuasi experimental pre- y postintervención. Resultados: La prevalencia global de UPP no varía tras la intervención (χ² = 1,059, p = 0,589). No obstante, descienden hasta 0 las UPP de grado III y IV, la prev...

Adequate provision of palliative care by nursing in intensive care units is essential to facilitate a "good death" to critically ill patients. To determine the perceptions, experiences and knowledge of intensive care nurses in caring for terminal patients. A literature review was conducted on the bases of Pubmed, Cinahl and PsicINFO data using as s...

Objective: To evaluate the impact of a nursing intervention in the prevention and treatment of pressure ulcers (PU). Methodology: Design quasi-experimental pre-post intervention. Results: The overall prevalence of PUs in our institution has not changed after surgery χ² = 1.059, p = 0.589), remaining at 8.7%. However, it has fallen to 0 the number o...

Background: "Zero-VAP" is a proposal for the implementation of a simultaneous multimodal intervention in Spanish intensive care units (ICU) consisting of a bundle of ventilator-associated pneumonia (VAP) prevention measures. Methods/design: An initiative of the Spanish Societies of Intensive Care Medicine and of Intensive Care Nurses, the projec...

Unlabelled: The need for information to the families of critically ill patients is still not covered by the professionals involved. Objective: Develop and implement a new process of informing relatives of critically ill patients. Methodology: Design: Participatory Action Research guided by the PEPPA Model (A Participatory, Evidence-Based, Pa...

El objetivo del estudio es el conocimiento de la prevalencia de úlceras por presión en un centro hospitalario. Se realizó un estudio transversal utilizando un muestreo de conveniencia. La recogida de datos se realizó mediante un cuestionario elaborado y pilotado. En el análisis de los datos se empleó estadística descriptiva e inferencial. Este estu...

Effective communication between professionals is crucial to ensure patient safety. 1) Explore the intraprofessional communication process during nurse shift change; 2) identify improvement strategies to facilitate optimal communication process. Exploratory study conducted from January to May 2011 in an intermediate unit. There were performed 16 str...

The optimum transition process from the ICU to the ward is key to avoiding the appearance of anxiety in the patient and family, increase of re-admissions in the ICU with the consequent increase in costs and jeopardization to the patient's safety.Objective1) To identify, study and give a critical presentation of the existing evidence on how patients...

The optimum transition process from the ICU to the ward is key to avoiding the appearance of anxiety in the patient and family, increase of re-admissions in the ICU with the consequent increase in costs and jeopardization to the patient's safety. OBJECTIVE 1) To identify, study and give a critical presentation of the existing evidence on how patie...

The assessment of pain is particularly difficult in critical patients unable to self-report or with cognitive impairment. In such cases, the use of scales which evaluate pain through patient behaviour is important. To compare the behavioural responses to pain, measured on the Critical-Care Pain Observation Tool (CPOT) scale, and the physiological r...

Introducción: el envejecimiento creciente de la sociedad ha promovido que exista un mayor interés por comprender el término successful aging. Objetivo: explorar el término successful aging desde una perspectiva holística. Método: se llevó a cabo una revisión de la evidencia disponible en las principales bases de datos, utilizando los términos, "env...

Introduction: the increasing aging of society has promoted the existence of a greater interest in understanding the term Successful aging. Aim: to explore the term Successful aging from a holistic perspective. Method. a review was conducted in the main databases for the period 2000-2010. The search terms 'aging', 'successful aging' y 'Nursing' were...

This article presents a brief reflection on the caring of families in the Intensive Care Units. To address this issue, Jean Watson, one of the most important theoreticians on nursing of our days, has been taken as a reference. Watson was chosen because it is possible to understand perfectly the need to contemplate the family within the holistic car...

This paper presents a review undertaken to explore the experiences of patients and families in the transition to breast cancer survivorship. The "transitional survivorship" is defined as the period immediately after the end of treatment. During this period, breast cancer survivors aim to return to their "new normality", but this time can be full of...

Objective To find the best scientific evidence on the effectiveness of the saline solution compared with heparin in maintaining patency of the arterial cannula in intensive care units.

To find the best scientific evidence on the effectiveness of the saline solution compared with heparin in maintaining patency of the arterial cannula in intensive care units. A review of the evidence was made using the databases: MEDLINE, CINAHL, CUIDEN and Cochrane Library. The criteria that limited the search were: the type of study (randomised c...

Introduction. The evaluation of pain poses special difficulties in critical patients who have altered verbal communication. Objectives. Compare the behaviour responses to pain, measured with the Critical-Care Pain Observation Tool (CPOT) scale and the physiological responses before, during and after the posture change procedure in patients with inv...

The evaluation of pain poses special difficulties in critical patients who have altered verbal communication. Compare the behaviour responses to pain, measured with the Critical-Care Pain Observation Tool (CPOT) scale and the physiological responses before, during and after the posture change procedure in patients with invasive mechanical ventilati...

The night-time sleep of patients hospitalized in intensive care is a very important feature within the health or disease process, as it has a direct repercussion on their adequate recovery. (1) To describe how surgical patients perceive their sleep in the intensive care unit; (2) to compare the subjective perception of patients with the nursing rec...

MARS® (Molecular Adsorbent Recirculating System) is a new technique as a system of liver detoxification in patients with severe acute or acute on chronic hepatic failure. Also, it has shown its usefulness in the control of resistant pruritus in the primary biliary cirrhosis. Due to the fact that this technique is often delivered in Intensive Care U...

MARS (Molecular Adsorbent Recirculating System) is a new technique as a system of liver detoxification in patients with severe acute or acute on chronic hepatic failure. Also, it has shown its usefulness in the control of resistant pruritus in the primary biliary cirrhosis. Due to the fact that this technique is often delivered in Intensive Care Un...

Los sistemas informatizados que se están implantando para el registro del Plan de Atención de Enfermería pueden facilitar la realización de un seguimiento continuado de la calidad de los cuidados. Este estudio descriptivo y retrospectivo se ha realizado en una unidad de cuidados intensivos polivalente, con los siguientes objetivos: a) describir la...

The computerized systems that are being implemented for the recording of the Nursing Care Plan may facilitate the performance of continuing follow-up of the care quality. This retrospective descriptive study has been performed in a polyvalent Intensive Care Unit with the following objectives: a) describe the evaluation of the care quality, performe...

Night-time rest of the patients hospitalized in Intensive Care is a very important feature within the health/disease process since it has a direct repercussion on their adequate recovery. The objectives of this investigation are: 1) describe how the surgical patients perceive their night-time sleep in the Polyvalent Intensive Care Unit: 2) compare...

Night-time rest of the patients hospitalized in Intensive Care is a very important feature within the health/disease process since it has a direct repercussion on their adequate recovery. The objectives of this investigation are: 1) describe how the surgical patients perceive their night-time sleep in the Polyvalent Intensive Care Unit: 2) compare...