Rafael Montoya-Juarez

University of Granada | UGR · Faculty of Health Sciences

Situation diagnosis using exploratory and descriptive scientific methodology (participant observation with descriptive statistical treatment) in order to identify nursing' practices in the area of health promotion during a nursing child health consultation. The 31 consultations observed (n = 31) showed that the majority of observations occurred in...

Background: Communication and advance care directives may be affected by the presence of dementia. We sought to describe the information and end-of-life preferences provided to nursing homes residents and their families. Methods: Trained nurses collected information from 124 residents randomly selected with palliative care needs from eight nursing...

Background: It is essential to assess the need for palliative care and the life prognosis of elderly nursing home residents with an advanced chronic condition, and the NECPAL ICO-CCOMS©4.0 prognostic instrument may be adequate for both purposes. The objective of this study was to examine the predictive capacity of NECPAL, the Palliative Prognosis I...

The Nursing Homes End-of-life Programme (NUHELP) was developed in 2017 and is based on quality standards of palliative care, but it was not implemented due to the outbreak of the COVID-19 pandemic. Objectives: To describe perceptions among staff at nursing homes and primary health care (PHC) centres regarding the relevance, feasibility, and degre...

Introduction: The complex nature of end-of-life assessment of individuals diagnosed with dementia would benefit from a mixed methods approach that simultaneously assess the perception and response of nurses to standardised tools. Aim: To examine nursing professionals' perceptions of the quality of dying among residents diagnosed with dementia us...

Background: The COVID-19 pandemic had a particularly severe impact on nursing homes, exposing numerous pre-existing deficiencies in end-of-life care. Aim: To describe how the COVID-19 pandemic affected nursing home and primary care professionals' attempts to achieve the objectives of a pre-existing end-of-life programme and to explore their pers...

AimTo determine nursing outcomes in individuals with intestinal stoma and the relationships between them and sociodemographic and clinical variables.DesignCross-sectional study performed with 102 subjects at the General Surgery Unit of a first-level hospital.Methods Data on the presence of nursing outcomes were collected using the Nursing Outcomes...

Background: Standardised patient simulations seem to be useful for improving the communication skills of health sciences students. However, it is important to define the effectiveness of these types of interventions in complex scenarios linked to disease chronicity and end-of-life contexts. Methods: A quasi-experimental study with pre- and post-...

Objective The aim of this study is to culturally adapt and validate the Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B) in Spanish health professionals. Method A cultural adaptation and scale validation was carried out to evaluate the validity of appearance, content and construct, reliability and feasibility. The psychometric va...

Abstract: Delphi multi-round survey is a procedure that has been widely and successfully used to aggregate experts’ opinions about some previously established statements or questions. Such opinions are usually expressed as real numbers and some commentaries. The evolution of the consensus can be shown by an increase in the agreement percentages, an...

Background Nursing homes are likely to become increasingly important as end-of-life care facilities. Previous studies indicate that individuals residing in these facilities have a high prevalence of end-of-life symptoms and a significant need for palliative care. The aim of this study was to develop an end-of-life care program for nursing homes in...

Background: There is a need for instruments that can evaluate the psychosocial quality of dying in nursing homes. The aim of this study was to adapt and validate the Quality of Dying in Long-Term Care scale (QoD-LTC) to the Spanish context. Methods: Descriptive cross-sectional study. Fourteen nurses from 7 facilities in southern Spain assessed 1...

Purpose To determine which nursing interventions are used in individuals with a digestive stoma and the relationships between nursing interventions used and sociodemographic and clinical variables. Methods The present study is an observational, cross‐sectional, descriptive. Data from 102 individuals in the general surgery unit of a first‐level hos...

Background: Proper planning of Palliative Care in nursing homes requires advanced knowledge of the care needs that residents show. The aim of the study was to evaluate Palliative Needs and other conditions such as fragility, complexity, and prognosis and also to suggest new indicators for the establishment of the resident's advanced chronic condit...

The acquisition of the death concept in children may influence how these children cope with the losses that they will confront throughout their lives. At the present time, there is a lack of psychometric instruments in Spanish-speaking countries in order to evaluate the components of the death concept in children. The aim of this study was to creat...

Background and objectives: This study aimed to determine the frailty, prognosis, complexity, and palliative care complexity of nursing home residents with palliative care needs and define the characteristics of the cases eligible for receiving advanced palliative care according to the resources available at each nursing home. Materials and Methods:...

Purpose: To explore the attitude of nursing professionals towards death. Design: Systematic qualitative review methods were used. Methods: A search was conducted in the PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and CUIDEN databases. This study included 17 articles. Findings: Thirteen categorie...

The aim of the study is to evaluate the intensity of symptoms, and any treatment and therapeutic procedures received by advanced chronic patients in nursing homes. A multi-centre prospective study was conducted in six nursing homes for five months. A nurse trainer selected palliative care patients from whom the sample was randomly selected for incl...

Background. Providing care for dying people and the death of patients are stressing situations faced by nursing students during their clinical practice. Learning about palliative care improves the management of emotions and the ability to cope when caring for patients in end-of-life processes. However, there is little knowledge on the effect of thi...

The aim of this study was to compare the symptomatology, palliative care outcomes, therapeutic procedures, diagnostic tests, and pharmacological treatments for people with dementia (PWD) and without dementia (PW/OD) admitted to Spanish nursing homes. Design: This was a cross-sectional study which is part of a long-term prospective follow-up of el...

Background and objectives: Health care professionals play an important role in supporting and attending to families that experience a perinatal loss. Previous research has identified the existence of obstacles that professionals may encounter during their practices. The main objective of the current research was to identify and examine the subjecti...

Introduction: Children’s experience of grief is influenced by many factors, such as the response of the school environment. The objective of this paper was to explore the grieving children’s responses, as well as the factors that facilitate and hinder the grieving process from the teachers’ perspective. Methods: A qualitative-descriptive study desi...

Background: Aging and longevity are important topics nowadays. Purpose: To describe how older adults perform the occupational adaptation process in the extreme region of Magallanes (Chile), and to identify the factors that might contribute to successful occupational adaptation and well-being. Method: Qualitative study, with a phenomenological inter...

The aim of the present study is to validate the Self-Efficacy in Palliative Care Scale (SEPC) in Spanish nursing professionals and students, to describe their levels of self-efficacy, and to determine the influencing factors. A validation study and a cross-sectional descriptive study were carried out, with the data analysed using contrast tests and...

Purpose: To develop and pilot the DD-14 scale, a 14-indicator scale based on the Nursing Outcome Classification "Dignified life closure" (1307). Methods: Sixteen experts selected 14 indicators for Spanish populations. Six care home nurses piloted the scale in 50 terminal patients without cognitive impairment. Factorial and reliability analyses w...

Objetivo principal: Conocer la experiencia del cuidador familiar en relación a los cuidados paliativos y al final de la vida. Metodología: Mediante una búsqueda exhaustiva de la literatura en bases de datos: MEDLINE, CINAHL, CUIDEN y PsycArticles de artículos originales publicados entre 2011 y 2016, producto de investigaciones cualitativas dirigid...

bjetivo principal: Conocer la experiencia del cuidador familiar en relación a los cuidados paliativos y al final de la vida. Metodología: Mediante una búsqueda exhaustiva de la literatura en bases de datos: MEDLINE, CINAHL, CUIDEN y PsycArticles de artículos originales publicados entre 2011 y 2016, producto de investigaciones cualitativas dirigidos...

Inflammatory bowel diseases generate disability. We aimed to adapt and validate the Inflammatory Bowel Disease Disability Index in a Spanish population and to analyze the sociodemographic and clinical factors associated with disability in patients with Crohn's disease and ulcerative colitis. Cultural adaptation and validation of psychometric proper...

The main aim of this article is to explore the experiences and life situations of people living with intestinal stomas. Previous studies indicated the need to investigate the concerns of ostomy patients and how these concerns can affect their quality of life and their approaches to the comprehensive conceptualization of the bodily changes. A qualit...

Objetivo principal: Conocer las barreras que llevan a médicos y enfermeras a la práctica común de no comunicar malas noticias. Metodología: Búsqueda de artículos originales publicados en los últimos 10 años en inglés y español en las bases de datos Pubmed, CINAHL y Cuiden. Resultados principales: Se identifican un total de 13 barreras, estructurada...

Background: Health status and the needs presented by people admitted to nursing homes make it necessary to contemplate aspects such as prognosis to offer quality palliative care. Objective: To compare the prognostic utility in nursing homes of two prognostic models of 6-month survival based on the Palliative Prognostic Index (PPI) or Palliative...

Culture is a key element in determining emotions that people experience when facing death. Recent studies revealed a specific emotion schema of the affective response to death (in comparison with unpleasant/violence-related stimulus) influenced by individual differences, learning, and the sociocultural context. The objective of the research was to...

Purpose: To describe the level of cultural self-efficacy of Colombian nursing professionals and determine the main influencing factors. Method: A descriptive, analytical cross-sectional study was conducted in 211 nursing professionals selected by systematic random sampling for a finite population, using the Colombian version of the Cultural Self...

The concept of death in children aged from 9 to 11 years: evidences through inductive and deductive analysis of drawings Abstract The objective of the research was to analyze children's conceptualization of death through drawings, using a mixed approach which combines deductive and inductive qualitative analysis. The sample consisted of 99 children...

Objetivo: Describir el perfil del cuidador informal en un ámbito rural y analizar la relación entre apoyo social, optimismo y satisfacción vital como posibles factores de protección frente a la sobrecarga percibida por el cuidador. Metodología: Estudio descriptivo transversal. Se emplearon el Índice de Sobrecarga del Cuidador, la Escala de Apoyo So...

Aims/objectives: To analyse the relevance in clinical practice of factors reviewed in previous studies that define the experience of people with a stoma (ostomates), through the opinions of stoma care nurses. Method: Categories and thematic statements were reviewed by stoma care nurses using a modified Delphi method. They assessed the clinical rel...

Fundamento: Comparar la percepción de la práctica profesional, los obstáculos percibidos y los dilemas éticos de profesionales de medicina y enfermería en la atención al final de la vida en atención primaria, atención hospitalaria y residencias de ancianos. Material y Métodos: Estudio descriptivo, transversal y multicéntrico. Se realizó un muestreo...

Objetivo: caracterizar la respuesta emocional del paciente hospitalizado con enfermedad crónica avanzada. Método: estudio descriptivo transversal en una muestra intencional de 71 pacientes con enfermedad crónica avanzada hospitalizados en dos hospitales de tercer nivel de Granada. Instrumentos: International Affective Picture System (IAPS) (imágene...

Inflammatory bowel disease has a negative impact on individuals perception of their health status and is associated with disabling processes that have physical, social, and work repercussions. The objectives of this study were to describe the life experiences of individuals with Crohn disease and ulcerative colitis and to develop a theoretical fram...

Resumen Objetivo Describir cómo los familiares de los pacientes ingresados en residencias de ancianos califican la muerte y determinar qué factores influyen en esta calificación. Método Estudio descriptivo y retrospectivo. Se envió un cuestionario a 52 familiares de pacientes fallecidos de 8 hogares de ancianos. Para evaluar los diferentes aspect...

Quality end-of-life care is a central issue in nursing homes, requiring the assessment of individual and family needs by health professionals. Although previous instruments have been developed, they usually rely on family reports and have been adapted from other clinical contexts (hospital or primary care). It is important to consider how health ca...

Se realizó una revisión sistemática cualitativa cuyo objetivo fue explorar el significado de la pérdida que sufren personas portadoras de estomas digestivos. Se revisaron 77 estudios, de los cuales 54 abordaron el objetivo antes planteado. Los estudios muestran que la persona sufre un proceso de resignificación de su cuerpo, que se caracteriza por...

Abstract: An observational, descriptive, cross-sectional, multicentre study was conducted to determine the perspectives and experience of physicians and nurses in regard to clinical, psychosocial and ethical actions at the end of life and to determine any variability among departments. A questionnaire was completed by 312 medical and nursing profes...

Narratives produced by thinking and reflecting about death and dying may be themselves a source of new knowledge in the study of anxiety and attitudes toward death. A qualitative descriptive study aimed to explore the features of thoughts, emotions and feelings about young people's own death, (nursing students) was conducted. 85 students voluntaril...

Purpose: The level of cultural self-efficacy indicates the degree of confidence nursing professionals possess for their ability to provide culturally competent care. Cultural adaptation and validation of the Cultural Self-Efficacy Scale was performed for nursing professionals in Colombia. Design: A scale validation study was conducted. Method: Cult...

Purpose: The level of cultural self-efficacy indicates the degree of confidence nursing professionals possess for their ability to provide culturally competent care. Cultural adaptation and validation of the Cultural Self-Efficacy Scale was performed for nursing professionals in Colombia. Design: A scale validation study was conducted. Method:...

Narratives produced by thinking and reflecting about death and dying may be themselves a source of new knowledge in the study of anxiety and attitudes toward death. A qualitative descriptive study aimed to explore the features of thoughts, emotions and feelings about young people's own death, (nursing students) was conducted. 85 students voluntaril...

Background: Subjective aspects such as personal growth and the development of their potential are relevant for the perception of wellbeing of older adults. These dimensions appear to be connected with meaningful group participation. Aim: To assess the perception of psychological wellbeing of older adults in a Chilean region and determine its associ...

Background Many ‘routine’ interventions performed in hospital rooms have repercussions for the comfort of the patient, and the decision to perform them should depend on whether the patient is identified as in a terminal phase. The aim of this study is to analyse the health interventions performed and decisions made in the last days of life in patie...

Aim: To identify the facilitators and barriers experienced by professional related to end of life care in nursing homes. Design: Descriptive qualitative research with phenomenological orientation, through content analysis. Placement: Nursing Homes at Primary Care District in Granada (Spain). Participants: Fifteen clinical professionals with,...

RESUMEN Objetivo: Describir la experiencia cultural, interpersonal y personal de los adultos mayores con enfermedades crónicas e identificar las estrategias y redes de apoyo que utilizan en su entorno cotidiano para gestionar la enfermedad. Método: Se desarrolló un metaestudio tipo metaanálisis cualitativo. La estrategia metodológica constó de cuat...

The aim of this article is to explore patients' experiences of having a stoma, in particular those relating to: emotion and social issues; changes in quality of life; feelings of fear, shame or frustration because of the altered lifestyle; and changes in roles and relationships and in their social environment. This article is part of a research pro...

Objectives: To describe the clinical encounters that occur when a palliative care team provides patient care and the features that influence these encounters and indicate whether they are favorable or unfavorable depending on the expectations and feelings of the various participants. Methods: A qualitative case study conducted via participant obser...

Objetivos: Describir cómo se desarrollan los procesos de fin de vida en las residencias de ancianos desde la perspectiva de los residentes. Metodología: Revisión bibliográfica en distintas bases de datos, en los últimos 10 años. Las bases de datos consultadas fueron Cuiden, IME, Elsevier, PubMed y CINALH. Se excluyeron aquellos artículos que no est...

Conocer cómo y en qué momento del proceso de enfermedad se identifica la situación terminal en las historias clínicas de pacientes con enfermedades avanzadas oncológicas y no oncológicas; las expresiones y argumentos registrados para definirla y la presencia de factores prónosticos.

RESUMEN Introducción: Los beneficios de la lactancia materna para los bebés han sido bien documentados. Recoger el exceso de leche humana de madres lactantes es un servicio social importante. Los bancos dependen de las donaciones de madres lactantes, por ello la importancia de conocer los aspectos subjetivos que interfieren en la donación. Objetivo...

Introduction: The benefits of feeding human milk to infants have been well-documented. Collecting excess human milk from lactating mothers is an important social service. The Human Milk Banks depend on donors, and knowing the subjective aspects of donors seems quite important. Objective: Compiling the experiences, beliefs, motivations and difficult...

Introducción: Hasta ahora se ha estudiado la influencia de algunos factores como la edad o el sexo en el padecimiento de una enfermedad grave. Sin embargo se ha prestado poca atención a cómo influye el desempeño profesional y más concretamente cómo experimenta un profesional sanitario el tener una enfermedad. Objetivo: Conocer cómo influye en la ex...

Introduction: Literature widely reports that training has a positive impact on students having an effect on their clinical practice and professional work when facing and caring for people at the end of life process, but this literature is limited to explain how that formation affects and modifies the emotional processing itself. The aim of this...

Introduction It is widely reported in the literature that training has a positive impact on students, and has an effect in their clinical practice and professional work when facing and caring for people at the end of life process, but how that formation affects and modifies the emotional processing itself is scarcely described. The aim of this stud...

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