Teresa Moreno-Casbas

• RN, MSc, PhD FEAN
• Managing Director at Instituto de Salud Carlos III

The COVID-19 pandemic triggered an unprecedented health crisis that impacted healthcare systems worldwide. This study explores how Spanish healthcare workers learned, internalised and integrated values and work behaviours during the COVID-19 pandemic and their impact on the personal sphere. This documentary research, using images, narratives and au...

Background: The Otago Exercise Programme is an effective intervention for falls prevention. However, there is limited evidence in relation to studies that compare efficacy for falls prevention when delivered Otago Exercise Programme in a group or individual format in a primary care context. Objective: To compare the Otago Exercise Programme deli...

RESUMEN Fundamentos Es necesario facilitar la implantación de la evidencia científica en la práctica clínica para mejorar los resultados de salud de los pacientes. Sumamos Excelencia® es un proyecto de implantación liderado por enfermeras para aumentar el uso de prácticas basadas en la evidencia en la práctica clínica. En base a la primera edición...

The COVID‐19 pandemic triggered an unprecedented health crisis that impacted healthcare systems worldwide. This study explores how Spanish healthcare workers learned, internalised and integrated values and work behaviours during the COVID‐19 pandemic and their impact on the personal sphere. This documentary research, using images, narratives and au...

Although blood autoantibodies were initially associated with autoimmune diseases, multiple evidence have been accumulated showing their presence in many types of cancer. This has opened their use in clinics, since cancer autoantibodies might be useful for early detection, prognosis, and monitoring of cancer patients. In this review, we discuss the...

Aims To assess the impact of the COVID-19 pandemic on the health condition of people ≥75 years of age and on their family caregivers in Spain. Design Multicentric, mixed method concurrent study. Methods This work, which will be conducted within the primary care setting in 11 administrative regions of Spain, will include three coordinated studies...

Accessible Summary What is known on the subject? Functioning is one of the most affected areas in schizophrenia. Social, occupational and personal domains are affected, and these deficits are responsible for a major part of the disability associated with the disorder. There are several instruments to measure functioning, but the HoNOS provides a w...

Objectives This project aimed to improve compliance with evidence-based practice in pain assessment and management in a gynecology ward. Introduction Effective pain control is important to prevent the negative consequences of pain that is poorly managed. However, it remains undervalued and inadequately treated. Applying evidence-based practices to...

Objectives The aim of this project was to improve compliance with evidence-based criteria regarding risk of delirium and the assessment of delirium among older patients in the general hospitalization wards and the emergency department. Introduction More than 50% of older hospitalized patients experience delirium. Some studies have highlighted the...

Recently, the VALENF instrument, Nursing Assessment by its acronym in Spanish, was developed as a meta-tool composed of only seven items with a more parsimonious approach for nursing assessment in adult hospitalization units. This meta-tool integrates the assessment of functional capacity, the risk of pressure injuries and the risk of falls. The ge...

Introducción. La monitorización de la utilización del conocimiento y la evaluación de resultados permiten conocer la aplicación de la evidencia, cambios en los conocimientos y actitudes, el impacto en resultados de salud y la integración y el mantenimiento de las prácticas adoptadas. Existen debilidades relacionadas con la falta de sistematización,...

Aims: To assess the impact of the COVID-19 pandemic on the health condition of people ≥75 years of age and on their family caregivers in Spain. Design: Multicentric, mixed method concurrent study. Methods: This work, which will be conducted within the primary care setting in 11 administrative regions of Spain, will include three coordinated studies...

In the era that we seek personalization in material things, it is becoming increasingly clear that the individualized management of medicine and nutrition plays a key role in life expectancy and quality of life, allowing participation to some extent in our welfare and the use of societal resources in a rationale and equitable way. The implementatio...

Background Alzheimer’s disease (AD) is a progressive, chronic, and neurodegenerative disease, and the most common cause of dementia worldwide. Currently, the mechanisms underlying the disease are far from being elucidated. Thus, the study of proteins involved in its pathogenesis would allow getting further insights into the disease and identifying...

This paper identifies key factors rooted in the systemic failings of the long-term care sector amongst four high income countries during the COVID-19 pandemic. The goal is to offer practice and policy solutions to prevent future tragedies. Based on data from Australia, Canada, Spain and the United States, the findings support evidence-based recomme...

Sleep is a complex process and is needed both in health and illness. Deprivation of sleep is known to have multiple negative physiological effects on people’s bodies and minds. Despite the awareness of these harmful effects, previous studies have shown that sleep is poor among hospitalised patients. We utilized an observational design with 343 pati...

Introducción: El envejecimiento de la población es uno de los principales retos de la salud pública en los países desarrollados. Los cuidadores informales emergen como uno de los principales actores en este escenario, y esto puede afectarlos de forma negativa.Objetivo: El presente estudio tiene como objetivo identificar las necesidades de los cuida...

Simple Summary Human rhythmicity is subjected to the workings of the internal circadian clock, but it is also influenced by environmental time (mainly the light-dark cycle) and social timing imposed by the official time at our location, as well as by our work schedule. When a misalignment among these times occurs, an internal order impairment appea...

Citation: Bonmatí-Carrión, M.-Á.; Casado-Ramirez, E.; Moreno-Casbas, M.-T.; Campos, M.; ModulEN Consortium; Madrid, J.A.; Rol, M.-A.

Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with...

Aim: This review aimed to synthesise the available reviews on the effects of nursing interventions on sleep quality among patients hospitalised in intensive care and non-intensive care units. Background: Poor sleep quality is a common fact in hospitalised patients. Nurses can contribute to the improvement of patients' sleep quality and duration....

This chapter focuses on the use of technology on older adult health promotion. During the ageing process, they experience changes in physical, cognitive, psychological, and social domains. Frailty is the most problematic expression of ageing and entails a high risk of adverse outcomes. In order to prevent it, healthcare professionals must intervene...

Background: Coronavirus disease (COVID-19) vaccine-related side effects have a determinant role in the public decision regarding vaccination. Therefore, this study has been designed to actively monitor the safety and effectiveness of COVID-19 vaccines globally. Methods: A multi-country, three-phase study including a cross-sectional survey to tes...

Research has demonstrated that some exercise programs are effective for reducing fall rates in community-dwelling older people; however, the literature is limited in providing clear recommendations of individual or group training as a result of economic evaluation. The objective of this study was to assess the cost-effectiveness of the Otago Exerci...

Objectives The aim of this study was to adapt and validate the Pain Assessment in Advanced Dementia (PAINAD) scale in Spanish. Design Cross-sectional observational study. Setting Two health districts of Andalusian provinces, located in the south of Spain, through the Andalusian network of Primary Healthcare centres and four institutions dedicated...

The pain assessment in advanced dementia (PAINAD) appears to be a clinically useful tool. However, the salivary determination of tumor necrosis factor receptor type II (sTNF-RII) and secretory IgA (sIgA) as pain biomarkers is still incipient. The aim was to correlate the PAINAD score with sTNF-RII and sIgA biomarker levels in the saliva of patients...

The use of certain strategies for the implementation of a specific recommendation yields better results in clinical practice. The aim of this study was to assess the effectiveness of an evidence-based model using clinical audits (GRIP model), for the implementation of recommendations in pain and urinary incontinence management as well as fall preve...

(1) Background: Health services that were already under pressure before the COVID-19 pandemic to maximize its impact on population health, have not only the imperative to remain resilient and sustainable and be prepared for future waves of the virus, but to take advantage of the learnings from the pandemic to re-configure and support the greatest p...

Resumen Objetivo: Explorar las experiencias y las vivencias de escolares de 7-8 años en una situación excepcional de alerta sanitaria en la que se han aplicado a la población estrictas medidas de confinamiento. Método: Estudio cualitativo exploratorio a través del análisis de ilustraciones realizadas por 71 escolares de 7-8 años de edad. El análisi...

Objective To determine the effect of interventions that could be performed by nurses to improve the sleep quality of hospitalized patients in acute and semi-acute units. Design A systematic review of randomized controlled trials and narrative synthesis. Data sources Seven electronic databases (PubMed, CINAHL Plus, Scopus, ISI WoS, CENTRAL, PsycIn...

Aims: Identify the prevalence of circadian health disorders in ICU and hospitalized patients. Stablish the relationship of the circadian system with light, temperature, noise and nursing activities. Background: Commonly, self-assessment through subjective questionnaires is used for research about sleep quality. However, more reliable and valid m...

Objective To examine the research evidence about whether families were allowed to witness cardiopulmonary resuscitation on hospitalised adult and paediatric patients; and the views of patients, families and health professionals, about witnessed cardiopulmonary resuscitation. Design An umbrella review methodology of systematic reviews with sufficie...

Objective To describe the factors related to the situation of SARS-CoV-2 transmission identified by health professionals in Spain and to propose prevention strategies. Method Cross-sectional descriptive study. The population were healthcare professionals working in institutions caring for COVID-19 patients and also confirmed cases of SARS-CoV-2 in...

(1) Background: The gap between research findings and their application in routine practice implies that patients and populations are not benefiting from the investment in scientific research. The objective of this work is to describe the process and main lessons obtained from the pilot practices and recommendation that have been implemented by CHR...

Introduction Care provided to ostomized people is crucial in their progress and rehabilitation. The Registered Nurses’ Association of Ontario clinical practice guidelines include greatest evidence nursing interventions for ostomized patient care. The aim of the study is to analyse the impact on patients’ care and health outcomes after Care and mana...

Objective To identify favourable elements and barriers to implementation in the Programme of Best Practice Spotlight Organization® that establish clinical practice guidelines of the Registered Nurse’ Association of Ontario, so that future experiences could benefit from the assessments presented here. Method Evaluation research study of the process...

RESUMEN Objetivo. Describir los factores relacionados con la situación de contagio del SARS-CoV-2 identificados por los profesionales de la salud en España y proponer estrategias de prevención. Método. Estudio descriptivo transversal. La población fueron profesionales de la salud trabajando en instituciones con atención a pacientes con COVID-19 y c...

Aim To describe the progress of implementing the “Preventing falls” Guideline of the Best Practice Spotlight Organization (BPSO®) Programme and fall outcomes in Centres Committed to Excellence in Care (CCEC®). Method A Quasi-experimental study pre-post test from a multicentric approach carried out between 2012 and 2018. The study is focused on pat...

Resumen Objetivo Identificar elementos favorecedores y barreras de implantación en el Programa de Centros Comprometidos con la Excelencia en Cuidados® que instauran guías de práctica clínica de la Registered Nurse’ Association of Ontario, con el fin de que experiencias futuras pudieran beneficiarse de las apreciaciones expuestas. Método Estudio d...

Aim: To assess the impact of implementing the "Risk Assessment and Prevention of Pressure Injuries (PI)" guideline on adherence to its recommendations, the prevalence of PI and the sustainability of results, and to analyse the implementation strategies, sustainability and barriers detected. Methods: A retrospective observational study (June 2015...

RESUMEN La pandemia COVID-19 ha afectado a países de todos los continentes donde se ha aplicado de forma sistemática medidas de confinamiento y aislamiento. Objetivo: Sintetizar la evidencia disponible sobre el manejo del aislamiento domiciliario por infección de COVID-19. Método: Se ha realizado una scoping review consultando mediante lenguaje con...

Resumen Objetivo Describir la progresión del grado de adherencia a las recomendaciones de la Guía «Prevención de caídas» del Programa Best Practice Spotlight Organization (BPSO®) y resultados en caídas en los Centros Comprometidos con la Excelencia en Cuidados (CCEC®). Método Estudio cuasiexperimental pretest-postest con carácter multicéntrico de...

Aim to analyse the progress of implementing the process recommendations of the RNAO Assessment and Management of Pain guideline and health outcomes. Method An observational, longitudinal, retrospective study conducted in 3 tertiary-level hospitals in Spain. All patients discharged over the last 5 days of each month from the units selected in the i...

RESUMEN Objetivo: Describir los factores relacionados con la situación de contagio del SARS-CoV-2 identificados por los profesionales de la salud en España y proponer estrategias de prevención. Método: Estudio descriptivo transversal. La población fueron profesionales de la salud trabajando en instituciones con atención a pacientes con COVID-19 y c...

Aim To assess the impact of implementing the “Risk Assessment and Prevention of Pressure Injuries (PI)” guideline on adherence to its recommendations, the prevalence of PI and the sustainability of results, and to analyse the implementation strategies, sustainability and barriers detected. Methods A retrospective observational study (June 2015 to...

Aim: to analyse the progress of implementing the process recommendations of the RNAO Assessment and Management of Pain guideline and health outcomes. Method: An observational, longitudinal, retrospective study conducted in 3tertiary-level hospitals in Spain. All patients discharged over the last 5 days of each month from the units selected in th...

Resumen Introducción Los cuidados proporcionados a las personas ostomizadas son cruciales para su evolución y rehabilitación. Las Guías de práctica clínica de la Registered Nurses’ Association of Ontario recogen las intervenciones enfermeras con mayor evidencia en el cuidado del paciente ostomizado. El objetivo del estudio es analizar el impacto e...

Aims: To evaluate cognitive and behavioral factors related to pain and poor sleep quality in women diagnosed with fibromyalgia and to develop and test the effects of a web-based therapeutic education intervention on pain intensity, pain catastrophizing, chronic pain self-efficacy, sleep quality, dysfunctional beliefs and attitudes about sleep and...

There is a growing need to implement and evaluate technological solutions that allow early detection of age-related adverse outcomes, like frailty, and enable assessment of lifestyle habits that can be maintained or improved to prevent such adverse outcomes. In this study, the sample is composed by older adults aged 65–80 years, recruited from the...

The implementation of Best Practice Guidelines is effective in improving clinical practice and reducing clinical variability. The Best Practice Guidelines of the Ontario Nurses Association have been implemented in Spain since 2012 following the principles of the Canadian programme of the Best Practice Spotlight Organisations®. The Nursing and Healt...

This chapter focuses on the use of technology on older adult health promotion. During the ageing process, they experience changes in physical, cognitive, psychological, and social domains. Frailty is the most problematic expression of ageing and entails a high risk of adverse outcomes. In order to prevent it, healthcare professionals must intervene...

Resumen La aplicación de Guías de Buenas Prácticas es efectiva en la mejora de la práctica clínica y en la disminución de la variabilidad clínica. En España se implantan desde 2012 las Guías de Buenas Prácticas de la Asociación de Enfermeras de Ontario a través del Programa de Centros Comprometidos con la Excelencia en Cuidados®, siguiendo los prin...

Introduction Pain is an under-diagnosed problem in elderly people, especially in those with cognitive impairment who are unable to verbalise their pain. Although the Pain assessment in advanced dementia scale (PAINAD) scale is a tool recognised for its clinical interest in this type of patients, its correlation with the saliva biomarkers reinforced...

There is a growing need to implement and evaluate the technological solutions that allow the early detection of age-related frailty and enable assessment of the predictive values of frailty components. The broad use of these solutions may ensure an efficient and sustainable response of health and social care systems to the challenges related to dem...

Background: The Spanish Best Practice Guidelines (BPG) Implementation Project is part of the Best Practice Spotlight Organizations international program, coordinated by the Registered Nurses' Association of Ontario (RNAO). Aims: To influence the uptake of nursing BPG across healthcare organizations, to enable practice excellence and positive cli...

Background The decision whether to initiate cardiopulmonary resuscitation may sometimes be ethically complex. While studies have addressed some of these issues, along with the role of nurses in cardiopulmonary resuscitation, most have not considered the importance of nurses acting as advocates for their patients with respect to cardiopulmonary resu...

Aim To detect possible changes in perception of the nurse work environment, job satisfaction and burnout between the years 2009 and 2014 among nurses working in the Spanish National Health System Background: The global economic crisis has had a great impact on nurses in the Spanish National Health Service: tougher working conditions, lower pay and...

Aim The gap between research and clinical practice leads to inconsistent decision‐making and clinical audits are an effective way of improving the implementation of best practice. Our aim is to assess the effectiveness of a model that implements evidence‐based recommendations for patient outcomes and healthcare quality. Design National quasi‐exper...

The full CAEPCR questionnaire in English language

Database Raw data measurements and codes archive.

There is a growing need to implement and evaluate the technological solutions that allow the early detection of age-related frailty and enable assessment of the predictive values of frailty components. The broad use of these solutions may ensure an efficient and sustainable response of health and social care systems to the challenges related to dem...

The ageing process is associated with sleep and circadian rhythm (SCR) frailty, as well as greater sensitivity to chronodisruption. This is essentially due to reduced day/night contrast, decreased sensitivity to light, napping and a more sedentary lifestyle. Thus, the aim of this study is to develop an algorithm to identify a SCR phenotype as belon...

Objective To describe nurses’ perception in relation to the quality of care and their work environment, as well as to describe their quality of sleep. To analyse the relationship between ward and work shift with nurses’ perception of their work environment, sleep quality and daytime drowsiness. Methods A multicentre, observational and descriptive...

Aim This study will compare how falls can be reduced in non–institutionalized older Spanish adults aged 65‐80 years by providing group or individual exercise sessions using the Otago Exercise Programme. Background The Otago Exercise Programme is a progressive home‐based exercise programme, where trained health professionals help people engage in s...

Objective: To describe nurses' perception in relation to the quality of care and their work environment, as well as to describe their quality of sleep. To analyze the relationship between ward and work shift with nurses' perception of their work environment, sleep quality and day time drowsiness. Methods: A multicentre, observational and descrip...

Objective: To determine the perception of nurses, doctors, patients and family or relatives being present during cardiopulmonary resuscitation (CPR) in adult patients. Design: A qualitative exploratory study and thematic analysis were developed. SITE: Primary Care, Hospital Care and Emergency Service of the Basque Health Service. Participants:...

Objective: The current project aimed to improve fall prevention and management through clinical audits and the implementation of a quality-improvement cycle at the local level. Introduction: Falls are one of the most common adverse events reported in hospitals; evidence-based fall prevention interventions aim to reduce the number of people who f...

Objectives: To analyze the correlation between the state of health, knowledge, and social support of surgical patients' caregivers at home, with the intensity of nursing care and its consequences. Methods: A longitudinal observational study with follow-up at admission, discharge and 10 days following discharge at home, held in the surgical hospi...

The Strategic Implementation Plan of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) has proposed six Action Groups. After almost three years of activity, many achievements have been obtained through commitments or collaborative work of the Action Groups. However, they have often worked in silos and consequently synerg...

Objectives To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. Design Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic r...

Objective The main objective of this study was to determine the relationship between the characteristics of nurses' work environments in hospitals in the Spanish National Health System (SNHS) with nurse reported quality of care, and how care was provided by using different shifts schemes. The study also examined the relationship between job satisfa...

Actualmente, un gran número de personas, cerca de un 20% de la población europea, se encuentran inmersas en trabajos a turnos. Muchos de estos turnos implican trabajar durante la noche en contra de los dictados del reloj biológico humano. A causa de esta situación, los trabajadores son propensos a sufrir distintos trastornos asociados al trabajo a...

In circadian terms, human ontogeny is characterized by the emergence of a daily pattern, from a previous ultradian pattern, for most variables during the first 6 months of life. Circadian aging in humans is characterized by a phase advance, accompanied by rhythm fragmentation and flattening. Despite an expanding body of literature focused on distal...

Introducción: El programa de implantación de Guías de Buenas Prácticas, denominado en España Centros Comprometidos con la Excelencia en Cuidados®, se inició en 2010 tras un acuerdo de colaboración entre la Unidad de Investigación en Cuidados de Salud (Investén-isciii) de España, el Centro Colaborador Español del Instituto Joanna Briggs para los Cui...

Objective To identify the care given by informal caregivers to patients who underwent abdominal surgery in the Consorci Hospitalari of Vic (Barcelona). To compare the responsibility burden for those caregivers in all the different stages of the surgical process. To determine the consequences of the care itself on the caregiver's health and to ident...

To identify the care given by informal caregivers to patients who underwent abdominal surgery in the Consorci Hospitalari of Vic (Barcelona). To compare the responsibility burden for those caregivers in all the different stages of the surgical process. To determine the consequences of the care itself on the caregiver's health and to identify the fa...

No study has systematically examined how researchers address cross-cultural adaptation of burnout. We conducted an integrative review to examine how researchers had adapted the instruments to the different contexts. We reviewed the Content Validity Indexing scores for the Maslach Burnout Inventory-Human Services Survey from the 12 country comparati...

Objective To analyze the relationship between burden of disease during 2007-2009 and public funding of research in health in Spain during 2008-2010. Method Descriptive cross-sectional study of burden of disease and funding allocated for research in diseases in the Spanish National Health System. Results A review was made of a total of 6,573 proje...