Artículos (Enfermería)

URI permanente para esta colecciónhttps://hdl.handle.net/11441/11010

Examinar

Mostrando 1 - 20 de 578

Health care provided to immigrants in a humanitarian aid center in Spain
(Wiley, 2021-09) Ponce Blandón, José Antonio; Ruiz Sánchez, Elena; Romero Castillo, Rocío; Pabón Carrasco, Manuel; Lomas Campos, María de las Mercedes; Universidad de Sevilla. Departamento de Enfermería; Grupo: Universidad de Sevilla. CTS-284: Promoción de la salud; Grupo: Universidad de Sevilla. CTS-1050 : Cuidados Complejos, Cronicidad y Resultados en Salud
Objective: Objective of this study is to explore the most prevalent pathologies of the population received in the Spanish coast and to know the nursing prehospital interventions required, as well as the treatments applied and their follow-ups. Design and measures: A descriptive and retrospective study. Sample: A total of 481 immigrants cared for by the Red Cross in the study period. Results: Dermatological pathologies were more frequent in men (32.1). In women, the most prevalent pathology was headache (19%). According to age, dermatological pathologies prevail in those over 18 years of age (31.9%) and in children, respiratory pathologies (42.9%). Relationships were found statistically significant between gender and type of disease and between specifying or not nursing interventions (p < .001). Age was also related to the type of diagnosis and the type of nursing interventions to be carried out (p < .001). Conclusion: In general, a good state of health was considered in the migrants, concluding that knowing the pathologies or activities to be carried out according to the sociodemographic variables would help improve the quality of the assistance.
Intensive care nurses' experiences during the COVID‐19 pandemic: A qualitative study
(Wiley, 2021-09) Fernández Castillo, Rafael Jesús; González Caro, María Dolores; Fernández García, Elena; Porcel Gálvez, Ana María; Garnacho Montero, José; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Instituto de Biomedicina de Sevilla (IBIS); Universidad de Sevilla. CTS1141: Investigación Clínica Aplicada a los Cuidados y Nuevos Paradigmas Asistenciales; Universidad de Sevilla. CTS1050: Cuidados Complejos, Cronicidad y Resultados en Salud
Background: Because of the COVID-19 pandemic, health care systems worldwide are working under challenging conditions. Patients, who are seriously ill, require intensive care admission. In fighting COVID-19, nurses are frontline health care workers and, as such, have a great responsibility providing needed specialized patient care in intensive care units (ICU). However, working conditions and emotional factors have an impact on the quality of the care provided. Aim: The purpose of the present study was to explore and describe the experiences and perceptions of nurses working in an ICU during the COVID-19 global pandemic. Study design: Qualitative research was undertaken, using an empirical approach and inductive content analysis techniques. Methods: The selected population consisted of ICU nurses from a tertiary teaching hospital in Spain. Data were obtained via semi-structured videocall interviews from Apr 12th to Apr 30th, 2020. Subsequently, transcribed verbatims were analysed using the template analysis model of Brooks. Findings: A total of 17 nurses comprised the final sample after data saturation. Four main themes emerged from the analysis and 13 subthemes: “providing nursing care,” “psychosocial aspects and emotional lability,” “resources management and safety” and “professional relationships and fellowship.” Conclusion: Providing health care by intensive care nursing professionals, during the COVID-19 pandemic, has shown both strong and weak points in the health care system. Nursing care has been influenced by fear and isolation, making it hard to maintain the humanization of the health care. Relevance to clinical practice: Implications for practice include optimizing resource management (human and material), providing psychological support, and adequate training for ICU nurses, as well as high-quality protocols for future emergency situations.
Virtual reality vs. buzzy®. efficacy in pain and anxiety management during pediatric venipuncture. Systematic review and meta-analysis
(Elsevier BV, 2023) Merino-Lobato, Carolina; Rodríguez-Gallego, Isabel; Pabón Carrasco, Manuel; Romero Castillo, Rocío; Jiménez Picón, Nerea; Universidad de Sevilla. Departamento de Enfermería
Problem Non-pharmacological distraction methods are novel alternatives that can help to alleviate pain and anxiety generated by venipuncture in the pediatric population. The aim is to determine the effectiveness of virtual reality, compared to cold and vibration devices (Buzzy® device), as a distraction method used during venipuncture in the management of pain and anxiety in children. Eligibility criteria Clinical trials, cohort and quasi-experimental studies, published between 2017 and 2022, in Spanish or English and pediatric age, found in Medline, the Cochrane Library, Scopus, Web Of Science, CINAHL and Embase databases. Sample Twenty-one studies were included and ten met the criteria for meta-analysis. Results Fifty-seven percent of the studies evaluate virtual reality, 33.3% the Buzzy® device and 9.5% both comparatively. The effectiveness of virtual reality in reducing pain (66.6%, n = 14) and anxiety (47.6%, n = 10) compared to standard care (control group), 95% CI = 1.53 [0.91–2.16], p < 0.001, I2 = 78% and 95% CI = 1.53 [1.16–1.90]), p < 0.001, I2 = 77% respectively is demonstrated. Similarly, the effectiveness of Buzzy® in reducing pain (42.9%, n = 9) and anxiety (23.8%, n = 5), 95% CI = 1.62 [0.90–2.34], p < 0.001, I2 = 94% and 95% CI = 1.40 [0.06–2.20, p < 0.001, I2 = 91% respectively is demonstrated. Comparatively, there is no significant difference between both methods 95% CI = 0.29 [−0.19–0.78], p = 0.24, I2 = 81%. Conclusions The methods studied are effective in relieving pain and anxiety during venipuncture. Further research is needed on the level of satisfaction, adverse effects and cost-benefit. Implications This study provides evidence of novel tools in daily practice to provide more humane, holistic and quality care
Psychometric properties and confirmatory factor analysis of the love myths scale in a comparative sample by gender and across generational groups
(Springer, 2023-09-05) Jiménez Picón, Nerea; Alonso-Ruiz, M.; Romero Castillo, Rocío; Asensio-Pérez, M. R.; Martínez-Montilla, J. M.; Pabón Carrasco, Manuel; Universidad de Sevilla. Departamento de Enfermería
Introduction Romantic love is linked to the traditional roles and to the stereotypes that depend on the place, time and sex/gender of the person. The aim was to assess the Sevillian population’s beliefs in the romantic love myths. To verify the reliability and factor structure of the Love Myths Scale. Methods An instrumental, descriptive and cross-sectional survey design. Non-probabilistic sampling stratified by gender. Inclusion criteria: being ≥ 18 years old, Spanish nationality and lacking previous training on gender. Exclusion: language and/or cognitive impairment and refusal to participate. A total of 562 individuals answered to the Love Myths Scale. Descriptive and inferential analysis of the variables based on gender and age with the chi-square test. Reliability of the scale with Cronbach’s alpha, exploratory and confirmatory factor analyses. Results The sample consisted mostly of women, aged from 18 to 63 years old, average socioeconomic level, complete High School, active workers and with partners. There are statistically significant differences in the beliefs regarding the love myths based on gender (eternal passion, omnipotence, partner, jealousy and marriage) and on age (soul mate, marriage, omnipotence and ambivalence). No measurement invariance for the sex variable and generational comparison. Conclusions The study contributes a current and wide perspective of the Sevillian population about the beliefs in the love myths. It shows the need to look for new tools to deal with the changes produced at generational level and the differences by sex.
Comparison between customised foot orthoses and insole combined with the use of extracorporeal shock wave therapy in plantar fasciitis, medium-term follow-up results: A randomised controlled trial
(Sage, 2021) Coheña Jiménez, Manuel; Pabón Carrasco, Manuel; Pérez Belloso, Ana Juana; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de Enfermería
Objective: To determine the clinical results of custom-made foot orthoses versus placebo flat cushioning insoles combined with an extracorporeal shock wave therapy on pain and foot functionality in patients with plantar fasciitis. Design and setting: A randomised controlled clinical trial with follow-up at six months. Faculty of Podiatry and Centre Clinical private of Physiotherapy, Seville, Spain. Subjects and interventions: Patients with plantar fasciitis were randomly assigned to either group A (n = 42), which received custom-made foot orthoses, or group B (n = 41), which received placebo insoles. All the participants received active extracorporeal shock wave therapy including stretching exercises. Recruitment period was from Mach 2019 to July 2020. Main measurements: The main outcome was foot pain, measured by visual analogue scale and the secondary outcome measures were recorded by Roles and Maudsley scores respectively, at the beginning and at one week, one month and six months. Results: Eighty-eight patients were assessed for eligibility. Eighty-three patients were recruited and randomised. This study showed significant differences between both groups according to the visual analogue scale. In control group, the difference was at baseline (P 0.01) and, in the experimental group was at the one- and six-month follow-up (P 0.001). The mean (SD) visual analogue scale at baseline were Control group 6.31 (1.69) and Experimental group 5.27 (1.64); and at six months were 7.52 (3.40) and 3.29 (4.26), respectively. The custom-made foot orthosis was perceived as ‘good’ (85%) and ‘excellent’ (97.5%) at medium-long term. Conclusion:Wearing a custom-made foot orthosis leads to a improvement in patients with plantar fasciitis; it reduced foot pain and improved foot functionality
Behavior of provisional pressure-reducing materials in diabetic foot
(Elsevier Sci Ltd, 2016) Pabón Carrasco, Manuel; Juárez Jiménez, José María; Reina Bueno, María; Coheña Jiménez, Manuel; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de Podología
Objective: The main aim of this work is to assess the behavior of felts of latex foam, wool, wool on latex and 10 mm polyurethane foam as provisional pressure-reducing materials compared to foot hyperpressures. Secondary aims are to determine how Body Mass Index and Physical activity impact the pressure reducing capacity of these materials. The research hypothesis sets out that there are statistically significant differences between the pressure-reducing capacity of the different materials and that they are impacted by Body Mass Index and Physical Activity. Research design and methods: This study was descriptive, correlational and exper imental. The sample was comprised of 32 subjects, 64 feet aged between 19 and 76 years, with plantar hyperpressures of different etiologies. The pressure was as sessed using the platform pressures. Results: The results revealed an effective reduction of pressures for all materials; this was more durable for polyurethane. Conclusions: It was concluded that pressure-reducing materials are effective on the reduction of hyperpressures but there are differences between them as to duration of the effect.
Limitación del movimiento de flexión dorsal del tobillo en sujetos pronadores con dolor lumbar crónico
(Elsevier Doyma, 2019) Pabón Carrasco, Manuel; Gago Reyes, Fernando; Fernández Seguín, Lourdes María; Munuera Martínez, Pedro Vicente; Palomo Toucedo, Inmaculada Concepción; Castro Méndez, Aurora; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de Fisioterapia
Antecedentes: Estudios han relacionado la posible influencia entre los desequilibrios de la bio mecánica del pie y el dolor lumbar crónico (CLBP). Según indican algunos autores la limitación del movimiento de la flexión dorsal (FD) de la articulación tibioperonea-astragalina del pie (TPA) puede presentarse como un factor de riesgo en el dolor lumbar crónico. Objetivo: Evaluar el dolor lumbar crónico en sujetos con pies pronadores con limitación de la flexión dorsal del tobillo en al menos un pie, frente a sujetos pronadores con movilidad normal del tobillo. Material y método: estudio descriptivo transversal con muestreo por conveniencia realizado en una muestra compuesta por 126 sujetos con dolor lumbar crónico y pies pronados. Se comparó un grupo de sujetos con CLBP que presentaron limitación de la flexión dorsal de al menos un tobillo, frente a otro grupo de pronadores con CLBP y rango de movimiento normal de tobillo. Como herramientas de valoración de la variable dependiente se utilizó la escala visual analógica (EVA) y el Índice de discapacidad por dolor lumbar de Oswestry (ODI). Resultados: Se encontró correlación positiva entre la limitación de FD de la TPA en sujetos pronadores con CLBP frente al grupo de pronadores con CLBP y FD normal (EVA 4 ± 0,22; ODI: 11,85% ± 1,21). La limitación del movimiento de FD de TPA parece mostrarse como un factor de riesgo en el CLBP (EVA 5,3 ± 0,22; ODI: 17,90% ± 1,42; valor de p ODI = 0,004; EVA 0,009). Conclusiones: Se evidencia un mayor CLBP en el grupo de pronadores con limitación de FD de al menos una TPA frente al grupo de sujetos pronadores con rango normal de movimiento.
Dolor lumbar crónico y pronación unilateral o bilateral del pie
(Elsevier Doyma, 2019) Pabón Carrasco, Manuel; Palomo Toucedo, Inmaculada Concepción; Munuera Martínez, Pedro Vicente; Fernández Seguín, Lourdes María; Castro Méndez, Aurora; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de Fisioterapia
Antecedentes y objetivo: Diferentes estudios han defendido la relación entre la pronación del pie y el dolor lumbar crónico (DLC). Sin embargo, no se hallan artículos que analicen la reper cusión que puede existir entre la postura en pronación de un solo pie y su influencia en el DLC frente a la pronación en ambos pies. Por ello, se ha planteado evaluar la intensidad del dolor lumbar en sujetos pronadores con un índice de postura del pie (IPP) superior a +6 en un pie comparado con sujetos con pronación superior a +6 en ambos pies. Material y método: Estudio observacional transversal con muestreo por conveniencia en una muestra total de 116 sujetos. Se comparó el DLC en un grupo con dolor lumbar crónico y posición pronada de un pie (IPP, superior a +6), frente a un grupo de sujetos con DLC e IPP superior a +6 en ambos. Como herramientas de valoración de la variable dependiente se utilizó la escala visual analógica (EVA) y el Índice de discapacidad de Oswestry (IDO) para dolor lumbar. Resultados: No se encontró correlación entre la posición unilateral o bilateral en pronación y la intensidad del DLC. La pronación de un solo pie no pareció mostrarse como mayor factor de riesgo en el DLC que la bilateral (IDO p = 0,700; EVA p = 0,235). Conclusiones: No se encuentran diferencias estadísticas en el DLC en el grupo de pacientes con un IPP del pie en pronación frente a los sujetos con posición en pronación bilateral. Futuros estudios son necesarios.
Application of nervecheck master in the diagnosis of diabetic peripheral neuropathy
(Mdpi Ag, 2025-01-02) García de la Peña, Raquel; Ortiz Romero, Mercedes; Juárez Jiménez, José María; Rayo Pérez, Ana María; Universidad de Sevilla. Departamento de Enfermería
Backgraund/Objetive: Diabetic peripheral neuropathy is a condition that affects the motor, sensory, and autonomic fibers of the peripheral nervous system, with distal polyneuropathy being its most common form. Traditional methods for diagnosing sensory loss, such as tactile assessment, temperature evaluation, and vibratory perception threshold testing, are labor intensive and time consuming. Results: To effectively assess thermal and vibratory sensitivity, NerveCheck Master is an affordable and portable device that uses standardized stimuli to measure sensory response. Conclusions: Compared to traditional methodsliketheinfraredlaserthermometer, theRydel–Seiffertuningfork, andtheSemmes Weinstein monofilament, this device provides definitive results regarding the severity of DPN.
Effectiveness of comprehensive sexuality education to reduce risk sexual behaviours among adolescents: a systematic review
(Mdpi Ag, 2025-01-14) Rodríguez García, Ana; Botello Hermosa, Alicia; Borrallo Riego, Álvaro; Guerra Martín, María Dolores; Universidad de Sevilla. Departamento de Enfermería; Instituto de Biomedicina de Sevilla (IBIS)
Background: Adolescence is a critical life period marked by significant vulnerability to risky sexual behaviours. Comprehensive sex education offers better sexual and reproductive health to adolescents. Aim: We aimed to analyse the effectiveness of sex education interventions on reducing risk behaviours among adolescents. Methods: A systematic peer review was conducted. The databases consulted were PubMed, Scopus, Web of Science, and CINAHL. The inclusion criteria were as follows: randomized clinical trials published between 2013 and 2023 and methodological quality ≥ 5 points as per the Van Tulder scale. Results: A total of 255 studies were identified, with 25 finally selected. Of them, sixteen dealt with non-condom use, one was about early sexarche, and eight combined several risk behaviours. There was predominance of in-person teaching at schools with lectures and varied activities. The sample was predominantly comprised by girls aged between 14 and 16 years old. Certain variability regarding content, technique, number of sessions, duration, locus, and teaching modality and staff was observed in the com-prehensive sex education interventions. Almost all the interventions were effective in reducing risky sexual behaviours; however, two studies failed to achieve a reduction in risky sexual behaviours.
Outcomes of the PIRASOA programme, an antimicrobial stewardship programme implemented in hospitals of the Public Health System of Andalusia, Spain: an ecologic study of time-trend analysis
(Elsevier Sci Ltd, 2020) Rodríguez-Baño, Jesús; Pérez-Moreno, M. A.; Peñalva, G.; Garnacho Montero, José; Pinto, C.; Salcedo, I.; Lupión Mendoza, Carmen; Pascual Hernández, Álvaro; Pascual Hernández, Álvaro; Pérez Lozano, María José; Valencia, R.; Cisneros, José Miguel; Universidad de Sevilla. Departamento de Medicina; Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública; Universidad de Sevilla. Departamento de Microbiología; Universidad de Sevilla. Departamento de Enfermería
Objectives: Inappropriate antimicrobial use favours the spread of resistance, and multidrug-resistant microorganisms (MDR) are currently of major concern. Antimicrobial stewardship programmes (ASPs) are essential for improving antibiotic use in hospitals. However, their impact on entire healthcare sys tems has not been thoroughly assessed. Our objective was to provide the results of an institutionally supported ASP involving 31 public hospitals in Andalusia, Spain. Methods: We designed an ecologic time-series study from 1 January 2014 to 31 December 2017. Quar terly, data on indicators were collected prospectively, and feedback reports were provided. PIRASOA is an ongoing clinically based quality-improvement programme whose key intervention is the educational interview, regular peer-to-peer interventions between advisors and prescribers to reinforce the appro priate use of antibiotics. Seventy-two indicators were monitored to measure prescribing quality (inap propriate treatments), antimicrobial consumption (defined daily doses per 1000 occupied bed-days), incidence density of MDR per 1000 occupied bed-days and crude mortality rate associated with bloodstream infections. We used Joinpoint regression software to analyse the trends. Results: The quality of antimicrobial prescribing improved markedly, and the inappropriate treatment rate was significantly lower, with quarterly percentage change (QPC) ¼ 3.0%, p < 0.001. Total antimi crobial consumption decreased (QPC ¼ 0.9%, p < 0.001), specifically carbapenems, amoxicillin/clav ulanic acid, quinolones and antifungal agents, whereas antipseudomonal cephalosporin use increased. While the incidence of MDR showed a sustained decreasing trend (QPC ¼ 1.8%; p 0.002), the mortality of patients with bloodstream infections remained stable (QPC ¼ 0.2%, p 0.605). Conclusions: To date, the PIRASOA programme has succeeded in optimizing the use of antimicrobial agents and has had a positive ecologic result on bacterial resistance at level of an entire healthcare system.
Impact of the COVID-19 pandemic on the mental health of Nursing students: a systematic review and meta-analysis
(Lippincott Williams & Wilkins, 2025) Badillo-Sánchez, Nadine; Gómez-Salgado, Juan; Allande Cussó, Regina; Yildirim, Murat; López-López, Daniel; Goniewicz, Krzysztof; Prieto-Callejero, Blanca; Fagundo-Rivera, Javier; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-1050: cuidados complejos, cronicidad y resultados en salud
Background: There is an increased prevalence of mental health problems in various population groups as a result of the COVID-19 pandemic and its consequences, especially regarding anxiety, stress, depression, fear, and sleep disturbances, require to be investigated longitudinally. Objective: This study aimed to determine the impact that the COVID-19 pandemic had on the mental health of Nursing students, as well as to examine other associated factors such as anxiety, fear, sleep disturbances, and coping strategies. Method: This systematic review and meta-analysis were designed following the PRISMA guidelines and were registered in PROSPERO with code CRD42024541904. PubMed, Web of Science, CINAHL, and Scopus electronic databases were utilized. Keywords indexed in the MeSH thesaurus were used (COVID-19, nurs* student and mental health), following the Condition Context Population (CoCoPop) strategy. A total of 3866 studies were obtained of which 36 were selected for inclusion in the review. The Joanna Briggs Institute critical appraisal tool was used to assess the methodological quality of the selected studies, all of which were cross-sectional, finally including those with a cutoff point equal to or greater than 4 out of 8. Results: The prevalence of total anxiety was found to be 33.6% in the meta-analysis. For depression, the prevalence was 37.92%, and for stress, it was 52.46%. The results of this study show increased levels of stress, anxiety, depression, fear, and sleep disturbances among Nursing students that coincide with the different waves of the pandemic, changes in the study methodology, and the increase or decrease in reports of cases of infection. A relationship is observed between variations in these variables and the implementation of protective measures and vaccinations in different countries. Conclusion: As the pandemic progressed, hygiene and prevention measures became more effective, and the lethality of the virus decreased. The prevalence of the negative psychological effects also decreased from the onset in 2020 until the end of 2022. Due to the impact of the pandemic on global health, preventive measures should include personal, family, emotional, economic, educational, professional, and mental health approaches.
Assessment of occupational risks in nurses in Spain. Preliminary psychometric analysis of the ISTAS_Enfermería scale
(Lippincott Williams & Wilkins, 2025) Narbona-Gálvez, Ángela; Allande Cussó, Regina; Ruiz-Frutos, Carlos; Ayuso-Murillo, Diego; Fontán-Vinage, Guadalupe; García-Iglesias, Juan Jesús; Navarro-Abal, Yolanda; Fagundo-Rivera, Javier; Climent-Rodríguez, José Antonio; Gómez-Salgado, Juan; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS1050: Cuidados Complejos, Cronicidad y Resultados en Salud.
To adapt and evaluate the psychometric properties of the SUSESO/ISTAS21 questionnaire for nurses in Spain. Cross-sectional study for the cross-cultural adjustment and psychometric validation of the COPSOQ-ISTAS21 scale. Descriptive analyses were conducted, and data was correlated. A confirmatory factor analysis was performed, thus assessing the reliability and criterion validity. The sample consisted of 2757 Spanish nurses. The exploratory factor analysis identified a 5-factor structure with 15 items, which explained 63.6% of the variance. The factors were named: Support at work; Job satisfaction; Work-related emotional well-being; Job insecurity; and Double presence. The internal consistency of the questionnaire, measured by Cronbach alpha and McDonald omega coefficient, was adequate, with values of 0.764 and 0.741, respectively. The results of the confirmatory factor analysis indicated a good model fit. Three levels of psychosocial risk (low, intermediate, and high) were identified based on percentiles and quartiles of mean scores. The adapted version of the SUSESO/ISTAS21 questionnaire showed reliable psychometric properties in Spanish nurses, making it a valid and robust tool for assessing psychosocial risks in this group.
Development of a transcultural social ethical and integrated care model, for dependent and older people populations at risk of exclusion in the mediterranean sea basin (TEC-MED): A Research protocol
(Ubiquity press Ltd, 2024) Porcel Gálvez, Ana María; Fernández García, Elena; Vázquez Santiago, María Soledad; Barrientos Trigo, Sergio; Mateos García, Dolores; El Ati, Jalila; Aounallah Skhiri, Hajer; Lima Serrano, Marta; Universidad de Sevilla. Departamento de Enfermería
Background: Higher life expectancy has produced a higher older people porpulation, not necessarily with a consistent quality of life, showing a high rate of vulnerability and dependence. The current social and health crisis situation has highlighted the need to create new integrated models of care that could be translated into social and health policies. Objective: The present study aims to develop, test, and validate an innovative integrated care model for older people with dependence and at risk of social exclusion and their caregivers. Methods: The TEC-MED project participants are nine project partners and six associated partners, with geographic coverage from six countries in the Mediterranean basin, Spain, Tunisia, Italy, Lebanon, Egypt, and Greece. Project coordination will take place at three different levels, macro, meso and micro, through six work packages. The pilot phase uses qualitative-quantitative method to assess the impact of the TEC-MED project, it is expected to train 36 Training Agents, six per country, who apply to a total of 28,200 people (mainly elders and their caregivers). Conclusion: The study proposes a new social integrated care organizational model focused on the integration of social and health care, comprising the governance model; the organization structure and the skills profiles for the caring personnel.
Advancing environmental sustainability in healthcare: review on perspectives from health institutions
(MDPI, 2025-01-03) Badanta Romero, Bárbara; Porcar Sierra, Anabel; Torner Fernández, Saray; Rodríguez Muñoz, Francisco Javier; Pérez Jiménez, José Miguel; Gonzalez-Cano-Caballero, María; Ruiz-Adame, Manuel; Diego Cordero, Rocío de; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-1149: Salud integral y sostenible: enfoque Bio-psico-social, Cultural y Espiritual para el Desarrollo Humano
Hospitals play a key role in promoting sustainable and healthy living. Few studies have taken this perspective into account. Therefore, we explored the role of hospital institutions in the development and implementation of sustainability strategies linked to the provision of health services. Applying the PRISMA guidelines, we conducted a systematic review of the PubMed, Scopus, CINAHL, PsycINFO and Web of Science databases and the references of the resulting articles in Mendeley Desktop v1.19.8. Articles peer-reviewed between 2016 and 2023 were eligible if they analyzed sustainable healthcare, activities derived from services provided and professional involvement. From the 27 articles that constituted the final sample, two themes were identified: (a) environmental sustainability in healthcare and (b) involvement of healthcare professionals in environmental sustainability. Proposals for sustainable actions to reduce the environmental impact of healthcare related to the use of natural resources, sustainable food, sustainable transport and waste management were reviewed. The role of healthcare workers, their attitudes and perceptions of sustainability and global health improvement were investigated. Reducing health pollution involves addressing excessive or inappropriate consumption of resources and minimizing the environmental footprint of healthcare activities. The different contexts reveal the heterogeneity of the sustainability interventions existing in the healthcare industry, both in terms of subject matter and in terms of the number of publications from each country.
Attracting nursing talent to the intensive care unit: a qualitative study on how to create an appealing work environment
(Elsevier, 2025) Fernández Castillo, Rafael Jesús; Basco-Prado, Luis; Raurell‐Torredà, Marta; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-1141: Investigación Clínica Aplicada a los Cuidados y Nuevos Paradigmas Asistenciales
Introduction and objective The global shortage of nurses who want to work in the intensive care unit (ICU) is alarming, putting at risk quality of care and patient safety. With efforts put into engagement strategies, optimized recruitment programmes are scarce, specifically in the ICU setting. The aim of this study is to describe and explore ICU nurses’ opinions on their work motivational factors that influenced the decision to work in the ICU setting. Design A qualitative research was undertaken, with a descriptive exploratory interpretative approach, implementing a QUAL-QUAL design, where two data collection techniques are used simultaneously and complement each other. Experienced ICU nurses were interviewed by focus group, using in-depth interviews for novel nurses. A template content analysis as described by the model of Brooks was performed. Setting The selected population was recruited from 6 different public hospitals in Spain. Findings A total of 17 nurses participated in the study as we reached data saturation; seven in the focus group and ten by individual interviews. Four main themes emerged from the analysis divided into 13 subthemes: “ICU training and education”, “taking care of the intensive carer”, “optimized human resources management” and “intrinsic and extrinsic motivational factors”. Conclusion Nurses consider that an attractive ICU in terms of job satisfaction is the one that is committed to quality continuous training programmes, welcoming professionals with well-designed mentoring, and taking care of its workers by promoting teamwork and work-life balance, burnout syndrome prevention strategies and motivation for intellectual development. Implications for clinical practice The description of how to create attractive ICUs will help to build strategies with the aim of recruiting talented highly qualified professionals who will alleviate the need for nurses in the field, optimizing the care provided and generating benefits in management and quality of care.
Proteomic analysis of postprandial high-density lipoproteins in healthy subjects
(Elsevier, 2022-12-27) Grao Cruces, Elena; Santos-Mejías, Alejandro; Ortea, Ignacio; Márquez Parada, Elvira; Martín Rubio, María Esther; Barrientos Trigo, Sergio; Bermúdez Pulgarín, Beatriz; Montserrat de la Paz, Sergio; Universidad de Sevilla. Departamento de Biología Celular; Universidad de Sevilla. Departamento de Bioquímica Médica y Biología Molecular e Inmunología; Universidad de Sevilla. Departamento de Enfermería; Junta de Andalucía; European Union (UE)
The relationship between the functionality and composition of high-density lipoproteins (HDL) is yet not fully studied, and little is known about the influence of the diet in HDL proteome. Therefore, the aim of this research was to elucidate the HDL proteome associated to postprandial hyperlipidemia. Male volunteers were recruited for an interventional study with high fatty acid-based meals. Blood samples were collected before the intake (baseline), and 2–3 (postprandial peak) and 5–6 (postprandial post peak) hours later. HDL were purified and the protein composition was quantified by LC-MS/MS. Statistical analysis was performed by lineal models (amica) and by ANOVA and multi-t-test of the different conditions (MetaboAnalyst). Additionally, a clustering of the expression profiles of each protein was done with coseq R package (RStudio). Initially, 320 proteins were identified but only 119 remained after the filtering. APOM, APOE, APOB, and APOA2, proteins previously identified in the HDL proteome, were the only proteins with a statistically significant altered expression in postprandial hyperlipidemia when compared to baseline (p values <0.05 and logFC >1). In conclusion, we have been able to describe several behaviors of the whole HDL proteome during the postprandial hyperlipidemic metabolism.
Pornography Influence Among Young Students: Adaptation and Validation of Pornography Consumption Inventory into Spanish
(Taylor & Francis, 2019) León Larios, Fátima; Saavedra Macías, Francisco Javier; Albar Marín, María Jesús; Gómez-Baya, Diego; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de Psicología Experimental
This manuscript intends to adapt and validate Pornography Consumption Inventory (PCI) into Spanish in a sample of 211 young students who admitted to consume pornography. They completed a questionnaire that referred to sociodemographic characteristics, sexual behavior and PCI. Results showed a factorial structure of the scale with good data fit, composed of 13 items divided into three dimensions, i.e., emotional avoidance, sexual curiosity, and excitement seeking and sexual pleasure. These factors were positively interrelated and presented excellent internal consistency reliability. Some gender differences were observed, so that men presented higher scores in the three dimensions than women.
Terapias complementarias no farmacológicas en el cuidado de personas con dolor crónico no oncológico: una revisión bibliográfica
(Edyte Farma S.L., 2024) Guerra Martín, María Dolores; Irene Delgado-Saldaña; Andrea Nieto-Pérez; Borrallo Riego, Álvaro; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-969: Innovación en cuidados y determinantes sociales en salud
Objetivo: Examinar los problemas (físicos, psicológicos, sociales y económicos) de las personas con dolor crónico no oncológico y analizar las distintas terapias complementarias no farmacológicas utilizadas para el cuidado. Metodología: Se llevó a cabo una revisión bibliográfica en las bases de datos CINAHL, PubMed, PsycINFO y Scopus. Los criterios de inclusión fueron: 1) estudios de investigación con metodología cuantitativa, cualitativa y/o mixta; 2) que versasen sobre el tópico de la revisión, y 3) publicados en los últimos 10 años (2013-2023). Resultados: Se localizaron 289 estudios, y se seleccionaron 15. Todos los estudios describieron distintos problemas de forma combinada en las personas con dolor crónico no oncológico. Las principales terapias complementarias referenciadas fueron acupuntura, hipnosis y meditación. Conclusiones: El dolor crónico no oncológico afecta mayoritariamente a nivel físico, pero también muestra efectos a nivel psicológico, social y económico. Los estudios evidencian una mejora de los síntomas del dolor crónico no oncológico en las personas que han hecho uso de las terapias complementarias.
Nursing students’ experiences about clinical practice tutoring: a cross-sectional observational study
(MDPI, 2024-12-13) Borrallo Riego, Álvaro; Magni, Eleonora; Pérez Jiménez, José Miguel; Guerra Martín, María Dolores; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-969: Innovación en cuidados y determinantes sociales en salud; Universidad de Sevilla. CTS-1149: Salud integral y sostenible: enfoque Bio-psico-social, Cultural y Espiritual para el Desarrollo Humano
Objective: Nursing students’ experiences about clinical practice tutoring in a public university from southern Spain and at its two attached educational centres were analysed. Methods: A cross-sectional observational study was carried out. The population was comprised of nursing students attending their fourth year of university during the 2023/2024 academic period, with a final sample of 179 subjects. Sociodemographic data were collected and a validated questionnaire on opinions about the figure of clinical practice tutors was applied, with 34 closed questions offering five answer options. The questions were categorized into 17 dimensions. A question on the students’ satisfaction with tutoring of the practices was included, in addition to an open question to gather the students’ comments and/or suggestions in relation to clinical practice tutoring. The analysis was performed through a data matrix in SPSS. The Kruskal–Wallis test was used to compare the centres according to the questionnaire dimensions, considering p-values < 0.05 to establish statistically significant differences. The open question was analysed using Atlas.ti. Results: Most of the students were women, with an approximate mean age of 23 years old. Significant differences were detected among the centres in almost all dimensions from the questionnaire. High satisfaction levels were obtained in the three centres. A total of 83 verbatims were collected in the open question and grouped into eight categories. Conclusion: Nursing students place significant importance on the role of the clinical tutor. Clinical tutors who demonstrate enthusiasm for teaching, foster a positive environment based on active listening, respect, and the encouragement of autonomy, are essential to enhancing the students’ experience during clinical placements.

Examinar

Envíos recientes