Enferm Clin [journal]
- [Humanization of perinatal care. A social demand and professional challenge]. [Journal Article]
- Enferm Clin 2016 Jul-Aug; 26(4):211-2.
- [Exploratory factorial analysis and factorial complexity: Beyond rotations]. [LETTER]
- Enferm Clin 2016 Jun 30.
- [Teamwork and negotiation with family in pediatrics]. [English Abstract, Journal Article]
- Enferm Clin 2016 Jul-Aug; 26(4):234-7.
Analyze the negotiation and interaction process within nurses' practice with mothers of hospitalized children in pediatric unit from the teamwork perspective.A qualitative approach was used in this study, based on the Grounded Theory from the symbolic interaction perspective. The study included 12 nurses of the pediatric unit and 18 mothers who stayed in the hospital with their hospitalized children. The number of participants was defined according to data saturation. Participant observation and semi-structured interviews were chosen as data collection techniques and it was analyzed using the program NVivo8.From the analysis performed, the central category identified was «weaknesses in the negotiation process», within the interactions between nurses and mothers. Nurses revealed difficulties in the communication process, they did not include roles definition with mothers in order to establish their participation in the care process and a power imbalance was also evidenced.Within the studied settings, an important lack of collaborative work with hospitalized children's mothers was observed. The weaknesses in the negotiation process and specifically the difficulties found in communication; the lack of roles and tasks clarification and the perceived power imbalance regarding relationships, prevent mothers involvement in their children care process, considered a basic component to achieve a greater mother implication, better results in terms of health and a lower impact of hospitalization in the children.
- [Knowledge of nurses about medication doses at pediatric urgency departament]. [English Abstract, Journal Article]
- Enferm Clin 2016 Jul-Aug; 26(4):213-9.
Errors in drug administration are the second cause of errors in hospitalized patients. Children are a high risk group. Besides, pressure in care interventions at emergency department leads to increase incidence errors.Determining nurses' knowledge about the most common drug doses at pediatric urgency department.Descriptive transversal study. We collected data from nurses of 14 pediatric emergency departments of Madrid. With an "ad hoc" questionnaire we collected the following data during five days in January of 2014: demographic, knowledge of responsibility in administration and doses of drugs. Global descriptive analysis was made and it was stratified by hospital and work experience.The answer rate was 114 (34.9%). Only 80 (70.8%) of nurses confirm doses before their administration; 20 (18.6%) think that a wrong prescription that they administer is not their responsibility. There is a high knowledge in the group with more than five years of work experience, except for sedative-analgesic drugs (p<0.05). The average score obtained was 3.8 of 10 (1.99).Nurses' knowledge about drug doses is low.
- [Application of therapy in negative pressure complex wounds in pediatrics]. [English Abstract, Journal Article]
- Enferm Clin 2016 Jul-Aug; 26(4):250-4.
Negative pressure wound therapy (NPWT) has been widely used in the adult patient, contrary to what happens in children, with just a few long series papers. NPWT avoids long and expensive hospital admissions, reducing the hospital costs; it also decreases the family dynamics and allows for an early return to everyday activities. In this article, we present three clinical cases consisting of a toddler, a child and a teenager with complex wounds treated with NPWT in the pediatric surgery department of the Virgen de las Nieves University Hospital in Granada. The results were excellent, with a good adherence to treatment in all cases, achieving a complete closure in two cases; the third case needed a deferred surgical closure after surgical site preparation, and showed a decrease of the wound size after the NPWT. Moreover, successful pain management was achieved during the wound cleansing, which was done under an ambulatory regime. No general anesthesia was needed. From our experience, we propose the NPWT as an alternative therapy to the classic surgical approach for this type of complex lesions in children, which offers the same advantages and results than in adults.
- [Strategies for improving care of oncologic patients: SHARE Project results]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Enferm Clin 2016 May 26.
Cancer treatment is a major burden for the patient and its family that requires an individualized management by healthcare professionals. Nurses are in charge of coordinating care and are the closest healthcare professionals to patient and family; however, in Spain, there are not standard protocols yet for the management of oncology patients. The Spanish Oncology Nursing Society developed between 2012 and 2014 the SHARE project, with the aim of establishing strategies to improve quality of life and nursing care in oncology patients. It was developed in 3 phases. First, a literature search and review was performed to identify nursing strategies, interventions and tools to improve cancer patients' care. At the second stage, these interventions were agreed within a group of oncology nursing experts; and at the third phase, a different group of experts in oncology care categorized the interventions to identify the ones with highest priority and most feasible to be implemented. As a result, 3 strategic actions were identified to improve nursing care during cancer treatment: To provide a named nurse to carry out the follow up process by attending to the clinic or telephonic consultation, develop therapeutic education with adapted protocols for each tumor type and treatment and ensure specific training for nurses on the management of the cancer patients. Strategic actions proposed in this paper aim to improve cancer patients' healthcare and quality of life through the development of advanced nursing roles based on a higher level of autonomy, situating nurses as care coordinators to assure an holistic care in oncology patients.
- [Re-analysis from a correlational approach of dimension impairment-of-functioning of Integrated Fatigue Assessment Scale]. [Letter]
- Enferm Clin 2016 May-Jun; 26(3):208-9.
- [Advanced practice in nursing and new organisational healthcare models]. [Journal Article]
- Enferm Clin 2016 May-Jun; 26(3):155-7.
- [Reflexive analysis of home hospitalization in the elderly]. [Journal Article]
- Enferm Clin 2016 Jul-Aug; 26(4):255-7.