Enferm Clin [journal]
- [The meaning of dying with dignity from caregivers perspective: a phenomenological study]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Enferm Clin 2016 Aug 10.
To explore the meaning of dying with dignity from the perspective of the direct witnesses who have accompanied this process in dying people from Andalusia.Phenomenological study conducted in different centres, which including analysing the transcriptions of the dialogues from discussion groups with 40 participants in five provinces in Southern Spain. The data was analysed using the Van Manen proposal and Atlas Ti 7.0 program was applied as a software tool.Being in the company of loved ones is noted as a key element in the perception of a dignified death. The following elements, according to a priority order, were also pointed out: relief of suffering, a good professional care, decision making ability, and the opportunity to consider their spiritual dimension. Achievement of their Living Wills is hardly mentioned.The essential elements defined in the Death with Dignity Law, 2/2010 are confirmed as being true (without suffering, with company, respecting living wills, having possibilities of the farewell, and the transcendental meaning of the death process). Caregivers, at the end of life, give priority to psychological aspects, underlying the need of company, a farewell of the loved ones, and a good professional care on the physical aspects. The promotion of the dignified Death Law and Living Wills are still being developed.
- [Role of nurses in the managements of symptoms associated with spasticity in patients with multiple sclerosis]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Enferm Clin 2016 Aug 1.
To describe the role of nurses in the management of symptoms related to spasticity in patients with multiple sclerosis (MS).A descriptive study was developed based on a questionnaire on spasticity in MS patients. The questionnarie was completed through an anonymous tele-voting system at a national meeting with nurses involved in the management of these patients.Apart from fatigue, according to the opinion of the participants, the spasticity symptom associated with MS most notified by patients was difficulty in walking, followed by spasms and pain. Participants thought that it is important that nursing takes: 1) a role in identifying these symptoms, 2) should focus on the detection of the triggering or aggravating factors, and 3) on providing support in the assessment of the level of spasticity. It is important to inform about the correct use of anti-spasticity drugs, how to adjust the dosage and side effects of treatments, including cannabinoids via an oromucosal spray, titrating its doses according to each patient, and monitoring its tolerability, efficacy and adherence. Although there are usually resources to follow up these patients, there are still important gaps, including the lack of a specific follow-up protocol.Although all the participants are experts in the management of patients with MS, there is still diversity in the functions they perform, and the available resources they have in their hospitals. Nurses act as a key element in the process of identification of symptoms, training and monitoring of these patients with spasticity in EM.
- [Alcohol and driving: attitudes and habits of students after an intervention]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Enferm Clin 2016 Jul 28.
Knowing and contrasting attitudes and habits toward alcohol when it comes to driving among nursing students and to analyze the effectiveness of an educational intervention with testimonies in order to modify them.Analytical and quasiexperimental design with pre-test and post-test. The study population consists of students of nursing degree of the Red Cross from Sevilla. The intervention is based on attending an educational activity from people directly and personally experienced on car accidents, narrating their own lived facts. A specific questionnaire was used to measure attitudes and trends of behaviors towards alcohol drinking and driving.The mean of the responses related to the false beliefs of students in first course is 2.73 (standard deviation [SD]=0.14) versus 2.29 (SD=0.27) in fourth. For questions regarding the intentions of risky behavior, first course have a mean of 2.01 (SD=0.51) versus 1.76 (SD=1.76) in fourth. These differences were not found to be significant. No differences were found before and after the intervention on the two global dimensions studied. The disaggregated results per item show that the intervention significantly reduced the belief that alcohol does not affect safety (p=.001) and intention not to drink to accompany friends with your car (p=.026), among others.The analyzed intervention has a positive but limited influence. It is recommended to repeat it several times to improve a healthy lifestyle and also to improve the health habits of the general population in the future.
- [Differentiation between moisture lesions and pressure ulcers using photographs in a critical area]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Enferm Clin 2016 Jul 27.
To identify difficulties for nurses in differentiating between moisture lesions and pressure ulcers, proper classification of pressure ulcers to assess the adequate classification of the Grupo Nacional para el Estudio y Asesoramiento de Úlceras por Presión y Heridas Crónicas (GNEAUPP) and the degree of agreement in the correct assessment by type and category of injury.Cross-sectional study in a critical area during 2014. All nurses who agreed to participate were included. They performed a questionnaire with 14 photographs validated by experts of moisture lesions or pressure ulcers in the sacral area and buttocks, with 6 possible answers: Pressure ulcer category I, II, III, IV, moisture lesions and unknown. Demographics and knowledge of the classification system of the pressure ulcers were collected according to GNEAUPP.It involved 98% of the population (n=56); 98.2% knew the classification system of the GNEAUPP; 35.2% of moisture lesions were considered as pressure ulcers, most of them as a category II (18.9%). The 14.8% of the pressure ulcers photographs were identified as moisture lesions and 16.1% were classified in another category. The agreement between nurses earned a global Kappa index of .38 (95% CI: .29-.57).There are difficulties differentiating between pressure ulcers and moisture lesions, especially within initial categories. Nurses have the perception they know the pressure ulcers classification, but they do not classify them correctly. The degree of concordance in the diagnosis of skin lesions was low.
- [Tap water vs. sterile saline for cleaning acute and chronic wounds]. [JOURNAL ARTICLE]
- Enferm Clin 2016 Jul 27.
- [Cardiovascular risk factors analysis on patients with severe mental health disorders]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Enferm Clin 2016 Jul 22.
To identify the prevalence of the cardiovascular risk (RCV) in users with a Severe Mental Disorder (SMD) attended in mental health service in ParcTaulí (Sabadell - Barcelona).This is an observational, descriptive and transversal study of the factors of cardiovascular risk in 789 users with SMD. The instrument used was the scale of assessment of the Registre Gironí del Cor, which estimates the risk of cardiovascular disease.26.6% of the sample has RCV (22.5% moderate, 3.8% high and 0.3% very high). The analysis of the modifiable risk factors shows that 16.5% of the patients are hypertensive, 55.2% are smokers, 19.77% have hyperglycaemia (8.2% of whom are diagnosed of diabetes mellitus), 40.2% have obesity, 36.2% overweight and 47.27% hypercholesterolemia.The study confirms that the prevalence of the RVC in SMD users is greater than the RCV in general population and it's associated to the presence of modifiable risk factors. Health education carried out by nurses is the best to prevent the RCV in SMD users.
- [Empathy and related factors in nursing students at University of Cartagena]. [JOURNAL ARTICLE, ENGLISH ABSTRACT]
- Enferm Clin 2016 Jul 21.
To determine empathy levels and its relationship with sociodemographic, academic and family factors in nursing students.Cross-sectional study, 196 nursing students were randomly selected at the University of Cartagena, Colombia. A questionnaire that asked about sociodemographic, family and academic factors and the Scale of Physician Empathy Jefferson-version S were applied. Shapiro-Wilk test was used to assess the normality assumption. t Student, ANOVA, Pearson test and simple linear regression were used to establish the relationship (p<0.05).The global empathy score was 108.6±14.6; statistically significant associations between global empathy with the training year (p=0.004) and grade point average (R(2)=0.058; p=0.001; r=0.240) were found. Moreover, the "perspective taking" dimension with provenance (rural/urban) (p=0.010) and family functioning (p=0.003); the "compassionate care" dimension with the training year (p=0.002) and the "putting themselves in the place of the patient" dimension with academic performance (p=0.034).The empathy levels in nursing students may vary depending on various personal and academic factors,these characteristics should be taken into account for implementing teaching strategies to promote higher empathy levels since the early training years.