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Papers by Montserrat Edo-Gual

Nursing Reports

The exploration of patterns of health beliefs about COVID-19 among nursing students may be benefi... more The exploration of patterns of health beliefs about COVID-19 among nursing students may be beneficial to identify behaviors, attitudes and knowledge about contagion risk. We sought to analyze the variables of risk perception, perceived risk factors, coping style, sense of coherence and knowledge of preventive measures as possible predictors of having suffered from COVID-19. Participants were nursing students from 13 universities in Spain. Sociodemographic and health variables were collected. To test the independent variables, the Perception Risk Coping Knowledge (PRCK-COVID-19) scale was created and validated because there was no specific survey for young people adapted to the pandemic situation of COVID-19. It was validated with adequate psychometric properties. A total of 1562 students (87.5% female, mean age 21.5 ± 5.7 years) responded. The high perception of the risk of contagion, the high level of knowledge and a coping style focused on the situation were notable. Significant d...

International Journal of Environmental Research and Public Health, 2021

Background: Twenty years after the degree in nursing was introduced in Spain, the subject of evid... more Background: Twenty years after the degree in nursing was introduced in Spain, the subject of evidence-based nursing is still unstructured and unestablished in most faculties. Moreover, there are hardly any rigorous studies at a national level that evaluate the current state of this competence in our faculties. Understanding the starting point is essential for the curricular design to ensure that evidence-based practice is implemented among future professionals. Aim: To design and validate an evidence-based nursing competency questionnaire for fourth-year nursing students. Methods: A specific questionnaire was developed and validated (EBE-ST). A cross-sectional survey design with psychometric validation of an instrument. Participants were 304 senior year nursing students from eight universities in Spain (2020). Results: The EBE-ST questionnaire is composed of 33 items that determine eight factors. It presents adequate reliability and validity (alpha = 0.882), measuring knowledge, att...

El Espacio Virtual de Tutorizacion y Aprendizaje Cooperativo 2.0 se creo con el objetivo de reali... more El Espacio Virtual de Tutorizacion y Aprendizaje Cooperativo 2.0 se creo con el objetivo de realizar de manera virtual, el seguimiento del proceso de aprendizaje del estudiante en practicas de la titulacion de Grado en Enfermeria, asi como para fomentar su pensamiento critico y el aprendizaje cooperativo. El indice de participacion fue del 95% del total de estudiantes matriculados en la asignatura del Practicum Especializado III. La participacion y aportaciones de los estudiantes fueron muy altas (95%). Tambien, en este sentido, la valoracion cualitativa de este Espacio, tanto por parte del profesor/tutor de la Escuela, como de los tutores de los centros y de los propios estudiantes, fue altamente satisfactoria, destacando la utilidad de la plataforma en el seguimiento del proceso de aprendizaje del estudiante y la adquisicion de conocimientos de manera cooperativa

Agora De Enfermeria, 2010

Journal of Clinical Nursing, 2015

Aims and objectives. To analyse the relationship between death attitudes, emotional intelligence,... more Aims and objectives. To analyse the relationship between death attitudes, emotional intelligence, resilience and self-esteem in a sample of nursing undergraduates. Background. The death attitudes held by nursing students may influence the care they offer to end-of-life patients and their families. Emotional intelligence, resilience and self-esteem are important social and emotional competencies for coping positively with death and dying. Design. Cross-sectional and correlational study. Methods. Participants were 760 nursing undergraduates from four nursing schools in Spain. Data were collected in 2013-2014. The students responded anonymously to a self-report questionnaire that gathered socio-demographic data and which assessed the following aspects: fear of death (Collett-Lester Fear of Death Scale), death anxiety (Death Anxiety Inventory-Revised), perceived emotional intelligence (Trait Meta-Mood Scale, with its three dimensions: attention, clarity and repair), resilience (Brief Resilient Coping Scale) and self-esteem (Rosenberg Self-Esteem Scale). In addition to descriptive statistics, analyses of variance, mean differences, correlations and regression analyses were computed. Results. Linear regression analysis indicated that attention to feelings, resilience and self-esteem are the significant predictors of death anxiety. Conclusions. The results show that death anxiety and fear of death are modulated by social and emotional competencies associated with positive coping. Relevance to clinical practice. The training offered to future nurses should include not only scientific knowledge and technical skills but also strategies for developing social and emotional competencies. In this way, they will be better equipped to cope positively and constructively with the suffering and death they encounter at work, thus helping them to offer compassionate patient-centred care and minimising the distress they experience in the process. What does this paper contribute to the wider global clinical community? • Attention to feelings, resilience and self-esteem are predictors of death anxiety among nursing undergraduates.

Enfermería Clínica, 2011

Resumen Objetivo: Evaluar, en una muestra de estudiantes de enfermería, el miedo ante la muerte p... more Resumen Objetivo: Evaluar, en una muestra de estudiantes de enfermería, el miedo ante la muerte propia y ajena y sus relaciones con diversas variables sociodemográficas: sexo, edad, curso académico, origen geográfico, estado civil y experiencias previas con la muerte. Método: Diseño observacional, descriptivo y transversal. Participaron 243 estudiantes de enfermería, que respondieron a un cuestionario que contenía las variables sociodemográficas y la forma española de la escala de miedo a la muerte de Collet-Lester (CLFDS). En el análisis estadístico se calcularon medias y desviaciones típicas, prueba t de Student, ANOVA y coeficientes de correlación de Pearson y Spearman. Resultados: Se obtuvieron correlaciones negativas entre la CLFDS y la edad. Las mujeres obtienen puntuaciones más altas en las cuatro subescalas de la CLFDS. La creencia y la práctica religiosa correlacionan negativamente con el miedo a la propia muerte. El contacto previo con la muerte correlaciona negativamente con tres de las subescalas de la CLFDS. Los sujetos solteros puntúan más alto en dos de las subescalas de la CLFDS. Según el curso académico se observa significación estadística en la subescala de miedo a la muerte de otros. Conclusiones: Para planificar la formación de los estudiantes de enfermería en competencias específicas para el acompañamiento al final de la vida, es muy importante conocer sus actitudes ante la muerte y sus variables relacionadas, así como los elementos que producen en ellos mayores reacciones de miedo y/o ansiedad, que pueden afectar a la calidad de los cuidados que proporcionen en su futuro ejercicio profesional.

Las actitudes de los profesionales de la salud ante las situaciones de muerte y sufrimiento de lo... more Las actitudes de los profesionales de la salud ante las situaciones de muerte y sufrimiento de los pacientes pueden influir en la calidad de los cuidados asistenciales. Las primeras experiencias relacionadas con la muerte durante las practicas clinicas son uno de los eventos relatados como mas estresantes por los estudiantes de enfermeria. Desde el ambito docente es necesario formar a estos futuros profesionales en estrategias de afrontamiento que les permitan gestionar de manera eficaz estas situaciones. Asimismo es importante utilizar instrumentos de medida que permitan evaluar las actitudes ante los cuidados al paciente en situacion de final de vida y su familia. Esta tesis doctoral pretende aportar datos empiricos sobre las actitudes ante la muerte y factores relacionados de los estudiantes de enfermeria catalanes, mediante tres estudios. El objetivo del primer estudio fure profundizar en el conocimiento de la primera experiencia con la muerte de los estudiantes de enfermeria. L...

Nurse Education Today, 2021

BACKGROUND Pedagogical strategies in palliative care are diverse and mainly aimed to understand p... more BACKGROUND Pedagogical strategies in palliative care are diverse and mainly aimed to understand patients with advanced disease and improving their care. Phenomenological texts are stories intended to evoke lived experiences and help understand complex situations. AIM To determine what thoughts, experiences and feelings nursing students have when reading a phenomenological text about the experience of a person living with advanced cancer. DESIGN AND METHOD A descriptive qualitative study with palliative care students of the nursing degree at two university centres. The students reflected on a phenomenological text. A thematic analysis of the 14 reflections was performed. The reflections were analysed inductively and independently, and periodic sessions were held to discuss the identified categories and topics. RESULTS The students' writings showed that reading the phenomenological text caused them to reflect and feel moved and challenged. The impact on the students is grouped into three categories: the experience of the corporeality of patients with advanced disease makes students aware of the importance of the body; the disease as an individual transformative process challenges students; and the experiences of people with advanced cancer make students aware of the importance of how they care for patients and their families. CONCLUSION The reading of a phenomenological text on the experience of living with advanced cancer may be a teaching method that can generate experiences that promote reflective and experiential learning in nursing students. It seems to be a useful tool for teaching in subjects focusing on person-centred care.

Educación Médica

Resumen Introduccion Las competencias enfermeras asociadas a la toma de decisiones son poco concr... more Resumen Introduccion Las competencias enfermeras asociadas a la toma de decisiones son poco concretas en el contexto de atencion al paciente cronico con necesidades complejas, ya que sus resultados de aprendizaje no estan definidos ni contextualizados para el cuidado de este tipo de pacientes. Metodo Diseno Estudio cualitativo exploratorio secuencial. Muestra: En la primera fase, 83 enfermeras definieron el concepto de paciente cronico con necesidades complejas, con lo que se genero una nube de palabras con los conceptos mas utilizados y 15 profesionales expertos en cronicidad analizaron dicha nube para construir la definicion definitiva. En la segunda fase, se realizo un grupo nominal para definir los resultados de aprendizaje de las 6 competencias relacionadas con la toma de decisiones definidas por la National Agency for Quality Assessment and Accreditation (ANECA). Resultados De las 6 competencias se describieron 244 resultados de aprendizaje que se redujeron a 139 despues de ser sometidos a consenso. Cada resultado de aprendizaje se asigno a una o varias dimensiones de la competencia, obteniendo 66 resultados relacionados con la dimension del conocimiento, 97 con la de habilidad y 42 con la de actitud. Conclusion Definir los resultados de aprendizaje que configuran las competencias asociadas a la toma de decisiones y asociarlos a las dimensiones de la competencia permite describir los comportamientos profesionales adecuados para poder evaluarlos.

Palliative Medicine

Background: Family caregivers play a key role in the lives of patients with multiple myeloma. How... more Background: Family caregivers play a key role in the lives of patients with multiple myeloma. However, very little is known about the impact that the disease (its diagnosis, course and prognosis) has on the main family caregiver. Aim: To achieve a deeper understanding of the lived experience of individuals who are the primary caregiver of a relative with multiple myeloma and to shed light on their needs. Design: Interpretative phenomenological study. Setting and participants: A total of 12 individuals who were the main family caregivers of a relative with multiple myeloma who was under outpatient follow-up at a cancer unit in Barcelona were recruited via purposive sampling until data saturation was reached. In semi-structured in-depth interviews, participants described their experiences of caring for their relative with multiple myeloma. Interviews were recorded, transcribed and analysed using ATLAS.ti v7.2. The seven steps proposed by Colaizzi were used for data analysis, and the r...

OMEGA - Journal of Death and Dying

The Frommelt Attitude Toward Care of the Dying Scale (FATCOD) is designed to assess the attitudes... more The Frommelt Attitude Toward Care of the Dying Scale (FATCOD) is designed to assess the attitudes of professionals and trainees toward caring for the dying patient and their family members. In this study the main aim is to adapt the FATCOD to a Spanish context (FATCOD-S). In addition, the relations between FATCOD-S, sociodemographic variables, emotional intelligence, and death attitudes have been analyzed. A sample of 669 Spanish nursing students from four Universities responded to a questionnaire. The exploratory factor analysis (EFA) concludes a structure composed of two significant factors. A confirmatory factor analysis (CFA) was carried out. The CFA supported a two-factor model. Students with past experience of death and those who had received training in palliative care scored significantly higher on both factors of the FATCOD-S ( p

Aims and objectives. To explore nursing students' experiences of death and dying in clinical prac... more Aims and objectives. To explore nursing students' experiences of death and dying in clinical practice. Background. The encounter with death constitutes one of the most stressful experiences reported by nursing students during their clinical training. In particular, it can be difficult for student nurses to cope with the patient's suffering, to provide postmortem care and to communicate with the patient and his/her family as death approaches. Although some research has been carried out in relation to this phenomenon, there remains a need to identify and understand the situations and experiences that are of most concern to students, those which may affect their ability to cope and, therefore, interfere with the care they are able to offer to the dying patient and his/her family. Design. Qualitative descriptive and hermeneutic study. Methods. Semi-structured interviews (n = 12) were conducted with nursing students. Data were collected in 2012-2013. Transcripts were analysed using Colaizzi's seven-step procedure. Findings. The analysis identified five themes: impact, training in end-of-life care, ethical issues, coping and learning/growth/healing connections. The central theme was the enormous impact the encounter with death had, while the other themes were a response to and/or modulators of this impact. An explanatory model was derived on the basis of the relationship between all these emergent themes.