María Desamparados Bernat Adell | Universitat Jaume I de Castelló (original) (raw)

Papers by María Desamparados Bernat Adell

Journal of International Medical Research

Objective To compare the beliefs, attitudes and feelings about work of healthcare professionals (... more Objective To compare the beliefs, attitudes and feelings about work of healthcare professionals (HCPs) and teachers living in the Canary Islands (Spain) during the COVID-19 pandemic. Methods The study had two parts. In Part 1, the Delphi technique was used to adapt a questionnaire. Part 2 was a cross-sectional, comparative study, performed from August 31st to October 25th, 2021 using the questionnaire online distributed to samples of HCPs and teachers. The questionnaire had three dimensions each separated into three sections (i.e., beliefs [coping ability, prevention and organisation]; attitudes [risks, commitments, and obligations]; feelings about work [burnout, support and work satisfaction]). Results In total 1423 questionnaires were available for analysis, 640 from teaching staff and 783 from HCPs. Significant differences were found in eight of the nine sections. HCPs had a more positive attitude towards work compared with teachers, but had more negative beliefs and feelings abo...

International Journal of Environmental Research and Public Health, Feb 17, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

International Journal of Environmental Research and Public Health, Feb 17, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Revista Espanola De Salud Publica, 2018

Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general ... more Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general y particularmente en UCI. Nuestro objetivo fue analizar la valoracion de pacientes y familiares sobre la estancia en UCI, y la influencia en dicha valoracion de variables sociodemograficas y psicologicas. Metodos. 71 pacientes criticos y 89 familiares de una UCI polivalente de la Comunidad Valenciana respondieron el Cuestionario de Valoracion de la Estancia en UCI y la Escala de ansiedad-depresion hospitalaria durante 2014-2015. Se realizaron analisis descriptivos y de frecuencias. Asimismo, se utilizaron coeficientes de correlacion (Pearson/Spearman), Prueba t de Student, analisis ANOVA y ecuaciones de regresion multiple. Resultados. Los resultados mostraron una valoracion positiva en los pacientes tanto a nivel global (Media=4,06; DE=1,25) como en relacion con distintos aspectos inherentes a UCI, destacando las atenciones/cuidados de los profesionales (Media=4,73; DE=0,68). Como aspect...

Revista Espanola De Salud Publica, 2018

Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general ... more Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general y particularmente en UCI. Nuestro objetivo fue analizar la valoracion de pacientes y familiares sobre la estancia en UCI, y la influencia en dicha valoracion de variables sociodemograficas y psicologicas. Metodos. 71 pacientes criticos y 89 familiares de una UCI polivalente de la Comunidad Valenciana respondieron el Cuestionario de Valoracion de la Estancia en UCI y la Escala de ansiedad-depresion hospitalaria durante 2014-2015. Se realizaron analisis descriptivos y de frecuencias. Asimismo, se utilizaron coeficientes de correlacion (Pearson/Spearman), Prueba t de Student, analisis ANOVA y ecuaciones de regresion multiple. Resultados. Los resultados mostraron una valoracion positiva en los pacientes tanto a nivel global (Media=4,06; DE=1,25) como en relacion con distintos aspectos inherentes a UCI, destacando las atenciones/cuidados de los profesionales (Media=4,73; DE=0,68). Como aspect...

International Journal of Environmental Research and Public Health, 2021

The current article examined stoma self-care and health-related quality of life in patients with ... more The current article examined stoma self-care and health-related quality of life in patients with drainage enterostomy, described clinical and sociodemographic variables and analyzed the relationship between all of them. Trained interviewers collected data using a standardized form that queried sociodemographic and clinical variables. In addition, Self-Care (SC) was measured through a specific questionnaire for Ostomized Patients (CAESPO) and Health-Related Quality of Life (HRQoL) through the Stoma Quality of Life questionnaire (S-QoL), which are not included in the electronic medical record. This was a multicenter, cross sectional study conducted in four hospitals of the province of Castellon (Spain), where 139 participants were studied. As novel findings, it was found that the level of SC of the stoma was high and was positively correlated with health-related quality of life. In relation to SC and sociodemographic variables studied in the research, women, married patients and activ...

Enfermería Intensiva, 2019

Conclusión: Las enfermeras reconocen que debe existir una formación destinada a cumplir las compe... more Conclusión: Las enfermeras reconocen que debe existir una formación destinada a cumplir las competencias que las UCI requieren, y que estas se ven afectadas por el tipo de unidad y el tipo de pacientes atendidos.

Journal of Health Psychology, 2018

The admission to an intensive care unit can result in a significant burden of emotional distress ... more The admission to an intensive care unit can result in a significant burden of emotional distress in the family. This study analyzes the psychological distress of 89 relatives of intensive care unit patients and the potential risk/protective factors for such distress. Families show high levels of anxiety, depression, and stress. Regarding risk factors, having steady partner, being a woman, and being a mother are associated with increased risk of anxiety, depression, and stress. Contrarily, being younger and having higher educational level are associated with reduced anxiety and stress. Influencing these trends could change positively the suffering course experienced by relatives and intensive care unit patients indirectly.

Enfermería Intensiva, 2014

Introduction: Mobilization entails a risk for critically ill patients. It is therefore important ... more Introduction: Mobilization entails a risk for critically ill patients. It is therefore important to design and apply the tools to detect any safety lapses and to improve the quality of patient healthcare. Objectives: To identify which adverse events (AE) are related to interhospital transfer of assisted patients and how enabling a protocol may prevent potential risks. Material and method: Descriptive, observational study. We analyzed 110 transfers during morning shift in an Intensive Care Unit at a reference hospital between January and March 2011. Variables related to underlying security factors were collected. Results: The average transfer time was 37.16 minutes. 61.82% of the transfers were carried out on a scheduled basis. An 18.18% of AE were detected. In both cases, desaturation and hemodynamic instability made up to 2.7% of the cases. 5.5% of the cases were underlying factors related to monitoring during transfer, and those related to ventilation during transfer accounted for 2.7%. Not having all materials by the stretcher constituted 1.8%. We detected 31 AE for non-compliance with the protocol, that being a 27.15% of all transfers. Conclusions: Before each hospital transfer, a risk-benefit assessment is recommended in order to avoid potential alterations in the patient's pathophysiologic condition. Both the protocol and the safety checklist are key to detect underlying factors and improve security during interhospital transfers.

Paciente crítico; Competencia; Toma de decisiones; Factores psicológicos Resumen Introducción: Fa... more Paciente crítico; Competencia; Toma de decisiones; Factores psicológicos Resumen Introducción: Factores emocionales pueden condicionar alteraciones cognitivas que bloqueen la habilidad del paciente para razonar, limitando su participación en la toma de decisiones. Objetivos: Evaluar la disposición del paciente crítico para tomar decisiones e identificar qué variables pueden influir en su competencia. Diseño: Estudio observacional descriptivo. Ámbito: Unidad de cuidadosi. Pacientes: 29 pacientes críticos. Variables: Se analizaron variables sociodemográficas y psicológicas. Se evaluó la capacidad funcional y la reacción psicológica durante la estancia en UCI. Resultados: Muestran que los pacientes están totalmente de acuerdo en que la última palabra a la hora de tomar decisiones corresponde a ellos mismos, prefieren que una mala noticia sea trasmitida por el médico y dicen que la presencia del psicólogo facilitaría el proceso. Que los profesionales no respondan a sus preguntas es el factor de mayor estrés. A mayor nivel de depresión resulta una menor capacidad cognitiva, y para los pacientes con menor capacidad cognitiva, participar en la toma de decisiones supone una sobrecarga. Las variables ansiedad y depresión se relacionan significativamente con la capacidad para tomar decisiones.

Journal of Healthcare Quality Research, 2018

Background and objectives: Nurses, as health professionals, play an important role in research, a... more Background and objectives: Nurses, as health professionals, play an important role in research, as progress in care and treatment could not be made without it. The aim of this study is to analyse the perception by nurses of the current research system in the whole of their hospital and, second, study how this perception varies according to their research profile, as well as their level of satisfaction and commitment to the organisation in which work. Material and method: A cross-sectional descriptive study was conducted in a third level hospital with a convenience sample of nurses with more than 6 months experience. The Group of Experts of the III Forum of Science of the Lilly Foundation questionnaire was used, adapting it to the characteristics of the population. The purpose of the questionnaire was to collect the perception and assessment, real and ideal, that nurses have on research. Univariate and bivariate analyses were performed using the Student t-test. Results: In the sample of 295 nurses, the perception and assessment of the current situation of nursing research, its impact, its recognition, and its integration with nursing work were well below the ideal scores, obtaining statistically differences (P < .001). There was a significance in the values that recognise that more research is needed by nursing staff, the impact and recognition by management, and synergy with the pharmaceutical industry (P < .001). The level of satisfaction did not affect the assessment, the commitment of the nurses if it influenced their assessment of the research. No differences were found between the ICU staff and the other departments as regards the perception and assessment of nursing research. Conclusions: Nurses take the research as part of their functions and mention that the state of the research is very much improved. A support infrastructure is needed to strengthen research in care, as well as real recognition by institutions.

International Journal of Nursing Sciences

Paciente que presenta una patología pulmonar, neoplasia del lóbulo inferior derecho, sometido a c... more Paciente que presenta una patología pulmonar, neoplasia del lóbulo inferior derecho, sometido a cirugía de lobectomía inferior derecha más linfadenectomía. método: El trabajo se fundamenta en la aplicación del modelo de Virginia Henderson, basado en la clasificación de las 14 necesidades según el grado de dependencia e independencia, con el fin de llevar a cabo la valoración del paciente. Mediante los datos recogidos en esta valoración se identifican los problemas reales y potenciales del paciente, que ayudan en la elaboración de los diagnósticos de enfermería (nanda). Una vez establecido el diagnóstico, se plantean unos noc y nic. resultados: Mediante monitorización respiratoria de la saturación de 0 2 y la frecuencia respiratoria, una media de 3 o 4 veces por día, y basándonos en la observación del adecuado uso de la musculatura accesoria el paciente, el día del alta clínica había superado el patrón respiratorio ineficaz. La inserción de drenajes torácicos, de catéter venoso periférico y la herida quirúrgica resultado de la intervención, motivaban un riesgo de infección, al alta el riesgo de infección queda suprimido. Se evidencia un riesgo moderado de caídas, una dificultad en la realización independiente de los autocuidados relacionados con la higiene, con vestir/desvestirse y con trasferencia para el uso del inodoro, ya que necesitaba ayuda parcial y supervisión. El riesgo de caídas se controló y volvió a ser autónomo en autocuidados. conclusiones: Identificar precozmente las necesidades del paciente permitió controlarlas y evitar riesgos.

espanolIntroduccion. En Espana existen 70.000 pacientes ostomizados, con 13.000 nuevos casos anua... more espanolIntroduccion. En Espana existen 70.000 pacientes ostomizados, con 13.000 nuevos casos anuales. Las ostomias poseen un gran impacto sobre la calidad de vida, relacionado entre otros factores con el nivel de autocuidados desarrollados. Sin embargo, no disponemos de una herramienta especifica util para medir los autocuidados en estos pacientes. Objetivos. Desarrollar un instrumento de medida de autocuidados especifico y comprobar que presenta criterios de validez y fiabilidad. Material y Metodo. Estudio descriptivo transversal multicentrico en 4 hospitales oncologicos de Castellon entre los anos 2013 y 2014. Desarrollo del cuestionario, prueba de jueces y estudio piloto para la version definitiva. Prueba de test-retest, Alpha de Cronbach, para estabilidad temporal y consistencia interna, y analisis factorial confirmatorio ( A.F.C) y modelado de ecuaciones estructurales ( S.E.M), para la determinar la validez de constructo. Resultados. Muestra formada por 125 pacientes de 4 hospi...

INFORMATION STRATEGIES IN A POLYVALENT INTENSIVE CARE UNIT Introduction. Understanding the inform... more INFORMATION STRATEGIES IN A POLYVALENT INTENSIVE CARE UNIT Introduction. Understanding the information provided to families and surrogates of the critically ill patients admitted to ICUs and its adequate communication without contradictions, is a fundament aspect related with the possible participation of these persons in the treatment decision making and with the quality perceived regarding the care process. Our aim in this study is to assess these two aspects (information and communication of information). Design. Opinion study elaborated by the medical team and nursing staff of a multidisciplinary ICU. Method. Observational qualitative study performed through an open answers questionnaire. Search for agreement on terminology and concepts that should be included in the information and estimation of the different contents of information provided by the main health care professional groups (physicians and nurses). Using the Delphi technique to elaborate an information communication sheet between different staff members in order to homogenize the information process. Results. The analysis of the questionnaire reveals the great heterogeneity of the contents and modes of information provided. This may cause Originales

International Journal of Environmental Research and Public Health

The aim of this research was to analyze how the need for psychological support of health workers ... more The aim of this research was to analyze how the need for psychological support of health workers (HCWs) influenced the beliefs, perceptions and attitudes towards their work during the COVID-19 pandemic and to predict the need of psychological assistance. A descriptive transversal study was conducted based on a self-administered questionnaire distributed to health professionals working in the Canary Islands, Spain. The data were analyzed using Pearson’s chi-squared test and the linear trend test. The correlation test between ordinal and frequency variables was applied using Kendall’s Tau B. Multiple logistic regression was used to predict dichotomous variables. The sample included 783 health professionals: 17.8% (n = 139) of them needed psychological or psychiatric support. Being redeployed to other services influenced the predisposition to request psychological help, and HCWs who required psychological support had more negative attitudes and perceptions towards their work. After fiv...

Supplemental material, sj-docx-1-sci-10.1177_00368504221076823 for The training needs of critical... more Supplemental material, sj-docx-1-sci-10.1177_00368504221076823 for The training needs of critical care nurses: A psychometric analysis by Yeray Gabriel Santana-Padilla, María Desamparados Bernat-Adell and Luciano Santana-Cabrera in Science Progress

Supplemental material, sj-docx-3-sci-10.1177_00368504221076823 for The training needs of critical... more Supplemental material, sj-docx-3-sci-10.1177_00368504221076823 for The training needs of critical care nurses: A psychometric analysis by Yeray Gabriel Santana-Padilla, María Desamparados Bernat-Adell and Luciano Santana-Cabrera in Science Progress

Supplemental material, sj-doc-2-sci-10.1177_00368504221076823 for The training needs of critical ... more Supplemental material, sj-doc-2-sci-10.1177_00368504221076823 for The training needs of critical care nurses: A psychometric analysis by Yeray Gabriel Santana-Padilla, María Desamparados Bernat-Adell and Luciano Santana-Cabrera in Science Progress

Journal of International Medical Research

Objective To compare the beliefs, attitudes and feelings about work of healthcare professionals (... more Objective To compare the beliefs, attitudes and feelings about work of healthcare professionals (HCPs) and teachers living in the Canary Islands (Spain) during the COVID-19 pandemic. Methods The study had two parts. In Part 1, the Delphi technique was used to adapt a questionnaire. Part 2 was a cross-sectional, comparative study, performed from August 31st to October 25th, 2021 using the questionnaire online distributed to samples of HCPs and teachers. The questionnaire had three dimensions each separated into three sections (i.e., beliefs [coping ability, prevention and organisation]; attitudes [risks, commitments, and obligations]; feelings about work [burnout, support and work satisfaction]). Results In total 1423 questionnaires were available for analysis, 640 from teaching staff and 783 from HCPs. Significant differences were found in eight of the nine sections. HCPs had a more positive attitude towards work compared with teachers, but had more negative beliefs and feelings abo...

International Journal of Environmental Research and Public Health, Feb 17, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

International Journal of Environmental Research and Public Health, Feb 17, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Revista Espanola De Salud Publica, 2018

Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general ... more Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general y particularmente en UCI. Nuestro objetivo fue analizar la valoracion de pacientes y familiares sobre la estancia en UCI, y la influencia en dicha valoracion de variables sociodemograficas y psicologicas. Metodos. 71 pacientes criticos y 89 familiares de una UCI polivalente de la Comunidad Valenciana respondieron el Cuestionario de Valoracion de la Estancia en UCI y la Escala de ansiedad-depresion hospitalaria durante 2014-2015. Se realizaron analisis descriptivos y de frecuencias. Asimismo, se utilizaron coeficientes de correlacion (Pearson/Spearman), Prueba t de Student, analisis ANOVA y ecuaciones de regresion multiple. Resultados. Los resultados mostraron una valoracion positiva en los pacientes tanto a nivel global (Media=4,06; DE=1,25) como en relacion con distintos aspectos inherentes a UCI, destacando las atenciones/cuidados de los profesionales (Media=4,73; DE=0,68). Como aspect...

Revista Espanola De Salud Publica, 2018

Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general ... more Fundamentos. La calidad asistencial es un aspecto primor- dial en el ambito hospitalario general y particularmente en UCI. Nuestro objetivo fue analizar la valoracion de pacientes y familiares sobre la estancia en UCI, y la influencia en dicha valoracion de variables sociodemograficas y psicologicas. Metodos. 71 pacientes criticos y 89 familiares de una UCI polivalente de la Comunidad Valenciana respondieron el Cuestionario de Valoracion de la Estancia en UCI y la Escala de ansiedad-depresion hospitalaria durante 2014-2015. Se realizaron analisis descriptivos y de frecuencias. Asimismo, se utilizaron coeficientes de correlacion (Pearson/Spearman), Prueba t de Student, analisis ANOVA y ecuaciones de regresion multiple. Resultados. Los resultados mostraron una valoracion positiva en los pacientes tanto a nivel global (Media=4,06; DE=1,25) como en relacion con distintos aspectos inherentes a UCI, destacando las atenciones/cuidados de los profesionales (Media=4,73; DE=0,68). Como aspect...

International Journal of Environmental Research and Public Health, 2021

The current article examined stoma self-care and health-related quality of life in patients with ... more The current article examined stoma self-care and health-related quality of life in patients with drainage enterostomy, described clinical and sociodemographic variables and analyzed the relationship between all of them. Trained interviewers collected data using a standardized form that queried sociodemographic and clinical variables. In addition, Self-Care (SC) was measured through a specific questionnaire for Ostomized Patients (CAESPO) and Health-Related Quality of Life (HRQoL) through the Stoma Quality of Life questionnaire (S-QoL), which are not included in the electronic medical record. This was a multicenter, cross sectional study conducted in four hospitals of the province of Castellon (Spain), where 139 participants were studied. As novel findings, it was found that the level of SC of the stoma was high and was positively correlated with health-related quality of life. In relation to SC and sociodemographic variables studied in the research, women, married patients and activ...

Enfermería Intensiva, 2019

Conclusión: Las enfermeras reconocen que debe existir una formación destinada a cumplir las compe... more Conclusión: Las enfermeras reconocen que debe existir una formación destinada a cumplir las competencias que las UCI requieren, y que estas se ven afectadas por el tipo de unidad y el tipo de pacientes atendidos.

Journal of Health Psychology, 2018

The admission to an intensive care unit can result in a significant burden of emotional distress ... more The admission to an intensive care unit can result in a significant burden of emotional distress in the family. This study analyzes the psychological distress of 89 relatives of intensive care unit patients and the potential risk/protective factors for such distress. Families show high levels of anxiety, depression, and stress. Regarding risk factors, having steady partner, being a woman, and being a mother are associated with increased risk of anxiety, depression, and stress. Contrarily, being younger and having higher educational level are associated with reduced anxiety and stress. Influencing these trends could change positively the suffering course experienced by relatives and intensive care unit patients indirectly.

Enfermería Intensiva, 2014

Introduction: Mobilization entails a risk for critically ill patients. It is therefore important ... more Introduction: Mobilization entails a risk for critically ill patients. It is therefore important to design and apply the tools to detect any safety lapses and to improve the quality of patient healthcare. Objectives: To identify which adverse events (AE) are related to interhospital transfer of assisted patients and how enabling a protocol may prevent potential risks. Material and method: Descriptive, observational study. We analyzed 110 transfers during morning shift in an Intensive Care Unit at a reference hospital between January and March 2011. Variables related to underlying security factors were collected. Results: The average transfer time was 37.16 minutes. 61.82% of the transfers were carried out on a scheduled basis. An 18.18% of AE were detected. In both cases, desaturation and hemodynamic instability made up to 2.7% of the cases. 5.5% of the cases were underlying factors related to monitoring during transfer, and those related to ventilation during transfer accounted for 2.7%. Not having all materials by the stretcher constituted 1.8%. We detected 31 AE for non-compliance with the protocol, that being a 27.15% of all transfers. Conclusions: Before each hospital transfer, a risk-benefit assessment is recommended in order to avoid potential alterations in the patient's pathophysiologic condition. Both the protocol and the safety checklist are key to detect underlying factors and improve security during interhospital transfers.

Paciente crítico; Competencia; Toma de decisiones; Factores psicológicos Resumen Introducción: Fa... more Paciente crítico; Competencia; Toma de decisiones; Factores psicológicos Resumen Introducción: Factores emocionales pueden condicionar alteraciones cognitivas que bloqueen la habilidad del paciente para razonar, limitando su participación en la toma de decisiones. Objetivos: Evaluar la disposición del paciente crítico para tomar decisiones e identificar qué variables pueden influir en su competencia. Diseño: Estudio observacional descriptivo. Ámbito: Unidad de cuidadosi. Pacientes: 29 pacientes críticos. Variables: Se analizaron variables sociodemográficas y psicológicas. Se evaluó la capacidad funcional y la reacción psicológica durante la estancia en UCI. Resultados: Muestran que los pacientes están totalmente de acuerdo en que la última palabra a la hora de tomar decisiones corresponde a ellos mismos, prefieren que una mala noticia sea trasmitida por el médico y dicen que la presencia del psicólogo facilitaría el proceso. Que los profesionales no respondan a sus preguntas es el factor de mayor estrés. A mayor nivel de depresión resulta una menor capacidad cognitiva, y para los pacientes con menor capacidad cognitiva, participar en la toma de decisiones supone una sobrecarga. Las variables ansiedad y depresión se relacionan significativamente con la capacidad para tomar decisiones.

Journal of Healthcare Quality Research, 2018

Background and objectives: Nurses, as health professionals, play an important role in research, a... more Background and objectives: Nurses, as health professionals, play an important role in research, as progress in care and treatment could not be made without it. The aim of this study is to analyse the perception by nurses of the current research system in the whole of their hospital and, second, study how this perception varies according to their research profile, as well as their level of satisfaction and commitment to the organisation in which work. Material and method: A cross-sectional descriptive study was conducted in a third level hospital with a convenience sample of nurses with more than 6 months experience. The Group of Experts of the III Forum of Science of the Lilly Foundation questionnaire was used, adapting it to the characteristics of the population. The purpose of the questionnaire was to collect the perception and assessment, real and ideal, that nurses have on research. Univariate and bivariate analyses were performed using the Student t-test. Results: In the sample of 295 nurses, the perception and assessment of the current situation of nursing research, its impact, its recognition, and its integration with nursing work were well below the ideal scores, obtaining statistically differences (P < .001). There was a significance in the values that recognise that more research is needed by nursing staff, the impact and recognition by management, and synergy with the pharmaceutical industry (P < .001). The level of satisfaction did not affect the assessment, the commitment of the nurses if it influenced their assessment of the research. No differences were found between the ICU staff and the other departments as regards the perception and assessment of nursing research. Conclusions: Nurses take the research as part of their functions and mention that the state of the research is very much improved. A support infrastructure is needed to strengthen research in care, as well as real recognition by institutions.

International Journal of Nursing Sciences

Paciente que presenta una patología pulmonar, neoplasia del lóbulo inferior derecho, sometido a c... more Paciente que presenta una patología pulmonar, neoplasia del lóbulo inferior derecho, sometido a cirugía de lobectomía inferior derecha más linfadenectomía. método: El trabajo se fundamenta en la aplicación del modelo de Virginia Henderson, basado en la clasificación de las 14 necesidades según el grado de dependencia e independencia, con el fin de llevar a cabo la valoración del paciente. Mediante los datos recogidos en esta valoración se identifican los problemas reales y potenciales del paciente, que ayudan en la elaboración de los diagnósticos de enfermería (nanda). Una vez establecido el diagnóstico, se plantean unos noc y nic. resultados: Mediante monitorización respiratoria de la saturación de 0 2 y la frecuencia respiratoria, una media de 3 o 4 veces por día, y basándonos en la observación del adecuado uso de la musculatura accesoria el paciente, el día del alta clínica había superado el patrón respiratorio ineficaz. La inserción de drenajes torácicos, de catéter venoso periférico y la herida quirúrgica resultado de la intervención, motivaban un riesgo de infección, al alta el riesgo de infección queda suprimido. Se evidencia un riesgo moderado de caídas, una dificultad en la realización independiente de los autocuidados relacionados con la higiene, con vestir/desvestirse y con trasferencia para el uso del inodoro, ya que necesitaba ayuda parcial y supervisión. El riesgo de caídas se controló y volvió a ser autónomo en autocuidados. conclusiones: Identificar precozmente las necesidades del paciente permitió controlarlas y evitar riesgos.

espanolIntroduccion. En Espana existen 70.000 pacientes ostomizados, con 13.000 nuevos casos anua... more espanolIntroduccion. En Espana existen 70.000 pacientes ostomizados, con 13.000 nuevos casos anuales. Las ostomias poseen un gran impacto sobre la calidad de vida, relacionado entre otros factores con el nivel de autocuidados desarrollados. Sin embargo, no disponemos de una herramienta especifica util para medir los autocuidados en estos pacientes. Objetivos. Desarrollar un instrumento de medida de autocuidados especifico y comprobar que presenta criterios de validez y fiabilidad. Material y Metodo. Estudio descriptivo transversal multicentrico en 4 hospitales oncologicos de Castellon entre los anos 2013 y 2014. Desarrollo del cuestionario, prueba de jueces y estudio piloto para la version definitiva. Prueba de test-retest, Alpha de Cronbach, para estabilidad temporal y consistencia interna, y analisis factorial confirmatorio ( A.F.C) y modelado de ecuaciones estructurales ( S.E.M), para la determinar la validez de constructo. Resultados. Muestra formada por 125 pacientes de 4 hospi...

INFORMATION STRATEGIES IN A POLYVALENT INTENSIVE CARE UNIT Introduction. Understanding the inform... more INFORMATION STRATEGIES IN A POLYVALENT INTENSIVE CARE UNIT Introduction. Understanding the information provided to families and surrogates of the critically ill patients admitted to ICUs and its adequate communication without contradictions, is a fundament aspect related with the possible participation of these persons in the treatment decision making and with the quality perceived regarding the care process. Our aim in this study is to assess these two aspects (information and communication of information). Design. Opinion study elaborated by the medical team and nursing staff of a multidisciplinary ICU. Method. Observational qualitative study performed through an open answers questionnaire. Search for agreement on terminology and concepts that should be included in the information and estimation of the different contents of information provided by the main health care professional groups (physicians and nurses). Using the Delphi technique to elaborate an information communication sheet between different staff members in order to homogenize the information process. Results. The analysis of the questionnaire reveals the great heterogeneity of the contents and modes of information provided. This may cause Originales

International Journal of Environmental Research and Public Health

The aim of this research was to analyze how the need for psychological support of health workers ... more The aim of this research was to analyze how the need for psychological support of health workers (HCWs) influenced the beliefs, perceptions and attitudes towards their work during the COVID-19 pandemic and to predict the need of psychological assistance. A descriptive transversal study was conducted based on a self-administered questionnaire distributed to health professionals working in the Canary Islands, Spain. The data were analyzed using Pearson’s chi-squared test and the linear trend test. The correlation test between ordinal and frequency variables was applied using Kendall’s Tau B. Multiple logistic regression was used to predict dichotomous variables. The sample included 783 health professionals: 17.8% (n = 139) of them needed psychological or psychiatric support. Being redeployed to other services influenced the predisposition to request psychological help, and HCWs who required psychological support had more negative attitudes and perceptions towards their work. After fiv...

Supplemental material, sj-docx-1-sci-10.1177_00368504221076823 for The training needs of critical... more Supplemental material, sj-docx-1-sci-10.1177_00368504221076823 for The training needs of critical care nurses: A psychometric analysis by Yeray Gabriel Santana-Padilla, María Desamparados Bernat-Adell and Luciano Santana-Cabrera in Science Progress

Supplemental material, sj-docx-3-sci-10.1177_00368504221076823 for The training needs of critical... more Supplemental material, sj-docx-3-sci-10.1177_00368504221076823 for The training needs of critical care nurses: A psychometric analysis by Yeray Gabriel Santana-Padilla, María Desamparados Bernat-Adell and Luciano Santana-Cabrera in Science Progress

Supplemental material, sj-doc-2-sci-10.1177_00368504221076823 for The training needs of critical ... more Supplemental material, sj-doc-2-sci-10.1177_00368504221076823 for The training needs of critical care nurses: A psychometric analysis by Yeray Gabriel Santana-Padilla, María Desamparados Bernat-Adell and Luciano Santana-Cabrera in Science Progress