Ciències de la Salut

Percepción de cuidado humanizado otorgado por las enfermeras: adaptación cultural y validación del cuestionario ECCOE-Es. Nurses’ perception of humanised care: Validation of the ECCOE-Es questionnaire

Wed, 01 Jan 2025 00:00:00 GMT

Percepción de cuidado humanizado otorgado por las enfermeras: adaptación cultural y validación del cuestionario ECCOE-Es. Nurses’ perception of humanised care: Validation of the ECCOE-Es questionnaire wennberg capellades, laia; Rus-García, Montserrat; Cruells-Francisco, Laia; Collado-Cabezas, Rosa María; Teixidó-Huertas, Xavier; Martín-Ferreres, Mª Luisa Objetivo Adaptar culturalmente y validar el cuestionario ECCOE en enfermeras del ámbito hospitalario en España y conocer la percepción de los comportamientos de cuidado humanizado. Método Estudio transversal multicéntrico. Se obtuvieron pruebas de validez basadas en la estructura interna mediante un análisis factorial confirmatorio y de validez convergente y divergente en las relaciones con la sensibilidad moral y el burnout, respectivamente. También se examinaron la fiabilidad a través del alfa de Cronbach y la estabilidad temporal con la correlación de Pearson de las puntuaciones de la prueba. Se realizó un análisis descriptivo y comparativo de las respuestas de la ECCOE-Es. Resultados Se analizaron 462 cuestionarios de enfermeras de 4 hospitales. La estabilidad temporal (r = 0,908) y la consistencia interna fueron adecuadas (α > 0,76 para las subescalas y α = 0,96 para el total de la escala). El análisis factorial confirmatorio respaldó la estructura del instrumento original evidenciando 7 subescalas. La ECCOE-Es se correlacionó positivamente con la sensibilidad moral (r = 0,454) y negativamente con el burnout (r = −0,265). La subescala de humanismo fue percibida como la más importante, mientras que los ítems relacionados con la atención individualizada fueron respaldados con menor frecuencia. Conclusiones La adaptación española del ECCOE tiene propiedades psicométricas adecuadas y se confirman sus propiedades y estructura original, siendo un instrumento apropiado para evaluar las percepciones de los profesionales sobre los cuidados humanizados. En general, se perciben a sí mismos como prestadores de cuidados humanizados, existiendo un margen de mejora en este aspecto. Abstract Aims To adapt and validate for use in Spain the ECCOE questionnaire for assessing nurse caring behaviours from the perspective of nurses; to apply the adapted questionnaire to a sample of hospital registered nurses in Spain and to examine the perceptions of humanised care behaviours. Methods Multi-centre cross-sectional study. Validity evidence based on the ECCOE-Es internal structure through confirmatory factor analysis and convergent and divergent validity in the relationships with moral sensitivity and burnout, respectively. Reliability was also examined through Cronbach's alpha and temporal stability with Pearson's correlation of test scores. Descriptive and comparative analysis of nurses’ responses to the ECCOE-Es was performed. Results A total of 462 nurses’ questionnaires were analysed. Temporal stability (r = 0.908) and internal consistency were adequate (α > 0.76 for the subscales and α = 0.96 for the total scale). Confirmatory factor analysis supported the structure of the original instrument with 7 subscales. ECCOE-Es were positively correlated with moral sensitivity (r = 0.454) and negatively correlated with burnout (r = −0.265). Humanism subscale was perceived as the most important, whereas items related to individualised care were less frequently endorsed. Conclusions ECCOE's Spanish adaptation has adequate psychometric properties, and its original properties and structure are confirmed as a suitable tool for assessing nurses’ perceptions of humanised care. Overall, they perceived themselves as delivering humanised care, and there was a scope for improvement in this respect.

An ethnographic study of human dignity in nursing practice

Tue, 01 Jan 2019 00:00:00 GMT

An ethnographic study of human dignity in nursing practice Martín-Ferreres, Mª Luisa; De Juan Pardo, María Ángeles; Bardallo-Porras, Lola; Medina Moya, José Luis Background: The ethical values of nursing are crucial to the provision of humane care. Human dignity is a core value that must be preserved in order to deliver such care. No studies to date have compared the perceptions of nurses and/or patients regarding the components of dignified care embedded in actual clinical practice. Purpose: To explore the delivery of dignified care by professional nurses. This was an ethnographic qualitative study combining inductive and deductive methods to identify emergent themes. A multicenter study carried out in the internal medicine units of four hospitals in Barcelona (Spain). Convenience sampling was used to recruit nurses from the four units. Setting and sample: Multicenter study carried out in the internal medicine units of four hospitals in Barcelona (Spain). Convenience sampling was used to recruit nurses from the four units. Method: We conducted 158 hours of participant observation of 27 nurses. Semi-structured individual interviews were undertaken with 20 of these nurses, with data saturation being reached. Data were collected between September 2014 and May 2016 and were analysed using ATLAS.ti 7.2 for Windows. Results: Two themes emerged from the analysis: Delivering dignified care and Factors influencing the delivery of dignified care. The nurses regarded human dignity as one of the key values of their profession. However, there was a discrepancy between their perceptions of the care they offered and what they actually did, due mainly to a lack of awareness about their own practice. Respect, confidentiality, privacy and communication were identified as the key elements underpinning dignified care. Institutional policies were seen as the major obstacle to the delivery of humane care, the key issues being frequent shift rotations, a high patient-nurse ratio and excessive paperwork. Conclusions: The results of this study underline the importance of delivering dignified care and the need to ensure that nurses' attitudes and behaviours are consistent with this goal. The ethnographic approach, combining participant observation with individual interviews, revealed discrepancies between nurses' perceptions of the care they offered, or should offer, and what they actually did. This suggests a need for professional forums in which nurses can become more aware of their own clinical practice.

Effectiveness of high versus mixed-level fidelity simulation on undergraduate nursing students: A randomised controlled trial

Wed, 01 Jan 2025 00:00:00 GMT

Effectiveness of high versus mixed-level fidelity simulation on undergraduate nursing students: A randomised controlled trial Chabrera, Carolina; Curell, Laura; Rodríguez-Higueras, Encarna Aim: This study evaluates the impact of high-fidelity simulation on the acquisition and retention of competencies in nursing students. Background: High-fidelity simulation provides a realistic and risk-free environment allowing students to practice, which potentially enhances the acquisition and retention of required competencies. Design: A blinded, randomised clinical trial with three arms was conducted with a pretest and a follow-up at 6 months (post-test 1) and 12 months (post-test 2). Method: This study was conducted with 105 s-year nursing students, divided into three groups: control (6 lowfidelity simulations), intervention 1 (3 high-fidelity and 3 low-fidelity) and intervention 2 (6 high-fidelity simulations). Competencies were assessed using the Objective Structured Clinical Examination at baseline, 6 and 12 months. Student satisfaction was measured with the Simulated Clinical Experiences Scale. Results: Initial competency scores were similar across groups. At 6 months, both intervention groups showed significant improvements in critical thinking (6.2 and 6.0, p < 0.05), clinical skills (6.8 and 6.6, p < 0.05), communication (8.0 and 8.3, p < 0.05) and ethics (7.6 and 7.5, p < 0.05) compared with the control group. Intervention group 1 demonstrated better competency retention at 12 months. Overall satisfaction with highfidelity simulation was high (9.13/10), with particular praise for the practical dimension (8.95/10), realism (8.02/10) and the cognitive dimension (9.43/10). Conclusions: High-fidelity simulation has the potential to enhance nursing competencies effectively. This approach supports long-term skill retention, highlighting the importance of a well-structured curriculum that integrates different simulation levels for optimal student preparation for clinical practice. This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors. The authors wish to acknowledge the support received from the GRACIS Research Group for financing the open access charge

Estudio experimental aleatorizado de innovación docente que compara metodología mixta frente a presencial para la formación en soporte vital básico estándar del European Resuscitation Council

Wed, 01 Jan 2020 00:00:00 GMT

Estudio experimental aleatorizado de innovación docente que compara metodología mixta frente a presencial para la formación en soporte vital básico estándar del European Resuscitation Council Castillo, Jordi; Cerdà Vila, Manel; de Balanzó, Xavier; Quintana Riera, Salvador; Ferrés-Amat, Elvira; Rodríguez-Higueras, Encarna Objetivo. Evaluar los resultados de la formación mixta frente a la presencial en un curso de soporte vital básico/desfibrilador externo automático (SVB/DEA), así como su retención a los 9 meses. Método. Estudio experimental aleatorizado que compara los resultados de la formación en SVB/DEA entre un grupo control (GC) que recibió formación presencial de 4 horas frente a un grupo experimental (GE) que recibió formación en metodología mixta: 2 horas virtuales y 2 horas presenciales. Resultados. Participaron 89 alumnos (45 del GC y 44 del GE). Después de la formación, el GC obtuvo mejores puntuaciones en conocimientos [8,6 (DE 0,9) frente a 8,0 (DE 1,14), p = 0,013]. El GE obtuvo mejores puntuaciones en las habilidades del tiempo en segundos de “hands off” y en el porcentaje de la rexpansión completa del tórax. Los conocimientos decaen a los 9 meses, pero sin diferencias entre los dos grupos. La retención global baja de 8,31 (DE 1,1) a 6,04 (DE 1,6) (p = 0,001), en 9 meses, pero de forma similar en ambos grupos. En las habilidades prácticas no hubo diferencias entre los dos grupos ni al finalizar el curso ni a los 9 meses. Conclusiones. Con la metodología virtual se obtienen mejores resultados en algunos parámetros de las habilidades.