Raúl Juárez‐Vela

Universidad de La Rioja

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Vicente Gea-Caballero

Valencian International University

Iván Santolalla‐Arnedo

Center for Biomedical Research of La Rioja

Michał Czapla

Wroclaw Medical University

Juan Luis Sánchez-González

Universidad de Salamanca

Regina Ruiz de Viñaspre‐Hernández

Center for Biomedical Research of La Rioja

Begoña Pellicer García

University of North Carolina at Chapel Hill

ÁD

Ángela Durante

Scuola Superiore Sant'Anna

Enrique Ramón Arbués

Universidad de Zaragoza

Isabel Antón‐Solanas

Universidad de Zaragoza

Antonio Martínez

Hospital Clínico Universitario de Valencia

Cooperative Institutions

Universitat de València

Universidad de Salamanca

Universidad de La Rioja

Universidad de Zaragoza

Wroclaw Medical University

University of Rome Tor Vergata

Instituto de Salud Carlos III

Valencian International University

Instituto de Investigación Biomédica de Salamanca

Universidad San Jorge

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Validation of a questionnaire designed to measure nursing student satisfaction with practical training

Revista Latino-Americana de Enfermagem (2019)

Raimunda Montejano‐Lozoya Vicente Gea-Caballero Isabel Miguel-Montoya Raúl Juárez‐Vela Ángela Sanjuán Quiles

Objective: to validate an instrument designed to assess practical training and measure nursing student satisfaction with clinical practice modules. Method: cross-sectional study (academic year 2014-2015). Validation of the self-administered, anonymous, 17-item Nursing Student Satisfaction with Practical Training Questionnaire, developed by consensus by eight practical training experts in three nominal group sessions. Exploratory and confirmatory factor analyses were performed to assess internal consistency and validity. Student satisfaction was measured in relation to each module and all modules as a whole. Results: 174 responses. High item-test correlation (≥0.90); Cronbach’s alpha = 0.91; Káiser-Meyer-Olkin index =0.86; the results of the Bartlett sphericity test were statistically significant (p<0.001); S-stress=0.17; R2=0.81. Exploratory factor analyses identified 4 factors: simulation, teacher tutoring, care facility selected for the placement, and clinician tutoring. Total explained variance was 66.6%. Confirmatory factor analysis obtained a chi-squared value of 285.275 (p= 0.000). Student satisfaction increases proportionately with each academic year. Conclusion: the questionnaire was shown to have good validity and is therefore a reliable instrument for measuring level of nursing student satisfaction with practical training in both clinical and simulated environments.

Exploratory factor analysis

10.1590/1518-8345.3102.3206

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Perception of the professional nursing environment in Primary Care in the Valencian Community, in departments with public and private management

Anales del Sistema Sanitario de Navarra (2019)

Vicente Gea-Caballero Miguel Ángel Díaz‐Herrera Raúl Juárez‐Vela Esperanza Ferrer-Ferrándiz José María Tenías

Nursing practice environments (NPE) improve the quality of care, satisfaction and heath results; there are no studies that compare the Primary Health Care (PHC) environments according to their management model. Our aim is to estimate and compare the perception of the quality of the NPE in the PHC in Health Departments (HD) of the Valencian Community (Spain) with management model public or indirect-private (Administrative concession).Transversal study on PHC nurses from three HD, one with direct public management and two with indirect-private management. The Practice Environment Scale-Nursing Work Index questionnaire, validated in Spain, was administered. Sociodemographic and professional variables were recorded. Variables related to test score were analyzed by multiple linear regression.Two hundred and sixty-nine answers (80.3%). All HD perceived NPE quality in a positive way, both globally and for the different dimensions (except D4). Indirect private management model HD obtained higher global scores, the same tendency was observed for D1 and D2, and the opposite for D4. Global score was related to age, professional experience, being a coordinator and management model; only the age of the nurses and being a coordinator showed a significant relationship with the score in the multivariate regression model.The NPE of the PHC of the Valencian Community are of good quality, without significant differences according to different management models of the HD. Being a coordinator and, particularly, the age of the nurses are variables that are independently related to the global score obtained.

Valencian

10.23938/assn.0639

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Resilience Scale Psychometric Study. Adaptation to the Spanish Population in Nursing Students

International Journal of Environmental Research and Public Health (2020)

Ana Tur‐Porcar Noemí Cuartero Monteagudo Vicente Gea-Caballero Raúl Juárez‐Vela

Nursing students and professionals are exposed to highly stressful clinical situations. However, when confronted with stress, which is exacerbated by academic and professional situations, there is a great disparity between those who do not know how to respond suitably to the demands from patients or teachers due to a lack of competence and personal resistance, and those who are more resilient and develop a greater range of strengths. This research aims to analyse the validity and psychometric characteristics of a questionnaire on resilience adapted to Spanish nursing bachelor’s degree students. The participants were 434 undergraduate nursing students from the province of Valencia (Spain) between 17 and 54 years of age (Mean, M = 21; Standard Deviation, SD = 0.320), 104 of whom were men (24%) and 330 women (76%). A cross-sectional group evaluation was carried out in the university itself, adhering to the ethical standards of the Declaration of Helsinki. Based on the descriptive, factorial, exploratory and confirmatory analyses, it was possible to confirm the suitability of the questionnaire and its adaptation to nursing students. The model is thus suitable for evaluating the population under study. Furthermore, there are statistically significant differences depending on age and gender. The results show that the questionnaire analysed is suited to evaluating resilience among Spanish nursing students, thereby justifying the adaptation of a scale of this nature to foster resilience among nursing students and nurses in professional life, who are exposed to critical situations with patients’ suffering, deterioration or death. Our study highlights important practical implications: Spanish nursing studies involve theory and practice, but students and nurses in professional life have to confront critical situations of patients’ suffering, deterioration, or death. These situations cause stress and feelings of impotence that may lead to chronic stress and even suicidal thoughts.

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Bachelor

10.3390/ijerph17124602

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Epidemiology, use, and practice of the intraosseous route in an out-of-hospital emergency department: a retrospective cross-sectional study

Frontiers in Public Health (2024)

Amaya Burgos-Esteban Manuel Quintana‐Díaz Valvanera Cordón-Hurtado Marta Giménez-Luzuriaga Iván Santolalla‐Arnedo

Introduction The Spanish Emergency Medical Services, according to the model we know today, were formed during the 80s and 90s of the 20th century. The Health Emergency Service (EMS), 061 La Rioja, began to assist the population of La Rioja in November 1999. An essential part of the mission of the SES is the provision of care and the transfer of critical patients using advanced life support unit (ALSU) techniques. In daily practice, out-of-hospital emergency services are faced with situations in which they must deal with the care of serious or critically ill patients, in which the possibility of being able to channel peripheral vascular access as part of ALSU quickly may be difficult or impossible. In these cases, cannulation of intraosseous (IO) vascular access may be the key to early and adequate care. Aim This study aimed to determine the incidence and epidemiology use of IO vascular access in SES 061 La Rioja during the year 2022. Matherial and methods We performed observational retrospective cross-sectional studies conducted in 2022. It included a population of 4.364 possible patients as a total of interventions in the community of La Rioja in that year. Results A total of 0.66% of patients showed a clinical situation that required the establishment of IO vascular access to enable out-of-hospital stabilization; this objective was achieved in 41.3%. A total of 26.1% of patients who presented with cardiorespiratory arrest (CA) were stabilized, while 100% presented with shock and severe trauma. Discussion IO vascular access provides a suitable route for out-of-hospital stabilization of critically ill patients when peripheral vascular access is difficult or impossible.

Cross-sectional study

10.3389/fpubh.2024.1375431

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[NURSING ACTION BEFORE THE TERMINAL PATIENT PHYSICAL CARE].

PubMed (2014)

Delgado Sevilla D Raúl Juárez‐Vela Pellicer García B Redondo Castán Lc Enrique Ramón Arbués

Palliative care is a group of actions performed by nurses in order to increase the comfort and well-being of patients with terminal illnesses. The World Health Organization (WHO) defines this term as: An approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual [1]. Cicely Mary Strode Saunders is considered as the precursor of the palliative care, who explained the need to change the Palliative Care Units in order to improve the quality of life of patients with terminal illnesses. Palliative care is necessary for patients with a terminal illness. In such cases, the life expectancy is less than six months. Human being is considered a biopsychosocial model. For this reason, the nurse must take into account all the requirements arising from these three dimensions of the human being. In this essay, we deal with palliative care in patients with terminal illnesses, considering the role of the nurse as an important reference when teaching palliative care to the main carer.

Biopsychosocial model

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Journal of Clinical Medicine (2022)

Raúl Juárez‐Vela Eva Andrés Vicente Gea-Caballero Juan Luis Sánchez-González Pilar Marcos-Neira

Anemia is common in critically ill patients; almost 95% of patients admitted to intensive care units (ICUs) have hemoglobin levels below normal. Several causes may explain this phenomenon as well as the tendency to transfuse patients without adequate cause: due to a lack of adherence to protocols, lack of supervision, incomplete transfusion request forms, or a lack of knowledge about the indications, risks, and costs of transfusions. Daily sampling to monitor the coagulation parameters and the acid–base balance can aggravate anemia as the main iatrogenic factor in its production. We studied the association and importance of iatrogenic blood loss and other factors in the incidence of anemia in ICUs. We performed a prospective, observational, multicenter study in five Spanish hospitals. A total of 142 patients with a median age of 58 years (IQI: 48–69), 71.83% male and 28.17% female, were admitted to ICUs without a diagnosis of iatrogenic anemia. During their ICU stay, anemia appeared in 66.90% of the sample, 95 patients, (95% CI: 58.51–74.56%). Risk factors associated with the occurrence of iatrogenic anemia were arterial catheter insertion (72.63% vs. 46.81%, p-value = 0.003), venous catheter insertion (87.37% vs. 72.34%, p-value = 0.023), drainages (33.68% vs. 12. 77%, p-value = 0.038), and ICU stay, where the longer the stay, the higher the rate of iatrogenic anemia (p-value < 0.001). We concluded that there was a statistical significance in the production of iatrogenic anemia due to the daily sampling for laboratory monitoring and critical procedures in intensive care units. The implementation of patient blood management programs could address these issues.

10.3390/jcm11041031

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Consecuencias de las caídas en un centro geriátrico para ancianos válidos. Estudio descriptivo

Revista Rol de Enfermería (2016)

Begoña Pellicer García David Delgado Sevilla Raúl Juárez‐Vela Loreto María García Moyano Ramón Arbués Enrique

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Effect of Physical Exercise on Telomere Length: An Umbrella Review and Meta-Analysis

Juan Luis Sánchez-González Juan Luis Sánchez-Rodríguez Rogelio González‐Sarmiento Víctor Navarro‐López Raúl Juárez‐Vela

10.2139/ssrn.4897288

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Satisfacción y percepción de la población no sanitaria en el aprendizaje en reanimación cardiopulmonar y desfibrilación

Nuberos científica (2016)

Begoña Pellicer García Raúl Juárez‐Vela José Carlos Azón Belarre Loreto María García Moyano Pilar Yanguas Morera

espanolLas formaciones teorico-practicas han demostrado ser un metodo adecuado de ensenanza de reanimacion cardiopulmonar, puesto que combinan la adquisicion de conocimientos teoricos basicos con el aprendizaje practico de la tecnica. Las personas que alcanzan un dominio de la tecnica basica sobre un maniqui seran capaces de hacerlo correctamente en una situacion real. El objetivo es conocer la satisfaccion de la poblacion no sanitaria tras el aprendizaje en la formacion sobre reanimacion cardiopulmonar y en el manejo del desfibrilador externo semiautomatico, asi como conocer los procedimientos que les resultan mas dificultosos ante una parada cardiorrespiratoria. Estudio descriptivo trasversal, mediante muestro por conveniencia en 10 programas formativos realizados por diferentes empresas, de febrero a julio de 2015. La muestra se compuso por 79 personas a quienes se entrego una encuesta auto-administrada, tras finalizar la formacion. La media de edad de los participantes fue de 38,8 anos. El 75,4% manifestaron que los conocimientos adquiridos tras la formacion podrian ser aplicables y utiles en sus puestos de trabajo. El 71,4% consideraron que son totalmente necesarias este tipo de formaciones. La satisfaccion de los asistentes con la formacion, fue satisfactoria. EnglishTheoretical and practical training had proved to be a suitable teaching method of cardiopulmonary resuscitation, because they combine both the acquisition of a basic theoretical knowledge and learning by doing. People who perform effective basic technique on a manikin they will be able to perform it satisfactory in a real situation. The aim is to know the population's satisfaction after training in cardiopulmonary resuscitation and using a semi-automatic external defibrillator. Furthermore, to know which procedures are most difficult for them facing cardiopulmonary resuscitation. Cross-sectional descriptive study was carried out by convenience sampling of 10 training programmes performed by different companies, from February to July 2015. The sample consisted of 79 people and were given self-administered questionnaire after completing the training. The mean age of participants was 38.8 years. 75.4% expressed the acquired knowledge with the training may be applicable and useful in their job. 71.4% thought absolutely necessary this kind of training. The satisfaction of the participants with training programme was satisfactory.

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Peer Review #1 of "Outcomes of hospitalized patients with COVID-19 according to level of frailty (v0.1)"

Eva Andrés Manuel Quintana‐Díaz Karen Lizzette Ramírez-Cervantes Irene Benayas-Peña José Alberto Silva

Background: The complications from coronavirus disease 2019 (COVID-19) have been the subject of study in diverse scientific reports.However, many aspects that influence the prognosis of the disease are still unknown, such as frailty, which inherently reduces resistance to disease and makes people more vulnerable.This study aimed to explore the complications of COVID-19 in patients admitted to a third-level hospital and to evaluate the relationship between these complications and frailty.Methods: An observational, descriptive, prospective study was performed in 2020.A sample of 254 patients from a database of 3112 patients admitted to a high-level hospital in Madrid, Spain was analyzed.To assess frailty (independent variable) the Clinical Frailty Scale (CFS) was used.The outcome variables were sociodemographic and clinical, which included complications, length of stay, intensive care unit admission, and prognosis.Results: 13.39% of the patients were pre-frail and 17.32% were frail.Frail individuals had a shorter hospital stay, less intensive care unit admission, higher mortality, and delirium, with statistical significance.Conclusion: Frailty assessment is a crucial approach in patients with COVID-19, given a higher mortality rate has been demonstrated amongst frail patients.The CFS could be a predictor of mortality in COVID-19.

10.7287/peerj.11260v0.1/reviews/1

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