Publications by authors named "Estíbaliz Cristobal-Dominguez"

3 Publications

  • Page 1 of 1

Impact of the implementation of best practice guidelines on nurse's evidence-based practice and on nurses' work environment: Research protocol.

J Adv Nurs 2021 Jan 15;77(1):448-460. Epub 2020 Oct 15.

Faculty of Nursing and Physiotherapy, Balearic Islands University, Palma de Mallorca, Spain.

Aim: To determine the impact of the Best Practice Spotlight Organization® initiative on nurses' perception of their work environment and their attitudes to evidence-based practice.

Design: Quasi-experimental, multicentre study. The intervention is the participation in Best Prectice Spotilight Organizations to implement Best Practice Guidelines.

Methods: The study will include seven centres in the interventional group and 10 in the non-equivalent control group, all of them belonging to the Spanish national health system. The Practice Environment Scale of the Nursing Work Index, and the Health Sciences Evidence-Based Practice Questionnaire will be administered to a sample of 1,572 nurses at the beginning of the programme and at 1 year. This 3-year study started in April 2018 and will continue until December 2021. Statistical analyses will be carried out using the SPSS 25.0. This project was approved by the Drug Research Ethics Committee of the Parc de Salut Mar and registered in Clinical Trials.

Discussion: The study findings will show the current state of nurses' perception of their work environment and attitudes to evidence-based practice, and possible changes in these parameters due to the programme.

Impact: The findings could provide a strong argument for health policymakers to scale up the Best Practice Spotlight Organization® initiative in the Spanish national health system.
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January 2021

With a smartphone in one's pocket: A descriptive cross-sectional study on smartphone use, distraction and restriction policies in nursing students.

Nurse Educ Today 2019 Nov 8;82:67-73. Epub 2019 Aug 8.

Faculty of Medicine and Nursing, Department of Nursing, University of the Basque Country (UPV/EHU), Spain. Electronic address:

Background: The use of personal smartphones is a reality in healthcare settings. Current research is allowing us to understand in what ways they help with communication and decision making at the point of care and their impact on patient safety.

Objectives: The objectives of this study were to characterize the use of smartphones by nursing students, and assess their opinions about the use of such phones as a distracting factor during clinical practicum and smartphone restriction policies.

Design: Descriptive cross-sectional study.

Participants: 234 students from one School of Nursing in Spain completed the survey in 2017.

Methods: A questionnaire was created based on various validated instruments for assessing students' use of smartphones, distraction associated with this use and the development of policies on their use during clinical practice.

Results: While 23.3% of participants admitting to using their smartphone for personal reasons at least once during their practicum, they perceived that their own level of distraction was low (6.9%). Notably, the level of distraction associated with others' smartphone use was perceived to be higher than that associated with their own use. Students' opinions about policies were significantly related to the frequency of witnessing other students and nurses being distracted (r = 0.139, p < 0.05), but not to their own distraction experiences (r = 0.114, p = 0.084).

Conclusions: Smartphones are not widely used for professional purposes among nursing students, while personal use is commonplace. Nurse educators, students and nurse mentors need to work together to introduce strategies to facilitate care delivery through the use of mobile devices but at the same time must be aware of the risks associated with distractions, including to patient safety.
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November 2019

Prevalence of difficult venous access and associated risk factors in highly complex hospitalised patients.

J Clin Nurs 2017 Dec 28;26(23-24):4267-4275. Epub 2017 Mar 28.

Bioaraba Research Institute, OSI Araba University Hospital, Vitoria-Gasteiz, Spain.

Aims And Objectives: To estimate the prevalence of difficult venous access in complex patients with multimorbidity and to identify associated risk factors.

Background: In highly complex patients, factors like ageing, the need for frequent use of irritant medication and multiple venous catheterisations to complete treatment could contribute to exhaustion of venous access.

Design: A cross-sectional study was conducted.

Methods: 'Highly complex' patients (n = 135) were recruited from March 2013-November 2013. The main study variable was the prevalence of difficult venous access, assessed using one of the following criteria: (1) a history of difficulties obtaining venous access based on more than two attempts to insert an intravenous line and (2) no visible or palpable veins. Other factors potentially associated with the risk of difficult access were also measured (age, gender and chronic illnesses). Univariate analysis was performed for each potential risk factor. Factors with p < 0·2 were then included in multivariable logistic regression analysis. Odds ratios were also calculated.

Results: The prevalence of difficult venous access was 59·3%. The univariate logistic regression analysis indicated that gender, a history of vascular access complications and osteoarticular disease were significantly associated with difficult venous access. The multivariable logistic regression showed that only gender was an independent risk factor and the odds ratios was 2·85.

Conclusions: The prevalence of difficult venous access is high in this population. Gender (female) is the only independent risk factor associated with this. Previous history of several attempts at catheter insertion is an important criterion in the assessment of difficult venous access.

Relevance To Clinical Practice: The prevalence of difficult venous access in complex patients is 59·3%. Significant risk factors include being female and a history of complications related to vascular access.
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December 2017