Publications by authors named "Llucia Benito-Aracil"

4 Publications

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Discomfort of the critically ill paediatric patient and correlated variables.

Aust Crit Care 2020 11 27;33(6):504-510. Epub 2020 Jun 27.

Department of Fundamental Care and Medical-Surgical Nursing, School of Nursing, Faculty of Medicine and Health Sciences, Spain; Consolidated Research Group SGR 269 Quantitative Psychology, University of Barcelona, Barcelona, Spain.

Introduction: The care of critically ill children is usually invasive and aggressive, requiring numerous traumatic procedures that may cause fear, pain, and discomfort.

Objectives: The aim of this study was to analyse the level of discomfort of patients admitted to the paediatric intensive care unit of a specialist children's hospital and to determine the sociodemographic and clinical variables that influence the degree of discomfort experienced by critically ill paediatric patients.

Methods: We performed a descriptive observational cross-sectional study that included a total of 311 children with a median age of 5.07 y (interquartile range = 0.9-11.7). A team of 10 paediatric critical care nurses assessed the degree of discomfort once for each shift (morning, afternoon, and night) on 2 successive days using the COMFORT Behavior Scale-Spanish version.

Results: In total, 49.8% (n = 155) of the patients were free of discomfort (score ≤10 points) vs. 50.2% (n = 156) who experienced discomfort. There was a significant negative correlation between discomfort and the length of stay in days (Rho = 0.16; p = 0.02), that is, the longer the stay, the less discomfort the patient felt. The correlation between age and degree of discomfort was found to be both positive and significant (Rho = 0.230, p < 0.001); the greater the age, the greater the discomfort. In comparison of all children who received analgosedation (n = 205), with discomfort levels of 10.77 ± 2.94, with those who did not receive analgosedation (n = 106), with discomfort levels of 11.96 ± 2.80, we did find a statistically significant difference (χ = -4.05; p < 0.001).

Conclusions: Half of the patients admitted to the paediatric intensive care unit experienced discomfort. Age and analgosedation were the two most important variables involved with a high degree of discomfort. Clinical care practices must consider these factors and try to plan activities designed to relieve discomfort in all critically ill paediatric patients.
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http://dx.doi.org/10.1016/j.aucc.2020.02.009DOI Listing
November 2020

Nursing Intensive-Care Satisfaction Scale [NICSS]: Development and validation of a patient-centred instrument.

J Adv Nurs 2018 Jun 9;74(6):1423-1435. Epub 2018 Mar 9.

Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain.

Aim: The aim of this study was to develop and validate the Nursing Intensive-Care Satisfaction Scale to measures satisfaction with nursing care from the critical care patient's perspective.

Background: Instruments that measure satisfaction with nursing cares have been designed and validated without taking the patient's perspective into consideration. Despite the benefits and advances in measuring satisfaction with nursing care, none instrument is specifically designed to assess satisfaction in intensive care units.

Design: Instrument development.

Methods: The population were all discharged patients (January 2013 - January 2015) from three Intensive Care Units of a third level hospital (N = 200). All assessment instruments were given to discharged patients and 48 hours later, to analyse the temporal stability, only the questionnaire was given again. The validation process of the scale included the analysis of internal consistency, temporal stability; validity of construct through a confirmatory factor analysis; and criterion validity.

Results: Reliability was 0.95. The intraclass correlation coefficient for the total scale was 0.83 indicating a good temporal stability. Construct validity showed an acceptable fit and factorial structure with four factors, in accordance with the theoretical model, being Consequences factor the best correlated with other factors. Criterion validity, presented a correlation between low and high (range: 0.42-0.68).

Conclusions: The scale has been designed and validated incorporating the perspective of critical care patients. Thanks to its reliability and validity, this questionnaire can be used both in research and in clinical practice. The scale offers a possibility to assess and develop interventions to improve patient satisfaction with nursing care.
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http://dx.doi.org/10.1111/jan.13546DOI Listing
June 2018

[Impact of an informative intervention on the colorectal cancer screening program in primary care professionals].

Enferm Clin 2015 Sep-Oct;25(5):223-31. Epub 2015 Jul 10.

Programa de Detección Precoz del Cáncer, Institut Català d'Oncologia - IDIBELL, Hospitalet de Llobregat, Barcelona, España.

Objective: To evaluate the impact of an intervention in primary care professionals on their current knowledge about colorectal cancer screening, subsequent surveillance recommendations and referral strategies.

Methods Design: Cluster randomized controlled trial.

Location: Primary Care Centers in L'Hospitalet de Llobregat (Barcelona).

Participants: Primary Care Professionals (doctors and nurses).

Intervention: Training session in six of the 12 centers (randomly selected) about the colorrectal cancer screening program, and three emails with key messages.

Main Measurements: Professionals and centers characteristics and two contextual variables; involvement of professionals in the screening program; information about colorectal cancer knowledge, risk factors, screening procedures, surveillance recommendations and referral strategies.

Results: The total score mean on the first questionnaire was 8.07 (1.38) and the second 8.31 (1.39). No statistically significant differences between the intervention and control groups were found, however, in 9 out of 11 questions the percentage of correct responses was increased in the intervention group, mostly related to the surveillance after the diagnostic examination.

Conclusions: The intervention improves the percentage of correct answers, especially in those in which worst score obtained in the first questionnaire. This study shows that professionals are familiar with colorectal cancer screening, but there's a need to maintain frequent communication in order to keep up to date the information related to the colorectal cancer screening.
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http://dx.doi.org/10.1016/j.enfcli.2015.05.006DOI Listing
August 2017

[Predictive ability of the BRCAPro model compared to nursing professionals in the selection of candidates for the genetic study of hereditary breast or ovarian cancer].

Enferm Clin 2010 Nov-Dec;20(6):335-40. Epub 2010 Nov 4.

Unidad de Consejo Genético, Servicio de Prevención del Cáncer, Hospital Duran y Reynals, Instituto Catalán de Oncología, Barcelona, España.

Objective: To compare the predictive skills of the BRCAPro predictive model and nurses with different training/experience levels in identifying families with a personal and family history of breast cancer as likely candidates to being studied genetically.

Method: Descriptive study in which 2 nurses with different levels of training in genetic counselling have estimated the probability of being carrier of a mutation in the BRCA1/BRCA2 genes of 157 families. The Sensitivity, Specificity, Positive Predictive Value (PPV) and Negative Predictive Value (NPV) of both nurses and the BRCAPro model were calculated.

Results: The nurse with less experience demonstrated more specificity (N2:0.84) compared to the nurse with more experience (N1:0.23) and to BRCAPro model (0.47). The sensitivity of the nurses was 0.95 (N1) and 0.28 (N2), whereas that of BRCAPro was 0.74. The PPV was similar in the three cases. The NPV of the nurse with more experience (0.93) was higher than that of BRCAPro model (0.85) and the nurse with less experience (0.72).

Conclusions: Clinical experience contributes to obtaining a high sensitivity, but with a significant decrease of specificity. The BRCAPro predictive model obtains intermediate values between both nurses. The BRCAPro predictive model could be a useful tool to help improve those values with lower scores, that is, the specificity and PPV for nurses with more experience and the sensitivity and NPV for those with less experience.
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http://dx.doi.org/10.1016/j.enfcli.2010.09.001DOI Listing
April 2011