Publications by authors named "Maria-Teresa Lluch-Canut"

19 Publications

  • Page 1 of 1

Validation of a Questionnaire to Analyze the Expectations of First-Year Nursing Students.

Nurs Educ Perspect 2021 Mar-Apr 01;42(2):93-97

About the Authors Miguel Angel Hidalgo-Blanco, PhD, MHSN, RN, Montserrat Puig-Llobet, PhD, BD, RN, Maria Teresa Lluch-Canut, PhD, BD, RN, and Carmen Moreno-Arroyo, PhD, MHSN, RN, are professors, School of Nursing, University of Barcelona, Barcelona, Spain. Montserrat Vergara-Duarte, PhD, BD, RN, is with the Barcelona Public Health Agency. Juan Antonio Amador-Campos, PhD, BD, is a professor, Faculty of Psychology, University of Barcelona. Translation of this article was supported by the Research Program in University Teaching Institute of Sciences of Education Redice-2016. The authors are grateful to the students and professors of the Nursing School of the University of Barcelona. For more information, contact Dr. Llobet at

Aim: The aim of this study was to design and validate a questionnaire to analyze students' expectations, along with their level of interest and overall satisfaction with their nursing studies.

Background: The expectations of students on entering university are closely related to the level of interest that they have in their area of study and their general satisfaction with it. This is certainly a conditioning factor in their learning. In this regard, there are few quantitative instruments that measure the expectations of first-year nursing students.

Method: A mixed questionnaire was constructed using items validated in previous studies, along with new items formulated following a review of the literature. The questionnaire was validated with a sample of 339 first-year degree program nursing students.

Results: The scales of expectations and degree of interest showed strong internal consistency (Cronbach's α > .7).

Conclusion: The questionnaire to evaluate the expectations and interest of students demonstrated satisfactory psychometric properties.
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February 2021

Development and psychometric testing of a scale for assessing the associative stigma of mental illness in nursing.

J Clin Nurs 2020 Nov 6;29(21-22):4300-4312. Epub 2020 Sep 6.

Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Barcelona, Spain.

Aims And Objectives: To develop a new scale for assessing the associative stigma of mental illness in nursing based on Peplau's model of psychodynamic nursing and to examine its psychometric properties.

Background: The stigma of mental illness continues to cause problems today for patients, families and mental health professionals. For individuals with a mental disorder, stigma can result in restricted opportunities, social exclusion and the denial of rights. Associative stigma in mental health professionals is becoming a major problem and is related to increased depersonalisation, higher levels of emotional exhaustion and diminished job satisfaction among mental health professionals. Nursing may play a key role in reducing the stigma associated with mental illness, but there are no specific scales for the measurement of associative stigma in nursing.

Design: Development of an instrument. A STROBE checklist was completed.

Methods: This study involved two stages: (a) item generation and content validation; (b) examining the reliability and convergent/discriminant validity of the scale. A developmental and methodological design was used. Data were collected between November 2016-December 2017 from a sample of 737 nursing undergraduates.

Results: The results indicated good internal consistency for the final 20-item scale for assessing the associative stigma of mental illness in nursing, which is considered in terms of three dimensions: Violence/Dangerousness, Disability, and Irresponsibility/Lack of Competence. Exploratory and confirmatory factor analyses supported a three-factor structure consistent with the theoretical model.

Conclusions: The 20-item EVEPEM (from its Spanish acronym) derived from Peplau's theory was shown to be a valid and reliable tool for assessing the stigma of mental illness in the nursing setting.

Relevance To Clinical Practice: Reliable instruments are needed to measure the effectiveness of anti-stigma interventions for mental health professionals. The results indicate that the tool developed is a valid and reliable instrument for use in the nursing setting.
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November 2020

Eating and nutritional habits in patients with schizophrenia.

Rev Psiquiatr Salud Ment (Engl Ed) 2019 Dec 18. Epub 2019 Dec 18.

Escuela de Enfermería, Facultad de Medicina Ciencias de la Salud, Campus Bellvitge Universidad de Barcelona, España.

Background: There are few studies that relate eating and nutritional habits to the severity of the disease and demographic profile in patients with schizophrenia.

Objective: To describe eating and nutritional habits and their relationship with the severity of the disease in patients with schizophrenia.

Method: Cross-sectional descriptive study.

Sample: 31 patients with schizophrenia (ICD-10) under outpatient treatment.

Inclusion Criteria: age 18-65 years, clinically stable and, written informed consent.

Assessment: Demographic, clinical characteristics (CGI-SCH, length of illness, BMI, abdominal perimeter), ad hoc questionnaire (eating, nutritional, and physical activity).

Results: Mean age 43.13(SD=7.85) years, males 61.3%. Mean severity of illness was 3.94(SD=1.06), mean duration of the illness 18.42(SD=8.27) years. 74.2% used to eat weekly fat meat and 64.5% less than 3-4 servings of fish, 77.4% less than 3 servings of fruit per day, and 51.6% drink less than 1l of water. 83.9% used to drink coffee daily, 2.81(SD=2.02) cups per day. Patients showed lower levels of Vitamin A, D, E, K1, C, folic acid, and magnesium. 93.5% did not fulfill the WHO recommendations on physical activity. Only retinol (r=-0.602, p=0.039) and vitamin K1 (r=-0.693, p=0.012) in women were related to the severity of illness.

Conclusions: Outpatients with schizophrenia do not follow WHO recommendations on healthy diets, neither physical activity. Both clinical severity of the illness and marital status and cohabitation were associated with poor eating habits and nutrients deficit. These data should be taken into account by the nursing staff when implementing specific care in routine clinical practice.
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December 2019

Clinical nurses's critical thinking level according to sociodemographic and professional variables (Phase II): A correlational study.

Nurse Educ Pract 2019 Nov 25;41:102649. Epub 2019 Oct 25.

Campus Docent Sant Joan de Déu Fundació Privada School of Nursing, Barcelona, Spain(2).

Critical thinking ability is one of the basic competencies of clinical nurse and is widely accepted as being associated with the provision of quality care, however, the few evidence-based data related to the relationship between level of critical thinking ability and nurses' sociodemographic and professional characteristics. The aim of this study was to identify the level of critical thinking among nurses in clinical practice according to sociodemographic and professional variables. Descriptive cross-sectional and correlational study was carried out in a sample of 339 nurses from medical, surgical and critical care units at a tertiary care hospital. This study is related to a previous publication that presents psychometric analysis. Data were compiled using the Nursing Critical Thinking in Clinical Practice Questionnaire and ad hoc form for the recording of sociodemographic and professional characteristics. The statistical analysis of the data was performed using frequency, Mann-Whitney U Test, Kruskal-Wallis Test, and Pearson's correlation coefficients. Nurses reported moderate levels of critical thinking. Older nurses, with 11-15 years of experience in the actual unit, with continuous shift work, a permanent contract and master's degree indicated a higher level of critical thinking. Critical thinking skills are related to certain socio-demographic and professional variables, particularly age, years of experience, shift work, type of contract and educational level.
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November 2019

A multi-centre, randomized, 3-month study to evaluate the efficacy of a smartphone app to increase caregiver's positive mental health.

BMC Public Health 2019 Jul 5;19(1):888. Epub 2019 Jul 5.

Nursing Department, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Remolins Avenue, 13-15, 43500, Tortosa, Tarragona, Spain.

Background: To assess the effectiveness of a smartphone app-based intervention compared to a regular intervention of caregivers in primary health care institutions. The intervention is aimed at increasing positive mental health and decreasing caregiver's burden.

Methods/design: Randomized and controlled trial with an experimental group and a control group.

Subjects: 108 caregivers over 18, with a minimum of 4 months of experience as caregivers. Description of the intervention: an intervention with a smartphone app (n = 54) or a regular intervention for caregivers (n = 54). Each caregiver installs a smartphone app and uses it for 28 days. This app offers them a daily activity (Monday-Friday). These activities are related to the Decalogue of Positive Mental Health, which was designed ad hoc by a group of experts. The outcomes will be the score of caregiver burden, the positive mental health and participant satisfaction. These results will be assessed after the first, third and sixth month.

Discussion: The results of this study will offer evidence of the effectiveness of an intervention using a free smartphone app. If its effectiveness is proven and the results are acceptable, this could lead to a rethinking of the intervention offered to caregivers in primary care.

Trial Registration: Clinical Register ISRCTN14818443 (date: 24/05/2019).
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July 2019

Instruments to assess mental health-related stigma among health professionals and students in health sciences: A systematic psychometric review.

J Adv Nurs 2019 Sep 3;75(9):1838-1853. Epub 2019 Mar 3.

Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, Spain.

Aim: To evaluate the psychometric properties of the instruments to assess the mental health-related stigma among health professionals and students in health sciences.

Background: Evidence on the stigmatization by health professionals of people with mental health illness is increasingly compelling. Valid and reliable instruments are needed for the assessment of mental health-related stigma and effectiveness of anti-stigma interventions.

Design: Systematic psychometric review.

Data Sources: MEDLINE (via PubMed), CINAHL (via EBSCO), PsycINFO, Scopus, and Open Grey from their inception to August 2017. No limits were applied.

Review Methods: We included studies on the development of a measurement instrument or on the evaluation of one or more of its measurement properties. The methodological quality of the included studies and quality of the measurement instruments identified were assessed using the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist.

Results: We included 25 studies involving 15 measurement instruments. The "Atributtion Questionnaire" (five studies) and the "Opening Minds Scale for Health Care providers (OMS-HC)" (four studies) were the most investigated instruments. Internal consistency, content validity, structural validity, and hypothesis testing were the measurement properties most commonly evaluated. Measurement error and responsiveness were investigated in only two studies. Eight psychometric properties of OMS-HC were evaluated, three of which have a positive strong level of evidence.

Conclusions: A substantial number of instruments have been developed to assess mental health-related stigma among health professionals. There is a lack of any assessment of certain measurement properties. The OMS-HC is the instrument that had the strongest evidence.
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September 2019

Reliability and validity study of the Spanish adaptation of the "Creighton Simulation Evaluation Instrument (C-SEI)".

Nurse Educ Pract 2019 Feb 7;35:14-20. Epub 2019 Jan 7.

Department of Preventive Medicine, Hospital Germans Trias i Pujol, Carretera del Canyet sn, 08916, Badalona, Barcelona, Spain. Electronic address:

There are multiple advantages to using human patient simulation (HPS) as a teaching method for clinical nursing education. Valid, reliable tools that can be used when applying this teaching method are needed to evaluate nursing student skill acquisition. The aim of this study was to translate the Creighton Simulation Evaluation Instrument (C-SEI) into Spanish and to analyse the reliability and validity of the Spanish C-SEI version with nursing students. The study was conducted in two phases: (1) Adaptation of the instrument into Spanish. (2) Cross-sectional study in a sample of 249 nursing students who were evaluated by two observers. The psychometric properties were analysed in terms of reliability (internal consistency and inter-observer consistency) and construct validity using an exploratory factor analysis. Questionnaire internal consistency was 0.839 for the tool as a whole. Inter-observer concordance for the tool as a whole was 0.936 and greater than 0.80 for the majority of the items. The exploratory factor analysis showed a four-factor structure that explains 49.5% of the total variance. The results of this study show that the C-SEI-sp tool is a valid and reliable tool that is easy to apply in the monitoring of student performance in clinical simulation scenarios.
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February 2019

Level of satisfaction of critical care patients regarding the nursing care received: Correlation with sociodemographic and clinical variables.

Aust Crit Care 2019 11 24;32(6):486-493. Epub 2018 Dec 24.

Fundamental Care and Medical-Surgical Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, Avinguda de la Granvia, 199. 08908 L'Hospitalet de Llobregat, Barcelona, Spain.

Background: The satisfaction of critical care patients regarding the nursing care received is a key indicator of the quality of hospital care. It is, therefore, essential to identify the factors associated with the level of satisfaction of critical care patients.

Objectives: To analyse the level of satisfaction of critical care patients in relation to the nursing care received and to determine the relationship between the level of satisfaction and the sociodemographic and clinical variables.

Methods: This is a prospective and descriptive correlational study. The population were all patients discharged (January 2013 to January 2015) from three intensive care units of a third-level hospital (n = 200). The data on the satisfaction level were collected using the previously validated Nursing Intensive-Care Satisfaction Scale, and the sociodemographic and clinical data were recorded by means of a questionnaire.

Results: Mean participants' age in the study (n = 200) was 65.9 years (standard deviation 13.4 years), with a 66% proportion of men (n = 132). There was a very high level of satisfaction regarding the nursing care received during the patients' stay in the intensive care unit, with a rating of 5.73 (standard deviation 0.41). There is no correlation between the level of satisfaction and the sociodemographic variables collected. However, there were statistically significant differences in the average score of the overall level of satisfaction (rho = 0.182, p = 0.010) with respect to the perception of the state of health.

Conclusion: Critical care patients expressed very high rates of satisfaction, for both the scale as a whole and each of the factors. A high level of satisfaction is strongly influenced by the perception of the state of health.
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November 2019

Psychometric properties of instruments measuring quality and satisfaction in mental health: A systematic review.

J Adv Nurs 2018 Nov 22;74(11):2497-2510. Epub 2018 Aug 22.

Department of Mental Health, Campus Docent Sant Joan de Déu-Fundació Privada, University of Barcelona, Barcelona, Spain.

Aim: To identify the methodological quality of each study and analyse the psychometric properties of instruments measuring quality and satisfaction with care from the perspective of mental health patients and professionals.

Background: In recent years, interest in rigorously assessing quality of care in mental health and nursing has increased. Health professionals and researchers should select the most adequate instrument based on knowledge of its measurement properties.

Review Design: A psychometric review was conducted of the instruments from the perspectives of both patients and professionals according to the COnsensus-based Standards for the selection of health Measurement INstruments panel (COSMIN).

Data Sources: Articles published from January 2005 - September 2016 were identified in a search of MEDLINE, CINAHL, and SCOPUS. We included studies in English, Spanish, and Portuguese.

Review Methods: Inclusion criteria were applied to all articles validated and reviewed by a second independent reviewer. The analysis included the use of the COSMIN checklist and the Terwee quality criteria.

Results: In the 34 studies selected, a total of 22 instruments which measure quality and satisfaction with care provided, according to patients and/or professionals, were identified. Most are instruments with sound, contemporary theoretical foundations. They vary to the extent to which they have been used in empirical studies and with respect to evaluation of their validity and reliability, although five instruments stand out as yielding good-excellent values in quality criteria.

Conclusion: The present psychometric review found that five of the instruments met valid psychometric criteria. In light of the current economic situation, future reviews should include analysis of the usefulness of instruments based on cost-effectiveness, acceptability, and educational impact.
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November 2018

A randomized controlled trial of a nursing psychotherapeutic intervention for anxiety in adult psychiatric outpatients.

J Adv Nurs 2018 May 25;74(5):1114-1126. Epub 2018 Jan 25.

Nursing School of Porto, Porto, Portugal.

Aim: To evaluate the short-term efficacy of a psychotherapeutic intervention in nursing on Portuguese adult psychiatric outpatients with the nursing diagnosis "anxiety."

Background: Several efficacious forms of treatment for anxiety are available, including different forms of psychotherapy and pharmacotherapy. However, literature tends to favour findings from studies on the efficacy of psychotherapies and therapies provided by nurses to the detriment of those arising from studies on the efficacy of nursing psychotherapeutic interventions (interventions which are classified, for instance, on Nursing Interventions Classification).

Design: Randomized controlled trial.

Methods: The study was performed, between November 2016 - April 2017, at a psychiatry outpatient ward. Participants were randomly allocated to an intervention group (N = 29) or a treatment-as-usual control group (N = 31). Patients in the intervention group received psychopharmacotherapy with interventions integrated in the Nursing Interventions Classification for the nursing diagnosis "anxiety." A treatment-as-usual control group received only psychopharmacotherapy (if applicable). Anxiety level and anxiety self-control were the primary outcomes.

Results: Patients from both groups had reduced anxiety levels, between the pre-test and the posttest assessment; however, according to analysis of means, patients in the intervention group displayed significantly better results than those of the control group. Furthermore, only patients in the intervention group presented significant improvements in anxiety self-control.

Conclusion: This study demonstrated the short-term efficacy of this psychotherapeutic intervention model in nursing in the decrease of anxiety level and improvement of anxiety self-control in a group of psychiatric outpatients with pathological anxiety.

Trial Registration Number: NCT02930473.
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May 2018

Instruments to assess self-care among healthy children: A systematic review of measurement properties.

J Adv Nurs 2017 Dec 11;73(12):2832-2844. Epub 2017 Jul 11.

School of Nursing, Department of Public Health, Mental Health and Maternal-Child Nursing, University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain.

Aim: To identify, critically appraise and summarize the measurement properties of instruments to assess self-care in healthy children.

Background: Assessing self-care is a proper consideration for nursing practice and nursing research. No systematic review summarizes instruments of measurement validated in healthy children.

Design: Psychometric review in accordance with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) panel.

Data Sources: MEDLINE, CINAHL, PsycINFO, Web of Science and Open Grey were searched from their inception to December 2016.

Review Methods: Validation studies with a healthy child population were included. Search was not restricted by language. Two reviewers independently assessed the methodological quality of included studies using the COSMIN checklist.

Results: Eleven studies were included in the review assessing the measurement properties of ten instruments. There was a maximum of two studies per instrument. None of the studies evaluated the properties of test-retest reliability, measurement error, criterion validity and responsiveness. Internal consistency and structural validity were rated as "excellent" or "good" in four studies. Four studies were rated as "excellent" in content validity. Cross-cultural validity was rated as "poor" in the two studies (three instruments) which cultural adaptation was carried out.

Conclusion: The evidence available does not allow firm conclusions about the instruments identified in terms of reliability and validity. Future research should focus on generate evidence about a wider range of measurement properties of these instruments using a rigorous methodology, as well as instrument testing on different countries and child population.
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December 2017

Development and Psychometric Properties of the Nursing Critical Thinking in Clinical Practice Questionnaire.

Worldviews Evid Based Nurs 2017 Aug 9;14(4):257-264. Epub 2017 Mar 9.

Professor, School of Nursing, University of Barcelona, Barcelona, Spain.

Background And Aim: A complex healthcare environment, with greater need for care based on the patient and evidence-based practice, are factors that have contributed to the increased need for critical thinking in professional competence. At the theoretical level, Alfaro-LeFevre () put forward a model of critical thinking made up of four components. And although these explain the construct, instruments for their empirical measurement are lacking. The purpose of the study was to develop and validate the psychometric properties of an instrument, the Nursing Critical Thinking in Clinical Practice Questionnaire (N-CT-4 Practice), designed to evaluate the critical thinking abilities of nurses in the clinical setting.

Methods: A cross-sectional survey design was used. A pool of items was generated for evaluation by a panel of experts who considered their validity for the new instrument, which was finally made up of 109 items. Following this, validation was carried out using a sample of 339 nurses at a hospital in Barcelona, Spain. Reliability was determined by means of internal consistency and test-retest stability over time, although the validity of the construct was assessed by means of confirmatory factor analysis.

Results: The content validity index of the N-CT-4 Practice was .85. Cronbach's alpha coefficient for the whole instrument was .96. The intraclass correlation coefficient was .77. Confirmatory factor analysis showed that the instrument was in line with the four-dimensional model proposed by Alfaro-LeFevre ().

Linking Evidence To Action: The psychometric properties of theN-CT-4 Practice uphold its potential for use in measuring critical thinking and in future research related with the examination of critical thinking.
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August 2017

Contributes for the development of a psychotherapeutic intervention model in nursing: A focus group study in Portugal and Spain.

Perspect Psychiatr Care 2018 Apr 2;54(2):134-141. Epub 2017 Feb 2.

Department of Public Health, Mental Health and Perinatal Nursing, Barcelona University School of Nursing, Barcelona, Spain.

Purpose: To explore the aspects set forth as the minimum set of features that should integrate a psychotherapeutic intervention model in nursing.

Design And Methods: Two focus groups were conducted, with the participation of 15 nursing professionals. Data were analysed thematically.

Findings: Five topics previously identified were analysed: theoretical conceptualization, structure, patients' inclusion and exclusion criteria, operationalization, and evaluation of the intervention(s) effectiveness. Theoretical conceptualization has been mainly grounded on Peplau's theory. Moreover, participants believe that standardized nursing language and nursing process should be the presumptions of the model.

Practice Implications: This study allowed the identification of a minimum set of features that should integrate a psychotherapeutic intervention model in nursing, about which consensus must be reached with a view to its further development.
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April 2018

Evaluation of the Psychometric Properties of NOC Outcomes "Anxiety Level" and "Anxiety Self-Control" in a Portuguese Outpatient Sample.

Int J Nurs Knowl 2018 Jul 25;29(3):184-191. Epub 2017 Jan 25.

Associate Professor at Nursing School of Porto and Researcher at Research Group "NursID: Innovation & Development in Nursing", Center for Health Technology and Services Research, Porto, Portugal.

Purpose: To adopt the language and to evaluate the psychometric properties of "Anxiety level" and "Anxiety self-control" NOC outcomes in Portuguese adult patients.

Methods: Methodological design.

Findings: The final European Portuguese version of the NOC outcome "Anxiety level," composed by 16 indicators, proved excellent internal consistency. Exploratory factor analysis (EFA) was forced to three factors. The NOC outcome "Anxiety self-control," composed of nine indicators, demonstrated a questionable internal consistency. EFA was forced to two factors.

Conclusions: European Portuguese versions of the studied NOC outcomes proved to be tools with acceptable psychometric properties for evaluating anxiety in Portuguese patients.

Implications For Nursing Practice: This study contributed to the development of NOC language and to the enrichment of nursing's body of knowledge.

Objetivo: Adaptar a linguagem e avaliar as propriedades psicométricas dos resultados NOC "Nível de ansiedade" e "Autocontrolo da ansiedade" em utentes portugueses adultos. MÉTODOS: Estudo metodológico.

Resultados: A versão portuguesa do resultado NOC "Nível de ansiedade", composta por 16 indicadores, apresentou uma excelente consistência interna. A análise fatorial exploratória (AFE) foi forçada a três dimensões. O resultado NOC "Autocontrolo da ansiedade", composto por nove indicadores, apresentou uma consistência interna questionável. A AFE foi forçada a duas dimensões. CONCLUSÕES: As versões portuguesas dos resultados NOC estudados são instrumentos com propriedades psicométricas aceitáveis para avaliar a ansiedade em utentes portugueses. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: Este estudo contribuiu para o desenvolvimento da linguagem NOC e para enriquecer o corpo de conhecimento de Enfermagem.
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July 2018

What is the perception of biological risk by undergraduate nursing students?

Rev Lat Am Enfermagem 2016 4;24:e2715. Epub 2016 Jul 4.

Escuela Universitaria de Enfermería, Universidad de Barcelona, Barcelona, Spain.

Objective: to analyze undergraduate nursing students' perception of biological risk and its relationship with their prior practical training.

Method: a descriptive cross-sectional study was conducted among undergraduate nursing students enrolled in clinical practice courses in the academic year 2013-2014 at the School of Nursing at the University of Barcelona.

Variables: sociodemographic variables, employment, training, clinical experience and other variables related to the assessment of perceived biological risk were collected. Both a newly developed tool and the Dimensional Assessment of Risk Perception at the worker level scale (Escala de Evaluación Dimensional del Riesgo Percibido por el Trabajador, EDRP-T) were used.

Statistical Analysis: descriptive and univariate analysis were used to identify differences between the perception of biological risk of the EDRP-T scale items and sociodemographic variables.

Results: students without prior practical training had weaker perceptions of biological risk compared to students with prior practical training (p=0.05 and p=0.04, respectively). Weaker perceptions of biological risk were found among students with prior work experience.

Conclusion: practical training and work experience influence the perception of biological risk among nursing students.
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October 2017

Nursing Taxonomies in Spain: Research Themes Presented at the AENTDE Conferences Over a 16-Year Period.

Int J Nurs Knowl 2017 Oct 16;28(4):178-183. Epub 2016 Mar 16.

Juan Francisco Roldán Merino, RN, PhD, MHMN, is Professor of Campus Docent Sant Joan de Déu, Fundacio Privada, Barcelona, Spain.

Objective: To identify the types of studies of nursing taxonomies and priority research themes presented at AENTDE conferences between 1996 and 2012.

Method: Four hundred oral communications and posters and 27 lectures presented at the AENTDE meetings were reviewed by means of a descriptive analysis of the types of studies conducted and a content analysis of priority research themes.

Results: The most commonly presented studies were descriptions of the implementation of nursing taxonomies, which accounted for 27.4% of the total over the 16-year period. However, their prevalence fell from 31.8% in 1996 to 9.1% in 2012. Basic research studies accounted for 17.4% of studies overall but were the most frequent in 2012, when their proportion had risen to 37.5%.

Conclusion: The prevalence of basic research studies increased notably over the 16-year period. Content validity studies rose in number, while face validity studies fell. Studies of the practical implementation of taxonomies also declined.

Objetivo: Identificar los tipos de estudios de taxonomías enfermeras y los temas de investigación prioritarios presentados en las convenciones de AENTDE desde 1996 a 2012. MÉTODO: Se revisaron 400 comunicaciones y 27 ponencias presentadas a 9 simposiums de AENTDE realizando un análisis del tipo de estudio y un análisis de contenido de los temas.

Resultados: Los estudios más frecuentes son las experiencias de implantación de las taxonomías enfermeras con un porcentaje medio de un 27.4% que partiendo de un 31.8% en 1996 disminuyó a un 9,1% en 2012. La investigación básica tienen un porcentaje medio del 17.4% obteniéndose el mayor porcentaje en 2012 con un 37,5%. CONCLUSIÓN: La prevalencia de los estudios de investigación básica se incrementó notablemente durante el período de 16 años. Los estudios de validez de contenido aumentaron en número, mientras que los estudios de validez aparente cayeron. Los estudios sobre la aplicación práctica de las taxonomías también disminuyeron.
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October 2017

Nursing psychotherapeutic interventions: a review of clinical studies.

J Clin Nurs 2015 Aug 28;24(15-16):2096-105. Epub 2015 Mar 28.

Barcelona University School of Nursing, Department of Public Health and Perinatal Nursing, Barcelona, Spain.

Aims And Objectives: To summarise current knowledge about nursing psychotherapeutic interventions in adults.

Background: In Portugal, the provision of psychotherapeutic interventions is considered a competence of mental health nurses. However, literature is not totally clear about the differences between 'psychotherapy' and 'psychotherapeutic interventions' and about the specific characteristics that define a nursing psychotherapeutic intervention.

Design: Narrative review.

Methods: A literature review utilising MEDLINE, PsycINFO, CINAHL, the Web of Science, Psychology and Behavioral Sciences Collection, and MedicLatina computerised databases for the period from 2003-2013. A total of 151 eligible articles were identified. Relevant data were extracted, and findings were synthetised in a narrative synthesis.

Results: Nursing psychotherapeutic interventions are frequently based on 'Cognitive-Behavioural' rationale. The usual length of these interventions varies between 5-16 weeks, in a total of 5-12 sessions of 45-60 minutes. The mechanisms of change are heterogeneous, but the therapeutic relationship between the nurse and the client seems to be the most important positive predictive factor of nursing psychotherapeutic interventions. Some of the most used outcome assessment measures include the Beck Depression Inventory, the Hospital Anxiety and Depression Scale, and the CORE-OM. The effectiveness of nursing psychotherapeutic interventions has been widely demonstrated in many studies. However, the need of further studies to prove its cost effectiveness is evident.

Conclusions: It is necessary to have a better understanding of nursing psychotherapeutic interventions, one that explains its conceptual limits, to improve mental health nursing knowledge and create suitable models of psychotherapeutic intervention in nursing.

Relevance To Clinical Practice: The findings of this review can create awareness for some weaknesses of nursing knowledge about the psychotherapeutic intervention and for the need to produce knowledge, to nurture the nursing discipline in the area of psychotherapeutic intervention with even more theoretical and practical support.
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August 2015

Critical thinking in nursing: Scoping review of the literature.

Int J Nurs Pract 2015 Dec 12;21(6):820-30. Epub 2014 May 12.

Sant Joan de Deu School of Nursing, University of Barcelona, Barcelona, Spain.

This article seeks to analyse the current state of scientific knowledge concerning critical thinking in nursing. The methodology used consisted of a scoping review of the main scientific databases using an applied search strategy. A total of 1518 studies published from January 1999 to June 2013 were identified, of which 90 met the inclusion criteria. The main conclusion drawn is that critical thinking in nursing is experiencing a growing interest in the study of both its concepts and its dimensions, as well as in the development of training strategies to further its development among both students and professionals. Furthermore, the analysis reveals that critical thinking has been investigated principally in the university setting, independent of conceptual models, with a variety of instruments used for its measurement. We recommend (i) the investigation of critical thinking among working professionals, (ii) the designing of evaluative instruments linked to conceptual models and (iii) the identification of strategies to promote critical thinking in the context of providing nursing care.
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December 2015

[Characteristics of nursing publications in journals with impact factor].

Enferm Clin 2012 Sep-Oct;22(5):247-54. Epub 2012 Sep 10.

Unidad de Resonancia Magnética, Institut de Diagnòstic per la Imatge, Centre Badalona, Hospital Universitario Germans Trias i Pujol, Badalona, España.

Unlabelled: The aims of this study were to identify publishing characteristics of nursing journals with impact factor (IF) and to discuss methodological characteristics and authorship of original papers with IF.

Methods: A retrospective descriptive study. A literature review was performed between 2009 and 2010 including all nursing publications indexed in the Journal Citation Reports (JCR) and analysis of selected original papers. The information was analyzed using descriptive statistics.

Results: In 2009, there were 74 nursing journals with an IF and in 2010 increased upto 91. In 2010, 93.5% were published in English, bimonthly journals predominated (43%) and for specialties, maternity and paediatrics were the most frequent (25%). Almost three-quarters (72.8%) of the original articles were quantitative studies performed mostly in hospitals (42%) and with patient samples (34.6%). The most frequently studied topics were "evidence-based care" (23.5%), "measuring quality care" (18.52%) and "effectiveness of nursing interventions" (14.81%). Authors came mostly from Europe and United States and the most common workplace was a university.

Conclusions: Nursing Journals' Impact Factor has increased, particularly in areas of nurse specialization. Nursing publications in the Spanish language with IF are still incipient. Quantitative research continues to dominate. The main topics are effectiveness, evidence, and quality care, and researchers come mostly from academic areas.
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December 2013