Publications by authors named "Núria Fabrellas-Padrés"

12 Publications

  • Page 1 of 1

The usefulness and acceptance of the OSCE in nursing schools.

Nurse Educ Pract 2020 Jan 31;43:102736. Epub 2020 Jan 31.

School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, ACOPI Practical Nursing Competencies Assessment Group, s/n, Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain; ACOPI Practical Nursing Competencies Assessment Group, s/n, Feixa LLarga. Pavelló de Govern 3a planta, 08907, L'Hospitalet de Llobregat, Barcelona, Spain. Electronic address:

This qualitative study explores the usefulness and acceptance attributed by students and faculty members to an Objective Structured Clinical Evaluation (OSCE) administered to nursing undergraduates in Catalonia (Spain) for 10 years. Seventy undergraduate nursing students and twelve faculty members participated in the study. The data collection techniques included an open-ended questionnaire, a student focus group, and individualized faculty interviews. The students experienced the OSCE positively as a learning event that offered an opportunity for feedback that could help them master the required competencies. The OSCE increased students' responsibility by presenting them with a set of challenges that they had to tackle individually. Moreover, it reaffirmed their confidence in situations that closely resembled professional practice. Faculty members valued the ability of the OSCE to integrate and assess competencies, its objectivity, and the indirect information it provided on the effectiveness of the curriculum. The educational impact attributed to the OSCE and its acceptance among faculty and students suggest that it would be useful to re-implement it in the Bachelor's of Nursing in Catalan universities. Our findings may be of use to other nursing programs considering how to assess competency-based education, especially in the context of the European Higher Education Area.
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http://dx.doi.org/10.1016/j.nepr.2020.102736DOI Listing
January 2020

[Nurse prescription: A concept analysis].

Aten Primaria 2019 04 19;51(4):245-251. Epub 2018 Oct 19.

Universidad de Barcelona, Barcelona, España.

Objective: To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept.

Method: Application of the concept analysis method described by Wilson, and adapted by Avant.

Results: The concept of nurse prescription implies prescribing, by the nurse, the best therapeutic regimen for a health problem. This prescription will be guided by the assessment of the health problem, by the criterion of the good clinical practice of the nurse, and will be focused to satisfy the health needs of the patient and the population.

Conclusions: The results clarify the meaning of the study's concept to help professionals understand and address this nursing activity in all its dimensions, and promote social recognition of the nursing profession.
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http://dx.doi.org/10.1016/j.aprim.2018.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837034PMC
April 2019

[Concept analysis: Nurse demand management].

Aten Primaria 2019 04 26;51(4):230-235. Epub 2018 Apr 26.

Universitat de Barcelona, Barcelona, España.

Nurse demand management (NDM) is an emerging concept that requires some useful clarification, not only for professionals and users but also for managers. The NDM was born in 2009 after the need to reorganize the flow of demand, but it has become more than this. NDM is understood as a program led by the primary care nurse to take care of people with acute minor illnesses. Nurses, under a consensual protocol and within their competence area, can be autonomous in patient care and in the resolution of acute minor illnesses. Therefore, following Primary Care's philosophy, both the doctor and the nurse are the professionals that will follow up the health-disease process throughout the user's life. This article was written according to the methodology described by Wilson.
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http://dx.doi.org/10.1016/j.aprim.2017.10.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836944PMC
April 2019

[Use of Mobile Health Applications in Primary Care Users].

Rev Enferm 2017 Feb;40(2):16-21

Introduction: There are more than 165,000 mobile applications (apps) related to health (mHealth) available to patients, promoting their empowerment and reducing healthcare costs; but not all are reliable , safe and quality.

Objective: To analyze the use of mHealth for patients in a Primary Care Center (CAP).

Method: Cross-sectional study based on surveys of 274 patients, aged 16 to 65 years attending nursing consultation CAP Santa Eulalia Sud (L'Hospitalet de LLobregat) that have a mobile device with Internet.

Results: Most respondents (68%) use my health: physical exercise (63.4%), food (41.4%) and information about health services (26.3%); discharged following recommendations from family/friends (71%), Internet (45.9%), social networks (40.3%), media (31.7%) and health professionals (12.9%). Perceived drawbacks download: suitability of the apps (61.3%), reliability of information (58.1%) and error in interpreting the information (30.1%). Users (89%) and non-users (70%) of mHealth are interested in the information provided by a health professional about it.

Conclusions: More and more users of mHealth and criteria in selecting their apps that cast doubt discharged reliable and quality. The difficulties expressed and desire information demonstrate the need for health professionals to guide and advise on such apps, indicating the patient the most appropriate, the most reliable, the easiest to interpret and manage to avoid mistakes, and provide them with knowledge on how to use them.
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February 2017

Surveillance nursing diagnoses, ongoing assessment and outcomes on in-patients who suffered a cardiorespiratory arrest.

Rev Esc Enferm USP 2017;51:e03286. Epub 2018 Mar 15.

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

Objective The purposes of this study were to examine the frequency of surveillance-oriented nursing diagnoses and interventions documented in the electronic care plans of patients who experienced a cardiac arrest during hospitalization, and to observe whether differences exist in terms of patients' profiles, surveillance measurements and outcomes. Method A descriptive, observational, retrospective, cross-sectional design, randomly including data from electronic documentation of patients who experienced a cardiac arrest during hospitalization in any of the 107 adult wards of eight acute care facilities. Descriptive statistics were used for data analysis. Two-tailed p-values are reported. Results Almost 60% of the analyzed patients' e-charts had surveillance nursing diagnoses charted in the electronic care plans. Significant differences were found for patients who had these diagnoses documented and those who had not in terms of frequency of vital signs measurements and final outcomes. Conclusion Surveillance nursing diagnoses may play a significant role in preventing acute deterioration of adult in-patients in the acute care setting.
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http://dx.doi.org/10.1590/s1980-220x2017004703286DOI Listing
July 2019

[The Care and the People and the ITC].

Rev Enferm 2016 Oct;39(10):26-30

The advancement and consolidation of information and communications technologies (ICT) has favored electronic medical records as the link between the clinical and patient health information. Appropriate use of ICT can improve and ensure coordination between different health professionals and levels of care. The aim of ICT is to facilitate the continuum of care and foster care efficiency and quality. However, professionals should make appropriate use of ICT based primarily on non-maleficence and confidentiality. The ICT: 1. Improve care continuity. 2. Facilitate integration and coordination, in order to provide personalized and excellent care between different levels of care. 3. Reduce health costs (in patients of high complexity, for example). The ICT facilitate the non-contact care, spacing the time between visits. The disadvantage of ICT are related to confidentiality and depersonalization of patient care. Nurses, by using ICT, play a leading role, given its role in health promotion and disease prevention. In these contexts, ICT can help innovate and improve the quality of care and health outcomes. In this regard, nurses have a great opportunity to innovate in care and take leadership in remote monitoring of patients. ICT have created new professionals, patients and providers challenges that should be studied in order to minimize problems and seek solutions. Social networks are useful for refining and deepening the relationship between nurses and patients, disseminating nursing research among nurses and nurse visibility.
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October 2016

El cuidado a las personas y las TIC.

Rev Enferm 2016 Oct;39(10):6-7

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October 2016

Newborn physiological immaturity: a concept analysis.

Adv Neonatal Care 2015 Apr;15(2):86-93

IDIBELL Institute of Research, University of Barcelona School of Nursing, Catalonia, Spain (Drs Juvé-Udina, Fabrellas-Padrés, and Delgado-Hito); Sant Joan de Déu School of Nursing, Catalonia, Spain (Mrs Hurtado-Pardos); Department of Nursing Informatics and Knowledge, Verge de la Cinta Community Hospital, and Rovira i Virgili University School of Nursing, Tortosa, Catalonia, Spain (Mrs Martí-Cavallé); Department of Nursing Informatics and Knowledge, Dr. Josep Trueta University Hospital, Girona, Catalonia, Spain (Mrs Gironès-Nogué); Vall d'Hebron University Hospital, Barcelona, Catalonia, Spain (Mrs García-Berman); and Germans Trias i Pujol University Hospital, Badalona, Catalonia, Spain (Mr Alonso-Fernandez).

Background: Most standardized nursing care plans for healthy neonates include multiple nursing diagnoses to reflect nurses' judgments on the infant's status; however scientific literature concerning this issue is scarce. Newborn physiological immaturity is a concept in the ATIC terminology (architecture, terminology, interface, information, nursing [infermeria], and knowledge [coneixement]) to represent the natural status of vulnerability of the healthy neonate.

Purpose: To identify the essential attributes of the concept and provide its conceptual and operational definition, using the Wilsonian approach.

Findings: The concept under analysis embeds a natural cluster of vulnerabilities and environmental interactions that enhance the evolving maturation process.

Implications For Practice: The use of this diagnosis may simplify the process of charting the nursing care plans and reduce time needed for documentation while maintaining the integrity of the information.

Implications For Research: Consistent development and use of nursing concepts is essential for knowledge building. Studies on the actual use of nursing diagnoses are needed to inform decision making.
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http://dx.doi.org/10.1097/ANC.0000000000000162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961275PMC
April 2015

Basic nursing care: retrospective evaluation of communication and psychosocial interventions documented by nurses in the acute care setting.

J Nurs Scholarsh 2014 Jan 19;46(1):65-72. Epub 2013 Dec 19.

IDIBELL Institute of Research, Nurse coordinator, Catalan Institute of Health. Associate professor, University of Barcelona School of Nursing - Health Universitat de Barcelona Campus, Barcelona, Catalonia, Spain.

Purpose: This study aimed to evaluate the frequency of psychosocial aspects of basic nursing care, as e-charted by nurses, when using an interface terminology.

Methods: An observational, multicentre study was conducted in acute wards. The main outcome measure was the frequency of use of the psychosocial interventions in the electronic nursing care plans, analysed over a 12 month retrospective review.

Findings: Overall, 150,494 electronic care plans were studied. Most of the intervention concepts from the interface terminology were used by registered nurses to illustrate the psychosocial aspects of fundamentals of care in the electronic care plans.

Conclusions And Implications: The results presented help to demonstrate that the interventions of this interface terminology may be useful to inform psychosocial aspects of basic and advanced nursing care.

Clinical Relevance: The identification of psychosocial elements of basic nursing care in the nursing documentation may lead to obtain a deeper understanding of those caring interventions nurses consider essential to represent nurse-patient interactions. The frequency of psychosocial interventions may contribute to delineate basic and advanced nursing care.
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http://dx.doi.org/10.1111/jnu.12062DOI Listing
January 2014

New technologies and nursing: use and perception of primary healthcare nurses about electronic health record in Catalonia, Spain.

Telemed J E Health 2011 Oct 5;17(8):635-9. Epub 2011 Aug 5.

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

This study was aimed to analyze and assess the use and perception of electronic health records (EHRs) by nurses. The study sample included 113 nurses from different shifts of primary health facilities in Catalonia, Spain, devoted to adult as well as pediatric outpatients using EHRs throughout the year 2010. A majority of the sample (87.5%) were women and 12.5% were men. The average age was 44.27 years and the average time working in primary healthcare was 47.15 months. A majority (80.4%) received specific training on the use of the EHR and 19.6% did not. The use of the application required side technical support (mean: 3.42) and it is considered necessary to learn more about the performance of the application (mean: 3.50). The relationship between the average ratings that nurses have about the EHR and age shows that there is no statistically significant linear relationship (r=-0.002, p-value=0.984). As to how long they have used the EHRs, there are significant differences (r=-0.304, p-value=0.00), so the more time the nurse takes using the EHR, the greater degree of satisfaction is shown. In addition, there are significant differences between nurses' perceptions regarding the EHR and gender (t=-0.421, p-value=0.675). Nurses assessed as positive the contribution of the EHRs in their nursing care day work (average score: 2.55/5). Considering that the usability of the EHR device is assessed as satisfactory, the results of the perception of nurses show that we must also take into account the training and emphasize the need for a side technical support in the implementation process of the EHR. Doing so, the positive perception that nurses have in regard to information and communication technology in general and with respect to the EHR in particular may be increased.
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http://dx.doi.org/10.1089/tmj.2011.0008DOI Listing
October 2011

[Transport and storage of privately purchased vaccines].

Enferm Clin 2011 Mar-Apr;21(2):99-103. Epub 2011 Mar 21.

Centro de Atención Primaria de Salud Amadeo Torner, Institut Català de la Salut, L'Hospitalet de Llobregat, Barcelona, Spain.

Objective: Describe the transport and storage of privately purchased vaccines.

Method: A descriptive cross-sectional observational study. We analysed all doses of pneumococcal conjugate vaccines, rotavirus and varicella acquired and administered between January-September 2009, in a Primary Care Health Centre (CAP) in an urban area.

Variables Studied: type of vaccine circuit used (circuit A: pharmacy-CAP, circuit B: pharmacy-home-CAP), time between purchase and administration, receipt of information, mode of transport and storage at home. Data collection by questionnaire. Statistical strategy: absolute and relative frequencies, Pearson Chi-square and Fisher exact statistics.

Results: Of a total sample of 148 doses, 115 (77.7%) were pneumococcal, 28 (18.9%), rotavirus and 5 (3.4%) varicella. Circuit A was used for 45.5% (67) of the doses administered and 54.7% (81) used circuit B. Circuit A vaccine took less than an hour between their acquisition and administration in 89.6% (60) of cases and those using Circuit B took longer than 7 days in 14.8% (12) cases. A total of 85.1% (111) of parents received information on transportation and storage of the vaccine. Refrigerated means of transport were not used for 85.1% (57) of Circuit A vaccines or for 93.8% (76) in B. The refrigerator door was used to store 59.3% (48) of the vaccines.

Conclusions: The pneumococcal vaccine was the most given. Circuit B is more commonly used. Most parents received information about the transportation and storage of vaccines, although more than half were transported non-refrigerated and kept in the refrigerator door.
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http://dx.doi.org/10.1016/j.enfcli.2011.01.001DOI Listing
September 2011

[A trio of ladies. A reflection on the humanization of treatment].

Rev Enferm 2008 Jan;31(1):9-14

Atención Primaria, SAP Esquerra de Barcelona.

Due to the celebration of the 90th anniversary, 1917-2007, of the Santa Madrona University School of Nursing, an International Conference on "the humanization of treatment" took place in Barcelona. At the same time, a four-day workshop session was organized at which the attendees had the chance to meet and share professional experiences with three renowned nurses on the art of caring. Dr. Benner, Dr. Watson and Dr. Bower are well-known in the international and the teaching fields for their paradigms and theories on managing treatment. The contribution of their knowledge, their creation and their constant work with humanistic criteria is supported by a long bibliographical trajectory which offers a professional history based on continuous improvement, learning and evolution. As participants in these workshops, the authors provide a narration on the content of each one, from a personal and practical perspective, emphasizing some concepts and strategies which we can apply in our own environs, confronting a new integrated care challenge and management of treatment underneath a focus less mechanical and more humane.
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January 2008