Ana María Porcel-Gálvez

ADHERENCIA A LA DIETA MEDITERRÁNEA EN ADOLESCENTES RURALES Y URBANOS DEL SUR DE ESPAÑA, SATISFACCIÓN CON LA VIDA, ANTROPOMETRÍA Y ACTIVIDADES FÍSICAS Y SEDENTARIAS

BACKGROUND The Mediterranean diet is one of the healthier diet models. Mediterranean food patterns are suffering a deterioration that can especially affect children and adolescents. OBJECTIVE Determine adherence to the Mediterranean diet in adolescents of southern Spain and its relationship with the residence area, sex, age, life satisfaction, anthropometry, and habits of physical activity and sedentary activities. METHODOLOGY A total of 1973 adolescents (11-18 years) of southern Spain participated in this descriptive cross-sectional study. Cut-off value between rural and urban locations was 10000 inhabitants. Adherence to the Mediterranean diet was calculated from the KIDMED questionnaire. Life satisfaction, physical activity, and sedentary activities also were measured through valid and reliable questionnaires. Body mass index and % body fat were measured using the TANITA BC-420-S body analyzer. RESULTS 30.9% of the adolescents reported an optimal quality diet, percent higher in rural locations (P < 0.05). Adherence was lower in older adolescents (P < 0.001), it was not different between sexes or according to anthropometric variables. Adolescents more satisfied with their lives (P < 0.001), more active (P < 0.001), more studious (P < 0.001), and less sedentary in front of a screen (P < 0.001) showed greater adherence to the Mediterranean food pattern. CONCLUSION The majority of adolescents need to improve their nutritional quality. Compared with these subjects, the adolescents most adherent to the Mediterranean diet had a healthier lifestyle and they showed greater life satisfaction.

Design and validation of the INICIARE instrument, for the assessment of dependency level in acutely ill hospitalised patients

AIMS AND OBJECTIVES The aim of this study was to establish the validity and reliability of an instrument (Inventario del NIvel de Cuidados mediante IndicAdores de clasificación de Resultados de Enfermería) used to assess the dependency level in acutely hospitalised patients. This instrument is novel, and it is based on the Nursing Outcomes Classification. BACKGROUND Multiple existing instruments for needs assessment have been poorly validated and based predominately on interventions. Standardised Nursing Languages offer an ideal framework to develop nursing sensitive instruments. DESIGN A cross-sectional validation study in two acute care hospitals in Spain. METHODS This study was implemented in two phases. First, the research team developed the instrument to be validated. In the second phase, the validation process was performed by experts, and the data analysis was conducted to establish the psychometric properties of the instrument. RESULTS Seven hundred and sixty-one patient ratings performed by nurses were collected during the course of the research study. Data analysis yielded a Cronbachs alpha of 0·91. An exploratory factorial analysis identified three factors (Physiological, Instrumental and Cognitive-behavioural), which explained 74% of the variance. CONCLUSIONS Inventario del NIvel de Cuidados mediante IndicAdores de clasificación de Resultados de Enfermería was demonstrated to be a valid and reliable instrument based on its use in acutely hospitalised patients to assess the level of dependency. RELEVANCE TO CLINICAL PRACTICE Inventario del NIvel de Cuidados mediante IndicAdores de clasificación de Resultados de Enfermería can be used as an assessment tool in hospitalised patients during the nursing process throughout the entire hospitalisation period. It contributes information to support decisions on nursing diagnoses, interventions and outcomes. It also enables data codification in large databases.

Alcohol consumption and risky sexual practices: the pattern of nursing students from the Spanish University

Objetivo: determinar la prevalencia del consumo de sustancias toxicas y de practicas sexuales sin proteccion y analizar la relacion entre ellas en los estudiantes de Enfermeria de la Universidad de Sevilla. Metodo: abordaje metodologico cuantitativo con diseno descriptivo y transversal. La poblacion la constituyo el alumnado de Enfermeria de 1o de Grado de la Universidad de Sevilla durante el curso academico 2010-2011 (N=510), con muestreo oportunista y consecutivo conformado por el alumnado que acudio a clase el dia programado (n=291). Resultados: mostraron alta prevalencia del consumo de alcohol y aumento de la probabilidad de no utilizar medidas de proteccion en practicas sexuales cuando se habia consumido alcohol. Conclusion: estos hallazgos concuerdan con los obtenidos en la misma poblacion en Brasil y ponen de manifiesto la necesidad de fortalecer en el curriculo de enfermeria, un eje transversal relacionado con la prevencion del consumo de sustancias toxicas, especialmente con el alcohol.Descriptores: Estudiantes de Enfermeria; Educacion en Enfermeria; Riesgo Relativo; Trastornos Relacionados con Sustancias.OBJECTIVE to determine the prevalence of substance abuse and unsafe sexual practices and to analyze the relationship between them, in nursing students at the University of Seville. METHOD quantitative methodological approach with a descriptive cross-sectional design. The population was composed of first year nursing students in the University of Seville, during the academic year 2010-2011 (N=510), with consecutive opportunistic sampling composed of students who attended class on the scheduled day (n=291). RESULTS a high prevalence of alcohol consumption, and increased likelihood of not using protective measures during sexual practices when alcohol had been consumed, was present. CONCLUSION these findings are consistent with those obtained in the same population in Brazil, and highlight the need to strengthen in the nursing curriculum, the transverse axis related to the prevention of substance abuse, especially alcohol.

Description of Advanced Practice Nurses Interventions Through the Nursing Interventions Classification in Different Care Settings for Older People: A Qualitative Study.

PURPOSE To identify the interventions provided by advanced practice nurses to older people in different contexts with standardized nursing language. DATA SOURCE This is a qualitative study. Content analysis was applied to the texts of experimental research papers about advanced practice nursing for older people. Deductive coding through the Nursing Intervention Classification was carried out. DATA SYNTHESIS Seventy-three interventions codified with the Nursing Intervention Classification were extracted, mainly related to the behavioral and healthcare system domains, which could be explained due to the need for improving the psychosocial functioning and self-care of these patients to preserve their quality of life. CONCLUSION AND IMPLICATION FOR NURSING PRACTICE Advanced practice nurses interventions can be better described, reported, and analyzed along different contexts with standardized languages.Purpose To identify the interventions provided by advanced practice nurses to older people in different contexts with standardized nursing language. Data Source This is a qualitative study. Content analysis was applied to the texts of experimental research papers about advanced practice nursing for older people. Deductive coding through the Nursing Intervention Classification was carried out. Data Synthesis Seventy-three interventions codified with the Nursing Intervention Classification were extracted, mainly related to the behavioral and healthcare system domains, which could be explained due to the need for improving the psychosocial functioning and self-care of these patients to preserve their quality of life. Conclusion and Implication for Nursing Practice Advanced practice nurses interventions can be better described, reported, and analyzed along different contexts with standardized languages. Objetivo Identificar las intervenciones realizadas por las enfermeras de practica avanzada a personas mayores en diferentes contextos de atencion con lenguajes estandarizados. Fuente De Datos Se trata de un estudio cualitativo. Se aplico analisis de contenido a los textos de estudios experimentales sobre enfermeria de practica avanzada en poblacion mayor y se llevo a cabo una codificacion deductiva con las intervenciones de la Clasificacion de Intervenciones de Enfermeria. Sintesis De Datos Se extrajeron setenta y tres intervenciones codificadas con la Clasificacion de Intervenciones de Enfermeria, mayormente pertenecientes a los campos Conductual y Sistema Sanitario, lo que podria explicarse por la necesidad de mejorar el funcionamiento psicosocial y de auto-cuidado de este tipo de pacientes, para preservar su calidad de vida. Conclusion E Implicaciones Para La PraCtica De Enfermeria Las intervenciones de las enfermeras de practica avanzada pueden ser descritas, referidas y analizadas en diferentes contextos con lenguajes estandarizados.

¿Cómo mejorar la visibilidad de la investigación enfermera española? Publicaciones de referencia e índices de calidad

Research ends when the results are shared in the academic and professional community, and for this reason they need to be published in scientific journals of reference. But the question is where should the results of nursing research be published? Taking into account the expanding context and scientific consolidation of the discipline. To answer this question, an analysis will be made of the benefits and the most common criticisms of the two most important multidisciplinary literature data bases, as well as examining the context of the Spanish nursing journals in these data bases. A description will also be made of the indexing systems, as well as making proposals to contribute to improved visibility of Spanish nursing research through the positioning of its journals.

Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review

AIM To conduct a scoping review to examine and map the interventions proposed for the improvement of the working conditions of nursing staff in acute care hospitals. BACKGROUND The Registered Nurse Forecasting (RN4CAST) project and other studies have determined the impact that the nursing staff has on the quality of care. The nursing staffs higher levels of burnout, job dissatisfaction and negative perception of the quality of care provided caused worse health outcomes. METHODS A scoping review was carried out. By searching in SCOPUS, PubMed, CINAHL, Cochrane, Dialnet and in the grey literature, 705 potentially relevant papers were identified. The final analysis included 21 papers and three grey documents. RESULTS The studies analysed proposed interventions at the macro-management, meso-management and micro-management levels, although the interventions at the macro- and meso-levels produce better staff outcomes. CONCLUSIONS The findings of this review can be applied to management at different levels: measures to improve the patient-nurse ratio at the macro-management level, the horizontal hierarchies at the meso-management level, the mind-body techniques at the micro-management level. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers and leaders should implement interventions at different organisational levels to improve the working conditions of the nursing staff and other health outcomes.

Psychometric Testing of INTEGRARE, an Instrument for the Assesment of Pressure Ulcer Risk in Inpatients: Psychometric Testing of INTEGRARE, an Instrument for the Assessment

PURPOSE The aim of this study is to evaluate the psychometric properties of INTEGRARE, an instrument based on Nursing Outcome Classification. METHOD A multicenter, cross-sectional, methodological design was used. FINDINGS The study included 3,835 patients. Internal consistency α = 0.86. Confirmatory factor analysis demonstrated the unidimensionality of the scale, indicating a good model fit (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONS INTEGRARE is a valid and reliable instrument with high sensitivity, specificity, and diagnostic accuracy in measuring pressure ulcer (PU) risk in inpatients. IMPLICATIONS FOR NURSING PRACTICE This instrument allows us to know the effectiveness of nursing interventions, providing evidence for the validation of the diagnosis Risk for pressure ulcer (00249) as well as on health outcomes, due to the fact that PUs are nursing-sensitive outcomes. OBJETIVO Evaluar las propiedades psicométricas de INTEGRARE, un instrumento basado en la Clasificación de Resultados de Enfermería. MÉTODO: Se optó por un diseño transversal multicéntrico. RESULTADOS El estudio incluyó a 3,835 pacientes. Consistencia interna α = 0.86. El análisis factorial confirmatorio demostró la unidimensionalidad de la escala, indicando un buen ajuste del modelo (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONES INTEGRARE es un instrumento válido y fiable con alta sensibilidad, especificidad y precisión diagnóstica en la medición de riesgo de úlcera por presión (UPP) en pacientes hospitalizados. IMPLICACIONES PARA LA PRÁCTICA ENFERMERA: Este instrumento nos permite conocer la efectividad de las intervenciones enfermeras, aportando evidencia para la validación del diagnóstico Riesgo de úlcera por presión (00249), así como sobre los resultados de salud, debido a que las UPP son resultados sensibles a la práctica enfermera.PURPOSE The aim of this study is to evaluate the psychometric properties of INTEGRARE, an instrument based on Nursing Outcome Classification. METHOD A multicenter, cross-sectional, methodological design was used. FINDINGS The study included 3,835 patients. Internal consistency α = 0.86. Confirmatory factor analysis demonstrated the unidimensionality of the scale, indicating a good model fit (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONS INTEGRARE is a valid and reliable instrument with high sensitivity, specificity, and diagnostic accuracy in measuring pressure ulcer (PU) risk in inpatients. IMPLICATIONS FOR NURSING PRACTICE This instrument allows us to know the effectiveness of nursing interventions, providing evidence for the validation of the diagnosis Risk for pressure ulcer (00249) as well as on health outcomes, due to the fact that PUs are nursing-sensitive outcomes. OBJETIVO Evaluar las propiedades psicometricas de INTEGRARE, un instrumento basado en la Clasificacion de Resultados de Enfermeria. METODO Se opto por un diseno transversal multicentrico. RESULTADOS El estudio incluyo a 3,835 pacientes. Consistencia interna α = 0.86. El analisis factorial confirmatorio demostro la unidimensionalidad de la escala, indicando un buen ajuste del modelo (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONES INTEGRARE es un instrumento valido y fiable con alta sensibilidad, especificidad y precision diagnostica en la medicion de riesgo de ulcera por presion (UPP) en pacientes hospitalizados. IMPLICACIONES PARA LA PRACTICA ENFERMERA: Este instrumento nos permite conocer la efectividad de las intervenciones enfermeras, aportando evidencia para la validacion del diagnostico Riesgo de ulcera por presion (00249), asi como sobre los resultados de salud, debido a que las UPP son resultados sensibles a la practica enfermera.

Psychometric Testing of INTEGRARE, an Instrument for the Assesment of Pressure Ulcer Risk in Inpatients

PURPOSE The aim of this study is to evaluate the psychometric properties of INTEGRARE, an instrument based on Nursing Outcome Classification. METHOD A multicenter, cross-sectional, methodological design was used. FINDINGS The study included 3,835 patients. Internal consistency α = 0.86. Confirmatory factor analysis demonstrated the unidimensionality of the scale, indicating a good model fit (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONS INTEGRARE is a valid and reliable instrument with high sensitivity, specificity, and diagnostic accuracy in measuring pressure ulcer (PU) risk in inpatients. IMPLICATIONS FOR NURSING PRACTICE This instrument allows us to know the effectiveness of nursing interventions, providing evidence for the validation of the diagnosis Risk for pressure ulcer (00249) as well as on health outcomes, due to the fact that PUs are nursing-sensitive outcomes. OBJETIVO Evaluar las propiedades psicométricas de INTEGRARE, un instrumento basado en la Clasificación de Resultados de Enfermería. MÉTODO: Se optó por un diseño transversal multicéntrico. RESULTADOS El estudio incluyó a 3,835 pacientes. Consistencia interna α = 0.86. El análisis factorial confirmatorio demostró la unidimensionalidad de la escala, indicando un buen ajuste del modelo (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONES INTEGRARE es un instrumento válido y fiable con alta sensibilidad, especificidad y precisión diagnóstica en la medición de riesgo de úlcera por presión (UPP) en pacientes hospitalizados. IMPLICACIONES PARA LA PRÁCTICA ENFERMERA: Este instrumento nos permite conocer la efectividad de las intervenciones enfermeras, aportando evidencia para la validación del diagnóstico Riesgo de úlcera por presión (00249), así como sobre los resultados de salud, debido a que las UPP son resultados sensibles a la práctica enfermera.PURPOSE The aim of this study is to evaluate the psychometric properties of INTEGRARE, an instrument based on Nursing Outcome Classification. METHOD A multicenter, cross-sectional, methodological design was used. FINDINGS The study included 3,835 patients. Internal consistency α = 0.86. Confirmatory factor analysis demonstrated the unidimensionality of the scale, indicating a good model fit (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONS INTEGRARE is a valid and reliable instrument with high sensitivity, specificity, and diagnostic accuracy in measuring pressure ulcer (PU) risk in inpatients. IMPLICATIONS FOR NURSING PRACTICE This instrument allows us to know the effectiveness of nursing interventions, providing evidence for the validation of the diagnosis Risk for pressure ulcer (00249) as well as on health outcomes, due to the fact that PUs are nursing-sensitive outcomes. OBJETIVO Evaluar las propiedades psicometricas de INTEGRARE, un instrumento basado en la Clasificacion de Resultados de Enfermeria. METODO Se opto por un diseno transversal multicentrico. RESULTADOS El estudio incluyo a 3,835 pacientes. Consistencia interna α = 0.86. El analisis factorial confirmatorio demostro la unidimensionalidad de la escala, indicando un buen ajuste del modelo (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0.028). CONCLUSIONES INTEGRARE es un instrumento valido y fiable con alta sensibilidad, especificidad y precision diagnostica en la medicion de riesgo de ulcera por presion (UPP) en pacientes hospitalizados. IMPLICACIONES PARA LA PRACTICA ENFERMERA: Este instrumento nos permite conocer la efectividad de las intervenciones enfermeras, aportando evidencia para la validacion del diagnostico Riesgo de ulcera por presion (00249), asi como sobre los resultados de salud, debido a que las UPP son resultados sensibles a la practica enfermera.

Consumo de alcohol y prácticas sexuales de riesgo: el patrón de los estudiantes de Enfermería de una universidad española

Objetivo: determinar la prevalencia del consumo de sustancias toxicas y de practicas sexuales sin proteccion y analizar la relacion entre ellas en los estudiantes de Enfermeria de la Universidad de Sevilla. Metodo: abordaje metodologico cuantitativo con diseno descriptivo y transversal. La poblacion la constituyo el alumnado de Enfermeria de 1o de Grado de la Universidad de Sevilla durante el curso academico 2010-2011 (N=510), con muestreo oportunista y consecutivo conformado por el alumnado que acudio a clase el dia programado (n=291). Resultados: mostraron alta prevalencia del consumo de alcohol y aumento de la probabilidad de no utilizar medidas de proteccion en practicas sexuales cuando se habia consumido alcohol. Conclusion: estos hallazgos concuerdan con los obtenidos en la misma poblacion en Brasil y ponen de manifiesto la necesidad de fortalecer en el curriculo de enfermeria, un eje transversal relacionado con la prevencion del consumo de sustancias toxicas, especialmente con el alcohol.Descriptores: Estudiantes de Enfermeria; Educacion en Enfermeria; Riesgo Relativo; Trastornos Relacionados con Sustancias.OBJECTIVE to determine the prevalence of substance abuse and unsafe sexual practices and to analyze the relationship between them, in nursing students at the University of Seville. METHOD quantitative methodological approach with a descriptive cross-sectional design. The population was composed of first year nursing students in the University of Seville, during the academic year 2010-2011 (N=510), with consecutive opportunistic sampling composed of students who attended class on the scheduled day (n=291). RESULTS a high prevalence of alcohol consumption, and increased likelihood of not using protective measures during sexual practices when alcohol had been consumed, was present. CONCLUSION these findings are consistent with those obtained in the same population in Brazil, and highlight the need to strengthen in the nursing curriculum, the transverse axis related to the prevention of substance abuse, especially alcohol.

Consumo de alcool e praticas sexuais de risco: o padrao dos estudantes de enfermagem de uma universidade espanhola

Objetivo: determinar la prevalencia del consumo de sustancias toxicas y de practicas sexuales sin proteccion y analizar la relacion entre ellas en los estudiantes de Enfermeria de la Universidad de Sevilla. Metodo: abordaje metodologico cuantitativo con diseno descriptivo y transversal. La poblacion la constituyo el alumnado de Enfermeria de 1o de Grado de la Universidad de Sevilla durante el curso academico 2010-2011 (N=510), con muestreo oportunista y consecutivo conformado por el alumnado que acudio a clase el dia programado (n=291). Resultados: mostraron alta prevalencia del consumo de alcohol y aumento de la probabilidad de no utilizar medidas de proteccion en practicas sexuales cuando se habia consumido alcohol. Conclusion: estos hallazgos concuerdan con los obtenidos en la misma poblacion en Brasil y ponen de manifiesto la necesidad de fortalecer en el curriculo de enfermeria, un eje transversal relacionado con la prevencion del consumo de sustancias toxicas, especialmente con el alcohol.Descriptores: Estudiantes de Enfermeria; Educacion en Enfermeria; Riesgo Relativo; Trastornos Relacionados con Sustancias.OBJECTIVE to determine the prevalence of substance abuse and unsafe sexual practices and to analyze the relationship between them, in nursing students at the University of Seville. METHOD quantitative methodological approach with a descriptive cross-sectional design. The population was composed of first year nursing students in the University of Seville, during the academic year 2010-2011 (N=510), with consecutive opportunistic sampling composed of students who attended class on the scheduled day (n=291). RESULTS a high prevalence of alcohol consumption, and increased likelihood of not using protective measures during sexual practices when alcohol had been consumed, was present. CONCLUSION these findings are consistent with those obtained in the same population in Brazil, and highlight the need to strengthen in the nursing curriculum, the transverse axis related to the prevention of substance abuse, especially alcohol.