Antonio Martínez-Sabater

Conhecimentos em cuidados paliativos dos profissionais de enfermagem de um hospital espanhol

Objetivo: determinar o nivel de conhecimento em cuidados paliativos do pessoal de Enfermagem de um hospital espanhol de terceiro nivel. Metodo: estudo transversal descritivo. Foram coletados dados sobre resultados na versao espanhola do questionario Palliative Care Quiz for Nurses (PCQN), aspectos sociodemograficos, nivel de formacao e experiencia dos participantes em cuidados paliativos. Foi realizada analise descritiva univariada e bivariada, considerando-se estatisticamente significativo um valor de p < 0,05 em todos os casos. Resultados: participaram 159 profissionais, (idade media 39,51 anos ± 10,25, com 13,96 anos ± 10,79 de experiencia profissional) 54,7% possuiam experiencia em cuidados paliativos e 64,2%, formacao (majoritariamente basica). A media de acertos no questionario foi de 54%, com diferencas estatisticamente significativas em funcao da formacao e experiencia no âmbito dos cuidados paliativos dos participantes. Conclusoes: embora os participantes mostrem um conhecimento suficiente sobre cuidados paliativos, eles se beneficiariam de um programa de formacao especifico, orientado em funcao das concepcoes erroneas identificadas mediante o questionario, que tem mostrado ser um instrumento util no diagnostico de necessidades formativas dos profissionais no âmbito dos cuidados paliativos.Resume Objective: to determine the level of knowledge in palliative care of nursing staff at a Spanish tertiary care hospital. Method: descriptive, cross-sectional study. Data were collected about the results of the Spanish version of the Palliative Care Quiz for Nurses (PCQN), sociodemographic aspects, education level and experience in the field of palliative care. Univariate and bivariate descriptive analysis was applied. Statistical significance was set at p < 0.05 in all cases. Results: 159 professionals participated (mean age 39.51 years ± 10.25, with 13.96 years ± 10.79 of professional experience) 54.7% possessed experience in palliative care and 64.2% educational background (mainly basic education). The mean percentage of hits on the quiz was 54%, with statistically significant differences in function of the participants’ education and experience in palliative care. Conclusions: although the participants show sufficient knowledge on palliative care, they would benefit from a specific training program, in function of the mistaken concepts identified through the quiz, which showed to be a useful tool to diagnose professionals’ educational needs in palliative care.

Smartphone Addiction Inventory (SPAI): Translation, adaptation and validation of the tool in Spanish adult population

The wide functionality and the vast range of attributes offered by smartphones has led to a substantial increase in the average amount of time these devices are used per day. An excessive use of these tools has been shown to result in symptomatology similar to psychological disorders caused by substance addiction. In Spain, smartphone use has risen exponentially but the effects of this increase remain unclear. Therefore, an instrument is required to help determine the extent of smartphone addiction in the Spanish population. The Smartphone Addiction Inventory (SPAI) is a valid and reliable mean to identify and measure smartphone addiction and so, the aim of this research is the translation and adaptation of SPAI to Spanish, as well as the analysis of its psychometric properties in a Spanish adult population of 2,958 adults, at the University of Valencia. A multiphase-interactive model has been used, based on classical translation–back-translation methods to translate and adapt the SPAI. Moreover, a confirmatory factor analysis to verify that the inventory showed acceptable goodness of fit indices (χ2293 = 4795.909, Comparative Fit Index = 0.927, Tucker–Lewis Index = 0.919, Root Mean Square Error of approximation = 0.072, and Standardised Root Mean square Residual = 0.051) has been carried out. Also good reliability has been found for the global inventory (Cronbach’s alpha = 0.949), and each of its corresponding factors: compulsive behaviour, functional impairment, abstinence, and tolerance (Cronbach’s alpha = 0.856, 0.888, 0.855, and 0.712, respectively). Hence, the SPAI has been adequately translated and adapted for its use in Spain and therefore it is a useful tool for evaluating the degree of smartphone addiction in the Spanish adult population.

Utility of social networks and online data collection in nursing research: Analysis of Spanish nurses’ level of knowledge about palliative care

Introduction Internet-based social networks are used by nurses with different purposes, including the creation of working groups and to share and create knowledge. Purpose To evaluate the utility of social networks in the dissemination of an online questionnaire and to measure Spanish RNs’ knowledge about palliative care. Methods A descriptive cross-sectional study was carried out. Using social networks we distributed an online questionnaire with the Spanish version of Palliative Care Quiz for Nurses (PCQN-SV) throughout August 2015. Results A direct relationship between the number of responses and the questionnaire’s apparitions in each social network was found. Comparing the results obtained by the 446 RNs participating in this study with those obtained in the study to pilot the PCQN-SV we identify that differences found are related to the participants’ features (years of experience and hours of training in palliative care) and not to the type of questionnaire they answered. Conclusions Social networks have shown to be a useful tool for nursing research by its ability, to recruit participants as well as to collect data, so their role as an instrument of research should be considered.

Correction: An instrument to measure nurses' knowledge in palliative care: Validation of the Spanish version of Palliative Care Quiz for Nurses

[This corrects the article DOI: 10.1371/journal.pone.0177000.].

Influencia de la alfabetización en salud sobre la anticoagulación oral: un factor aún desconocido

El tratamiento anticoagulador oral (ACO) es un tratamiento crónico empleado en pacientes con riesgo tromboembólico para mantener unos niveles de coagulación adecuados que eviten episodios tromboembólicos con un incremento razonable de riesgo hemorrágico y un cociente positivo beneficio/riesgo. El fármaco anticoagulante más conocido y utilizado de forma mayoritaria en España es el acenocumarol, presentando el tratamiento con este fármaco unas características especiales que hacen necesaria la realización de controles analíticos periódicos (International Normalized Ratio [INR]) y un exquisito control clínico1. Desde 1996 hasta la actualidad, en la revista AtenciÓn