CTS436 - Artículoshttps://hdl.handle.net/10481/554862024-03-29T01:19:30Z2024-03-29T01:19:30ZClinical Simulation in Palliative Care for Undergraduate Nursing Students: A Randomized Clinical Trial and Complementary Qualitative StudyEsteban Burgos, Ana AlejandraMoya-Carramolino, JesúsVinuesa-Box, MiriamPuente Fernández, DanielGarcía Caro, María PazMontoya Juárez, RafaelLópez Morales, Manuelhttps://hdl.handle.net/10481/891862024-02-15T10:40:19ZClinical Simulation in Palliative Care for Undergraduate Nursing Students: A Randomized Clinical Trial and Complementary Qualitative Study
Esteban Burgos, Ana Alejandra; Moya-Carramolino, Jesús; Vinuesa-Box, Miriam; Puente Fernández, Daniel; García Caro, María Paz; Montoya Juárez, Rafael; López Morales, Manuel
Background: a lack of adequate training in palliative care leads to a greater emotional burden on nurses. Purpose: to assess the effect of a simulation using standardized patients on self-efficacy in palliative care, ability to cope with death, and emotional intelligence among nursing students. Methods: a randomized clinical trial and qualitative study. A total of 264 nursing students in a palliative care module completed the Bugen, trait meta-mood, and self-efficacy in palliative care scales after active participation in the simulation (n = 51), watching the simulation (n = 113), and the control group (n = 100). An ANOVA with a multi-comparative analysis and McNemar’s tests for paired samples were calculated. Active participants were interviewed, and a thematic analysis was conducted. Results: there was an improvement after the assessment in all three groups assessed for coping with death (p < 0.01), emotional intelligence (p < 0.01), and self-efficacy (p < 0.01). In addition, the active group improved more than the observer group and the control group in coping with death, attention, and repair. The students in the interviews identified sadness and an emotional lack of control. Conclusions: the simulation improved nursing students’ self-efficacy in palliative care. This effect was partially stronger in the active group.
Level of Cultural Self-Efficacy of Colombian Nursing Professionals and Related FactorsHerrero Hahn, RaquelRojas, Juan GuillermoMontoya Juárez, RafaelGarcía Caro, María PazHueso Montoro, Césarhttps://hdl.handle.net/10481/887272024-02-08T11:50:12ZLevel of Cultural Self-Efficacy of Colombian Nursing Professionals and Related Factors
Herrero Hahn, Raquel; Rojas, Juan Guillermo; Montoya Juárez, Rafael; García Caro, María Paz; Hueso Montoro, César
Purpose: To describe the level of cultural self-efficacy of Colombian nursing professionals and determine the main influencing factors. Method: A descriptive, analytical cross-sectional study was conducted in 211 nursing professionals selected by systematic random sampling for a finite population, using the Colombian version of the Cultural Self-Efficacy Scale. After descriptive statistical analysis, nonparametric tests were applied to determine between-variable associations, followed by multiple linear regression analysis. Results: The mean Cultural Self-Efficacy Scale score was 2.58. An association with sex and age (p < .05) was observed in regression analysis. The mean score for knowledge of cultural concepts was 3.20 and associated with age, years of experience, educational level, and cross-cultural experiences ( p < .05). The mean score for confidence in performing cultural nursing skills was 3.29. Conclusions and implications for practice: The cultural self-efficacy level of this sample of nursing professionals, with their consequent capacity to provide culturally competent care, is moderate and is associated with sex and age. Confidence in knowledge of cultural concepts is affected by age, educational level, years of experience, and cross-cultural experiences. This evidence supports the implementation of changes to improve the cultural knowledge and therefore cultural self-efficacy of these professionals.
Content analysis of the effects of palliative care learning on the perception by nursing students of dying and dignified death.Martí-García, CeliaRuíz-Martín, LauraFernández-Alcántara, ManuelMontoya-Juarez, RafaelHueso-Montoro, CésarGarcía-Caro, María Pazhttps://hdl.handle.net/10481/887262024-02-08T11:45:55ZContent analysis of the effects of palliative care learning on the perception by nursing students of dying and dignified death.
Martí-García, Celia; Ruíz-Martín, Laura; Fernández-Alcántara, Manuel; Montoya-Juarez, Rafael; Hueso-Montoro, César; García-Caro, María Paz
Background: Providing care for dying people and the death of patients are stressing situations faced by nursing students during their clinical practice. Learning about palliative care improves the management of emotions and the ability to cope when caring for patients in end-of-life processes. However, there is little knowledge on the effect of this learning on the students' perceptions of their own death.
Objectives: To determine the effect of a palliative care course on the thoughts of nursing students about their own death.
Design: A qualitative, descriptive, and comparative study was conducted based on content analysis, administering an open-ended questionnaire on dying and death at the start and end of a palliative care course.
Participants: The study included 85 volunteers studying Palliative Care in the second year of their Nursing Degree at the University of Granada (Spain).
Results: Students described their perceptions in more detail after the course, with more numerous code citations, and their post-course responses evidenced a reduction in anxiety about their own death and an increased recognition of the need to respect the decisions of patients for a dignified death.
Conclusions: Palliative care learning modifies the perception by nursing students of their own death and their understanding of a dignified death, which may enhance the care they deliver to patients at the end of life.
In the hospital there are no care guidelines: experiences and practices in perinatal loss in SpainFernández-Alcántara, ManuelSchul-Martin, LaetitiaGarcía Caro, María PazMontoya Juárez, RafaelPérez-Marfil, NievesZech, Emmanuelhttps://hdl.handle.net/10481/887172024-02-08T11:29:12ZIn the hospital there are no care guidelines: experiences and practices in perinatal loss in Spain
Fernández-Alcántara, Manuel; Schul-Martin, Laetitia; García Caro, María Paz; Montoya Juárez, Rafael; Pérez-Marfil, Nieves; Zech, Emmanuel
Background and objectives: Healthcare professionals play an important role in supporting and attending to families that experience a perinatal loss. Previous research has identified the existence of obstacles that professionals may encounter during their practices. The main objective of the current research was to identify and examine the subjective experiences and practices of experienced professionals attending to perinatal loss in the hospital context in Spain. Design: Qualitative descriptive design.
Setting: Three different hospitals in Spain. Participants: Sixteen professionals were interviewed, including doctors, nurses, midwives, nursing assistants, a psychologist and a funeral home manager. Methods: Individual semi-structured interviews focusing on three areas were carried out: practices with the baby-foetus, practices with parents and interaction with the team. A thematic analysis was performed using the three main focuses of the semi-structured interview (deductive approach) and the codes that emerged from the data (inductive approach). Results: Regarding guideline-based care for the baby/foetus, participants made a distinction between the initial process of care for the baby and the decision-making process with parents. Where support for families was concerned, participants identified considerable variability in the practices used and lack of organisational and care guidelines, psychological support and follow-up. Finally, interactions with other team members were perceived as a source of support, although participants identified a significant lack of coordination. Conclusion: Participants reported variability of practices in care for the baby and parents, lack of continuity-of-care guidelines and the importance of support from a coordinated healthcare team.
Inadequate human resources, equipment and training: A qualitative assessment of the objectives of the NUHELP end-of-life care programme in the context of the COVID-19 pandemicMota Romero, EmilioMontoya Juárez, Rafaelhttps://hdl.handle.net/10481/881852024-02-04T18:06:36ZInadequate human resources, equipment and training: A qualitative assessment of the objectives of the NUHELP end-of-life care programme in the context of the COVID-19 pandemic
Mota Romero, Emilio; Montoya Juárez, Rafael
Background: The COVID-19 pandemic had a particularly severe impact on nursing homes, exposing numerous pre-existing deficiencies in end-of-life care.
Aim: To describe how the COVID-19 pandemic affected nursing home and primary care professionals' attempts to achieve the objectives of a pre-existing end-of-life programme and to explore their personal experiences of end-of-life care in these facilities.
Design: A qualitative descriptive study using thematic analysis.
Setting/participants: Twenty semi-structured interviews were conducted from March to November 2020 with professionals from nursing homes and primary care facilities who participated in the development of the NUHELP programme.
Results: Six main themes were identified: (1) Comprehensive assessments of residents at the homes were not conducted due to excessive workload and high staff turnover. (2) New technologies and changes to professional roles were used to meet relatives' needs for information. Residents only received information when they requested it. (3) Advance care planning was not carried out and was limited to potential hospital transfer. (4) Arrangements were made to allow relatives to spend time with residents during their final moments, but complicated grief among relatives and professionals is anticipated. (5) Management of complexity varied depending on the degree of coordination with primary care facilities. (6) Nursing home professionals felt abandoned, with a lack of human resources, equipment and training.
Conclusions: The pandemic cast light on existing shortcomings in nursing homes in terms of comprehensive assessments, communication, decision making, grief management and palliative care complexity. Nursing homes need more human, material and training resources, as well as improved coordination with the public healthcare system.