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  1. Article ; Online: Describing Non-Binary People's Encounters with the Healthcare System: A Qualitative Study in Catalonia (Spain).

    Gómez-Ibáñez, Rebeca / Leyva-Moral, Juan M / Cruzado-Reyes, Alexander / Platero, Lucas R / Granel, Nina / Watson, Carolina E

    Archives of sexual behavior

    2024  

    Abstract: Non-binary people face numerous stressors in their daily lives, including personal, interpersonal, and environmental. These stressors gain strength when such individuals access healthcare services, and discrimination and cisgenderism become the main ... ...

    Abstract Non-binary people face numerous stressors in their daily lives, including personal, interpersonal, and environmental. These stressors gain strength when such individuals access healthcare services, and discrimination and cisgenderism become the main barrier to obtaining gender-affirming healthcare. This study aimed to describe the experiences of non-binary people regarding the care and medical attention received in Catalonia (Spain). A qualitative phenomenological study was conducted with 21 non-binary people recruited using snowball sampling in 2022. Data were gathered through open-ended interviews and analyzed using thematic analysis. Two main themes were identified, which were further classified into two categories each: Theme 1-This is me composed of the categories, "My Name and My Pronouns" and "One's Chosen Gender," and Theme 2-I do not exist for the health system consisting of "Uneducated Health System in Sexual Health" and "Feeling Like an Outsider for Being Non-Binary." Non-binary people face multiple stressors when accessing the healthcare services that makes them feel invisible, vulnerable, and marginalized. Further widespread implementation of person-centered care is essential to promote the relationship between non-binary people and the healthcare system. In addition, further sexual health training is required for all health professionals.
    Language English
    Publishing date 2024-04-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 184221-3
    ISSN 1573-2800 ; 0004-0002
    ISSN (online) 1573-2800
    ISSN 0004-0002
    DOI 10.1007/s10508-024-02849-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Narrative photography with an expert patient as a method to improve empathy: a satisfaction study with health sciences students.

    Leyva-Moral, Juan M / Aguayo-González, Mariela / San Rafael-Gutiérrez, Sabiniana / Gómez-Ibáñez, Rebeca

    International journal of nursing education scholarship

    2022  Volume 19, Issue 1

    Abstract: Objectives: To assess health sciences students' satisfaction with narrative photography with an expert patient as an empathy-fostering teaching method.: Methods: Nineteen students from a public medical sciences university in Barcelona (Spain) ... ...

    Abstract Objectives: To assess health sciences students' satisfaction with narrative photography with an expert patient as an empathy-fostering teaching method.
    Methods: Nineteen students from a public medical sciences university in Barcelona (Spain) voluntarily completed six online training sessions using narrative photography and expert patient. Data were collected using an anonymous online satisfaction questionnaire verified by experts, including 29 quantitative and qualitative questions that were analyzed descriptively.
    Results: Eighteen valid questionnaires were obtained (90% response rate). All students evaluated the teaching method as highly satisfactory. The main positive aspects of the teaching method were being able to express one's emotions and reflections. Students felt the activity enhanced their empathy and helped them minimize their prejudices, specifically to patients living with HIV. Students also evaluated the online format as less optimal than if it were delivered in person.
    Conclusion: The students found the teaching method to have a personal and professional impact, which facilitated the integration of empathy in their daily practice when caring for people living with HIV.
    MeSH term(s) Empathy ; HIV Infections ; Humans ; Patient Satisfaction ; Personal Satisfaction ; Photography ; Students
    Language English
    Publishing date 2022-05-27
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2162109-3
    ISSN 1548-923X ; 2194-5772
    ISSN (online) 1548-923X
    ISSN 2194-5772
    DOI 10.1515/ijnes-2021-0124
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Design and content validation of a checklist about infection-prevention performance of intensive care nurses in simulation-based scenarios.

    Raurell-Torredà, Marta / Arrogante, Oscar / Aliberch-Raurell, Anna María / Sánchez-Chillón, Francisco Javier / Torralba-Melero, Martín / Rojo-Rojo, Andrés / Gomez-Ibañez, Rebeca / Lamoglia-Puig, Montserrat / Farrés-Tarafa, Mariona / Zaragoza-García, Ignacio

    Journal of clinical nursing

    2024  

    Abstract: Objective: To design, develop and validate a new tool, called NEUMOBACT, to evaluate critical care nurses' knowledge and skills in ventilator-associated pneumonia (VAP) and catheter-related bacteraemia (CRB) prevention through simulation scenarios ... ...

    Abstract Objective: To design, develop and validate a new tool, called NEUMOBACT, to evaluate critical care nurses' knowledge and skills in ventilator-associated pneumonia (VAP) and catheter-related bacteraemia (CRB) prevention through simulation scenarios involving central venous catheter (CVC), endotracheal suctioning (ETS) and mechanically ventilated patient care (PC) stations.
    Background: Simulation-based training is an excellent way for nurses to learn prevention measures in VAP and CRB.
    Design: Descriptive metric study to develop NEUMOBACT and analyse its content and face validity that followed the COSMIN Study Design checklist for patient-reported outcome measurement instruments.
    Methods: The first version was developed with the content of training modules in use at the time (NEUMOBACT-1). Delphi rounds were used to assess item relevance with experts in VAP and CRB prevention measures, resulting in NEUMOBACT-2. Experts in simulation methods then assessed feasibility, resulting in NEUMOBACT-3. Finally, a pilot test was conducted among 30 intensive care unit (ICU) nurses to assess the applicability of the evaluation tool in clinical practice.
    Results: Seven national experts in VAP and CRB prevention and seven national simulation experts participated in the analysis to assess the relevance and feasibility of each item, respectively. After two Delphi rounds with infection experts, four Delphi rounds with simulation experts, and pilot testing with 30 ICU nurses, the NEUMOBACT-FINAL tool consisted of 17, 26 and 21 items, respectively, for CVC, ETS and PC.
    Conclusion: NEUMOBACT-FINAL is useful and valid for assessing ICU nurses' knowledge and skills in VAP and CRB prevention, acquired through simulation.
    Relevance for clinical practice: Our validated and clinically tested tool could facilitate the transfer of ICU nurses' knowledge and skills learning in VAP and CRB prevention to critically ill patients, decreasing infection rates and, therefore, improving patient safety.
    Patient or public contribution: Experts participated in the Delphi rounds and nurses in the pilot test.
    Language English
    Publishing date 2024-02-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.17010
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  4. Article ; Online: Nursing students first experience on high fidelity simulation: A phenomenological research study.

    Watson, Carolina / Gómez-Ibáñez, Rebeca / Granel, Nina / Bernabeu-Tamayo, Maria Dolors

    Nurse education in practice

    2021  Volume 55, Page(s) 103162

    Abstract: Aim/objective: This study aimed to explore the perceptions of nursing students towards their first experience with high-fidelity simulation (HFS) in a Spanish university.: Background: Simulation experiences are becoming more popular in nursing ... ...

    Abstract Aim/objective: This study aimed to explore the perceptions of nursing students towards their first experience with high-fidelity simulation (HFS) in a Spanish university.
    Background: Simulation experiences are becoming more popular in nursing education, allowing students to practice clinical skills before encountering actual patients.
    Methods: A phenomenological approach was used. Sixteen in-depth, semi-structured, qualitative one-on-one interviews were conducted among second-year undergraduate nursing students who had completed a scheduled HFS training program. The interview transcripts were analyzed using Colaizzi's phenomenological method.
    Results: Four themes were identified: "Learning through simulation"; "Acting like a nurse instead of being a student"; "Facilitators and barriers of learning"; and "Transition from simulation to reality."
    Conclusion: This study provides support for including high-fidelity simulation programs in the nursing curricula to enhance student preparedness for clinical placements.
    MeSH term(s) Education, Nursing, Baccalaureate ; High Fidelity Simulation Training ; Humans ; Learning ; Qualitative Research ; Students, Nursing
    Language English
    Publishing date 2021-07-23
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 2058575-5
    ISSN 1873-5223 ; 1471-5953
    ISSN (online) 1873-5223
    ISSN 1471-5953
    DOI 10.1016/j.nepr.2021.103162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Effectiveness of Narrative Photography in Increasing Nursing Students' Empathy: A Pretest-Posttest Study.

    Leyva-Moral, Juan M / Rafael-Gutiérrez, Sabiniana San / Aguayo-Gonzalez, Mariela / Guevara-Vásquez, Génesis / Gómez-Ibáñez, Rebeca

    The Journal of nursing education

    2022  Volume 61, Issue 12, Page(s) 701–705

    Abstract: Background: Narrative photography is a method that can enhance nursing students' empathy when caring for individuals with HIV.: Method: This quasiexperimental pre-test-posttest study included 28 first-year nursing students from a public university in ...

    Abstract Background: Narrative photography is a method that can enhance nursing students' empathy when caring for individuals with HIV.
    Method: This quasiexperimental pre-test-posttest study included 28 first-year nursing students from a public university in Barcelona, Spain. Empathy was assessed using the Spanish validated version of the Interpersonal Reactivity Index.
    Results: Empathy scores were higher in the intervention group (
    Conclusion: Narrative photography is an effective learning method to promote nursing students' empathy when caring for individuals with HIV.
    MeSH term(s) Female ; Humans ; Students, Nursing ; Universities ; HIV Infections ; Spain
    Language English
    Publishing date 2022-12-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410686-6
    ISSN 1938-2421 ; 0148-4834
    ISSN (online) 1938-2421
    ISSN 0148-4834
    DOI 10.3928/01484834-20221003-05
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Autonomy and isolation experienced by patients and primary caregivers during COVID-19 hospitalization in Barcelona (Spain).

    Mestres-Soler, Olga / Leyva-Moral, Juan M / Aguayo-González, Mariela / Zuriguel-Pérez, Esperanza / Rosales, Marta / Gómez-Ibáñez, Rebeca

    Nursing & health sciences

    2022  

    Abstract: This study aims to describe patients' and family caregivers' hospitalization experiences during the COVID-19 pandemic. Using qualitative exploratory descriptive methods, 13 patients admitted to the largest hospital in Barcelona (Spain) due to COVID-19 ... ...

    Abstract This study aims to describe patients' and family caregivers' hospitalization experiences during the COVID-19 pandemic. Using qualitative exploratory descriptive methods, 13 patients admitted to the largest hospital in Barcelona (Spain) due to COVID-19 were interviewed by telephone once discharged, as were eight primary caregivers. Data were analyzed using the content analysis method proposed by Krippendorff. Two main themes were identified: (i) Acceptance of mandatory isolation for patients and family caregivers, which refers to the verbalization of a feeling that justifies the imposed isolation and the need for the use of personal protective equipment by the health team for everyone's safety; and (ii) Limited autonomy during hospitalization for patients and family caregivers, which describes participants' perceptions of autonomy during hospitalization. Patients and caregivers experienced feelings of loneliness, which negatively affected their emotional health. In addition, they experienced reduced autonomy due to new habits and routines intended to control the pandemic for the benefit of public and global health.
    Language English
    Publishing date 2022-09-18
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2213282-X
    ISSN 1442-2018 ; 1441-0745
    ISSN (online) 1442-2018
    ISSN 1441-0745
    DOI 10.1111/nhs.12986
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  7. Article ; Online: Nursing students' perceptions of the efficacy of narrative photography as a learning method: A cross-sectional study.

    Leyva-Moral, Juan M / Aguayo-González, Mariela / Folch, Cinta / San Rafael, Sabiniana / Gómez-Ibáñez, Rebeca

    Nursing & health sciences

    2022  Volume 24, Issue 2, Page(s) 380–386

    Abstract: Although active learning methodologies promote students' creativity and motivation regarding learning objectives, traditional unidirectional teaching methods remain more common. The objective of this study was to determine nursing students' perceptions ... ...

    Abstract Although active learning methodologies promote students' creativity and motivation regarding learning objectives, traditional unidirectional teaching methods remain more common. The objective of this study was to determine nursing students' perceptions regarding the efficacy of narrative photography as a learning method, including self-perceived satisfaction. Narrative photography is an art-based technique inspired by Photovoice that promotes empathy, creativity, and reflection. A cross-sectional study was conducted using a nonprobabilistic sample of 66 nursing students from a public university in Barcelona, Spain. Quantitative and qualitative data were collected anonymously using an electronic tool. Descriptive statistics and thematic analyses were used to analyze the data. Sixty valid questionnaires were returned. The respondents found narrative photography's ability to promote creativity and assist understanding of theory to be its most satisfying aspect (>95% somewhat/totally agree). Narrative photography's usefulness, ability to foster self-criticism, and the associated workload was the least satisfactory aspect (>55% somewhat/totally agree). Significant differences regarding satisfaction levels were found for both age and sex. Narrative photography is a helpful and satisfactory learning method, especially for promoting creativity and understanding theoretical concepts.
    MeSH term(s) Cross-Sectional Studies ; Education, Nursing, Baccalaureate ; Empathy ; Humans ; Photography ; Students, Nursing ; Surveys and Questionnaires
    Language English
    Publishing date 2022-03-03
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2213282-X
    ISSN 1442-2018 ; 1441-0745
    ISSN (online) 1442-2018
    ISSN 1441-0745
    DOI 10.1111/nhs.12932
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  8. Article ; Online: Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study.

    Granel-Giménez, Nina / Palmieri, Patrick Albert / Watson-Badia, Carolina E / Gómez-Ibáñez, Rebeca / Leyva-Moral, Juan Manuel / Bernabeu-Tamayo, María Dolors

    International journal of environmental research and public health

    2022  Volume 19, Issue 2

    Abstract: Background: Poorly organized health systems with inadequate leadership limit the development of the robust safety cultures capable of preventing consequential adverse events. Although safety culture has been studied in hospitals worldwide, the ... ...

    Abstract Background: Poorly organized health systems with inadequate leadership limit the development of the robust safety cultures capable of preventing consequential adverse events. Although safety culture has been studied in hospitals worldwide, the relationship between clinician perceptions about patient safety and their actual clinical practices has received little attention. Despite the need for mixed methods studies to achieve a deeper understanding of safety culture, there are few studies providing comparisons of hospitals in different countries.
    Purpose: This study compared the safety culture of hospitals from the perspective of nurses in four European countries, including Croatia, Hungary, Spain, and Sweden.
    Design: A comparative mixed methods study with a convergent parallel design.
    Methods: Data collection included a survey, participant interviews, and workplace observations. The sample was nurses working in the internal medicine, surgical, and emergency departments of two public hospitals from each country. Survey data (
    Results: The overall perception of safety culture for most dimensions was 'adequate' in Sweden and 'adequate' to 'poor' in the other countries with inconsistencies identified between survey and qualitative data. Although teamwork within units was the most positive dimension across countries, the qualitative data did not consistently demonstrate support, respect, and teamwork as normative attributes in Croatia and Hungary. Staffing and workload were identified as major areas for improvement across countries, although the nurse-to-patient ratios were the highest in Sweden, followed by Spain, Hungary, and Croatia.
    Conclusions: Despite all countries being part of the European Union, most safety culture dimensions require improvement, with few measured as good, and most deemed to be adequate to poor. Dimension level perceptions were at times incongruent across countries, as observed patient safety practices or interview perspectives were inconsistent with a positive safety culture. Differences between countries may be related to national culture or variability in health system structures permitted by the prevailing European Union health policy.
    MeSH term(s) Attitude of Health Personnel ; Cross-Sectional Studies ; Hospitals, Public ; Humans ; Organizational Culture ; Patient Safety ; Safety Management ; Surveys and Questionnaires
    Language English
    Publishing date 2022-01-14
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19020939
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  9. Article: Chemsex in Barcelona: A qualitative study of factors associated with the practice, the perception of the impact on health and prevention needs.

    Leyva-Moral, Juan M / Aguayo-González, Mariela / Mora, Rubén / Villegas, Luis / Gómez-Ibáñez, Rebeca / Mestres-Soler, Olga / Maldonado-Alia, Rubén / Lorente, Nicolas / Folch, Cinta

    Adicciones

    2023  , Page(s) 1790

    Abstract: Chemsex is defined as use of psychoactive drugs with the aim of having sexual relations between gay men, bisexuals and men who have sex with men for a long period of time. To study this phenomenon, this qualitative descriptive study was proposed with the ...

    Title translation Chemsex en Barcelona: Estudio cualitativo sobre factores asociados a la práctica, percepción del impacto en salud y necesidades de prevención.
    Abstract Chemsex is defined as use of psychoactive drugs with the aim of having sexual relations between gay men, bisexuals and men who have sex with men for a long period of time. To study this phenomenon, this qualitative descriptive study was proposed with the objective of describing the practice of chemsex from the perspective of users, to determine the main factors associated with its practice, the perception of the impact on their health and to establish prevention needs. Data were obtained using conversational techniques: 12 semi-structured interviews and 3 focus groups. The purposive sample was made up of GBMSM with a mean age of 40.1 years, 78% born in Spain, and 68% with completed university studies. The qualitative analysis focused on three thematic areas: factors associated with the practice of chemsex, the impact of chemsex on health, and prevention and risk reduction needs. It is concluded that the practice of chemsex should be understood as multifactorial and multicausal, associated with the sociocultural context. Sexual satisfaction, increased libido and the search for more intense pleasure are identified as key factors among people who practice it. These men are still scared of being judged, even by specialists who may lack knowledge or training. A reanalysis and rethinking of the interventions and policies directed towards this population is necessary, putting the focus of action on shared decision-making, self-care, cultural competence and the humanization of care.
    Language Spanish
    Publishing date 2023-03-15
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 2018873-0
    ISSN 0214-4840
    ISSN 0214-4840
    DOI 10.20882/adicciones.1790
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  10. Article ; Online: Expectations of patients awaiting lung transplantation: A qualitative study.

    Mestres-Soler, Olga / Gómez-Ibáñez, Rebeca / Zuriguel-Pérez, Esperanza / Escobar-Fornieles, Roser / Aguayo-González, Mariela / Leyva-Moral, Juan Manuel / Watson, Carolina E

    Nursing open

    2023  Volume 10, Issue 6, Page(s) 3766–3773

    Abstract: Aim: The main aim of the present study is to examine the expectations and feelings of people awaiting lung transplantation.: Background: The assessment of the benefits of lung transplant should consider, among other things, the subjective perceptions ...

    Abstract Aim: The main aim of the present study is to examine the expectations and feelings of people awaiting lung transplantation.
    Background: The assessment of the benefits of lung transplant should consider, among other things, the subjective perceptions of patients about the procedure, especially in relation to the context and to their values, goals and expectations. This is an issue that has not been studied in depth, especially in Spain.
    Design: Exploratory qualitative study.
    Methods: Data were collected through semi-structured interviews during the period of being on the waiting list for transplantation. Thematic analysis of the data was supported by the Atlas.ti software.
    Results: The study population comprised 16 patients awaiting lung transplant, a number sufficient to reach data saturation. Four categories were identified to describe patients' feelings and expectations: (1) reasons for undergoing the transplant, (2) expectations about life post-transplant, (3) emotional state, and (4) relationship with the healthcare team.
    Conclusions: Patients have high expectations of lung transplantation. They see it as offering them a second chance at life, although the future creates uncertainty. The healthcare professionals are identified as key actors, providing essential support and information throughout the various stages of the process. Future research should explore recipients' experiences of lung transplant at later stages.
    Relevance to clinical practice: It is important to adapt care through all the lung transplant process, which is accompanied by intense and complex emotions since the beginning. Thus, providing social and psychological support from the beginning may contribute to their health status, helping them deal with all the emotions and feelings experienced, and find balance between expectations and reality.
    Patient or public contribution: Sixteen patients awaiting lung transplant were interviewed. Interview transcripts were returned to participants to check for accuracy with their experiences.
    MeSH term(s) Humans ; Motivation ; Lung Transplantation/psychology ; Emotions ; Qualitative Research ; Health Status
    Language English
    Publishing date 2023-02-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2809556-X
    ISSN 2054-1058 ; 2054-1058
    ISSN (online) 2054-1058
    ISSN 2054-1058
    DOI 10.1002/nop2.1634
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