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Article ; Online: XLII Congreso Nacional de la SEEIUC.

Martinez Estalella, Gemma

2016 Volume 27, Issue 3, Page(s) 87–88

Title translation	XLII National Congress SEEIUC.
Language	Spanish
Publishing date	2016-07
Publishing country	Spain
Document type	Editorial
ZDB-ID	2018901-1
ISSN	1578-1291 ; 1130-2399
ISSN (online)	1578-1291
ISSN	1130-2399
DOI	10.1016/j.enfi.2016.07.002
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Gestión y liderazgo de los servicios de Enfermería en el plan de emergencia de la pandemia COVID-19: la experiencia del Hospital Clínic de Barcelona.

Martinez Estalella, Gemma / Zabalegui, Adelaida / Sevilla Guerra, Sonia

Enfermeria clinica (English Edition)

2020 Volume 31, Page(s) S12–S17

Abstract: At the international level, the enormous demand to manage the COVID-19 pandemic has posed a challenge both in the provision of personnel and in supplies and sanitary material. There is no precedent or publication related to the management and leadership ... ...

Title translation	Management and leadership of nursing services in the emergency plan for the pandemic COVID-19: the experience of the Clinic Hospital of Barcelona.
Abstract	At the international level, the enormous demand to manage the COVID-19 pandemic has posed a challenge both in the provision of personnel and in supplies and sanitary material. There is no precedent or publication related to the management and leadership of nursing services in Spain within the emergency plan for the COVID-19 pandemic. This article describes the experience of the Hospital Clinico de Barcelona in the current extraordinary circumstances that undoubtedly constitute a nursing management of enormous magnitude and unprecedented due to the high number of people affected and the extraordinary risk of healthcare personnel. Following national and international guidelines to alleviate the pandemic, protect health and prevent the spread of the outbreak. The ability to work as a team, emotional management and respect for organizational decisions have made it possible to face the challenges that the pandemic has put in place and that the Nursing Department can lead in a calm and orderly manner the different actions to perform. Lastly, it will be necessary to continue with an in-depth analysis of the situation and of the actions carried out in order to identify the areas for improvement as well as to evaluate the overall nature of the process.
MeSH term(s)	Advisory Committees/organization & administration ; Bed Conversion ; COVID-19/epidemiology ; COVID-19/therapy ; Checklist ; Clinical Protocols ; Emergencies/epidemiology ; Health Personnel/education ; Home Care Services/organization & administration ; Hospital Administration ; Humans ; Leadership ; Nurse's Role ; Nursing Service, Hospital/organization & administration ; Pandemics ; Personal Protective Equipment ; Personnel Staffing and Scheduling/organization & administration ; SARS-CoV-2 ; Spain/epidemiology ; Triage/organization & administration
Keywords	covid19
Language	Spanish
Publishing date	2020-05-15
Document type	Journal Article
ISSN	2445-1479
ISSN (online)	2445-1479
DOI	10.1016/j.enfcli.2020.05.002
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Gestión y liderazgo de los servicios de Enfermería en el plan de emergencia de la pandemia COVID-19

Martinez Estalella, Gemma / Zabalegui, Adelaida / Sevilla Guerra, Sonia

Enfermería Clínica ; ISSN 1130-8621

la experiencia del Hospital Clínic de Barcelona

2020

Keywords	General Nursing ; General Medicine ; covid19
Language	Spanish
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.enfcli.2020.05.002
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: [management and Leadership of Nursing Services in the Emergency Plan for the Pandemic Covid-19: the Experience of the Clinic Hospital of Barcelona]

Estalella, Gemma Martinez / Zabalegui, Adelaida / Guerra, Sonia Sevilla

Enferm Clin

Abstract: At the international level, the enormous demand to manage the COVID-19 pandemic has posed a challenge both in the provision of personnel and in supplies and sanitary material There is no precedent or publication related to the management and leadership ... ...

Abstract	At the international level, the enormous demand to manage the COVID-19 pandemic has posed a challenge both in the provision of personnel and in supplies and sanitary material There is no precedent or publication related to the management and leadership of nursing services in Spain within the emergency plan for the COVID-19 pandemic This article describes the experience of the Hospital Clinico de Barcelona in the current extraordinary circumstances that undoubtedly constitute a nursing management of enormous magnitude and unprecedented due to the high number of people affected and the extraordinary risk of healthcare personnel Following national and international guidelines to alleviate the pandemic, protect health and prevent the spread of the outbreak The ability to work as a team, emotional management and respect for organizational decisions have made it possible to face the challenges that the pandemic has put in place and that the Nursing Department can lead in a calm and orderly manner the different actions to perform Lastly, it will be necessary to continue with an in-depth analysis of the situation and of the actions carried out in order to identify the areas for improvement as well as to evaluate the overall nature of the process
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #294641
Database	COVID19

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Article: Gestión Y Liderazgo De Los Servicios De Enfermería En El Plan De Emergencia De La Pandemia Covid-19: La Experiencia Del Hospital Clínic De Barcelona./ [management and Leadership of Nursing Services in the Emergency Plan for the Pandemic Covid-19: the Experience of the Clinic Hospital of Barcelona]

Estalella, Gemma Martinez / Zabalegui, Adelaida / Guerra, Sonia Sevilla

Enferm. clin. (Ed. impr.)

Abstract	At the international level, the enormous demand to manage the COVID-19 pandemic has posed a challenge both in the provision of personnel and in supplies and sanitary material. There is no precedent or publication related to the management and leadership of nursing services in Spain within the emergency plan for the COVID-19 pandemic. This article describes the experience of the Hospital Clinico de Barcelona in the current extraordinary circumstances that undoubtedly constitute a nursing management of enormous magnitude and unprecedented due to the high number of people affected and the extraordinary risk of healthcare personnel. Following national and international guidelines to alleviate the pandemic, protect health and prevent the spread of the outbreak. The ability to work as a team, emotional management and respect for organizational decisions have made it possible to face the challenges that the pandemic has put in place and that the Nursing Department can lead in a calm and orderly manner the different actions to perform. Lastly, it will be necessary to continue with an in-depth analysis of the situation and of the actions carried out in order to identify the areas for improvement as well as to evaluate the overall nature of the process.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #276751
Database	COVID19

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Article ; Online: Impact of the COVID-19 pandemic on stress, resilience and depression in health professionals: a cross-sectional study.

Manzanares, Isabel / Sevilla Guerra, Sonia / Lombraña Mencía, María / Acar-Denizli, Nihan / Miranda Salmerón, Josep / Martinez Estalella, Gemma

International nursing review

2021 Volume 68, Issue 4, Page(s) 461–470

Abstract: Aim: To describe the impact of the COVID-19 pandemic on stress, resilience and depression in health professionals from a public hospital in Barcelona, Spain after the first peak of pandemic.: Background: The COVID-19 pandemic in Spain has pushed ... ...

Abstract	Aim: To describe the impact of the COVID-19 pandemic on stress, resilience and depression in health professionals from a public hospital in Barcelona, Spain after the first peak of pandemic. Background: The COVID-19 pandemic in Spain has pushed boundaries in health systems and, especially, for health professionals. Analysis of resilience as an individual resource and it is essential to understand the mechanisms that make staff react unfavourably to stressors caused by the pandemic. Design: A descriptive cross-sectional study was designed. Participants: Health professionals supervised by the nursing department, including registered nurses, health care assistants, health technicians, final year nurse student nurses, foreign nurses, and other nurse-related health workers. Methods: The study complies with the STROBE checklist for cross-sectional studies. An online survey was administered to all health professionals supervised by the nursing department between 6 and 27 May 2020. The survey included the ER-14 Resilience Scale, the widely-used PHQ-9 depression scale, the Spanish version of the Nursing Stress Scale, and an ad-hoc questionnaire to obtain sociodemographic and occupational variables. Results: A total of 686 participants answered the survey. Resilience was high or very high in health professionals, with an inverse correlation with stress and depression scores. Personal on fixed shifts showed better resilience. The most stressed health professionals were full-time registered nurses, followed by health care assistants. Up to 25% of nursing professionals had depression. Conclusion: Our study showed a high degree of resilience among nurse professionals despite the overwhelming nature of the COVID-19 pandemic. Relevant signs of depression and stress were detected among participants. Occupational factors heavily influenced nurses' resilience, stress and depression. Implications for nursing & health policy: Government policy shifts are needed in Spain to improve nurses' workforce conditions, enhance the ratio of nurses to patient numbers, and avoid workforce losses. Maintaining the resilience of health professionals would assist in improving their health and their capacity to possible future emergency situations.
MeSH term(s)	COVID-19 ; Cross-Sectional Studies ; Depression/epidemiology ; Humans ; Pandemics ; SARS-CoV-2 ; Surveys and Questionnaires
Language	English
Publishing date	2021-06-07
Publishing country	England
Document type	Journal Article
ZDB-ID	80342-x
ISSN	1466-7657 ; 0020-8132
ISSN (online)	1466-7657
ISSN	0020-8132
DOI	10.1111/inr.12693
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Article ; Online: Mixed-method research protocol: Development and evaluation of a nursing intervention in patients discharged from the intensive care unit.

Cuzco, Cecilia / Castro Rebollo, Pedro / Marín Pérez, Raquel / Núñez Delgado, Ana Isabel / Romero García, Marta / Martínez Momblan, M Antonia / Estrada Reventós, Dolors / Martínez Estalella, Gemma / Delgado-Hito, Pilar

Nursing open

2021 Volume 8, Issue 6, Page(s) 3666–3676

Abstract: Aim: (a) To understand patients' lived experience at intensive care unit (ICU) discharge and (b) to evaluate the impact of a nursing empowerment intervention (NEI) on patients' anxiety and depression levels at ICU discharge.: Design: A mixed-methods ... ...

Abstract	Aim: (a) To understand patients' lived experience at intensive care unit (ICU) discharge and (b) to evaluate the impact of a nursing empowerment intervention (NEI) on patients' anxiety and depression levels at ICU discharge. Design: A mixed-methods approach will be applied. Methods: In the qualitative phase, the hermeneutic phenomenological method will be used. Participants will be patients from three university hospitals who will be selected by purposive sampling. Data will be gathered through in-depth interviews and analysed using content analysis. The qualitative data obtained will be employed to develop the nursing intervention. Subsequently, a multicenter, parallel-group, experimental pre-test/post-test design with a control group will be used to measure the effectiveness of the nursing empowerment intervention in the quantitative phase by means of the Hospital Anxiety and Depression Scale (HADS). Simple random probabilistic sampling will include 172 patients in this phase.
MeSH term(s)	Anxiety ; Hospitals, University ; Humans ; Intensive Care Units ; Multicenter Studies as Topic ; Patient Discharge ; Research Design
Language	English
Publishing date	2021-05-06
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2809556-X
ISSN	2054-1058 ; 2054-1058
ISSN (online)	2054-1058
ISSN	2054-1058
DOI	10.1002/nop2.894
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Article: Impacto del programa de prevención de infección del catéter venoso central en unidades de cuidados intensivos.

Ordóñez Rufat, Pilar / Polit Martínez, Victoria / Escofet Gómez, Rosa / Martínez Estalella, Gemma

Revista de enfermeria (Barcelona, Spain)

2018 Volume 40, Issue 3, Page(s) 39–42

Abstract: Introduction: The channeling of central venous catheters (CVC) is a technique used in intensive care units (ICUs) but it doesn't come without the risk of infection in the placement and subsequent handling.: Objective: Evaluate the effectiveness of a ... ...

Title translation	Impact of Infection Prevention Program Central Venous Catheter in Intensive Care Units.
Abstract	Introduction: The channeling of central venous catheters (CVC) is a technique used in intensive care units (ICUs) but it doesn't come without the risk of infection in the placement and subsequent handling. Objective: Evaluate the effectiveness of a prevention of infection following the introduction of new multifactorial strategies in the prevention program Central line-associated bloodstream infection (CLABSI) at ICU. Methodology: Comparative descriptive study in two periods, including all patients admitted in multipurpose ICUs of a tertiary hospital 2014. We analyzed 2014 data compared with 2013, to test the impact of new measures CRB prevention program. Variables: number of catheters, number of infections/1000 catheter days and path. Actions carried out were: prospective surveillance of the incidence rate, sequential program multifactorial prevention implementation of different measures, checklist for insertion of new catheters, introduction of weekly monitoring compliance, reporting episodes team are, continuing education for sanitary personal and implementation of the semipermeable transparent dressings with chlorhexidine gel. Results: The overall incidence density rate decreased from 3.1 episodes/1000 catheter days in 2013 to 2.3 episodes/1000 catheter days in 2014, improving in different units. The utilization ratio of the different accesses was: 35% humeral; 33% jugular; 25% subclavian; 10% femoral, and 13% hemodialysis catheter. Conclusions: The new measures applied to reduce the bacteremia have allowed a decrease in the rate of infection, what brings closer to the objective of the Bacteremia Zero program.
MeSH term(s)	Catheter-Related Infections/etiology ; Catheter-Related Infections/prevention & control ; Central Venous Catheters/adverse effects ; Cross Infection/etiology ; Cross Infection/prevention & control ; Humans ; Infection Control/organization & administration ; Intensive Care Units ; Program Evaluation
Language	Spanish
Publishing date	2018-10-02
Publishing country	Spain
Document type	Journal Article
ZDB-ID	1201957-4
ISSN	0210-5020
ISSN	0210-5020
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Article ; Online: Impact of a Nurse-Driven Patient Empowerment Intervention on the Reduction in Patients' Anxiety and Depression During ICU Discharge: A Randomized Clinical Trial.

Cuzco, Cecilia / Castro, Pedro / Marín Pérez, Raquel / Ruiz García, Samuel / Núñez Delgado, Ana I / Romero García, Marta / Martínez Momblan, M Antonia / Benito Aracil, Llucia / Carmona Delgado, Inmaculada / Canalias Reverter, Montse / Nicolás, José M / Martínez Estalella, Gemma / Delgado-Hito, Pilar

Critical care medicine

2022 Volume 50, Issue 12, Page(s) 1757–1767

Abstract: Objectives: To assess the impact of a nurse-driven patient empowerment intervention on anxiety and depression of patients during ICU discharge.: Design: A prospective, multicenter, randomized clinical trial.: Setting: Three ICUs (1 medical, 1 ... ...

Abstract	Objectives: To assess the impact of a nurse-driven patient empowerment intervention on anxiety and depression of patients during ICU discharge. Design: A prospective, multicenter, randomized clinical trial. Setting: Three ICUs (1 medical, 1 medical and surgical, and 1 coronary) of three tertiary hospitals. Patients: Adults admitted to the ICU greater than 18 years old for greater than or equal to 48 hours with preserved consciousness, the ability to communicate and without delirium, who were randomized to receive the nurse-driven patient empowerment intervention (NEI) (intervention group [IG] or standard of care [control group (CG)]) before ICU discharge. Intervention: The NEI consisted of an individualized intervention with written information booklets, combined with verbal information, mainly about the ICU process and transition to the ward, aimed at empowering patients in the transition process from the ICU to the general ward. Measurements and results: Patients completed the Hospital Anxiety and Depression Scale before and after (up to 1 wk) ICU discharge. IG ( n = 91) and CG ( n = 87) patients had similar baseline characteristics. The NEI was associated with a significant reduction in anxiety and depression ( p < 0.001) and the presence of depression ( p = 0.006). Patients with comorbidities and those without family or friends had greater reductions in anxiety and depression after the NEI. After the intervention, women and persons with higher education levels had lower negative outcomes. Conclusions: We found that a NEI before ICU discharge can decrease anxiety and depression in critically ill survivors. The long-term effect of this intervention should be assessed in future trials. Trial registration: NCT04527627 ( https://clinicaltrials.gov/ct2/show/NCT04527627 ).
MeSH term(s)	Adult ; Humans ; Female ; Adolescent ; Patient Discharge ; Prospective Studies ; Patient Participation ; Intensive Care Units ; Anxiety/prevention & control ; Critical Illness
Language	English
Publishing date	2022-09-30
Publishing country	United States
Document type	Randomized Controlled Trial ; Multicenter Study ; Journal Article
ZDB-ID	197890-1
ISSN	1530-0293 ; 0090-3493
ISSN (online)	1530-0293
ISSN	0090-3493
DOI	10.1097/CCM.0000000000005676
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Article ; Online: Nursing Interventions for Patient Empowerment during Intensive Care Unit Discharge: A Systematic Review.

Cuzco, Cecilia / Torres-Castro, Rodrigo / Torralba, Yolanda / Manzanares, Isabel / Muñoz-Rey, Pilar / Romero-García, Marta / Martínez-Momblan, Ma Antonia / Martínez-Estalella, Gemma / Delgado-Hito, Pilar / Castro, Pedro

International journal of environmental research and public health

2021 Volume 18, Issue 21

Abstract: Intensive care unit discharge is an important transition that impacts a patient's wellbeing. Nurses can play an essential role in this scenario, potentiating patient empowerment. A systematic review was conducted using the Preferred Reporting Items for ... ...

Abstract	Intensive care unit discharge is an important transition that impacts a patient's wellbeing. Nurses can play an essential role in this scenario, potentiating patient empowerment. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (the PRISMA Statement. Embase), PubMed/MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), CUIDEN Plus, and LILACS databases; these were evaluated in May 2021. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence. Quality of the studies included was assessed using the Cochrane risk-of-bias tool. Of the 274 articles initially identified, eight randomized controlled trials that reported on nursing interventions had mainly focused on patients' ICU discharge preparation through information and education. The creation of ICU nurse-led teams and nurses' involvement in critical care multidisciplinary teams also aimed to support patients during ICU discharge. This systematic review provides an update on the clinical practice aimed at improving the patient experience during ICU discharge. The main nursing interventions were based on information and education, as well as the development of new nursing roles. Understanding transitional needs and patient empowerment are key to making the transition easier.
MeSH term(s)	Critical Care ; Humans ; Intensive Care Units ; Patient Discharge ; Patient Participation
Language	English
Publishing date	2021-10-21
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph182111049
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