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Article ; Online: Participação dos pacientes na segurança dos cuidados de saúde

Filipe Morais Figueiredo / Ana Maria Porcel Gálvez / Eugenia Gil Garcia / Margarida Eiras

Ciência & Saúde Coletiva, Vol 24, Iss 12, Pp 4605-

revisão sistemática

2019 Volume 4620

Abstract: Resumo O artigo objetiva identificar as estratégias utilizadas, para participação do paciente na segurança do cuidado de saúde. Revisão sistemática, norteada pelas recomendações do modelo PRISMA, nos bancos de dados: Scopus, WOS e Medline. Limitou-se a ... ...

Abstract	Resumo O artigo objetiva identificar as estratégias utilizadas, para participação do paciente na segurança do cuidado de saúde. Revisão sistemática, norteada pelas recomendações do modelo PRISMA, nos bancos de dados: Scopus, WOS e Medline. Limitou-se a busca a estudos realizados entre janeiro de 2001 e julho de 2016, redigidos em português, inglês ou espanhol. Foram incluídos estudos observacionais, descritivos, qualitativos e/ou epidemiológicos, que descrevessem a metodologia de elaboração e/ou aplicação de, pelo menos, uma estratégia de inclusão dos pacientes na melhoria da segurança dos cuidados. A qualidade metodológica dos artigos foi avaliada usando a ferramenta Cochrane. Para analisar os resultados se fez uma análise temática. Após leitura de títulos, resumos e aplicação de critérios de exclusão, 19 artigos foram selecionados. Nestes se identificam estratégias de mobilização dos pacientes para a segurança dos cuidados, estratégias para promover a participação ativa dos pacientes na segurança dos cuidados e estratégias de solicitação de informação ao paciente sobre a segurança dos cuidados. Há na literatura diversas estratégias que promovem a participação do paciente na segurança dos cuidados, que têm formas e métodos concretos de implementação, bem como objetivos distintos para o seu uso.
Keywords	Segurança do paciente ; Participação do paciente ; Gerenciamento de segurança ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2019-11-01T00:00:00Z
Publisher	Associação Brasileira de Pós-Graduação em Saúde Coletiva
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Nursing Stress Scale-Spanish Version

Ana María Porcel-Gálvez / Sergio Barrientos-Trigo / Sara Bermúdez-García / Elena Fernández-García / Mercedes Bueno-Ferrán / Bárbara Badanta

International Journal of Environmental Research and Public Health, Vol 17, Iss 8456, p

An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings

2020 Volume 8456

Abstract: Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to ... ...

Abstract	Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess occupational stressors among nurses. This study updates the psychometric properties of the “NSS-Spanish version” and validates a short-form version. A cross-sectional design was carried out for this study. A reliability analysis and a confirmatory factor analysis and an exploratory factor analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing and criterion validity confirmed scale equivalence. A total of 2195 Registered Nurses and 1914 Licensed Practical Nurses were enrolled. The original 34-item scale obtained a good internal consistency but an unsatisfactory confirmatory and exploratory factor analysis. The short-form Nursing Stress Scale (11-items) obtained a good internal consistency for Registered Nurses (α = 0.83) and for Licensed Practical Nurses (α = 0.79). Both Nursing Stress Scales obtained a strong correlation for Registered Nurses (rho = 0.904) and for Licensed Practical Nurses (rho = 0.888). The 11-item version of the Nursing Stress Scale is a valid and reliable scale to assess stress perception among Registered Nurses and Licensed Practical Nurses. Its short-form nature improves the psychometric properties and the feasibility of the tool.
Keywords	hospital ; nursing staff ; occupational stress ; working conditions ; assessment tools ; validation ; Medicine ; R
Subject code	150
Language	English
Publishing date	2020-11-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings

Ana María Porcel-Gálvez / Sergio Barrientos-Trigo / Eugenia Gil-García / Olivia Aguilera-Castillo / Antonio Juan Pérez-Fernández / Elena Fernández-García

International Journal of Environmental Research and Public Health, Vol 17, Iss 7951, p

A Prospective Observational Study

2020 Volume 7951

Abstract: Background: In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, such as nursing workload or the level ... ...

Abstract	Background: In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, such as nursing workload or the level of dependency, are being incorporated. We aimed to identify which individual, clinical and hospital characteristics are related to hospital mortality. Methods : A multicentre prospective observational study design was used. Sampling was conducted between February 2015 and October 2017. Patients over 16 years, admitted to medical or surgical units at 11 public hospitals in Andalusia (Spain), with a foreseeable stay of at least 48 h were included. Multivariate regression analyses were performed to analyse the data. Results : The sample consisted of 3821 assessments conducted in 1004 patients. The mean profile was that of a male (52%), mean age of 64.5 years old, admitted to a medical unit (56.5%), with an informal caregiver (60%). In-hospital mortality was 4%. The INICIARE (Inventario del Nivel de Cuidados Mediante Indicadores de Clasificación de Resultados de Enfermería) scale yielded an adjusted odds ratio [AOR] of 0.987 (95% confidence interval [CI]: 0.97–0.99) and the nurse staffing level (NSL) yielded an AOR of 1.197 (95% CI: 1.02–1.4). Conclusion : Nursing care dependency measured by INICIARE and nurse staffing level was associated with in-hospital mortality.
Keywords	hospital mortality ; nursing care dependency ; nursing staffing level ; observational study ; multivariate analysis ; Medicine ; R
Language	English
Publishing date	2020-10-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Consequences of Chronic Non-Cancer Pain in adulthood. Scoping Review.

Rocío Cáceres-Matos / Eugenia Gil-García / Sergio Barrientos-Trigo / Ana María Porcel-Gálvez / Andrés Cabrera-León

Revista de Saúde Pública, Vol

2020 Volume 54

Abstract: ABSTRACT OBJECTIVE To examine and map the consequences of chronic pain in adulthood. METHOD Documents addressing the impact of chronic pain on the psychological and social spheres of people suffering from chronic pain, published in Spanish and English ... ...

Abstract	ABSTRACT OBJECTIVE To examine and map the consequences of chronic pain in adulthood. METHOD Documents addressing the impact of chronic pain on the psychological and social spheres of people suffering from chronic pain, published in Spanish and English between 2013 and 2018, were included. Those who addressed pharmacological treatments, chronic pain resulting from surgical interventions or who did not have access to the full text were excluded. Finally, 28 documents from the 485 reviewed were included RESULTS Studies show that pain is related to high rates of limitation in daily activities, sleep disorders and anxiety-depression spectrum disorders. People in pain have more problems to get the workday done and to maintain social relationships. Chronic pain is also associated with worse family functioning. CONCLUSIONS This review shows that limitations in the ability to perform activities of daily living, sleep, psychological health, social and work resources and family functioning are lines of interest in published articles. However, knowledge gaps are detected in areas such as the influence of having suffered pain in childhood or adolescence, the consequences of non-fulfillment of working hours and gender inequalities.
Keywords	Adult ; Adulthood ; Chronic Pain ; Cost of disease ; Daily Activities ; Quality of life ; Review ; Public aspects of medicine ; RA1-1270
Subject code	306
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	Universidade de São Paulo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Communication as a Strategy to Promote Sports and Health Activities Designed for Adolescents

Antonio Fernández-Martínez / Raquel Pérez-Ordás / Román Nuviala / Mónica Aznar / Ana María Porcel-Gálvez / Alberto Nuviala

International Journal of Environmental Research and Public Health, Vol 17, Iss 4861, p

2020 Volume 4861

Abstract: Physical activity reduces the risk of developing noncommunicable diseases and improves quality of life, providing health benefits for present and future generations. This is especially relevant for adolescents. Educational institutions are promoters of ... ...

Abstract	Physical activity reduces the risk of developing noncommunicable diseases and improves quality of life, providing health benefits for present and future generations. This is especially relevant for adolescents. Educational institutions are promoters of healthy habits through the organisation of different activities such as extracurricular sports programmes. These activities increase the rates of sports practice among adolescents. The literature shows that the perceived quality of sports and health services is an antecedent of users’ behavioural intentions. The aim of this paper is to find out whether communication from educational/sports organisations influences adolescents’ intentions to continue engaging in physical activity. A total of 1080 students participated, with a mean age of 13.76 ± 1.39 years, 34.1% of whom were girls. Tests were conducted to verify the validity and reliability of the model that relates communication with value, satisfaction, and future intentions. Tests were conducted to verify the validity (average variance extracted was between 0.754 and 0.583) and reliability (composite reliability was between 0.925 and 0.813) of the model that relates communication with value, satisfaction, and future intentions. Confirmatory analyses and factor invariance tests were performed. The results revealed that communication is an antecedent of value, satisfaction, and future intentions. In conclusion, communication is a good strategy to consolidate sporting habits in both male and female adolescents.
Keywords	adolescents ; sports and health services ; communication ; satisfaction ; future intentions ; Medicine ; R
Subject code	796
Language	English
Publishing date	2020-07-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Diseño y validación de la escala para la detección de violencia en el noviazgo en jóvenes en la Universidad de Sevilla

María Ángeles García-Carpintero / Javier Rodríguez-Santero / Ana María Porcel-Gálvez

Gaceta Sanitaria, Vol 32, Iss 2, Pp 121-

2018 Volume 128

Abstract: Objetivo: Diseñar y validar un instrumento específico para detectar la violencia ejercida y padecida en las relaciones de parejas jóvenes, la Escala Multidimensional de Violencia en el Noviazgo (EMVN). Método: Estudio descriptivo de validación ... ...

Abstract	Objetivo: Diseñar y validar un instrumento específico para detectar la violencia ejercida y padecida en las relaciones de parejas jóvenes, la Escala Multidimensional de Violencia en el Noviazgo (EMVN). Método: Estudio descriptivo de validación clinimétrica. Muestreo aleatorio estratificado por sexo y área de conocimiento, en el que se adoptó como criterio de inclusión tener o haber tenido alguna relación de pareja. La muestra estuvo compuesta por 447 sujetos. Resultados: Se ha obtenido la EMVN de 32 ítems con tres dimensiones: agresiones físicas y sexuales, conductas de control (ciberacoso, vigilancia y acoso) y abuso psicoemocional (denigración y dominación), como víctima o como agresor/a. No se han encontrado diferencias estadísticamente significativas entre la violencia ejercida y la padecida, pero sí en función del sexo. Conclusión: La EMVN es una escala válida y fiable que mide los distintos elementos de la violencia en parejas de jóvenes y puede suponer un recurso para la detección integral de conductas violentas en las relaciones de noviazgo que se establecen entre jóvenes.
Keywords	Violencia en el noviazgo ; Violencia de pareja ; Ciberacoso ; Análisis factorial confirmatorio ; Estudio instrumental ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2018-03-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Consecuencias del dolor crónico en la infancia y la adolescencia

Rocío Cáceres-Matos / Eugenia Gil-García / Sergio Barrientos-Trigo / Esther Molina / Ana María Porcel-Gálvez

Gaceta Sanitaria, Vol 33, Iss 3, Pp 272-

2019 Volume 282

Abstract: Resumen: Objetivo: Examinar y mapear las consecuencias del dolor crónico en la infancia y la adolescencia. Método: Se realizó una revisión sistemática exploratoria (scoping review) de bases de datos internacionales (PubMed, SCOPUS, WOS y CINAHL, Cochrane ...

Abstract	Resumen: Objetivo: Examinar y mapear las consecuencias del dolor crónico en la infancia y la adolescencia. Método: Se realizó una revisión sistemática exploratoria (scoping review) de bases de datos internacionales (PubMed, SCOPUS, WOS y CINAHL, Cochrane Library) y de literatura gris. Se incluyeron documentos que abordaban aspectos psicosociales que influyen en el dolor crónico, publicados en inglés entre los años 2010 y 2016. Se excluyeron los documentos que abordaban tratamientos farmacológicos o dolor crónico derivado de intervenciones quirúrgicas, y aquellos sin acceso al texto completo. Se incluyeron 34 documentos de los 716 revisados. Resultados: Los estudios muestran que el dolor se relaciona con altas tasas de discapacidad funcional y de trastornos del sueño y del espectro ansiedad-depresión. Los/las jóvenes experimentan mayores tasas de victimización y estigmatización, lo que contribuye al aislamiento social, mayor dificultad para atender las exigencias académicas y menor oportunidad de consumo de sustancias ilegales. Con respecto a la familia, el dolor crónico se ha asociado con un peor funcionamiento familiar y una inversión considerable de recursos económicos. Conclusiones: Esta revisión pone de manifiesto que la capacidad funcional, el sueño, el desarrollo personal, el apoyo de iguales y el funcionamiento familiar son líneas de interés en los trabajos publicados. Sin embargo, se detectan lagunas de conocimiento en áreas como las conductas de riesgo, las consecuencias que puede ocasionar el dolor en la edad adulta y las desigualdades de género. Abstract: Objective: Our aim was to examine and map the consequences of chronic pain in children and adolescents. Method: A scoping review was carried out in the international databases (PubMed, SCOPUS, WOS and CINAHL, Cochrane Library) and gray literature. We included documents that addressed psychosocial aspects that influence chronic pain, published in English between 2010 and 2016. We excluded the documents that dealt with pharmacological treatments, ...
Keywords	Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2019-05-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Development and External Validity of a Short-Form Version of the INICIARE Scale to Classify Nursing Care Dependency Level in Acute Hospitals

Ana María Porcel-Gálvez / Sergio Barrientos-Trigo / Elena Fernández-García / Regina Allande-Cussó / María Dolores Quiñoz-Gallardo / José Miguel Morales-Asencio

International Journal of Environmental Research and Public Health, Vol 17, Iss 8511, p

2020 Volume 8511

Abstract: Background: The increasing dependence care in patients hospitalized in acute hospitals around the world entails classification systems heeding the wide range of care dependency levels generated by the many different types of dependent patients. This ... ...

Abstract	Background: The increasing dependence care in patients hospitalized in acute hospitals around the world entails classification systems heeding the wide range of care dependency levels generated by the many different types of dependent patients. This article is a report of a study assessing the validity and reliability of a short-from version of the instrument (Inventario del NIvel de Cuidados mediante Indicadores de Resultados de Enfermería (INICIARE)) used to classify inpatients according to their care dependency level. Methods: The validation, carried out in a multicenter longitudinal study, included three different samples: the first sample of 1800 patients to evaluate the reliability and validity, a second of 762 patients for confirmatory factor analysis, and a third of 762 to test the short-form version. Patients over 16 years of age, admitted to medical or surgical units at 11 public hospitals, were included. Results: The final sample included 3605 patients. Patients had a mean age of 64.5 years, 60% were admitted to medical units, with severe dependency. The validation process yielded two versions of the instrument: a 40-item version, with eight factors with 83.6% of total variance explained and Cronbach’s alpha values between 0.98 and 0.92, and a short-form with 26 items, with five factors and Cronbach’s alpha values between 0.96 and 0.90. The Confirmatory Factor Analysis yielded a good fit model to the 40-item version (Chi Square on Degrees of Freedom CMIN/DF) = 1.335; Normed Fit Index (NFI); Tucker–Lewis Index (TLI); Comparative Fit Index (CFI) > 0.90; Standardized Residual Root Mean Square (RMSEA) = 0.02; and Standardized Residual Root Mean Square (SRMR) = 0.027) and 26-item version (Chi Square on Degrees of Freedom CMIN/DF = 1.385; NFI = 0.998; CFI = 0.999; RMSEA = 0.02; and SRMR 0.02). Both INICIARE versions obtained a high correlation between them (r = 0.96; p < 0.001). Conclusion: INICIARE has proved to be a valid and reliable instrument for the assessment of the level of care dependency of ...
Keywords	assessment tools ; dependency care ; health measurements ; hospitals ; instrument development ; nursing care ; Medicine ; R
Subject code	310
Language	English
Publishing date	2020-11-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Insomnia Interventions in the Workplace

Juan Vega-Escaño / Ana María Porcel-Gálvez / Rocío de Diego-Cordero / José Manuel Romero-Sánchez / Manuel Romero-Saldaña / Sergio Barrientos-Trigo

International Journal of Environmental Research and Public Health, Vol 17, Iss 6401, p

A Systematic Review and Meta-Analysis

2020 Volume 6401

Abstract: The aim of this systematic review and meta-analysis was to identify and evaluate the impact of interventions to improve or reduce insomnia in the workforce through randomized clinical trials. Following the recommendations of the PRISMA and MARS statement, ...

Abstract	The aim of this systematic review and meta-analysis was to identify and evaluate the impact of interventions to improve or reduce insomnia in the workforce through randomized clinical trials. Following the recommendations of the PRISMA and MARS statement, a systematic literature search was carried out on the PubMed, Web of Science, CINHAL, and PsycINFO databases, with no restrictions on the language or publication date. For the meta-analysis, a random-effects model and the Insomnia Severity Index were used as outcome measures. To assess the risk of bias and the quality of evidence, the Cochrane Collaboration tool and the GRADE method were used, respectively. Twenty-two studies were included in the systematic review and 12 studies in the meta-analysis, making a total of 14 intervention groups with a sample of 827 workers. Cognitive behavioral therapy was the most widely used intervention. According to the estimated difference between the means, a moderate effect for the reduction of insomnia symptoms after the intervention (MD −2.08, CI 95%: [−2.68, −1.47]) and a non-significant degree of heterogeneity were obtained ( p = 0.64; I 2 = 0%). The quality of the evidence and the risk of bias were moderate. The results suggest that interventions on insomnia in the workplace are effective for improving workers’ health, and that improvements in the quality of sleep and a decrease in the symptoms of insomnia are produced, thanks to an increase in weekly sleeping hours and a reduction in latency at sleep onset. As regards work, they also led to improvements in productivity, presenteeism, and job burnout.
Keywords	insomnia ; occupational health ; meta-analysis ; workplace health ; systematic review ; Medicine ; R
Subject code	306
Language	English
Publishing date	2020-09-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Alcohol consumption and risky sexual practices

Eugenia Gil-García / Jussara Gue Martini / Ana Maria Porcel-Gálvez

Revista Latino-Americana de Enfermagem, Vol 21, Iss 4, Pp 941-

the pattern of nursing students from the Spanish University

2013 Volume 947

Abstract: 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- ... ...

Abstract	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.
Keywords	Estudiantes de Enfermería ; Educación en Enfermería ; Riesgo Relativo ; Trastornos Relacionados con Sustancias ; Nursing ; RT1-120 ; Medicine ; R
Subject code	360
Language	Portuguese
Publishing date	2013-07-01T00:00:00Z
Publisher	Universidade de São Paulo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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