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Article ; Online: Tango-therapy vs physical exercise in older people with dementia; a randomized controlled trial.

Bracco, Lucía / Pinto-Carral, Arrate / Hillaert, Linda / Mourey, France

2023 Volume 23, Issue 1, Page(s) 693

Abstract: Background: Dementia is a growing health concern that affects millions of people worldwide. Gait and mobility disorders are often present and represent a major risk factor for falls. The purpose of this study was to investigate the effectiveness of ... ...

Abstract	Background: Dementia is a growing health concern that affects millions of people worldwide. Gait and mobility disorders are often present and represent a major risk factor for falls. The purpose of this study was to investigate the effectiveness of tango-therapy in gait speed, functional mobility, balance, falls, ability to perform activities of daily living and quality of life. Methods: A randomised controlled trial with 31 participants living in a specialised dementia unit, aged 65 to 93 years old, who were randomly assigned to tango group (IG) or physical exercise group (CG). The primary outcome was gait speed and Timed Up and Go test. The secondary outcomes include the Short Physical Performance Battery, the ability to perform activities of daily living (Katz Index) and quality of life (Quality of life in Alzheimer Disease). Measurements were performed at baseline, and after one and three months of training. Results: After 3 months, IG improved gait speed (p = 0.016), implying a statistically significant difference between groups in favour of IG (p = 0.003). CG significantly worsened the time to complete the TUG (p = 0.039). Both groups declined in their ability to perform activities of daily living, being statistically significant only in the CG (p < 0.001). Conclusion: Tango interventions showed efficacy in improving gait speed and in mitigating the decline in functional mobility and ADL skill capacities. Allowing older people with dementia access to non-pharmacological interventions may be a successful strategy to prevent functional decline. Trial registration: Registered at ClinicalTrials.gov (ID: NCT05744011).
MeSH term(s)	Humans ; Aged ; Aged, 80 and over ; Activities of Daily Living ; Postural Balance ; Quality of Life ; Time and Motion Studies ; Exercise ; Gait ; Alzheimer Disease ; Exercise Therapy
Language	English
Publishing date	2023-10-24
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2059865-8
ISSN	1471-2318 ; 1471-2318
ISSN (online)	1471-2318
ISSN	1471-2318
DOI	10.1186/s12877-023-04342-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Tango-Therapy Intervention for Older Adults with Cognitive Impairment Living in Nursing Homes: Effects on Quality of Life, Physical Abilities and Gait.

Bracco, Lucía / Cornaro, Clara / Pinto-Carral, Arrate / Koch, Sabine C / Mourey, France

International journal of environmental research and public health

2023 Volume 20, Issue 4

Abstract: Cognitive impairment in older adults is associated with poor gait performance, physical decline, falls and poor quality of life. This paper analyzes the feasibility and efficacy of tango-based intervention in older people living in nursing homes with and ...

Abstract	Cognitive impairment in older adults is associated with poor gait performance, physical decline, falls and poor quality of life. This paper analyzes the feasibility and efficacy of tango-based intervention in older people living in nursing homes with and without cognitive impairment. A multicenter study, with pre- and post-test, was carried out. Intervention attendance, well-being, physical abilities (short physical performance battery), walking performance, functional capacities (Katz Index) and quality of life (quality of life in Alzheimer's disease) were assessed. Fifty-four participants (84.9 ± 6.7 years, mini mental state examination 14.5 ± 7.4) completed the protocol. Intervention attendance was 92%, and the mean subjective well-being after each session was 4.5 ± 0.5 (on a five-point scale). A statistically significant improvement was found in the quality of life (
MeSH term(s)	Humans ; Aged ; Quality of Life ; Cognitive Dysfunction ; Gait ; Nursing Homes ; Walking
Language	English
Publishing date	2023-02-16
Publishing country	Switzerland
Document type	Multicenter Study ; 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/ijerph20043521
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Article ; Online: A competency model for nurse executives.

González García, Alberto / Pinto-Carral, Arrate / Pérez González, Silvia / Marqués-Sánchez, Pilar

International journal of nursing practice

2022 Volume 28, Issue 5, Page(s) e13058

Abstract: Background: Nurses capable of adequately developing their competencies in the management field are essential for the sustainability of health-care organizations. Such competencies should be included in a model of specific competencies.: Aim: The aim ... ...

Abstract	Background: Nurses capable of adequately developing their competencies in the management field are essential for the sustainability of health-care organizations. Such competencies should be included in a model of specific competencies. Aim: The aim of this research is to propose a competency model for nurse executives. Methods: The Delphi method was applied to reach a consensus on the required competencies, and Principal Component Analysis (PCA) was applied to determine the construct validity and reduce the data set's dimensionality. Consensus was defined based on at least 80% of the experts agreeing with the proposed competencies. For each competency, the development levels were beginner, advanced beginner, competent, highly competent and expert. Results: From among the 51 competencies that were identified to define a model for nurse executives, decision-making, leadership and communication stood out. The PCA indicated the structural validity of the proposed model by saturation of the principal components (Cronbach's α > 0.631). Conclusion: Nurses wishing to develop their professional careers as nurse executives must first develop the competencies shown in the proposed model. Nurse executives should follow the educational programmes specified in this study, to adapt their knowledge to this role's requirements.
MeSH term(s)	Clinical Competence ; Communication ; Consensus ; Humans ; Leadership ; Nurse Administrators ; Professional Competence
Language	English
Publishing date	2022-04-17
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1381116-2
ISSN	1440-172X ; 1322-7114
ISSN (online)	1440-172X
ISSN	1322-7114
DOI	10.1111/ijn.13058
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Article ; Online: Proposal for a physiotherapy assessment form for the evaluation of women patients with uro-gynecological disorders: A Delphi study.

González-Castro, Ana / Leirós-Rodríguez, Raquel / Rodríguez-Nogueira, Óscar / Álvarez-Álvarez, Mª José / Pinto-Carral, Arrate / Andrade-Gómez, Elena

PloS one

2023 Volume 18, Issue 12, Page(s) e0296092

Abstract: Background: The correct selection of treatment techniques and methods in physiotherapy depends directly on a well-structured anamnesis, examination and assessment. Within urogynecological and obstetric physiotherapy there is no standardized and ... ...

Abstract	Background: The correct selection of treatment techniques and methods in physiotherapy depends directly on a well-structured anamnesis, examination and assessment. Within urogynecological and obstetric physiotherapy there is no standardized and protocolized assessment that allows to follow established steps. For all this, the main objective of this study was to identify the assessment items that should be included in the a physiotherapeutic uro-gynecological assessment. Methods: Delphi study through a group of experts. Prior to this, a systematic search was carried out, accompanied by a review of grey literature, to obtain the possible items to be included in the forms. Subsequently, a Delphi study with two consecutive rounds of questionnaires was developed. A total of 6 expert physiotherapists participated in the study. Results: The initial questionnaire had 97 items and after two rounds one item was eliminated to obtain a total of 96 items in the final questionnaire. Conclusions: The experts agreed on most of the choices and finally obtained a standardized and protocolized assessment in uro-gynecological physiotherapy. Furthermore, this proposal should be considered by other professionals involved in the process of evaluation and treatment of pelvi-perineal alterations.
MeSH term(s)	Pregnancy ; Humans ; Female ; Delphi Technique ; Consensus ; Physical Therapy Modalities ; Gynecology ; Medicine ; Surveys and Questionnaires
Language	English
Publishing date	2023-12-27
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0296092
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Article ; Online: Competency Model for the Middle Nurse Manager (MCGE-Logistic Level).

González-García, Alberto / Pinto-Carral, Arrate / Villorejo, Jesús Sanz / Marqués-Sánchez, Pilar

International journal of environmental research and public health

2021 Volume 18, Issue 8

Abstract: Healthcare systems are immersed in transformative processes, influenced by economic changes, together with social and health instability. The middle nurse manager plays a fundamental role, since he or she is responsible for translating the strategic ... ...

Abstract	Healthcare systems are immersed in transformative processes, influenced by economic changes, together with social and health instability. The middle nurse manager plays a fundamental role, since he or she is responsible for translating the strategic vision, values and objectives of the organization. The objective of this study was to propose the model of competencies to be developed by the middle nurse manager in the Spanish healthcare system. Our methodology consisted in the application of the Delphi method in order to reach an agreement on the necessary competencies, and principal component analysis (PCA) was used to determine the construct validity, reducing the dimensionality of the set of data. Fifty-one competencies were identified for the definition of the model, highlighting decision-making, leadership and communication. The PCA pointed out the structural validity of the proposed model through the saturation of the main components (α Cronbach > 0.631). The results show the model of competencies which the middle nurse manager in the Spanish healthcare system must develop. Middle nurse managers may use these as criteria to plan their professional strategies in the context of management. This model of competencies can be applied to establishing selection processes or training programs for the role of middle nurse manager.
MeSH term(s)	Communication ; Female ; Humans ; Leadership ; Male ; Nurse Administrators ; Professional Competence
Language	English
Publishing date	2021-04-08
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph18083898
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Article ; Online: Nurse managers' competencies: A scoping review.

González-García, Alberto / Pinto-Carral, Arrate / Pérez-González, Silvia / Marqués-Sánchez, Pilar

Journal of nursing management

2021 Volume 29, Issue 6, Page(s) 1410–1419

Abstract: Aim: To describe and synthesize scientific literature on nurse managers' competencies.: Background: The key strategy for the success of health organisations currently resides in the capacity of the nurse manager to develop advanced competencies in ... ...

Abstract	Aim: To describe and synthesize scientific literature on nurse managers' competencies. Background: The key strategy for the success of health organisations currently resides in the capacity of the nurse manager to develop advanced competencies in management. However, there is a lack of systematic reviews that synthesize knowledge about nurse managers' competencies. Evaluation: A scoping review was conducted using electronic databases including Web of Science, Scopus, PubMed and Cumulative Index to Nursing and Allied Health Literature. Key issues: After the first analysis, 392 competencies were observed from 76 studies. Finally, 53 competencies were grouped according to their characteristics. The two most-cited competencies were communication and finance. Conclusions: Knowing the competencies required by nurse managers can help organisations create strategies to develop competent managers. In addition, from the results we can infer what might be the core competencies, since 22 main competencies from the total number were identified. Implications for nursing management: The competencies identified constitute the body of knowledge necessary for nurse managers. In addition, it is possible to generate a pathway for learning and professional development for nurses before they work at the microlevel of management. The starting point for this pathway could be the 22 core competencies.
MeSH term(s)	Communication ; Humans ; Knowledge ; Nurse Administrators ; Systematic Reviews as Topic
Language	English
Publishing date	2021-07-12
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1162321-4
ISSN	1365-2834 ; 0966-0429
ISSN (online)	1365-2834
ISSN	0966-0429
DOI	10.1111/jonm.13380
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Article ; Online: Health-Related Quality of Life (HRQOL) Instruments and Mobility: A Systematic Review.

Hernández-Segura, Natalia / Marcos-Delgado, Alba / Pinto-Carral, Arrate / Fernández-Villa, Tania / Molina, Antonio J

International journal of environmental research and public health

2022 Volume 19, Issue 24

Abstract: Physical function is one of the most important constructs assessed in health-related quality of life (HRQOL), and it could be very useful to assess movement ability from the perspective of the patient. The objective of this study was to compare the ... ...

Abstract	Physical function is one of the most important constructs assessed in health-related quality of life (HRQOL), and it could be very useful to assess movement ability from the perspective of the patient. The objective of this study was to compare the content of the domains related to mobility covered by the HRQOL questionnaires based on the International Classification of Functioning, Disability and Health (ICF) and to evaluate their quality according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidance. For this, a systematic review was carried out in the databases Scopus, Web of Science and Science Direct. The inclusion criteria were development and/or validation studies about generic HRQOL measures, and the instruments had to include items related to mobility and studies written in English or Spanish. The comparison of content was performed using the ICF coding system. A total of 3614 articles were found, 20 generic HRQOL instruments were identified and 120 (22.4%) mobility-related items were found. Walking was the most represented category. Low-quality evidence on some measurement properties of the generic HRQOL instruments was revealed. The CAT-Health is a useful questionnaire to be used in rehabilitation due to its psychometric properties and its content.
MeSH term(s)	Humans ; Quality of Life ; Disabled Persons/rehabilitation ; Activities of Daily Living ; Surveys and Questionnaires ; Walking ; Psychometrics
Language	English
Publishing date	2022-12-08
Publishing country	Switzerland
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph192416493
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Article ; Online: Relationship between competency for evidence-based practice and level of burnout of physical therapists with the establishment of the therapeutic relationship.

Rodríguez-Nogueira, Óscar / Leirós-Rodríguez, Raquel / Pinto-Carral, Arrate / Álvarez-Álvarez, María José / Morera-Balaguer, Jaume / Moreno-Poyato, Antonio R

Physiotherapy theory and practice

2022 Volume 40, Issue 2, Page(s) 357–365

Abstract: Background: Evidence-based practice (EBP) interventions and effective therapeutic alliance (TA) are associated with greater treatment success. Furthermore, burnout syndrome could be detrimental to the development of such TA.: Objective: To examine ... ...

Abstract	Background: Evidence-based practice (EBP) interventions and effective therapeutic alliance (TA) are associated with greater treatment success. Furthermore, burnout syndrome could be detrimental to the development of such TA. Objective: To examine the association between EBP competencies and burnout level with the quality of TA among Spanish physiotherapists. Methods: Cross-sectional research with an electronic survey including the EBP Questionnaire-19, Maslach Burnout Inventory and Working Alliance Inventory-Short (WAI-S) and administered to 471 physiotherapists. Results: Regarding the EBP Questionnaire-19, physiotherapists scored highest on attitude and lowest on knowledge. For WAIS which achieved appropriate results of internal consistency and validity in the sample analyzed, bond scored the highest and goals the lowest. Years of experience was significantly associated with the task ( Conclusion: Lower levels of burnout and improved EBP competencies are associated with a TA of greater quality. The association between attitudes toward EBP, a higher level of self-confidence and a lower perception of depersonalization appear to be determinant factors for improving TA.
MeSH term(s)	Humans ; Physical Therapists ; Cross-Sectional Studies ; Burnout, Professional ; Evidence-Based Practice ; Surveys and Questionnaires ; Psychological Tests ; Self Report
Language	English
Publishing date	2022-08-16
Publishing country	England
Document type	Journal Article
ZDB-ID	1045333-7
ISSN	1532-5040 ; 0959-3985
ISSN (online)	1532-5040
ISSN	0959-3985
DOI	10.1080/09593985.2022.2112638
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Article ; Online: The association between empathy and the physiotherapy-patient therapeutic alliance: A cross-sectional study.

Rodríguez-Nogueira, Óscar / Leirós-Rodríguez, Raquel / Pinto-Carral, Arrate / Álvarez-Álvarez, María José / Morera-Balaguer, Jaume / Moreno-Poyato, Antonio R

Musculoskeletal science & practice

2022 Volume 59, Page(s) 102557

Abstract: Background: The central component of person-centred care is in having a therapeutic realtionship. Furthermore, the empathy of the physiotherapist is one of the most important attributes in achieving a successful therapeutic alliance.: Objective: The ... ...

Abstract	Background: The central component of person-centred care is in having a therapeutic realtionship. Furthermore, the empathy of the physiotherapist is one of the most important attributes in achieving a successful therapeutic alliance. Objective: The aim of the research was to determine the association between the constructs of empathy and therapeutic alliance in Spanish physical therapists and the possible influence of socio-professional variables on them. Design: Cross-sectional research. Methods: An electronic survey including the Working Alliance Inventory-Short Form, the Interpersonal Reactivity Index and sociodemographic data with 473 Spanish physiotherapists. A descriptive, bivariate and simple lineal regression analysis was carried out. Results: Work experience has a positive influence on bonding and the agreement on objectives and tasks (0.04 < B > 0.06; p < 0.01). The perspective taking dimensions and empathic concern positively influence the agreement on achievement (0.14 < B > 0.19; p < 0.001). Personal distress inversely influences bonding and the agreement on achievements and tasks (-0.13 < B > -0.09; p < 0.01). Conclusions: The dimensions of perspective taking and empathic concern seem to facilitate successful shared decision making in terms of treating objectives. Furthermore, the physiotherapist's personal distress acts as an obstacle to the development of the three subcomponents of the therapeutic alliance analysed.
MeSH term(s)	Cross-Sectional Studies ; Empathy ; Humans ; Physical Therapy Modalities ; Surveys and Questionnaires ; Therapeutic Alliance
Language	English
Publishing date	2022-03-23
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2022.102557
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Article ; Online: Nurse Manager Core Competencies: A Proposal in the Spanish Health System.

García, Alberto González / Pinto-Carral, Arrate / Villorejo, Jesús Sanz / Marqués-Sánchez, Pilar

International journal of environmental research and public health

2020 Volume 17, Issue 9

Abstract: Nurses who are capable of developing their competencies appropriately in the field of management are considered fundamental to the sustainability and improvement of health outcomes. These core competencies are the critical competencies to be developed in ...

Abstract	Nurses who are capable of developing their competencies appropriately in the field of management are considered fundamental to the sustainability and improvement of health outcomes. These core competencies are the critical competencies to be developed in specific areas. There are different core competencies for nurse managers, but none in the Spanish health system. The objective of this research is to identify the core competencies needed for nurse managers in the Spanish health system. The research was carried out using the Delphi method to reach a consensus on the core competencies and a Principal Component Analysis (PCA) to determine construct validity, reducing the dimensionality of a dataset by finding the causes of variability in the set and organizing them by importance. A panel of 50 experts in management and healthcare engaged in a four-round Delphi study with Likert scored surveys. We identified eight core competencies from an initial list of 51: decision making, relationship management, communication skills, listening, Leadership, conflict management, ethical principles, collaboration and team management skills. PCA indicated the structural validity of the core competencies by saturation into three components (α Cronbach >0.613): communication, leadership and decision making. The research shows that eight competencies must be developed by the nursing managers in the Spanish health system. Nurse managers can use these core competencies as criteria to develop and plan their professional career. These core competencies can serve as a guideline for the design of nurse managers' development programs in Spain.
MeSH term(s)	Communication ; Female ; Humans ; Leadership ; Male ; Nurse Administrators ; Professional Competence ; Spain ; Surveys and Questionnaires
Language	English
Publishing date	2020-05-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph17093173
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