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Aims: We aimed to investigate the perspective of primary care nurses on their role with patients who have chronic cardiovascular disease and to identify cultural elements shared by nurses caring for people with chronic cardiovascular disease. In primary care, the role of the nurse is essential to promote self‐efficacy in cardiovascular self‐care. Individuals with chronic cardiovascular disease need to integrate the disease into their life, together with the health recommendations for management and follow‐up. Methods: A qualitative, focused ethnographic study was conducted. Purposeful sampling was used to include nurses who were working in primary care during the study. Data collection took place between 20 January and 20 May 2014 and consisted of semi‐structured interviews. A thematic analysis was applied using the data. Results: Eleven participants were included. Cardiovascular care forces nurses to reflect on their identity and role in primary care. The relationship between the nurse and people with chronic cardiovascular disease is a complex process, which may cause nurses to feel a sense of failure and monotony in their work. Conclusions: Our findings may help to understand the role of the nurse and the care provided in patients with chronic cardiovascular disease. Summary statement: What is already known about this topic? Primary care nursing is necessary for the improvement of cardiovascular risk factors.Chronic cardiovascular patients need training in self‐care.The organizational culture confers different forms of care to patients. What this paper adds? The vision of the socio‐cultural role of the family and community nurse is shown regarding cardiovascular prevention.Information is provided on the differentiating approach to chronic cardiovascular patients in primary care.Our study reflects the influence of routine care in nursing consultations, and what it entails to provide improved nursing care in cardiovascular patients. The implications of this paper: These findings can be used to understand the need to change the focus of nursing care in cardiovascular prevention.The implementation of a follow‐up protocol for the care of cardiovascular patients can improve patients' self‐care and reduce monotony in the nursing consultation.Further training and research is necessary regarding comprehensive chronic cardiovascular care within primary care services. [ABSTRACT FROM AUTHOR]

Background: Many caregivers are insufficiently prepared, and little is known about measures that can be employed to enhance their preparedness. Aim: The aim of this study was to explore the factors associated with caregiver preparedness and establish a predictive model including the relationship between preparedness, burden, resilience and anxiety. Design: A cross‐sectional design was used. Methods: The sample included 172 family caregivers who were selected from one private hospital and daytime nursing centres. Caregivers were recruited from 2018 to 2019; they completed assessments for caregiver preparedness, anxiety, resilience and burden. A multiple linear regression analysis was performed to identify the factors associated with preparedness. Results: Preparedness was significantly associated with high levels of resilience and a low level of burden, while it was not associated with anxiety. Caregivers' gender, experience and cohabitation status were the main predictors. Resilience is an explanatory factor for caregiver preparedness in the predictive model. Conclusion: The demographic variables related to preparedness can be used to guide efforts to meet the needs of vulnerable caregivers. A caregiver's preparedness depends on their level of burden and resilience. Nursing interventions focused on these aspects could make the caregiver's role easier and improve the quality of care provided. Summary statement: What is already known about this topic? Many caregivers are inadequately prepared for this role, and ensuring adequate preparedness is important for family caregivers.Preparedness and factors predictive of this in Spanish family caregivers have not been well‐documented.Resilience, burden and anxiety affect caregivers, but the degree to which they influence caregivers' preparation levels is unknown. What is the contribution of this paper? Specific factors influence the preparedness of family caregivers. Men and caregivers who do not cohabit in the same household with the care‐dependent person may present greater deficits in preparedness. Moreover, poor health and lack of experience in caring can result in inadequate caregiving performance.Readiness, resilience and burden are significantly related, and the best predictor of family caregivers' preparedness is resilience.Resilience leads to greater preparedness in caregivers, and better‐prepared caregivers experience a lighter burden. What are the implications of this paper? Knowing the factors associated with preparedness in advance will allow health‐care professionals to prevent deficits in vulnerable family caregivers.Resilience is a decisive factor which prevents negative consequences such as low preparedness. A resilient coping style can diminish the burden and promote successful adaptation in caregivers. [ABSTRACT FROM AUTHOR]

Aims: Our study examined factors influencing the development of healthcare‐associated infections in the intensive care unit (ICU) of a tertiary hospital in southern Spain. Background: Healthcare‐associated infections are a frequent adverse event, significantly lengthening patient stays in the ICU. Nursing practice is a key factor in the infection control process. Design A retrospective longitudinal study with two observation periods (admission and discharge) was performed in an ICU of a tertiary hospital. Methods: We analysed patient records for those admitted to this unit coded as CIE 800‐959.9 from 2012 to 2016. Using binomial logistic regression analysis, we analysed factors associated with healthcare‐associated infections. Results: We analysed 375 records (men: 78.1%; average age: 46.63 years). Of these, 9.2% patients acquired a healthcare‐associated infection during their stay. Nursing practice‐related factors significantly associated with the development of infection were the number of days connected to mechanical ventilation and the number of days in the ICU. Conclusion: Healthcare‐associated infections in patients with severe trauma admitted to the ICU are mainly associated with the management of invasive techniques. A multidisciplinary approach should focus on the review of action and care plans. SUMMARY STATEMENT: What is already known about this topic? Healthcare‐associated infections are an important adverse event during the treatment of severe trauma patients, lengthening the stay of hospitalization.The length of stay of patients with severe trauma disease is largely influenced by the quality and application of nursing care plans. What this paper adds? ICU infection prevention programmes assess clinical variables, but this study contributes the effect of nursing care for these patient outcomes.The administration of blood transfusions and prolonged stays in ICU increase the risk of infection in severe trauma patients.Despite national initiatives for the management of infections in the ICU, handling of invasive mechanical ventilation and venous catheters continue to pose risk of infection in severe trauma patients in ICU. The implications of this paper: Measures should be implemented to promote the adoption of correct and safe practices.Methods should be revised to meet patients' basic needs while also avoiding environmental hazards.Nurses should receive enhanced health education to raise their motivation and awareness of responsibility in preventing healthcare‐associated infections. [ABSTRACT FROM AUTHOR]

Aim: To examine the influence of health care provider's communication skills on the quality of care perceived by Emergency Department patients. Background: Communication between patients and health care providers in the context of Emergency Department is challenging and can potentially have a negative impact on the quality of care perceived by patients. Design Cross‐sectional descriptive study conducted in the Emergency Department at the University Clinical Hospital Virgen de la Arrixaca of Murcia, Spain. Method: Data were collected from 6 to 9 June 2016. Different instruments were used to evaluate the perception of patients on the communication skills and quality of care at the Emergency Department. Results: The sample was composed of 200 patients, with an average age of 44.1 (SD = 18.3), of which 106 (53%) were men. The multiple linear regression analysis showed the association between communication skills (respect, problem solving, and nonverbal communication) and age with the quality of care perceived by the patients. Conclusions: We found that the communication skills of the health care providers were explanatory variables of the quality of care perceived in an Emergency Department. SUMMARY STATEMENT: What is already known about this topic? The needs of patients and families seeking emergency care differ from those of other care settings.Patient‐health care provider communication in an Emergency Department are a true challenge.Effective communication between emergency professionals and patients/family has been described as a fundamental component of health care. What this paper adds? Health care provider communication skills are explanatory for the quality perceived by Emergency Department patients.Respect, problem solving, and nonverbal aspects are explanatory for the quality of care in an Emergency Department. The implications of this paper: Humanized care, in which patients feel listened to and respected, and which is concerned about their health problems, could increase the quality of care perceived in the Emergency Department.Health care providers in Emergency Departments should be encouraged to increase their level of communication skills. [ABSTRACT FROM AUTHOR]

Aim: The aim of the study is to evaluate the efficacy of a nurse‐led interdisciplinary programme based on healthy eating, physical exercise, and cognitive behavioural therapy applied to anthropometric and cardiovascular measures, which are related to obesity in short, medium, and long term. Methods: We conducted a randomised controlled clinical trial with 74 obese and overweight participants (experimental group, n = 37; control group, n = 37). An interdisciplinary programme of 12 months was applied and coordinated by a nurse. Anthropometric and cardiovascular measures were taken at the pretest stage, every 6 months during the programme, and 1 year after it finished. Results: A beneficial effect was found regarding all anthropometric parameters. Tests for weight (F3;207 = 93.27; P < .001) and body mass index (F3;207 = 89.95; P < .001) indicate efficacy of intervention: The experimental group had a weight loss of 7.2 kg (−8.3%) compared to a 0.9 kg (+1.0%) gained in the control group. Systolic (F3;207 = 37.06; P < .001) and diastolic (F3;216 = 57.31; P < .001) blood pressure improved greatly in the experimental group. Forced vital capacity was also increased (F2;138 = 15.51; P < .001). Conclusion: The interdisciplinary programme coordinated by nurses improved the health of participants, maintaining long‐term effects. SUMMARY STATEMENT: What is already known about this topic? Obesity has become a health‐related problem with epidemic proportions. Obesity prevalence has tripled between 1975 and 2016.The analysed population from Murcia (Spain) exceeds the Spanish prevalence numbers.Obesity has a multicausal origin, and therefore, the failures attributed to the traditional treatment of obesity are because of the development of unidirectional therapy‐based programmes, promoted and carried out by just a professional group. What this paper adds? Nurse‐led multidisciplinary programmes can control obesity.The study demonstrates a successful intervention in which the success of the I2AO2 multidisciplinary programme relies on the nurse role in all interventions with specialized professional managers, carrying out specific activities. The implications of this paper: The use of different therapeutic strategies supported by different professionals, with coordination, can be recommended to managers and health administrators to fight obesity and overweight.As obesity is a major cardiovascular risk factor, it should be studied from health, legal, and socioeconomic perspectives to minimize morbidity and mortality. [ABSTRACT FROM AUTHOR]

Ageing population entails a growing international problem of osteoarthritis. Best practices for education of these patients are lacking. This study focused on empowering education in Northern ( Finland, Iceland, Lithuania and Sweden) and Southern Europe ( Cyprus, Greece and Spain). The aim was to analyse associations between expected knowledge and background factors. The data were collected from European arthroplasty patients with the Knowledge Expectations of hospital patients- scale, (KEhp- scale), including bio-physiological, functional, experiential, ethical, social and financial dimensions. Patients had essential bio-physiological and functional knowledge expectations. Women expected more than men, employed less than retired, unemployed or who worked at home. Generally, patients in Northern countries expected more than in Southern countries. However, highest expectations were found in Sweden and Greece, lowest in Spain and Cyprus. There are differences in knowledge expectations based on patients' backgrounds. Development of common standards in European patient education needs further research. [ABSTRACT FROM AUTHOR]