49 results on '"Cabrera, Esther"'
Search Results
2. Caring for a Person With Dementia on the Margins of Long-Term Care: A Perspective on Burden From 8 European Countries
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Meyer, Gabriele, Stephan, Astrid, Renom-Guiteras, Anna, Sauerland, Dirk, Wübker, Ansgar, Bremer, Patrick, Hamers, Jan P.H., Afram, Basema, Beerens, Hanneke C., Bleijlevens, Michel H.C., Verbeek, Hilde, Zwakhalen, Sandra M.G., Ruwaard, Dirk, Ambergen, Ton, Hallberg, Ingalill Rahm, Emilsson, Ulla Melin, Karlsson, Staffan, Bökberg, Christina, Lethin, Connie, Challis, David, Sutcliffe, Caroline, Jolley, David, Tucker, Sue, Bowns, Ian, Roe, Brenda, Burns, Alistair, Leino-Kilpi, Helena, Koskenniemi, Jaana, Suhonen, Riitta, Viitanen, Matti, Arve, Seija, Stolt, Minna, Hupli, Maija, Saks, Kai, Tiit, Ene-Margit, Leibur, Jelena, Raamat, Katrin, Armolik, Angelika, Toivari, Teija Tuula Marjatta, Zabalegui, Adelaida, Navarro, Montserrat, Cabrera, Esther, Risco, Ester, Alvira, Carme, Farre, Marta, Miguel, Susana, Soto, Maria, Milhet, Agathe, Sourdet, Sandrine, Gillette, Sophie, Vellas, Bruno, Giebel, Clarissa, Bleijlevens, Michel, Soto, Maria E., and Chester, Helen
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- 2017
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3. Emotions of Orthopaedic Arthroplasty Patients: A European Survey
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Zabalegui, Adelaida, Cabrera, Esther, Cano, Sara, Copanitsanou, Panagiota, Fatkulina, Natalja, Katajisto, Jouko, Papastavrou, Evridiki, Sigurdardottir, Arun K., Valkeapää, Kirsi, and Leino-Kilpi, Helena
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- 2020
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4. Nursing interventions in adult patients with oropharyngeal dysphagia: a systematic review
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Molina, Lorena, Santos-Ruiz, Susana, Clavé, Pere, González-de Paz, Luis, and Cabrera, Esther
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- 2017
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5. Empowering knowledge and its connection to health-related quality of life: A cross-cultural study: A concise and informative title: Empowering knowledge and its connection to health-related quality of life
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Koekenbier, Krista, Leino-Kilpi, Helena, Cabrera, Esther, Istomina, Natalia, Stark, Åsa Johansson, Katajisto, Jouko, Lemonidou, Chryssoula, Papastavrou, Evridiki, Salanterä, Sanna, Sigurdardottir, Arun, Valkeapää, Kirsi, and Eloranta, Sini
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- 2016
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6. Patterns of clinical mentorship in undergraduate nurse education: A comparative case analysis of eleven EU and non-EU countries
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Dobrowolska, Beata, McGonagle, Ian, Kane, Roslyn, Jackson, Christine S., Kegl, Barbara, Bergin, Michael, Cabrera, Esther, Cooney-Miner, Dianne, Di Cara, Veronika, Dimoski, Zvonko, Kekus, Divna, Pajnkihar, Majda, Prlić, Nada, Sigurdardottir, Arun K., Wells, John, and Palese, Alvisa
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- 2016
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7. Informal dementia care: Consequences for caregivers’ health and health care use in 8 European countries
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Bremer, Patrick, Cabrera, Esther, Leino-Kilpi, Helena, Lethin, Connie, Saks, Kai, Sutcliffe, Caroline, Soto, Maria, Zwakhalen, Sandra M.G., and Wübker, Ansgar
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- 2015
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8. The association between physical dependency and the presence of neuropsychiatric symptoms, with the admission of people with dementia to a long-term care institution: A prospective observational cohort study
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Risco, Ester, Cabrera, Esther, Jolley, David, Stephan, Astrid, Karlsson, Staffan, Verbeek, Hilde, Saks, Kai, Hupli, Maija, Sourdet, Sandrine, and Zabalegui, Adelaida
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- 2015
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9. Best practices interventions to improve quality of care of people with dementia living at home
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Zabalegui, Adelaida, Hamers, Jan P.H., Karlsson, Staffan, Leino-Kilpi, Helena, Renom-Guiteras, Anna, Saks, Kai, Soto, Maria, Sutcliffe, Caroline, and Cabrera, Esther
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- 2014
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10. Reasons for Institutionalization of People With Dementia: Informal Caregiver Reports From 8 European Countries
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Afram, Basema, Stephan, Astrid, Verbeek, Hilde, Bleijlevens, Michel H.C., Suhonen, Riitta, Sutcliffe, Caroline, Raamat, Katrin, Cabrera, Esther, Soto, Maria E., Hallberg, Ingalill R., Meyer, Gabriele, and Hamers, Jan P.H.
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- 2014
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11. Costs of Care of Agitation Associated With Dementia in 8 European Countries: Results From the RightTimePlaceCare Study
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Meyer, Gabriele, Stephan, Astrid, Renom Guiteras, Anna, Sauerland, Dirk, Wübker, Ansgar, Bremer, Patrick, Hamers, Jan P.H., Afram, Basema, Beerens, Hanneke C., Bleijlevens, Michel H.C., Verbeek, Hilde, Zwakhalen, Sandra M.G., Ruwaard, Dirk, Rahm Hallberg, Ingalill, Emilsson, Ulla Melin, Karlsson, Staffan, Challis, David, Sutcliffe, Caroline, Jolley, David, Tucker, Sue, Bowns, Ian, Roe, Brenda, Burns, Alistair, Leino-Kilpi, Helena, Koskenniemi, Jaana, Suhonen, Riitta, Viitanen, Matti, Arve, Seija, Stolt, Minna, Hupli, Maija, Saks, Kai, Tiit, Ene-Margit, Leibur, Jelena, Raamat, Katrin, Armolik, Angelika, Marjatta Toivari, Teija Tuula, Zabalegui, Adelaida, Navarro, Montserrat, Cabrera, Esther, Risco, Ester, Soto, Maria, Milhet, Agathe, Sourdet, Sandrine, Gillette, Sophie, Vellas, Bruno, Costa, Nadège, De Mauléon, Adelaïde, Hallberg, Ingalill R., Molinier, Laurent, Wimo, Anders, Binot, Ingrid, and Soto, Maria E.
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- 2018
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12. Necesidades formativas percibidas al envejecer. Cómo afrontar un envejecimiento saludable
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Cabrera, Esther, Limón, Esther, Font, Sergi, Palacios, Marta, Mulet, Carla, and Bartolomé, María
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Aging ,Retirement ,Envejecimiento ,RT1-120 ,Training ,Medicine ,Nursing ,Formación ,Jubilación - Abstract
Resumen Objetivo: Explorar necesidades formativas percibidas por las personas mayores de 60 años al envejecer y conocer los beneficios o barreras de participar en cursos de formación dirigidos a ellos. Metodología: Estudio cualitativo con grupos focales realizado en áreas básicas de salud y un centro social de Mataró (Barcelona). Se estudiaron 29 sujetos divididos en: personas mayores de 60 años que acudían a un centro de atención primaria y personas mayores de 60 de una asociación de personas mayores. Se organizaron 4 grupos focales estratificados por segmentos. Se transcribieron las grabaciones elaborando categorías, se codificaron y analizaron. Resultados: Los participantes tenían vidas plenas, apoyos emocionales y vínculos positivos con su comunidad y familia. Manifestaron que es importante planificar el envejecimiento y actividades para realizar al jubilarse. Conclusión: Es necesario recibir formación al envejecer. Principales barreras: obligación de cuidar, falta de tiempo y coste económico. Abstract Objective: To explore formative needs perceived by people older than 60 years when aging and to know the benefits and/or barriers of participating in training courses focused on them. Methods: Qualitative study with focus groups made in basic areas of primary care and a social center of Mataró (Barcelona).29 subjects were studied, divided into: people over 60 years attending a primary care center and people over 60 belonging to an association of elderly. 4 focus groups stratified by segments were organized. The recordings were transcribed elaborating categories, they were codified and analyzed. Results: The participants had full lives, emotional support and positive links with their community and family. They stated that it is important to plan aging and activities to do when retiring. Conclusions: To receive training is needed when aging. Main barriers: obligation to take care of, lack of time, economic cost.
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- 2019
13. Difference Between Received and Expected Knowledge of Patients Undergoing Knee or Hip Replacement in Seven European Countries
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Klemetti, Seija, Leino-Kilpi, Helena, Cabrera, Esther, Copanitsanou, Panagiota, Ingadottir, Brynja, Istomina, Natalja, Katajisto, Jouko, Papastavrou, Evridiki, Unosson, Mitra, and Valkeapää, Kirsi
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- 2015
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14. Care and Service at Home for Persons With Dementia in Europe
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Bökberg, Christina, Ahlström, Gerd, Leino-Kilpi, Helena, Soto-Martin, Maria E., Cabrera, Esther, Verbeek, Hilde, Saks, Kai, Stephan, Astrid, Sutcliffe, Caroline, and Karlsson, Staffan
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- 2015
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15. The association between positive–negative reactions of informal caregivers of people with dementia and health outcomes in eight European countries: a cross-sectional study
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Alvira, Carme M., Risco, Ester, Cabrera, Esther, Farré, Marta, Hallberg, Ingalill Rahm, Bleijlevens, Michel H.C., Meyer, Gabriele, Koskenniemi, Jaana, Soto, Maria E., and Zabalegui, Adelaida
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- 2015
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16. New nursing education structure in Spain
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Zabalegui, Adelaida and Cabrera, Esther
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- 2009
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17. What Makes Institutional Long-Term Care the Most Appropriate Setting for People With Dementia? Exploring the Influence of Client Characteristics, Decision-Maker Attributes, and Country in 8 European Nations
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Meyer, Gabriele, Stephan, Astrid, Renom-Guiteras, Anna, Sauerland, Dirk, Wübker, Ansgar, Bremer, Patrick, Hamers, Jan P.H., Afram, Basema, Beerens, Hanneke C., Bleijlevens, Michel H.C., Verbeek, Hilde, Zwakhalen, Sandra M.G., Ruwaard, Dirk, Ambergen, Ton, Hallberg, Ingalill Rahm, Emilsson, Ulla Melin, Karlsson, Staffan, Bokberg, Christina, Lethin, Connie, Challis, David, Sutcliffe, Caroline, Jolley, David, Tucker, Sue, Bowns, Ian, Roe, Brenda, Burns, Alistair, Leino-Kilpi, Helena, Koskenniemi, Jaana, Suhonen, Riitta, Viitanen, Matti, Arve, Seija, Stolt, Minna, Hupli, Maija, Saks, Kai, Tiit, Ene-Margit, Leibur, Jelena, Raamat, Katrin, Armolik, Angelika, Marjatta Toivari, Teija Tuula, Zabalegui, Adelaida, Cabrera, Esther, Risco, Ester, Alvira, Carme, Farre, Marta, Miguel, Susana, Soto, Maria, Milhet, Agathe, Sourdet, Sandrine, Gillette, Sophie, Vellas, Bruno, Brand, Christian, and Soto, Maria E.
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- 2016
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18. Knowledge expectations of surgical orthopaedic patients: A European survey
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Valkeapää, Kirsi, Klemetti, Seija, Cabrera, Esther, Cano, Sara, Charalambous, Andreas, Copanitsanou, Panagiota, Ingadottir, Brynja, Istomina, Natalja, Johansson Stark, Åsa, Katajisto, Jouko, Lemonidou, Chryssoula, Papastavrou, Evridiki, Sigurdardottir, Arun K, Sourtzi, Panayota, Unosson, Mitra, Zabalegui, Adelaida, and Leino-Kilpi, Helena
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- 2014
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19. Emergency department and hospital admissions among people with dementia living at home or in nursing homes: results of the European RightTimePlaceCare project on their frequency, associated factors and costs
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Meyer, Gabriele, Stephan, Astrid, Leino-Kilpi, Helena, Lethin, Connie, Saks, Kai, Soto-Martin, Maria, Sutcliffe, Caroline, Verbeek, Hilde, Zabalegui, Adelaida, Renom-Guiteras, Anna, Sauerland, Dirk, Bremer, Patrick, Hamers, Jan P.H., Afram, Basema, Beerens, Hanneke C., Bleijlevens, Michel H.C., Zwakhalen, Sandra M.G., Ruwaard, Dirk, Ambergen, Ton, Hallberg, Ingalill Rahm, Emilsson, Ulla Melin, Karlsson, Staffan, Bokberg, Christina, Challis, David, Jolley, David, Tucker, Sue, Bowns, Ian, Roe, Brenda, Burns, Alistair, Koskenniemi, Jaana, Suhonen, Riitta, Viitanen, Matti, Arve, Seija, Stolt, Minna, Hupli, Maija, Tiit, Ene Margit, Leibur, Jelena, Raamat, Katrin, Armolik, Angelika, Toivari, Teija Tuula Marjatta, Navarro, Montserrat, Cabrera, Esther, Risco, Ester, Alvira, Carme, Miguel, Susana, Soto, Maria, Milhet, Agathe, Sourdet, Sandrine, Gillette, Sophie, Vellas, Bruno, and RightTimePlaceCare Consortium
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Aged, Dementia, Geriatric syndrome, Home care, Hospitalisation, Nursing home - Abstract
© 2020, The Author(s). Background: Evidence is lacking on the differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency of hospital admission among people with dementia in eight European countries living in nursing homes or in the community, 2) to examine the factors associated with hospitalisation in each setting, and 3) to evaluate the costs associated with it. Methods: The present study is a secondary data analysis of the RightTimePlaceCare European project. A cross-sectional survey was conducted with data collected from people with dementia living at home or who had been admitted to a nursing home in the last 3 months, as well as from their caregivers. Data on hospital admissions at 3 months, cognitive and functional status, neuropsychiatric symptoms, comorbidity, polypharmacy, caregiver burden, nutritional status, and falls were assessed using validated instruments. Multivariate regression models were used to investigate the factors associated with hospital admission for each setting. Costs were estimated by multiplying quantities of resources used with the unit cost of each resource and inflated to the year 2019. Results: The study sample comprised 1700 people with dementia living in the community and nursing homes. Within 3 months, 13.8 and 18.5% of people living in nursing homes and home care, respectively, experienced ≥1 hospital admission. In the nursing home setting, only polypharmacy was associated with a higher chance of hospital admission, while in the home care setting, unintentional weight loss, polypharmacy, falls, and more severe caregiver burden were associated with hospital admission. Overall, the estimated average costs per person with dementia/year among participants living in a nursing home were lower than those receiving home care. Conclusion: Admission to hospital is frequent among people with dementia, especially among those living in the community, and seems to impose a remarkable economic burden. The identification and establishment of an individualised care plan for those people with dementia with polypharmacy in nursing homes, and those with involuntary weight loss, accidental falls, polypharmacy and higher caregiver burden in the home care setting, might help preventing unnecessary hospital admissions.
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- 2020
20. Validation of the Spanish Version of the Double Knowledge Expectations and Received Knowledge Significant Other Scale for Informal Caregivers of People with Dementia (KESO-DEM/RKSO-DEM).
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Frías, Cindy E., Casafont, Claudia, Cabrera, Esther, and Zabalegui, Adelaida
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- 2022
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21. Instruments for patient education: psychometric evaluation of the expected knowledge (EKhp) and the received knowledge of hospital patients (RKhp)
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Leino-Kilpi, Helena, Inkeroinen, Saija, Cabrera, Esther, Charalambous, Andreas, Fatkulina, Natalja, Katajisto, Jouko, Sigurðardóttir, Árún K, Sourtzi, Panayota, Suhonen, Riitta, Zabalegui, Adelaida, and Valkeapää, Kirsi
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empowerment ,nursing ,patient education as topic ,patient participation ,patient-centered care ,surveys and questionnaires ,Patient-centered care ,Journal of Multidisciplinary Healthcare ,Nursing ,Medical and Health Sciences ,Patient education as topic ,Health Sciences ,Empowerment ,Patient participation ,Surveys and questionnaires ,Original Research - Abstract
Helena Leino-Kilpi,1,2 Saija Inkeroinen,1 Esther Cabrera,3,4 Andreas Charalambous,1,5 Natalja Fatkulina,6,7 Jouko Katajisto,8 Árún K Sigurðardóttir,9,10 Panayota Sourtzi,11 Riitta Suhonen,1,2,12 Adelaida Zabalegui,13,14 Kirsi Valkeapää1,15 1Department of Nursing Science, University of Turku, Turku, Finland; 2Turku University Hospital, Turku, Finland; 3School of Health Sciences, TecnoCampus, University Pompeu Fabra, Barcelona, Spain; 4Department of Care Management and Social Work, Sechenov University, Moscow, Russia; 5Nursing Department, Cyprus University of Technology, Limassol, Cyprus; 6Department of Nursing, Klaipeda University, KlaipÄda, Lithuania; 7Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania; 8Department of Mathematics and Statistics, University of Turku, Turku, Finland; 9School of Health Sciences, University of Akureyri, Akureyri, Iceland; 10Akureyri Hospital, Akureyri, Iceland; 11Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece; 12Welfare Division, City of Turku, Turku, Finland; 13Hospital Clinic of Barcelona, Barcelona, Spain; 14Department of Nursing, Universitat de Barcelona, Barcelona, Spain; 15Human Performance Division, Finnish Defense Research Agency, Järvenpää, FinlandCorrespondence: Saija InkeroinenDepartment of Nursing Science, University of Turku, Turku 20014, FinlandTel +358 400760698Email saanin@utu.fiPurpose: In patient education, there is a need for valid and reliable instruments to assess and tailor empowering educational activities. In this study, we summarize the process of producing two parallel instruments for analyzing hospital patients’ expectations (Expected Knowledge of Hospital Patients, EKhp) and received knowledge (Received Knowledge of Hospital Patients, RKhp) and evaluate the psychometrics of the instruments based on international data. In the instruments, six elements of empowering knowledge are included (bio-physiological, functional, experiential, ethical, social, and financial).Patients and Methods: The original Finnish versions of EKhp and RKhp were tested for the first time in 2003, after which they have been used in several national studies. For international purposes, the instruments were first translated into English, then to languages of the seven participating European countries, using double-checking procedure in each one, and subsequently evaluated and confirmed by local researchers and language experts. International data collection was performed in 2009– 2012 with a total sample of 1,595 orthopedic patients. Orthopedic patients were selected due to the increase in their numbers, and need for educational activities. Here we report the psychometrics of the instruments for potential international use and future development.Results: Content validities were confirmed by each participating country. Confirmatory factor analyses supported the original theoretical, six-dimensional structure of the instruments. For some subscales, however, there is a need for further clarification. The summative factors, based on the dimensions, have a satisfactory internal consistency. The results support the use of the instruments in patient education in orthopedic nursing, and preferably also in other fields of surgical nursing care.Conclusion: EKhp and RKhp have potential for international use in the evaluation of empowering patient education. In the future, testing of the structure is needed, and validation in other fields of clinical care besides surgical nursing is especially warranted.Keywords: empowerment, nursing, patient education as topic, patient participation, patient-centered care, surveys and questionnaires
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- 2020
22. Perceived social support and coping strategies in advanced cancer patients
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Zabalegui, Adelaida, Cabrera, Esther, Navarro, Montserrat, and Cebria, María Isabel
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- 2013
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23. Palliative care for older people in Spain: F39-302
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Zabalegui, Adelaida and Cabrera, Esther
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- 2010
24. Family caregivers of older people in Spain: C4-92
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Zabalegui, Adelaida, Navarro, Montserrat, Cabrera, Esther, Gallart, Albert, Bardallo, Dolores, Escobar, Miguel-Angel, Gual, Pilar, and Fernández-Capo, María
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- 2010
25. Economic crisis and nursing in Spain
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ZABALEGUI, ADELAIDA and CABRERA, ESTHER
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- 2010
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26. Validity and reliability of the Spanish caregiver reaction assessment scale for caregivers of people with dementia.
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Alvira, Carmen, Cabrera, Esther, Kostov, Belchin, Risco, Ester, Farré, Marta, Miguel, Susana, and Zabalegui, Adelaida
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RESEARCH methodology evaluation , *RESEARCH methodology , *INTERVIEWING , *PSYCHOMETRICS , *DEMENTIA patients , *PSYCHOLOGY of caregivers , *FACTOR analysis , *INTRACLASS correlation , *QUALITY of life , *QUESTIONNAIRES , *STATISTICAL correlation ,RESEARCH evaluation - Abstract
Aim: Of the few instruments available to measure the important, positive aspects of caring, the Caregiver Reaction Assessment is regarded as the most suitable, but there is no validated Spanish version. The aim of this study was to translate the Caregiver Reaction Assessment into Spanish and assess its psychometric properties. Methods: The Caregiver Reaction Assessment was translated into Spanish and then back translated. Validation included construct validity, criterion validity and reliability: 287 interviews were conducted with informal caregivers of patients with dementia between November 2010 and April 2012. Results: Principal component analysis confirmed the original instrument's five subscales. Criterion validity showed a moderate negative correlation between the impact on health and the EQ‐5D (r = −.43), that is, a greater impact on health correlated with lower health‐related quality of life. The Caregiver Reaction Assessment showed good internal consistency, with a Cronbach alpha of.804, and good temporal stability for the distinct subscales, with intraclass correlation coefficients varying from.683 to.729 (p <.001). Conclusion: The Caregiver Reaction Assessment is a reliable, valid instrument for the measurement of the reactions of informal caregivers of patients with dementia, with good psychometric properties. SUMMARY STATEMENT: What is already known about this topic? The Caregiver Reaction Assessment is one of the few instruments that measures positive reactions in caregivers.A validated Spanish version of the instrument is required for Spain and other Spanish‐speaking countries. What this paper adds? The Caregiver Reaction Assessment was shown to be a reliable, valid instrument for the measurement of the reactions of informal caregivers of people with dementia in Spain and has good psychometric properties. The implications of this paper: Once validation is complete, the Caregiver Reaction Assessment may be used in all Spanish‐speaking informal caregivers and is suitable for home care and long‐term care institutions.The Caregiver Reaction Assessment subscales allow healthcare professionals to identify and focus on the areas that could bring about the greatest improvements in the care of people with dementia.The Caregiver Reaction Assessment permits the caregiver's state to be viewed at any stage of dementia and offers healthcare professionals the opportunity to act to avoid physical and emotional overload in caregivers. [ABSTRACT FROM AUTHOR]
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- 2021
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27. Caring for a Person With Dementia on the Margins of Long-Term Care: A Perspective on Burden From 8 European Countries
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Sutcliffe, Caroline, Giebel, Clarissa, Bleijlevens, Michel, Lethin, Connie, Stolt, Minna, Saks, Kai, Soto, Maria E., Meyer, Gabriele, Zabalegui, Adelaida, Chester, Helen, Challis, David, Stephan, Astrid, Renom-Guiteras, Anna, Sauerland, Dirk, Bremer, Patrick, Hamers, Jan P.H., Afram, Basema, Beerens, Hanneke C., Verbeek, Hilde, Zwakhalen, Sandra M.G., Ruwaard, Dirk, Ambergen, Ton, Hallberg, Ingalill Rahm, Emilsson, Ulla Melin, Karlsson, Staffan, Jolley, David, Tucker, Sue, Bowns, Ian, Roe, Brenda, Burns, Alistair, Leino-Kilpi, Helena, Koskenniemi, Jaana, Suhonen, Riitta, Viitanen, Matti, Arve, Seija, Hupli, Maija, Tiit, Ene Margit, Leibur, Jelena, Raamat, Katrin, Armolik, Angelika, Toivari, Teija Tuula Marjatta, Navarro, Montserrat, Cabrera, Esther, Risco, Ester, Alvira, Carme, Farre, Marta, Miguel, Susana, Milhet, Agathe, Sourdet, Sandrine, Gillette, Sophie, and Vellas, Bruno
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human activities ,humanities - Abstract
© 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine Objectives To explore associations between carer burden and characteristics of (1) the informal carer, (2) the person with dementia, and (3) the care support network in 8 European countries. Design Cross-sectional study. Setting People with dementia judged at risk of admission to long-term care (LTC) facilities in 8 European countries (Estonia, Finland, France, Germany, Netherlands, Spain, Sweden, United Kingdom). Participants A total of 1223 people with dementia supported by community services at home or receiving day care or respite care and their informal carers. Measurements Variables regarding the informal carer included familial relationship and living situation. Variables relating to the person with dementia included cognitive functioning (S-MMSE), neuropsychiatric symptoms (NPI-Q), depressive symptoms (Cornell depression scale), comorbidity (Charlson Comorbidity Index), and physical functioning (Katz Activity of Daily Living [ADL] Index). The care support network was measured using hours of caregiving (ADLs, instrumental ADLs [IADLs], supervision), additional informal care support, and service receipt (home care, day care). Experience of carer burden was recorded using the Zarit Burden Interview. Logistic regression analysis was used to determine factors associated with high carer burden. Results Carer burden was highest in Estonia (mean 39.7/88) and lowest in the Netherlands (mean 26.5/88). High burden was significantly associated with characteristics of the informal carer (family relationship, specifically wives or daughters), of the person with dementia (physical dependency in ADLs; neuropsychiatric symptoms, in particular nighttime behaviors and irritability), the care support network (hours of caregiving supervision; receipt of other informal care support) and country of residence. Conclusion A range of factors are associated with burden in informal carers of people with dementia judged to be on the margins of LTC. Support for informal carers needs to take account of gender differences. The dual challenges of distressed behaviors and difficulties in ADLs by the person with dementia may be addressed by specific nonpharmacological interventions focusing on both elements. The potential protective effect of additional informal support to carers highlights the importance of peer support or better targeted home support services. The implementation of appropriate and tailored interventions to reduce burden by supporting informal carers may enable people with dementia to remain at home for longer.
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- 2017
28. Japanese Culture Hours dispel myths while celebrating Japanese culture
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Aulis-Cabrera, Esther
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Stereotypes (Psychology) ,Universities and colleges ,News, opinion and commentary ,Sports and fitness - Abstract
Byline: Esther Aulis-CabreraThe Ohio University Japanese Language and Culture Association has been hosting culture hours for years now.The Japanese Culture Hours happen Thursdays at 7 p.m. in Gordy Hall 104. [...]
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- 2019
29. Time was love for Josh Turner fans Saturday
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Aulis-Cabrera, Esther
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News, opinion and commentary ,Sports and fitness - Abstract
Byline: Esther Aulis-CabreraJosh Turner and Raquel Cole showed up at Templeton-Blackburn Alumni Memorial Auditorium on Saturday and pumped up the Athens country scene.Walking into the auditorium, attendees could feel a [...]
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- 2019
30. Nurses workforce and competencies. A challenge for health systems more than ever
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Cabrera, Esther and Zabalegui, Adelaida
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- 2020
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31. Bologna process in European nursing education. Ten years later, lights and shadows.
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Cabrera, Esther and Zabalegui, Adelaida
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DOCTOR of philosophy degree , *LABOR demand , *LABOR supply , *NURSES , *NURSING practice , *NURSING education , *POLICY sciences , *GRADUATE nursing education , *EDUCATIONAL attainment , *MASTERS programs (Higher education) - Published
- 2021
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32. Empowering education of arthroplasty patients' significant others in three Southern European countries.
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Copanitsanou, Panagiota, Zabalegui, Adelaida, Sourtzi, Panayota, Lemonidou, Chryssoula, Cano, Sara, Cabrera, Esther, Papastavrou, Evridiki, Charalambous, Andreas, Katajisto, Jouko, Valkeapää, Kirsi, and Leino‐Kilpi, Helena
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NURSING audit ,SIGNIFICANT others ,ANALYSIS of variance ,ARTHROPLASTY ,STATISTICAL correlation ,LABOR demand ,RESEARCH methodology ,MEDICAL cooperation ,PATIENTS ,POSTOPERATIVE care ,QUESTIONNAIRES ,RESEARCH ,SELF-efficacy ,SOCIAL support ,DESCRIPTIVE statistics ,OLD age ,EDUCATION - Abstract
Aims and objectives: To examine the relationship between significant others' expected and received knowledge and their background characteristics in three Mediterranean countries (Cyprus, Greece, Spain), all of which deal with economic restrictions, have similar social support systems with the family members acting as family caregivers, and cultural similarities. Background: Significant others' role is a key element in the older patients' postoperative recovery. However, people who take care of persons older than 65 years, as persons undergoing arthroplasty, are usually old themselves and need special support. Design: Multicentre, descriptive, correlational study. Methods: Data were collected preoperatively from 189 and postoperatively from 185 significant others using the Knowledge Expectations and the Received Knowledge of Significant Others Scales during 2010‐2012. Results: Approximately one‐fourth of the significant others were older than 65 years. Their knowledge expectations were not adequately addressed in any of the countries; they expected to be educated more on biophysiological issues and received the lowest knowledge regarding financial issues. The highest difference between expected and received knowledge was found in Greece and the lowest in Cyprus. Significant others may be less prepared for dealing with situations at home due to the knowledge difference between expected and received knowledge. Conclusions: Significant others receive less education comparing to what they expect; therefore, they are not prepared for dealing with problematic situations during their old relative's recovery. This is especially important in Mediterranean countries, where family members often provide patient care. Implications for practice: As health care is changing towards active participation of patients and family, it is important that nurses provide the education needed, as lower education may lead to poor patient outcomes and higher education may lead to significant others' anxiety. Nurses may keep in mind that older significant others do not report higher knowledge difference, but may have lower expectations. [ABSTRACT FROM AUTHOR]
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- 2018
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33. Knowledge expectations of orthopaedic patients.
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Cano‐Plans, Sara, Lacueva‐Pérez, Laia, Cabrera, Esther, and Zabalegui, Adelaida
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COMPARATIVE studies ,STATISTICAL correlation ,LENGTH of stay in hospitals ,RESEARCH methodology ,PATIENTS ,PUBLIC hospitals ,QUESTIONNAIRES ,RESEARCH evaluation ,RESEARCH funding ,SURGERY ,TOTAL hip replacement ,TOTAL knee replacement ,PREOPERATIVE education ,HEALTH literacy ,DATA analysis software ,DESCRIPTIVE statistics ,MANN Whitney U Test ,KRUSKAL-Wallis Test - Abstract
Abstract: Aim: To describe and compare knowledge expectations and received knowledge in elective orthopaedic surgery patients. Background: Population aging, increasing incidence of osteoarthritis, the growing number of surgical procedures, and reduced clinical stays underline the need for a new approach to patient education. Design: This study has a descriptive, comparative design. Methods: Data were collected from 263 patients who had total hip and knee replacement elective surgery during 3 years (2009‐2012) in 5 public hospitals in Spain. The Knowledge Expectation of Hospital Patients and the Received Knowledge of Hospital Patients Scales were used to collect data. The questionnaires were filled before hospital admission, at discharge and at follow‐up 6 to 7 months later. Results: Surgical patients received less knowledge than they expected. Patients' expectations were only met in the functional dimension. At follow‐up, patients reported that they perceived having acquired more knowledge during their hospital stay than they reported at the time of discharge. Knowledge expectations and knowledge received were related to employment status, gender, and previous contact experience with the hospital. Conclusion: Knowledge expectations were not met, and results showed the need to improve education for orthopaedic patients throughout the perioperative process, not only during hospitalization. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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34. Nursing interventions in adult patients with oropharyngeal dysphagia: a systematic review.
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Molina, Lorena, Santos-Ruiz, Susana, Clavé, Pere, González-de Paz, Luis, and Cabrera, Esther
- Abstract
Background Oropharyngeal dysphagia is a geriatric syndrome of high prevalence. It requires screening, diagnosis and specific care to avoid possible complications. The objective of this study is to perform a systematic review of the literature to know what interventions are performed by nursing professionals in the care of adult patients with OD. Methods A systematic literature review was conducted, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) declaration guideline. Included are observational and analytical scientific studies on the interventions nurses made in the assessment and screening of OD secondary to age and/or neurodegenerative diseases, as well as nursing interventions in patient's care and diagnosis in the electronic databases of Medline, SCOPUS and CINALH. Results A total of 51 articles were included: 10 observational studies, 29 experimental studies and 12 systematic reviews. 66.7% studies talked about the interventions to patients with OD secondary to ICTUS. 82.05% was performed in a hospital setting. In 49.01% of the articles, nurses are mentioned as participants in the interventions. Conclusion Screening and clinical assessment of OD for an early diagnosis are the interventions performed by the most prevalent nursing professionals found in the literature, mainly in the OD, due to ICTUS and in the hospital setting. Further research on interventions by nursing professionals is needed in this area. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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35. Risk factors related to the admission of people with dementia into a long-term care institution in Spain: an explorative study.
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RISCO, ESTER, CABRERA, ESTHER, ALVIRA, M. CARME, FARRÉ, MARTA, MIGUEL, SUSANA, and ZABALEGUI, ADELAIDA
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- *
DEMENTIA risk factors , *TREATMENT of dementia , *DEMENTIA , *PSYCHOLOGY of caregivers , *COGNITION disorders , *HOME care services , *HOSPITAL care , *HOSPITAL admission & discharge , *INTERVIEWING , *LONG-term health care , *MEDICAL care , *PATIENTS , *QUALITY of life , *RESEARCH , *STATISTICS , *PATIENTS' attitudes - Abstract
Risk factors associated with admission of people with dementia to long-term care institutions need to be identified to support health-care professionals in dementia care at home. An explorative study, combining quantitative and qualitative data collection methods, was performed in people with dementia in Spain. The sample, consisting of people with dementia receiving formal care from health-care professionals but at risk of institutionalisation, and their informal care-givers; and people with dementia recently admitted to a long-term care institution, and their informal care-givers, was interviewed between November 2010 and April 2012. Perceived reasons for admission were determined through an open-ended question put to both groups. Presumed risk factors were collected with validated questionnaires and analysed using bivariate analysis. A total of 287 people with dementia and informal care-givers were studied. Reasons given by the institutionalised group were mostly related to the level of dependency of the person with dementia. People recently admitted to a long-term care institution had more cognitive impairment, a greater degree of dependency and poorer quality of life than those still living at home. Home-care services in Spain need to develop or improve interventions based on the risk factors identified in this study: informal care-giver profile, high cognitive impairment, high level of dependency and the poor quality of life of the person with dementia. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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36. Total Joint Arthroplasty Patients' Education on Financial Issues and Its Connection to Reported Out-of-Pocket Costs-A European Study.
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Copanitsanou, Panagiota, Valkeapää, Kirsi, Cabrera, Esther, Katajisto, Jouko, Leino‐Kilpi, Helena, Sigurdardottir, Arun K., Unosson, Mitra, Zabalegui, Adelaida, and Lemonidou, Chryssoula
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ARTIFICIAL joints ,STATISTICAL correlation ,INTELLECT ,LONGITUDINAL method ,RESEARCH methodology ,MEDICAL care costs ,MEDICAL cooperation ,PATIENT education ,QUESTIONNAIRES ,RESEARCH ,PERIOPERATIVE care ,ECONOMICS - Abstract
PURPOSE Total joint arthroplasty is accompanied by significant costs. In nursing, patient education on financial issues is considered important. Our purpose was to examine the possible association between the arthroplasty patients' financial knowledge and their out-of-pocket costs. METHODS Descriptive correlational study in five European countries. Patient data were collected preoperatively and at 6 months postoperatively, with structured, self-administered instruments, regarding their expected and received financial knowledge and out-of-pocket costs. FINDINGS There were 1,288 patients preoperatively, and 352 at 6 months. Patients' financial knowledge expectations were higher than knowledge received. Patients with high financial knowledge expectations and lack of fulfillment of these expectations had lowest costs. CONCLUSION There is need to establish programs for improving the financial knowledge of patients. Patients with fulfilled expectations reported higher costs and may have followed and reported their costs in a more precise way. In the future, this association needs multimethod research. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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37. Perspectives About Health Care Provision in Dementia Care in Spain.
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Risco, Ester, Cabrera, Esther, Farré, Marta, Alvira, Carme, Miguel, Susana, and Zabalegui, Adelaida
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Background: The aim of this study is to identify the barriers and facilitators in dementia care with respect to information provision, communication, and collaboration from the perspectives of the person with dementia, family caregivers, and health care professionals over the course of the illness. Methods: A qualitative study using Focus-Group methodology was carried out in people with dementia, family caregivers, and health care providers. Results: The categories that emerged from the analysis were insufficient information provided, specific dementia care needs, and acceptance of long-term care institutionalization from the people with dementia and caregivers’ groups and insufficient communication between health care providers, differential information according to disease stage, and home care coordination from the health care providers’ groups. Conclusion: The family is a key element in successful care coordination during dementia care provision. New effective strategies including self-management and emergent roles, such as case managers, could bring great benefits to people with dementia, caregivers, and health care providers. [ABSTRACT FROM AUTHOR]
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- 2016
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38. Empowering knowledge and its connection to health-related quality of A life: A cross-cultural study A concise and informative title: Empowering knowledge and its connection to health-related quality of life.
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Koekenbier, Krista, Leino-Kilpi, Helena, Cabrera, Esther, Istomina, Natalia, Stark, Åsa Johansson, Katajisto, Jouko, Lemonidou, Chryssoula, Papastavrou, Evridiki, Salanterä, Sanna, Sigurdardottir, Arun, Valkeapää, Kirsi, and Eloranta, Sini
- Abstract
Aims: Assess the association between patient education (i.e. empowering knowledge) and preoperative health-related quality of life, 6 months postoperative health-related quality of life, and the increase in health-related quality of life in osteoarthritis patients who underwent total hip or total knee arthroplasty. Method: This is a cross-cultural comparative follow-up study using structured instruments to measure the difference between expected and received patient education and self-reported health-related quality of life (EQ-5D) in Finland, Greece, Iceland, Spain and Sweden. Results: The health-related quality of life was significantly increased 6 months postoperatively in all countries due to the arthroplasties. In the total sample, higher levels of empowering knowledge were associated with a higher health-related quality of life, both pre- and postoperatively, but not with a higher increase in health-related quality of life. On the national level, postoperative health-related quality of life was associated with higher levels of empowering knowledge in Finland, Iceland and Sweden. The increase in health-related quality of life was associated with levels of empowering knowledge for Greece. Conclusions: Overall, it can be concluded that the level of empowering knowledge was associated with high postoperative health-related quality of life in the total sample, even though there is some variation in the results per country. [ABSTRACT FROM AUTHOR]
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- 2016
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39. The nursing discipline in the post-pandemic era.
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Cabrera, Esther
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COVID-19 ,HEALTH care reform ,WELL-being ,LABOR supply ,LEADERSHIP ,NURSE supply & demand ,BEHAVIOR modification ,PSYCHOLOGICAL burnout ,NURSING career counseling ,LABOR turnover ,EVALUATION of medical care ,HEALTH behavior ,COVID-19 pandemic - Abstract
The article presents the discussion on the impact of Covid-19 on health systems. Topics include putting the health, well-being, lives, and safety of nurses and midwives particularly those providing front-line services at risk; contributing in identifying the need for health care services, workforce planning, public demands for improved access and professional development; and placing an emphasis on leadership and continuous research in contributing to the development of strategic policies.
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- 2021
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40. The impact of genetic counseling on knowledge and emotional responses in Spanish population with family history of breast cancer
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Cabrera, Esther, Blanco, Ignacio, Yagüe, Carmen, and Zabalegui, Adelaida
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- *
RISK management in business , *BREAST cancer , *WOMEN'S health , *HEALTH counseling , *GENETIC counseling , *PSYCHOLOGICAL stress , *RISK perception , *CANCER & psychology - Abstract
Objective: To assess a genetic counseling intervention measuring the distress, cancer risk perception, anxiety, worry and level of knowledge in people with familial history of breast cancer. Methods: One group pre- and post-test design. A total of 212 individuals completed a baseline questionnaire, 88.6% completed a second questionnaire one month later and 75.4% six months later. Results: Counseling intervention significantly increased the knowledge level of the individuals who received genetic education and significantly decreased the cancer worry levels. Persons with low perception of their cancer risk also had low worry levels. There were no significant changes over time in cancer risk perception or in quality of life. Conclusion: Counseling in a high risk population seems to decrease cancer worry and to increase cancer knowledge thus enabling a counselee to take well-informed decisions. Furthermore, according to our results, such interventions do not increase anxiety and do not modify the quality of life, but do not adjust their cancer risk perception. Practice implications: Providing individuals at increased risk of breast cancer genetic services seem to enhance their understanding of breast cancer without causing adverse psychological effects or changes in their quality of life, and it could improve their preventive behaviours. [Copyright &y& Elsevier]
- Published
- 2010
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41. Informal Caregiving: Perceived Needs.
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Zabalegui, Adelaida, Bover, Andeu, Rodriquez, Encarna, Cabrera, Esther, Diaz, Magdalena, Gallart, Albert, González, Araceli, Gual, Pilar, Izquierdo, María D., López, Luis, Pulpón, Ana M., and Ramírez, Ana
- Subjects
CAREGIVERS ,HOME care of older people ,FAMILIES ,NEURODEGENERATION ,DISEASES in older people - Abstract
With the increasing population of persons over the age of 65 who need daily assistance in Spain, there is considerable need to better understand informal caregivers' views, particularly about the resources that are available to them, or should be available to them. With that purpose in mind, a grounded theory method was used with focus groups in Barcelona, Malaga, Seville, and Tenerife. All of the participants were caring for family members with dementia, cancer, or other neurodegenerative conditions. The findings generated 86 codes, which were grouped into two categories: understanding the experience of caregiving, and caregiving resources. The first category was the need for caregivers to talk about their experiences and to be listened to. The second category included the presence of resources and support requirements. The caregivers said that their ability as caregivers was limited; many did not know what resources were available or how to locate new resources. Many caregivers are carrying out their role dutifully, but feel isolated, suggesting that there is a lack of social understanding and policies about informal caregivers in Spain. [ABSTRACT FROM AUTHOR]
- Published
- 2008
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42. Perception of the Online Learning Environment of Nursing Students in Slovenia: Validation of the DREEM Questionnaire.
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Gosak, Lucija, Fijačko, Nino, Chabrera, Carolina, Cabrera, Esther, and Štiglic, Gregor
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NURSING students ,CLASSROOM environment ,STUDENT attitudes ,VIRTUAL communities ,COVID-19 pandemic ,STAY-at-home orders ,SOCIAL perception ,PROBLEM-based learning - Abstract
At the time of the outbreak of the coronavirus pandemic, several measures were in place to limit the spread of the virus, such as lockdown and restriction of social contacts. Many colleges thus had to shift their education from personal to online form overnight. The educational environment itself has a significant influence on students' learning outcomes, knowledge, and satisfaction. This study aims to validate the tool for assessing the educational environment in the Slovenian nursing student population. To assess the educational environment, we used the DREEM tool distributed among nursing students using an online platform. First, we translated the survey questionnaire from English into Slovenian using the reverse translation technique. We also validated the DREEM survey questionnaire. We performed psychometric testing and content validation. I-CVI and S-CVI are at an acceptable level. A high degree of internal consistency was present, as Cronbach's alpha was 0.951. The questionnaire was completed by 174 participants, of whom 30 were men and 143 were women. One person did not define gender. The mean age of students was 21.1 years (SD = 3.96). The mean DREEM score was 122.2. The mean grade of student perception of learning was 58.54%, student perception of teachers was 65.68%, student academic self-perception was 61.88%, student perception of the atmosphere was 60.63%, and social self-perception of students was 58.93%. Although coronavirus has affected the educational process, students still perceive the educational environment as positive. Nevertheless, there is still room for improvement in all assessed areas. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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43. Autonomía y consentimiento informado en centros sociosanitarios en Cataluña. Percepciones de ancianos y enfermeras en España (III).
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Gasull, Maria, Cabrera, Esther, Leino-Kilpi, Helena, Valimaki, Maritta, Leomonidou, Chrissoula, Scott, Anne P., Dassen, Theo, Arndt, Marianne, and Gich, Ignasi
- Abstract
Part III. Presents a study which analyzed the principle of autonomy and informed consent in health care centers in Catalonia, Spain as perceived by elderly patients and nursing staff. Participating countries in the study; Data collection method; Results and findings.
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- 2002
44. Autonomía y consentimiento informado en unidades quirúrgicas. Percepciones de pacientes y enfermeras en España.
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Gasull, Maria, Cabrera, Esther, Valimaki, Maritta, Leino-Kilpi, Helena, Lemonidou, Chryssoula, Scott, Anne P., Dassen, Theo, Arndt, Marianne, and Gich, Ignasi
- Abstract
The results of the study on patients and surgical nursing staff in Spain are presented. This study is the second part of a project supported by the European Commission with the participation of the following countries in addition to Spain: Finland, Germany, Great Britain (Scotland) and Greece. The aim of this comparative, multicultural, multicenter study was to describe and analyze the perceptions of the patients and nurses on the respect given by nursing staff with regard to the rights of autonomy and informed consent of the patients admitted to surgical hospitalization wards. The sample included 173 patients and 233 nurses. The data were collected from six university and/or general hospitals in Spain with a structured questionnaire specially designed for this study in which the data has been analyzed from both the judicial and ethical points of view. The statistical results showed significant differences in the history and in the perceptions between the patients and the nurses with respect to the nursing interventions involving autonomy and informed consent. The first article of the study on material care was published in volume 11, number 5 of ENFERMERÍA CLÍNICA. [ABSTRACT FROM AUTHOR]
- Published
- 2001
45. Informal Caregivers' Roles in Dementia: The Impact on Their Quality of Life.
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Frias, Cindy E., Cabrera, Esther, and Zabalegui, Adelaida
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- *
CAREGIVERS , *SOCIAL perception , *SOCIAL support , *QUALITY of life , *BURDEN of care , *COGNITION disorders , *PEARSON correlation (Statistics) - Abstract
The constantly changing process of caring for a person with dementia affects the informal caregivers' role due to its psychosocial impact. This cross-sectional study aimed to analyze the impact of the Person with Dementia informal caregiver's role caregiver to a person with dementia on the self-perceived quality of life (QoL) of the caregiver. In total, 160 informal caregivers were recruited between January and December 2019. Informal caregivers' quality of life was assessed using the European Quality of Life 5-Dimension scale, burden with the Zarit Burden Scale, emotional wellbeing using the General Health Questionnaire, and caregiver reactions using Caregiver Reaction Aspects. Patients' cognitive impairment was assessed with the Mini-Mental State Examination, their quality of life using Quality of Life in Alzheimer's Disease, and neuropsychiatric symptoms using the Neuropsychiatric Inventory. Outcomes were studied using the Pearson correlation coefficient and ANOVA test. Most informal caregivers' outcomes were significantly associated with their quality of life. Male informal caregivers have a slightly better quality of life than female caregivers (p < 0.001). Caregiver burden (p < 0.001), psychological wellbeing (p < 0.001) and negative aspects of caregiving on health (p < 0.001) correlated moderately with informal caregivers' quality of life. Factors associated with dementia, including the course of the illness and its severity with the presence of neuropsychiatric symptoms can negatively affect the informal caregiver's role and produce a low self-perception of quality of life; thus, social and professional support for informal caregivers is essential. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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46. Family caregivers of older people in Spain.
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Zabelegui, Adelaida, Navarro, Montserrat, Cabrera, Esther, Gallart, Albert, Bardallo, Dolores, Escobar, Miguel-Angel, Gual, Pilar, and Fernández-Capo, MarIa
- Published
- 2010
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47. What Makes Institutional Long-Term Care the Most Appropriate Setting for People With Dementia? Exploring the Influence of Client Characteristics, Decision-Maker Attributes, and Country in 8 European Nations.
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Tucker, Sue, Brand, Christian, Sutcliffe, Caroline, Challis, David, Saks, Kai, Verbeek, Hilde, Cabrera, Esther, Karlsson, Staffan, Leino-Kilpi, Helena, Stephan, Astrid, and Soto, Maria E.
- Subjects
- *
ELDER care , *DECISION making , *DEMENTIA , *EXPERTISE , *INSTITUTIONAL care , *LONG-term health care , *CASE studies , *MEDICAL care research , *MEDICAL personnel , *NURSING care facilities , *RESEARCH funding , *SOCIAL workers , *LOGISTIC regression analysis , *HOME environment , *SENIOR housing , *DESCRIPTIVE statistics - Abstract
Objectives To explore the extent to which client characteristics, decision-maker attributes, and country influence judgments of institutional long-term care (ILTC) appropriateness for people with dementia. Design, setting, and participants A total of 161 experts in dementia care from 8 European countries reviewed a series of 14 vignettes representing people with dementia on the cusp of ILTC admission and indicated the most appropriate setting in which to support each case in a simple discrete choice exercise: own home, very sheltered housing, residential home, or nursing home. At least 16 experts participated in each country (Estonia, Finland, France, Germany, the Netherlands, Spain, Sweden, and the United Kingdom). Measurements Descriptive statistics were used to characterize the experts and their placement preferences. Logistic regression modeling was used to explore the extent to which the sociodemographic and clinical characteristics of people with dementia, and the profession, workplace, and country of decision-makers were associated with ILTC recommendation. Results Client characteristics, decision-maker attributes, and country all seemed to play a part in influencing professionals' perceptions of the appropriateness of ILTC for people with dementia. Expert decision-makers were more likely to recommend ILTC for individuals who required help with mobility or had multiple care needs, and appeared to give more weight to carers' than clients’ wishes. Community-based social workers were less likely than other professional groups to favor ILTC placement. Experts in Finland, Germany, and the United Kingdom were less likely to recommend ILTC than experts in France, the Netherlands, and Estonia; experts in Sweden and Spain took an intermediate position. Conclusion This study provides new understanding of the factors that shape professionals' perceptions of ILTC appropriateness and highlights the need to construct multifaceted models of institutionalization when planning services for people with dementia. It also has several important clinical implications (including flagging interventions that could decrease the need for ILTC), and provides a basis for enhancing professionals’ decision-making capabilities (including the greater involvement of clients themselves). [ABSTRACT FROM AUTHOR]
- Published
- 2016
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48. Connecting Actors With the Introduction of Mobile Technology in Health Care Practice Placements (4D Project): Protocol for a Mixed Methods Study.
- Author
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Martínez-Gaitero C, Dennerlein SM, Dobrowolska B, Fessl A, Moreno-Martínez D, Herbstreit S, Peffer G, and Cabrera E
- Abstract
Background: The learning process in clinical placements for health care students is a multifaceted endeavor that engages numerous actors and stakeholders, including students, clinical tutors, link teachers, and academic assessors. Successfully navigating this complex process requires the implementation of tasks and mentorships that are synchronized with educational and clinical processes, seamlessly embedded within their respective contexts. Given the escalating number of students and the rising demand for health care services from the general population, it becomes imperative to develop additional tools that support the learning process. These tools aim to simplify day-to-day clinical practice, allowing a concentrated focus on value-based activities. This paper introduces a project funded by the European Commission that involves 5 European countries. The project's objective is to comprehensively outline the entire process of development and ultimately implement mobile technology in practice placements. The project tackles the existing gap by constructing tailored mobile apps designed for students, teachers, tutors, and supervisors within each participating organization. This approach leverages practice-based learning, mobile technology, and technology adoption to enhance the overall educational experience., Objective: This study aims to introduce mobile technology in clinical practice placements with the goal of facilitating and enhancing practice-based learning. The objective is to improve the overall effectiveness of the process for all stakeholders involved., Methods: The "4D in the Digitalization of Learning in Practice Placement" (4D Project) will use a mixed methods research design, encompassing 3 distinct study phases: phase 1 (preliminary research), which incorporates focus groups and a scoping review, to define the problem, identify necessities, and analyze contextual factors; phase 2 (collaborative app development), which involves researchers and prospective users working together to cocreate and co-design tailored apps; and phase 3, which involves feasibility testing of these mobile apps within practice settings., Results: The study's potential impact will primarily focus on improving communication and interaction processes, fostering connections among stakeholders in practice placements, and enhancing the assessment of training needs. The literature review and focus groups will play a crucial role in identifying barriers, facilitators, and factors supporting the integration of mobile technology in clinical education. The cocreation process of mobile learning apps will reveal the core values and needs of various stakeholders, including students, teachers, and health care professionals. This process also involves adapting and using mobile apps to meet the specific requirements of practice placements. A pilot study aimed at validating the app will test and assess mobile technology in practice placements. The study will determine results related to usability and design, learning outcomes, student engagement, communication among stakeholders, user behavior, potential issues, and compliance with regulations., Conclusions: Health care education, encompassing disciplines such as medicine, nursing, midwifery, and others, confronts evolving challenges in clinical training. Essential to addressing these challenges is bridging the gap between health care institutions and academic settings. The introduction of a new digital tool holds promise for empowering health students and mentors in effectively navigating the intricacies of the learning process., International Registered Report Identifier (irrid): DERR1-10.2196/53284., (©Carlos Martínez-Gaitero, Sebastian Maximilian Dennerlein, Beata Dobrowolska, Angela Fessl, Daniel Moreno-Martínez, Stephanie Herbstreit, Gilbert Peffer, Esther Cabrera, 4D Project Consortium. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 08.02.2024.)
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- 2024
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49. INFOSA intervention for caregivers of the elderly, an experimental study.
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Zabalegui A, Galisteo M, Navarro MM, and Cabrera E
- Subjects
- Activities of Daily Living psychology, Aged, Caregivers psychology, Chronic Disease psychology, Hospitalization, Humans, Social Support, Stress, Psychological psychology, Caregivers education, Chronic Disease nursing, Geriatrics
- Abstract
An experimental study was carried out in a geriatric hospital unit (pre-discharge at home) with repeated observations taken at baseline, on study completion and six months post-intervention to analyze the impact of a psychoeducational intervention INFOSA addressed to caregivers who support dependent elderly people, on burden, psychological distress and perceived support. Univariate regression models showed that the participants in the experimental group had less burden (OR 35, IC 95% 7.47-163.99) and emotional distress (OR 149.5, IC 95% 15. 57-1435.52) than participants in the control group. Odds ratios effect were statistically significant at post-test and six-month follow-up. The INFOSA intervention reduced burden and emotional distress and enhanced caregivers' perceived social support in the short-term, suggesting that applying the intervention for an extended period could maintain the positive effect in the long-term., (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Published
- 2016
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