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To compare the evidence-based practice (EBP) self- perceived competences of clinical teacher nurses (CTN) versus clinical nurses (CN) to detect areas for improvement in practical training.A cross-sectional study by means of a self-assessment questionnaire sent to nurses of two public hospitals of Castilla y León was performed, between February to May 2020. Variables included competences in evidence based practice (EBP) - attitude, knowledge, skills and use-, sociodemographic, job, academic, teaching relations and training in investigation methodology and/or EBP. A validated questionnaire EBP-COQ prof© of 35 questions with answers type Likert (1, very disagree-5, very agree) was used. Data analysis (descriptive and bivariate) was performed by means SPSS v.24 program.171 questionnaires were answered by nurses. CN 52%, CTN 48%. There were no significant differences between both groups regarding sociodemographic variables. Mean age was 43.6 ± 9.9 and 42.9 ± 8.5 for CN and CTN, respectively. Total sample showed a mean EBP competency score of 3.54 ± 1.00 (attitudes: 4.40 ± 0.60; knowledge: 3.08 ± 0.94; skills: 3.57 ± 0.66; utilization: 3.36 ± 0.75). The CTN group obtained higher mean scores in knowledge dimension, compared with CN (p = 0.02) and with total sample (p = 0.02). There were no significant differences in other dimensions.CTN showed better self-perceived competences scores only in the knowledge dimension compared with CN. Taking in account the level of responsibility they support in their daily practice, it would be advisable to design management strategies in order to improve attitudes, skills and utilize EBP, acting as professional role models for students and peer mentors.

Objective To analyse the prevalence and management of pain episodes, their evaluation and recording in internal medicine hospitalisation units in a third level public hospital of the regional health service of Castilla y Leon. Method A descriptive cross-sectional study. The study population comprised patients hospitalized in internal medicine units. Pain prevalence was detected by the Brief Pain Inventory questionnaire. The management of pain episodes was analysed as recorded in the clinical records. Results 83 patients were included, 73.5% of them reported pain and 67.2% did not know their analgesia regimen. More episodes of pain were identified in the women (P = .006) than in the men. The pharmacological administration was recorded in all cases; however, nurses recorded the episode in the clinical history of 29.5% of the patients. In no case, was the pain intensity or degree of relief recorded using the visual analogical scale. Conclusions There is evidence of a high prevalence of pain in hospitalized patients and deficiencies in the management of pain episodes by nurses, both in evaluation and recording. This implies the need for pain control protocols and the implementation of evidence-based best practice guidelines to provide nurses with the means and support for adequate pain management.

Resumen Objetivo Analizar la prevalencia y el manejo de los episodios de dolor, su evaluacion y registro en unidades de hospitalizacion de Medicina Interna en un hospital publico de tercer nivel del Servicio Regional de Salud de Castilla y Leon. Metodo Estudio descriptivo transversal sobre los pacientes ingresados en unidades de Medicina Interna. La prevalencia del dolor se detecto mediante el cuestionario Brief Pain Inventory. La gestion de los episodios se analizo mediante su registro en la historia clinica. Resultados Se incluyeron 83 pacientes, el 73,5% manifestaron dolor y el 67,2% desconocian su pauta analgesica. Se identificaron mas episodios de dolor en el caso de las mujeres (p = 0,006) con respecto a los hombres. La administracion farmacologica se registro en todos los casos, el episodio de dolor dentro del evolutivo de la enfermera se registro en el 29,5% y en ningun caso se registro intensidad o grado de alivio con la Escala Visual Analogica, en la grafica de constantes. Conclusiones Se ha evidenciado una alta prevalencia de dolor en los pacientes hospitalizados y una deficiencia en la gestion de los episodios de dolor por parte de las enfermeras, tanto en la evaluacion como en el registro. Ello implica la necesidad de protocolizar el control del dolor implementando buenas practicas basadas en la evidencia y dotar a las enfermeras de los medios y el apoyo necesario para poder realizar un manejo adecuado del dolor.

Aim In this study, we identified the impact of educational activities that focused on improving the competence and critical thinking skills of university nursing students. Design A prospective quasi-experimental study was conducted, and assessments were conducted before and after the educational intervention, which consisted of seminars, lectures, case studies, and problem-solving activities. Methods The Critical Thinking Questionnaire was used to collect data before and after the educational intervention between September 2017 and May 2018. The sample consisted of 112 first-year undergraduate students. To examine the data that were collected as a part of this quasi-experimental study, inferential statistics were used, and the results were tested against a significance level of P Results The students obtained higher scores on the substantive dimension than on the dialogic one, and women scored higher than men. The educational intervention led to an improvement in every critical thinking skill across both dimensions, except listening and speaking skills, whereby men demonstrated a greater change in average scores for critical thinking skills. Conclusions The educational intervention improved the critical thinking skills of undergraduate students and had a greater impact on men than on women. This finding underscores the need for educational interventions that can enhance critical thinking skills. Developing these skills will improve future nurses' ability to make health care management decisions in a reflective, agile, and evidence-based manner.

Resumen Objetivo La mayoria de los pacientes con cancer de mama sometidos a radioterapia desarrollan algun grado de toxicidad cutanea. El proposito de esta revision sistematica es evaluar la evidencia disponible sobre la efectividad de tratamientos topicos en pacientes con cancer de mama que sufren radiodermatitis durante el tratamiento radioterapico. Metodo Se revisaron ensayos clinicos cuyo objetivo fue evaluar tratamientos topicos para la prevencion o tratamiento de la radiodermatitis aguda en mujeres con cancer de mama publicados entre el 2009-2014. La busqueda bibliografica se hizo en: PubMed, Cinahl, Cochrane plus, IBECS y LILACS. Los estudios se seleccionaron por revisores pares de forma independiente utilizando el Clinical Appraisal Skills Programme en su version en espanol. Resultados Se identificaron 86 registros. Veinte ensayos clinicos fueron evaluados a texto completo eliminandose dos por no estar concluidos; 12 ensayos clinicos evaluaron la aplicacion topica de cremas y pomadas, tres la aplicacion de corticosteroides en crema y tres la aplicacion de apositos. Demostraron efectividad la crema con factor de crecimiento epidermico humano, la emulsion con acido linoleico, la sulfadiacina argentica topica, los corticoesteroides y los apositos de poliuretano. Conclusiones Al ser la radiodermatitis un proceso dinamico, estos agentes topicos a resultaron efectivos en distintas fases de la toxicidad. Unos retrasaron el inicio, otros disminuyeron el desarrollo y severidad de los grados de radiodermitis y otros mejoraron sintomas subjetivos (picor, dolor, ardor). Solo los apositos de poliuretano sugieren efectividad en todas las fases de radiotoxicidad cutanea, en la prevencion, manejo de los grados y mejora del bienestar.