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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.

To evaluate the completion of nursing records through scheduled audits to analyse risk outcome indicators.Nursing records support clinical decision-making and encourage continuity of care, hence the importance of auditing their completion in order to take corrective action where necessary.This was an observational descriptive study carried out from February to November 2020 with a sample of 1131 electronic health records belonging to patients admitted to COVID-19 hospital units during three observation periods: pre-pandemic, first wave, and second wave.A significant reduction in nursing record completion rates was observed between pre-pandemic period and first and second waves: Braden scale 40.97%, 28.02%, and 30.99%; Downton scale: 43.74%, 22.34%, and 33.91%; Gijón scale: 40.12%, 26.23%, and 33.64% (p 0.001). There was an increase in the number of records completed between the first and second waves following the measures adopted after the quality audit.The use of scheduled audits of nursing records as quality indicators facilitated the detection of areas for improvement, allowing timely corrective actions.Support from nursing managers at health care facilities to implement quality assessment programmes encompassing audits of clinical record completion will encourage the adoption of measures for corrective action.

Background: The COVID-19 pandemic has contributed to the occurrence of work-related stress on nursing staff. Being resilience an essential element to countering adversity. The aim of the study was to assess burnout syndrome as well as resilience in hospital-care nurses during the first outbreak of the COVID-19 pandemic. Methods: A cross-sectional descriptive study of burnout syndrome and resilience of 101 nurses during the first COVID-19 outbreak. The Maslach Burnout Inventory and the Scale of Resilience of Connor-Davidson were used. Results: The burnout average score was 74.35 ± 12.78 points, and resilience was 27.94 ± 5.84. Temporary nurses reached a lower average score for the emotional fatigue dimension (23.80 ± 10.39 points) p &lt, 0.05. The emotional fatigue dimension correlated adversely with the average score of resilience (r = −0.271, p &lt, 0.001). Conclusions: The level of burnout in nurses was high, being higher on those who took care of COVID-19 patients. Resilient nurses were able to better cope with stressful situations.

Purpose To describe factors associated with nurses’ attitudes or lack of knowledge regarding pain management in adult inpatients. Design Transverse descriptive survey-based study. Methods This was a transverse descriptive survey-based study. The population was obtained through nonprobabilistic convenience sampling. The Knowledge and Attitudes Survey Regarding Pain was made available to 470 nurses at a tertiary level hospital. Associations were sought with the unit where assigned, years of experience, specific training on pain, and postgraduate education. Results The sample included 134 nurses with a mean age of 41.6 ± 10.8 years; 87% were women, 64% worked rotating shifts, 64% had more than 10 years of experience, and 31% had specific training in pain management. The greatest number of correct responses was obtained from nurses with specific training in pain management (p = .001) and nurses who worked in units of surgical hospitalization (p = .004). The lack of training was associated with a deficit in knowledge and inadequate attitudes about pain management. In nurses with less than 10 years of experience, worse results were observed in knowledge, whereas the unit of work was decisive in the results about attitude (p Conclusions Among the nurses surveyed, some knowledge gaps were detected, as were certain inappropriate attitudes, associated with lack of training, lack of experience, and being assigned to specific hospitalization units.

ObjectiveThe aim of using the game-based tool Kahoot! was to evaluate and reinforce the contents taught in the subject of Management and Administration of Nursing, Ethics and Health Legislation Services included in the Degree in Nursing, during the 2016-2017 academic year.MethodsA prospective quasi-experimental study was carried out on a sample of 116 students. 10 multiple-choice questions were designed, with only one possible correct answer and a 20-second-limited response time for each of the questions. Four of these questions previously answered in the classroom using this game were chosen (20% of the exam). Each one of them corresponded to one unit of the topics taught in the subject. In order to participate in the educational game, students needed their smartphones or electronic devices. After completing the game, the students' satisfaction level derived from its use was assessed.ResultsThe correct answer rate in the educational game was greater than 50% for all questions except for one, in which the rate was 28.8% (PConclusionThe implementation of educational games which consider response time and correct answers favors competitiveness and motivates students to actively participate in their learning process.

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.

Objetivo. Disenar una alerta temprana con signos y sintomas de la enfermedad COVID-19 para detectar los distintos niveles de riesgo de padecer dicha enfermedad, establecer el nivel de vigilancia y activar los protocolos adecuados. Metodo. Estudio descriptivo en tres fases: Revision bibliografica; Consenso entre expertos; Pilotaje de la alerta temprana Resultados. Las variables predictoras de severidad para construir el algoritmo fueron: tos seca, fiebre, saturacion de oxigeno, disnea y PCR. Se diseno el algoritmo y se implemento en el aplicativo electronico de gestion de Cuidados de Linea Abierta (GACELA Care)®. Conclusiones. Con la implantacion de la alerta temprana se espera una mejor gestion de los cuidados en los pacientes hospitalizados susceptibles de padecer COVI-19.

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.

After radiation therapy most patients experience acute skin toxicity to some degree. The purpose of this systematic review is to assess the available evidence concerning the effectivity of topical therapies on patients with breast cancer that experience radiodermatitis after radiotherapy.The review included clinical trials aimed to evaluate topical therapies for prevention or treatment of acute radiodermatitis in women with breast cancer, which were published between 2009 and 2014. The bibliographic search was carried out in the following databases: PubMed, Cinahl, Cochrane Plus, IBECS and LILACS. The studies were selected independently by peer reviewers using the Critical Appraisal Skills Programme in its Spanish version.86 bibliographical references were identified. Twenty full-text articles of clinical trials were assessed and two were excluded because they were not completed; 12 of clinical trials evaluated topical treatment with creams and ointments, three with corticosteroid creams and other three with dressings. The effectivity of human epidermal growth factor cream, linoleic acid emulsion, topical silver sulfadiazine, corticosteroids creams and polyurethane dressings has been shown in these clinical trials.Given that radiodermatitis is a dynamic process, these topical agents were effective in different stages of skin toxicity. Some of them delayed the onset, others decreased the development and severity of acute skin toxicity degree and others improved the subjective symptoms (itching, pain, burning). Only polyurethane dressings suggest effectiveness in all stages of skin toxicity, in prevention, management of the different skin toxicity degrees and improvement of wellbeing.

The aim of this systematic review is to assess the available evidence concerning the effectiveness of semi-permeable dressings, on the full range of skin reactions, related to radiation therapy in cancer patients, from local erythema to moist desquamation, including subjective symptoms such as pain, discomfort, itchiness, burning and the effect on daily life activities. The bibliographic search was carried out looking for Randomised Clinical Trials (RCTs) indexed in PubMed, Cinhal, Cochrane plus and Biblioteca Nacional de Salud, published in the English and Spanish language, between 2010 and 2015. Data extraction and evaluation of study quality was undertaken by peer reviewers using the Critical Appraisal Skills Programme (CASP). Of 181 studies, nine full texts were assessed. Finally, six RCT were included in the final synthesis: three analysed the application of Mepilex® Lite in breast cancer and head & neck cancer; one evaluated the application of Mepitel® Film in breast cancer; and two assessed the use of silver nylon dressings in breast cancer and in patients with lower gastrointestinal cancer. The results show that semi-permeable dressings are beneficial in the management of skin toxicity related to radiation therapy. However, rigorous trials showing stronger evidence are needed.