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12. Midwives' approach to the prevention and repair of obstetric perineal trauma in Spain.

Author

Laderas Díaz, Estíbaliz, Rodríguez‐Almagro, Julián, Picón Rodríguez, Rafael, Martínez Galiano, Juan Miguel, Martínez Rodríguez, Sandra, and Hernández‐Martínez, Antonio

Subjects
CROSS-sectional method, LABOR complications (Obstetrics), MIDWIVES, SCIENTIFIC observation, EMPIRICAL research, TREATMENT effectiveness, QUANTITATIVE research, MULTIVARIATE analysis, PERINEUM, EPISIOTOMY, ODDS ratio, MIDWIFERY, ATTITUDES of medical personnel, PROFESSIONAL employee training, STATISTICS, CONFIDENCE intervals
Abstract

Aim: Different clinical practice guidelines include recommendations on how to prevent and repair obstetric perineal trauma, as well as the use of episiotomy. To evaluate the variability in midwives' professional practices for preventing and repairing perineal trauma, as well as the professional factors that may be associated with the restrictive use of episiotomy. Design: Observational cross‐sectional study. Methods: Three hundred five midwives completed an anonymous questionnaire developed by the authors and distributed across various midwifery scientific societies. The main outcomes measured were the frequencies of adopting specific practices related to perineal injury prevention and repair, episiotomy technique and restrictive episiotomy use (<10%). Odds ratios (OR) and adjusted odds ratios (aOR) with 95% confidence intervals were estimated. Results: Intrapartum perineal massage was not normally used by 253 (83%) of midwives, and 186 (61%) applied compresses soaked in warm water to the perineum. Regarding episiotomy, there was a great deal of variability, noting that 129 (42.3%) adopted a restrictive use of this procedure, 125 (41%) performed it between 10% and 20%, while 51 midwives (16.7%) performed it in more than 20% of cases. In addition, 165 (54.1%) midwives followed an incision angle of 60º. Concerning tears, 155 (50.8%) usually sutured first‐degree tears and 273 (89.5%) always sutured second‐degree tears. Midwives attending home births (aOR = 6.5; 95% CI: 2.69–15.69), working at a teaching hospital (aOR = 3.69; 95% CI: 1.39–9.84), and the ones who recently completed their professional training (aOR = 3.58; 95% CI: 1.46–8.79) were significantly more likely to adopt a restrictive use of episiotomy. Conclusions: There is a significant variability in Spanish midwives' practices for preventing and repairing perineal tears. Moreover, the restrictive use of episiotomy is associated with midwives attending home births, working in teaching hospitals and having recent professional training. Patient or Public Contribution: No patient or public contribution. [ABSTRACT FROM AUTHOR]

Published
2024
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17. Evolution of Quality of Life and Treatment Adherence after One Year of Intermittent Bladder Catheterisation in Functional Urology Unit Patients

Author

Fernandez-Lasquetty Blanc, Blanca, primary, Hernández Martínez, Antonio, additional, Lorenzo García, Carlos, additional, Baixauli Puig, Montserrat, additional, Estudillo González, Francisco, additional, Martin Bermejo, Maria Victoria, additional, Ortega Checa, Maria Angustias, additional, Alcaraz Zomeño, Elena, additional, Torres Bacete, Arancha, additional, Ferrández Franco, Guillermina, additional, Benito Santos, Begoña, additional, Fernández Llorente, Guadalupe, additional, Guerrero Andrádes, Maria Carmen, additional, Rodríguez Diaz, Monica, additional, Louis Lauture, Mario Pierre, additional, Jiménez Mayorga, Isabel, additional, Serrano-Abiétar, Rosario, additional, Garrido Mora, Maria Asunción, additional, Barcia Barrera, Francisco, additional, Asensio Malo, Gemma, additional, Morcillo Marín, Montserrat, additional, Lluesma Martinez, Vicenta, additional, Valero Escribá, Maria Luisa, additional, Tendero Ruiz, Silvia, additional, Romay Cea, Rosa Ana, additional, Marín Valero, Mercedes, additional, and Rodríguez-Almagro, Julián, additional

Published
2023
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18. Obstetric Violence from a Midwife Perspective

Author

Martínez-Galiano, Juan Miguel, primary, Rodríguez-Almagro, Julián, additional, Rubio-Álvarez, Ana, additional, Ortiz-Esquinas, Inmaculada, additional, Ballesta-Castillejos, Ana, additional, and Hernández-Martínez, Antonio, additional

Published
2023
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22. Commitment, perception and evidence-based practice training in Spanish nursing students: A multicentre cross-sectional study in 2020

Author

Universidad de Alicante. Departamento de Enfermería, Gómez-Salgado, Juan, Rodríguez-Almagro, Julián, Molina-Alarcón, Milagros, Martínez-Galiano, Juan Miguel, Solano-Ruiz, MCarmen, Hernández-Martínez, Antonio, Universidad de Alicante. Departamento de Enfermería, Gómez-Salgado, Juan, Rodríguez-Almagro, Julián, Molina-Alarcón, Milagros, Martínez-Galiano, Juan Miguel, Solano-Ruiz, MCarmen, and Hernández-Martínez, Antonio

Abstract

Aims and objectives: To evaluate the commitment and level of self-perceived training in evidence-based practice among students of the Nursing degree of five Spanish universities. Background: In university Health Sciences degrees, evidence-based clinical practice can directly or indirectly impact the quality of care, the cost of the service provided and the safety of clinical practice. Design: Multicentre cross-sectional observational study according to STROBE guidelines. Methods: The evidence-based skills in Practice questionnaire (CACH-PBE, for its acronym in Spanish) and the Utrecht Work Engagement Student Scale (UWES-9S) were used. The study was performed in five Spanish universities (Alicante, Castilla La Mancha, Jaen, Huelva and Seville) from October to December 2020, with 755 participants (Nursing students). Results: A total mean score of 91.9 points (SD = 11.81) was observed for the CACH-PBE questionnaire and of 36.8 points (SD = 8.48 points) for the UWES-9S. In addition, the multivariate analysis predicted that variables such as sex, academia, university, intention to do a Master or Doctorate degree, the level of work engagement, and the previous training in evidence-based clinical practice were associated with a greater perception of evidence-based practice. Conclusion: The sample of Nursing degree students has intermediate-high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment, with differences observed between each of the universities. Relevance to clinical practice: Nursing students should develop from intermediate to high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment. There are various actions to promote EBP, such as the incorporation of a specific course covering the subject into the nursing curriculum, and the selection, for clinical practices, of care units that implemented evidence-based care.

Published
2022

23. Commitment, perception and evidence-based practice training in Spanish nursing students: A multicentre cross-sectional study

Author

Universidad de Alicante. Departamento de Enfermería, Gómez-Salgado, Juan, Rodríguez-Almagro, Julián, Molina-Alarcón, Milagros, Martínez-Galiano, Juan Miguel, Solano-Ruiz, MCarmen, Hernández-Martínez, Antonio, Universidad de Alicante. Departamento de Enfermería, Gómez-Salgado, Juan, Rodríguez-Almagro, Julián, Molina-Alarcón, Milagros, Martínez-Galiano, Juan Miguel, Solano-Ruiz, MCarmen, and Hernández-Martínez, Antonio

Abstract

Aims and objectives: To evaluate the commitment and level of self-perceived training in evidence-based practice among students of the Nursing degree of five Spanish universities. Background: In university Health Sciences degrees, evidence-based clinical practice can directly or indirectly impact the quality of care, the cost of the service provided and the safety of clinical practice. Design: Multicentre cross-sectional observational study according to STROBE guidelines. Methods: The evidence-based skills in Practice questionnaire (CACH-PBE, for its acronym in Spanish) and the Utrecht Work Engagement Student Scale (UWES-9S) were used. The study was performed in five Spanish universities (Alicante, Castilla La Mancha, Jaen, Huelva and Seville) from October to December 2020, with 755 participants (Nursing students). Results: A total mean score of 91.9 points (SD = 11.81) was observed for the CACH-PBE questionnaire and of 36.8 points (SD = 8.48 points) for the UWES-9S. In addition, the multivariate analysis predicted that variables such as sex, academia, university, intention to do a Master or Doctorate degree, the level of work engagement, and the previous training in evidence-based clinical practice were associated with a greater perception of evidence-based practice. Conclusion: The sample of Nursing degree students has intermediate-high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment, with differences observed between each of the universities. Relevance to clinical practice: Nursing students should develop from intermediate to high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment. There are various actions to promote EBP, such as the incorporation of a specific course covering the subject into the nursing curriculum, and the selection, for clinical practices, of care units that implemented evidence-based care.

Published
2022

24. Commitment, perception and evidence‐based practice training in Spanish nursing students: A multicentre cross‐sectional study.

Author

Gómez‐Salgado, Juan, Rodríguez‐Almagro, Julián, Molina‐Alarcón, Milagros, Martínez‐Galiano, Juan Miguel, Solano‐Ruiz, María del Carmen, and Hernández Martínez, Antonio

Subjects
*RESEARCH, *STATISTICS, *SCIENTIFIC observation, *NURSING, *CONFIDENCE intervals, *ANALYSIS of variance, *CROSS-sectional method, *MULTIVARIATE analysis, *FISHER exact test, *REGRESSION analysis, *JOB involvement, *QUESTIONNAIRES, *DESCRIPTIVE statistics, *NURSING students, *COMMITMENT (Psychology), *STUDENT attitudes, *STATISTICAL sampling, *DATA analysis software, *EVIDENCE-based nursing
Abstract

Aims and objectives: To evaluate the commitment and level of self‐perceived training in evidence‐based practice among students of the Nursing degree of five Spanish universities. Background: In university Health Sciences degrees, evidence‐based clinical practice can directly or indirectly impact the quality of care, the cost of the service provided and the safety of clinical practice. Design: Multicentre cross‐sectional observational study according to STROBE guidelines. Methods: The evidence‐based skills in Practice questionnaire (CACH‐PBE, for its acronym in Spanish) and the Utrecht Work Engagement Student Scale (UWES‐9S) were used. The study was performed in five Spanish universities (Alicante, Castilla La Mancha, Jaen, Huelva and Seville) from October to December 2020, with 755 participants (Nursing students). Results: A total mean score of 91.9 points (SD = 11.81) was observed for the CACH‐PBE questionnaire and of 36.8 points (SD = 8.48 points) for the UWES‐9S. In addition, the multivariate analysis predicted that variables such as sex, academia, university, intention to do a Master or Doctorate degree, the level of work engagement, and the previous training in evidence‐based clinical practice were associated with a greater perception of evidence‐based practice. Conclusion: The sample of Nursing degree students has intermediate‐high levels of knowledge, skills and attitudes regarding evidence‐based practice and work commitment, with differences observed between each of the universities. Relevance to clinical practice: Nursing students should develop from intermediate to high levels of knowledge, skills and attitudes regarding evidence‐based practice and work commitment. There are various actions to promote EBP, such as the incorporation of a specific course covering the subject into the nursing curriculum, and the selection, for clinical practices, of care units that implemented evidence‐based care. [ABSTRACT FROM AUTHOR]

Published
2023
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25. Assessment, diagnosis and treatment of peristomal skin lesions by remote imaging: An expert validation study.

Author

García‐Manzanares, Maria‐Elena, Lancharro‐Bermúdez, Margarita, Fernandez‐Lasquetty‐Blanc, Blanca, Hernández‐Martínez, Antonio, Rodríguez‐Almagro, Julián, and Caparros‐Sanz, Maria‐Rosario

Subjects
RESEARCH, MEDICAL consultation, SCIENTIFIC observation, RESEARCH evaluation, NURSING, CONFIDENCE intervals, OSTOMATES, SKIN care, RESEARCH methodology, DIGITAL health, ETHICS committees, CLINICAL medicine research, OSTOMY, DIAGNOSTIC imaging, PSYCHOLOGY of nurses, INTER-observer reliability, CONTINUUM of care, NURSING education, DESCRIPTIVE statistics, DATA analysis, DATA analysis software, LONGITUDINAL method, TELEMEDICINE, HEALTH self-care
Abstract

Background: Prevention and treatment of peristomal skin problems should be a priority for nurses caring for ostomates, even when the assessment of lesions must be done remotely. Objective: To measure the level of agreement on assessment, diagnosis and care indications for peristomal skin lesions using remote imaging among nurses in Spain. Design: Prospective observational multicentre study to assess the diagnostic validity and inter‐ and intraobserver agreement between nurses in peristomal skin lesions. Data were collected between March and October 2019. Settings and Participants: The research sample consisted of a group of 39 nurses with expertise in the care of ostomates. Methods: A panel of experts established a list of 24 common signs/findings, 15 diagnostic options and 35 treatment approaches for peristomal skin lesions. Three expert stoma therapy nurses compiled the clinical cases, which they described thoroughly and documented with photographs. The 39 participating nurses evaluated the cases in two rounds to measure inter and intraobserver agreement. Results: A high or very high level of agreement (κ > 0.61) was observed for the following signs: encrustation, nodules, mucocutaneous separation and varicose veins; for the following diagnoses: mucocutaneous dehiscence, allergic contact dermatitis, encrustation and varicose veins (caput medusae); for the following treatments: recommending a diet rich in vitamin C/blueberries, applying acetic acid dressings, applying cold and topical tacrolimus treatment. Conclusions: The most easily identifiable lesions were those most prevalent and with visible signs. There was a lower level of agreement in identifying lesions for which photographs required additional information (laboratory data, description of signs and symptoms, type of diet and level of self‐care). It is important to train nurses caring for ostomates to correctly describe ostomy‐related lesions, which is important for nursing records, continuity of care and telehealth care. [ABSTRACT FROM AUTHOR]

Published
2023
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26. Experiences and mediating factors in nurses' responses to electronic device alarms: A phenomenological study

Author

López‐Espuela, Fidel, primary, Rodríguez‐Martin, Beatriz, additional, Lavado García, Jesús, additional, Toribio‐Felipe, Rosaura, additional, Amarilla‐Donoso, Francisco Javier, additional, Rodríguez Almagro, Julián Javier, additional, Ribeiro, Ana S. F., additional, Fernandes, Vítor S., additional, and Moran‐García, José María, additional

Published
2022
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31. Commitment, perception and evidence-based practice training in Spanish nursing students: A multicentre cross-sectional study in 2020

Author

Gómez-Salgado, Juan, Rodríguez-Almagro, Julián, Molina-Alarcón, Milagros, Martínez-Galiano, Juan Miguel, Solano-Ruiz, MCarmen, Hernández-Martínez, Antonio, Universidad de Alicante. Departamento de Enfermería, and Enfermería y Cultura de los Cuidados (EYCC)

Subjects
Work engagement, Nursing education research, Higher education institutions, Teaching, Enfermería, Evidence-based practice
Abstract

Aims and objectives: To evaluate the commitment and level of self-perceived training in evidence-based practice among students of the Nursing degree of five Spanish universities. Background: In university Health Sciences degrees, evidence-based clinical practice can directly or indirectly impact the quality of care, the cost of the service provided and the safety of clinical practice. Design: Multicentre cross-sectional observational study according to STROBE guidelines. Methods: The evidence-based skills in Practice questionnaire (CACH-PBE, for its acronym in Spanish) and the Utrecht Work Engagement Student Scale (UWES-9S) were used. The study was performed in five Spanish universities (Alicante, Castilla La Mancha, Jaen, Huelva and Seville) from October to December 2020, with 755 participants (Nursing students). Results: A total mean score of 91.9 points (SD = 11.81) was observed for the CACH-PBE questionnaire and of 36.8 points (SD = 8.48 points) for the UWES-9S. In addition, the multivariate analysis predicted that variables such as sex, academia, university, intention to do a Master or Doctorate degree, the level of work engagement, and the previous training in evidence-based clinical practice were associated with a greater perception of evidence-based practice. Conclusion: The sample of Nursing degree students has intermediate-high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment, with differences observed between each of the universities. Relevance to clinical practice: Nursing students should develop from intermediate to high levels of knowledge, skills and attitudes regarding evidence-based practice and work commitment. There are various actions to promote EBP, such as the incorporation of a specific course covering the subject into the nursing curriculum, and the selection, for clinical practices, of care units that implemented evidence-based care.

Published
2022

35. Quality of Life and Autonomy in Patients with Intermittent Bladder Catheterization Trained by Specialized Nurses

Author

Blanc, Blanca Fernandez-Lasquetty, primary, Rodríguez-Almagro, Julián, additional, Lorenzo-García, Carlos, additional, Alcaraz-Zomeño, Elena, additional, Fernandez-Llorente, Guadalupe, additional, Baixauli-Puig, Montserrat, additional, Martín-Bermejo, María Victoria, additional, Estudillo-González, Francisco, additional, Ortega-Checa, Maria Angustias, additional, Lluesma-Martinez, Vicenta, additional, Ferrández-Franco, Guillermina, additional, Benito-Santos, Begoña, additional, Rodríguez-Díaz, Mónica, additional, Torres-Bacete, Arancha, additional, Guerrero-Andrades, María Carmen, additional, Louis-Lauture, Mario Pierre, additional, Jiménez-Mayorga, Isabel, additional, Serrano-Abielar, Rosario, additional, Garrido-Mora, María Asunción, additional, Barcia-Barrera, Francisco, additional, Asensio-Malo, Gemma, additional, Morcillo-Marín, Montserrat, additional, Tendero-Ruiz, Silvia, additional, and Hernández-Martínez, Antonio, additional

Published
2021
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41. Additional file 1 of Factors that influence mothers’ prenatal decision to breastfeed in Spain

Author

Ballesta-Castillejos, Ana, Gómez-Salgado, Juan, Rodríguez-Almagro, Julián, Ortiz-Esquinas, Inmaculada, and Hernández-Martínez, Antonio

Subjects
ComputerApplications_MISCELLANEOUS, Data_FILES, GeneralLiterature_REFERENCE(e.g.,dictionaries,encyclopedias,glossaries)
Abstract

Additional file 1. List of associations that have collaborated in the distribution of the questionnaire.

Published
2020
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