FreshRSS

🔒
❌ Acerca de FreshRSS
Hay nuevos artículos disponibles. Pincha para refrescar la página.
AnteayerTus fuentes RSS

Comparison of the preconditioning effect of different exercise training modalities on myocardial ischemia-reperfusion injury

by Reihaneh Mohammadkhani, Kamal Ranjbar, Iraj Salehi, Alireza Komaki, Ebrahim Zarrinkalam, Parsa Amiri

The study of exercise preconditioning can develop strategies to prevent cardiovascular diseases and outline the efficient exercise model. However, the exercise type with the most protective effect against ischemia-reperfusion injury is unknown. In this study, we examined the effects of three kinds of exercise preconditioning on myocardial ischemia-reperfusion in adult rats and explored the possible underlying mechanisms. Male Wistar rats subjected to ten weeks of endurance, resistance, and concurrent training underwent ischemia (30 min) and reperfusion (120 min) induction. Then, infarction size, serum levels of the CK-MB, the redox status, and angiogenesis proteins (VEGF, ANGP-1, and ANGP-2) were measured in the cardiac tissue. Results showed that different exercise training modes have the same reduction effects on infarction size, but ischemia-reperfusion-induced CK-MB was lower in response to endurance training and concurrent training. Furthermore, cardiac VEGF levels increased in all three kinds of exercise preconditioning but ischemia-reperfusion-induced ANGP-1 elevated more in endurance training. The cardiac GPX activity was improved significantly through the resistance and concurrent exercise compared to the endurance exercise. In addition, all three exercise preconditioning models decreased MPO levels, and ischemia reperfusion-induced MDA was lower in endurance and resistance training. Overall, these results indicated that cardioprotection of exercise training against ischemia-reperfusion injury depends on the exercise modality. Cardioprotective effects of aerobic, resistance, and concurrent exercises are due to different mechanisms. The preconditioning effects of endurance training are mediated mainly by pervasive angiogenic responses and resistance training through oxidative stress amelioration. The preconditioning effects of concurrent training rely on both angiogenesis and oxidative stress amelioration.

Socioeconomic inequality and contributors in accepting attitudes toward people living with HIV among adults in Ethiopia from 2005 to 2016: a population-based cross-sectional study

Por: Endalamaw · A. · Gilks · C. F. · Ambaw · F. · Assefa · Y.
Introduction

The public’s accepting attitude toward people living with HIV is crucial in reducing HIV-related stigma and discrimination, increasing people’s access to HIV service. This study examines the inequalities in accepting attitudes toward people living with HIV in Ethiopia from 2005 to 2016.

Methods

This cross-sectional study was based on the 2005, 2011 and 2016 Ethiopian Demographic Health Surveys. A total of 17 075, 28 478 and 25 542 adults were included in the 2005, 2011 and 2016 surveys, respectively. Socioeconomic inequality was investigated using the concentration curve and Erreygers’ concentration index (ECI), which is scaled from –1 (pro-poor) to +1 (pro-rich). The ECI was decomposed to identify the contributors to socioeconomic inequality using generalised linear regression with the logit link function.

Results

Accepting attitude toward people living with HIV was 17.9% (95% CI: 16.6%, 19.3%) in 2005, which increased to 33.5% (95% CI: 31.8%, 35.3%) in 2011 and 39.6% (95% CI: 37.6%, 41.9%) in 2016. ECI was 0.342 (p

Conclusions

The current study found that there was pro-rich inequality from 2005 to 2016. People with higher socioeconomic status had a better attitude toward people living with HIV. Comprehensive knowledge about HIV/AIDS, education status, residence, and access to electronic and paper-based media, as well as HIV testing, contribute to a better accepting attitude toward people living with HIV. It is of utmost importance for the country to enhance accepting attitude toward people living with HIV to reduce stigma and discrimination. This requires whole-system response according to the primary healthcare approach toward ending the epidemic of HIV/AIDS in the country.

20 años divulgando investigación enfermera de calidad

Nure Investigación lleva más de 20 años divulgando investigación enfermera de calidad. La revista se creó con la finalidad de publicar artículos y trabajos de investigación de forma libre y gratuita, alineados con el compromiso de la Fundación para el Desarrollo de la Enfermería (Fuden) por mejorar la salud de la población, ya que sabemos que los cuidados de mayor calidad son aquellos que se basan en la evidencia científica. Fieles a nuestra vocación de servicio, hemos intentado que Nure diera respuesta a las necesidades de las enfermeras en cada momento, y secciones como el de “Formación Metodológica” o el de “Originales para la práctica clínica”, que tan buena acogida han tenido entre los lectores, dan buena cuenta de ello.

Hoy día, nos congratula celebrar este 20 aniversario gracias a los autores, que saben que la publicación de sus artículos en Nure Investigación supone publicar en una revista internacional, referente en la disciplina, indexada en las principales bases de datos de enfermería y comprometida con las buenas prácticas de la publicación científica. Quienes hacemos posible Nure (revisores externos, maquetadores, diseñadores gráficos, comité editorial) seguiremos trabajando para crecer y mejorar cada día.

ABSTRACT

Nure Investigación has been publishing quality research nursing for 20 years. The journal was created to publish articles and research topics in an open access format, aligned to the commitment of the Nursing Development Foundation (Fuden) regarding the improvement of health population, as we know high quality care need to be based on scientific evidence. True to our service vocation, we have tried Nure to response the nursing needs every momento and sections such as “Methodological Training” or “Originals for clinical practice”, which has had a good reception among readers, show it.

Nowadays, we are proud to celebrate this 20 anniversary thank you to the authors, who know that publishing their article in Nure Investigación means publishing in an international journal, referrer among the discipline, indexed in the most important nursing database and enganged with the best practices in scientific publishing. Those who make Nure possible (reviewers, layout and graphic designer, editorial committee) will keep on working for growing and improving day by day.

The burden of non-disabled frailty and its associated factors among older adults in Bangladesh

by Sabuj Kanti Mistry, A. R. M. Mehrab Ali, Uday Narayan Yadav, Saruna Ghimire, Afsana Anwar, Md. Nazmul Huda, Fouzia Khanam, Rashidul Alam Mahumud, Ateeb Ahmad Parray, Shovon Bhattacharjee, David Lim, Mark Fort Harris

Objective

The present study aims to measure the prevalence of non-disabled frailty and its associated factors among Bangladeshi older adults.

Methods

This cross-sectional study was conducted during September and October 2021 among 1,045 Bangladeshi older adults (≥60 years). Telephone interviews, using a semi-structured questionnaire, were undertaken to collect data on participants’ characteristics and level of frailty. The non-disabled frailty was measured using the ‘Frail Non-Disabled (FiND)’ questionnaire. A multinomial logistic regression model assessed the factors associated with frailty among the participants.

Results

Around a quarter of the participants (24.8%) were frail. The multinomial regression analysis showed that older participants aged ≥80 years (RRR = 3.23, 95% CI: 1.41–7.37) were more likely to be frail compared to participants aged 60–69 years. Likewise, the participants living in a large family with ≥4 members (RRR = 1.39, 95% CI: 1.01–1.92) were more likely to be frail compared to those living in smaller families. Also, participants having memory or concentration problems (RRR = 1.56, 95% CI: 1.12–2.17) were more likely to be frail compared to those who were not suffering from these problems. Moreover, participants whose family members were non-responsive to their day-to-day assistance (RRR = 1.47, 95% CI: 1.06–2.03) were more likely to be frail compared to those whose family members were responsive. Furthermore, participants who were feeling lonely (RRR = 1.45, 95% CI: 1.07–1.98) were more likely to be frail than their counterparts who were not feeling lonely.

Conclusions

The findings of the present study suggest developing tailored interventions to address the burden of frailty among the older populations in Bangladesh. In particular, providing long-term care and health promotion activities can be of value in preventing frailty and reducing adverse health outcomes among this vulnerable population group.

Prehospital acute life-threatening cardiovascular disease in elderly: an observational, prospective, multicentre, ambulance-based cohort study

Objective

The aim was to explore the association of demographic and prehospital parameters with short-term and long-term mortality in acute life-threatening cardiovascular disease by using a hazard model, focusing on elderly individuals, by comparing patients under 75 years versus patients over 75 years of age.

Design

Prospective, multicentre, observational study.

Setting

Emergency medical services (EMS) delivery study gathering data from two back-to-back studies between 1 October 2019 and 30 November 2021. Six advanced life support (ALS), 43 basic life support and five hospitals in Spain were considered.

Participants

Adult patients suffering from acute life-threatening cardiovascular disease attended by the EMS.

Primary and secondary outcome measures

The primary outcome was in-hospital mortality from any cause within the first to the 365 days following EMS attendance. The main measures included prehospital demographics, biochemical variables, prehospital ALS techniques used and syndromic suspected conditions.

Results

A total of 1744 patients fulfilled the inclusion criteria. The 365-day cumulative mortality in the elderly amounted to 26.1% (229 cases) versus 11.6% (11.6%) in patients under 75 years old. Elderly patients (≥75 years) presented a twofold risk of mortality compared with patients ≤74 years. Life-threatening interventions (mechanical ventilation, cardioversion and defibrillation) were also related to a twofold increased risk of mortality. Importantly, patients suffering from acute heart failure presented a more than twofold increased risk of mortality.

Conclusions

This study revealed the prehospital variables associated with the long-term mortality of patients suffering from acute cardiovascular disease. Our results provide important insights for the development of specific codes or scores for cardiovascular diseases to facilitate the risk of mortality characterisation.

What is the aetiology of dysnatraemia in COVID-19 and how is this related to outcomes in patients admitted during earlier and later COVID-19 waves? A multicentre, retrospective observational study in 11 Dutch hospitals

Por: de Haan · L. · ten Wolde · M. · Beudel · M. · Olde Engberink · R. H. G. · Appelman · B. · Haspels-Hogervorst · E. K. · Rusch · D. · Gritters van den Oever · N. C. · Simsek · S. · Paternotte · N. · van den Bergh · J. P. · Wyers · C. E. · de Kruif · M. D. · Dormans · T. · Moeniralam
Objectives

To evaluate the relationship among dysnatraemia at hospital presentation and duration of admission, risk of intensive care unit (ICU) admission and all-cause mortality and to assess the underlying pathophysiological mechanism of hyponatraemia in patients with COVID-19. Our hypothesis is that both hyponatraemia and hypernatraemia at presentation are associated with adverse outcomes.

Design

Observational study.

Setting

Secondary care; 11 Dutch hospitals (2 university and 9 general hospitals).

Participants

An analysis was performed within the retrospective multicentre cohort study COVIDPredict. 7811 patients were included (60% men, 40% women) between 24 February 2020 and 9 August 2022. Patients who were ≥18 years with PCR-confirmed COVID-19 or CT with COVID-19 reporting and data system score≥4 and alternative diagnosis were included. Patients were excluded when serum sodium levels at presentation were not registered in the database or when they had been transferred from another participating hospital.

Outcome measures

We studied demographics, medical history, symptoms and outcomes. Patients were stratified according to serum sodium concentration and urinary sodium excretion.

Results

Hyponatraemia was present in 2677 (34.2%) patients and hypernatraemia in 126 (1.6%) patients. Patients with hyponatraemia presented more frequently with diarrhoea, lower blood pressure and tachycardia. Hyponatraemia was, despite a higher risk for ICU admission (OR 1.27 (1.11–1.46; p

Conclusions

Hypernatraemia at presentation was associated with adverse outcomes in patients with COVID-19. Hypovolaemic hyponatraemia was found to be the most common aetiology of hyponatraemia. Hyponatraemia of unknown aetiology was associated with a higher risk for ICU admission and intubation and longer duration of admission.

Clinical deterioration as a nurse sensitive indicator in the out‐of‐hospital context: A scoping review

Abstract

Aims

To explore and summarise the literature on the concept of ‘clinical deterioration’ as a nurse-sensitive indicator of quality of care in the out-of-hospital context.

Design

The scoping review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review and the JBI best practice guidelines for scoping reviews.

Methods

Studies focusing on clinical deterioration, errors of omission, nurse sensitive indicators and the quality of nursing and midwifery care for all categories of registered, enrolled, or licensed practice nurses and midwives in the out-of-hospital context were included regardless of methodology. Text and opinion papers were also considered. Study protocols were excluded.

Data Sources

Data bases were searched from inception to June 2022 and included CINAHL, PsychINFO, MEDLINE, The Allied and Complementary Medicine Database, EmCare, Maternity and Infant Care Database, Australian Indigenous HealthInfoNet, Informit Health and Society Database, JSTOR, Nursing and Allied Health Database, RURAL, Cochrane Library and Joanna Briggs Institute.

Results

Thirty-four studies were included. Workloads, education and training opportunities, access to technology, home visits, clinical assessments and use of screening tools or guidelines impacted the ability to recognise, relay information and respond to clinical deterioration in the out-of-hospital setting.

Conclusions

Little is known about the work of nurses or midwives in out-of-hospital settings and their recognition, reaction to and relay of information about patient deterioration. The complex and subtle nature of non-acute deterioration creates challenges in defining and subsequently evaluating the role and impact of nurses in these settings.

Implications for the profession and/or patient care

Further research is needed to clarify outcome measures and nurse contribution to the care of the deteriorating patient in the out-of-hospital setting to reduce the rate of avoidable hospitalisation and articulate the contribution of nurses and midwives to patient care.

Impact

What Problem Did the Study Address?

Factors that impact a nurse's ability to recognise, relay information and respond to clinical deterioration in the out-of-hospital setting are not examined to date.

What Were the Main Findings?

A range of factors were identified that impacted a nurse's ability to recognise, relay information and respond to clinical deterioration in the out-of-hospital setting including workloads, education and training opportunities, access to technology, home visits, clinical assessments, use of screening tools or guidelines, and avoidable hospitalisation.

Where and on whom will the research have an impact?

Nurses and nursing management will benefit from understanding the factors that act as barriers and facilitators for effective recognition of, and responding to, a deteriorating patient in the out-of-hospital setting. This in turn will impact patient survival and satisfaction.

Reporting Method

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review guidelines guided this review. The PRISMA-Scr Checklist (Tricco et al., 2018) is included as (supplementary file 1).Data sharing is not applicable to this article as no new data were created or analysed in this study.”

No Patient or Public Contribution

Not required as the Scoping Review used publicly available information.

Undergraduate nursing students challenge misconceptions towards men in nursing: A mixed‐method study

Abstract

Aims

To examine misconceptions towards men in nursing from the perspective of undergraduate nursing students. Specifically, this study sought to explore contributing factors of misconceptions and attributions of the success of men in nursing.

Design

A convergent parallel mixed-method study.

Methods

A national survey was conducted (July–September 2021). The quantitative data included demographics and responses to the Gender Misconceptions of Men in Nursing (GEMINI) scale. The qualitative data included responses to a provocative statement related to characteristics of men and their career in nursing. The GRAMMS guideline was used in reporting.

Results

Undergraduate nursing students (n = 1245) from 16 Australian schools of nursing responded to the survey. Quantitative analysis demonstrated that most students (96%) did not have misconceptions about men in nursing. Those who did were more likely to be men, born overseas, not in health-related employment and did not have nursing as their first choice. Four broad overarching main themes were generated in response to the statement that suggested men do not have the right attributes for nursing: (1) ‘This is a very misandristic viewpoint’; (2) ‘Compassion and intelligence are distributed in men and women equally’; (3) ‘Men bring a different quality to nursing’ (4) ‘Anyone can be whatever they want to be’.

Conclusion

Overall, nursing students did not have misconceptions about men in nursing, despite experiencing ongoing social stigma regarding archaic gender norms. The findings from this study indicate that the next-generation nurses were championing to challenge the gender stereotype and support the needs of a gender diverse society.

Impact

Attitudes and misconceptions that elicit gender inequalities must be addressed with comprehensive strategies and de-gendered language and imagery within the profession, schools, workplaces and the media. Shifting culture and attitudes towards inclusion, values the diversity in the workforce and supports healthy workplace environments.

Patient or Public Contribution

No patient or public contribution.

Nurse practitioner led telehealth services: A scoping review

Abstract

Aim

To explore the educational preparation of nurse practitioners to deliver telehealth services and their impact on access to care.

Design

Scoping review.

Methods

A search was undertaken 4 April 2022. Primary studies that focused on nurse practitioners and their patients/clients engaging in telehealth services in any healthcare setting or clinical area within Australia, New Zealand, United States, Canada, United Kingdom, and Ireland, published between 2010 to 2022, were included. Study findings were analysed using the Levesque et al. (2013) access to care framework and the Patterns, Advances, Gaps, Evidence for Practice and Research Recommendations framework (Bradbury-Jones et al., 2021). The PRISMA-ScR checklist was used to guide reporting.

Data Sources

CINAHL, Medline, Scopus, and Embase databases.

Results

Forty-two studies were included. Studies (n = 28) relating to access to care focused on appropriateness/ability to engage (n = 14), affordability/ability to pay (n = 1), and availability/ability to reach (n = 13). High levels of telehealth satisfaction were reported, including reduced travel time and costs, and appointment flexibility. Telehealth satisfaction was reduced when a perceived need for physical assessment, or privacy concerns were present. Service providers reported decreased emergency presentations, fewer missed appointments and improved consumer engagement. Fourteen studies related to nurse practitioner education, using a range of approaches such as didactic education modules, simulations and clinical experiences, all published within the past 3 years.

Conclusion

Findings suggest that nurse practitioner-led telehealth has improved access to care. High levels of satisfaction indicate patients accept nurse practitioner-led telehealth. Impacts to healthcare service use and patient engagement further support the viability of nurse practitioner-led telehealth. The recent increase in telehealth education studies reflects the rapid uptake of telehealth care in the mainstream.

Implications for the profession and/or patient care

Patients perceive telehealth as acceptable and appropriate to meet their healthcare needs and improve access to care. Telehealth is likely to be a mainstay in ongoing healthcare delivery, therefore, nurse practitioners must have educational preparation to provide telehealth.

Impact

This scoping review provides insight into the ways nurse practitioners deliver telehealth services, how they are educated to provide telehealth services, and their impact on access to care. Nurse practitioner-led telehealth improves access to care across service provision and consumer perspective domains. Nurse practitioner telehealth education is an emerging topic. This research is valuable for nurse practitioners using telehealth, nurse practitioner educators and telehealth policy decision makers.

Reporting Method

Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).

Patient or Public Contribution

No Patient or Public Contribution.

La voz del paciente como dato para la evaluación del bienestar y de la calidad asistencial

La salud mental es fundamental para el bienestar y para tener una vida plena; de hecho, el bienestar es un aspecto nuclear para definir la salud según la Organización Mundial de la Salud (OMS), en la que el bienestar parece que se presenta como una suerte de estado ideal, de objetivo a alcanzar para que una persona pueda ser considerada sana. No obstante, cabría preguntarse: ¿existe un solo bienestar?, ¿podemos considerar que existe una situación meta, denominada bienestar, que sea universal?, incluso podríamos plantearnos: ¿son universales los aspectos que definen aquello que denominamos calidad de vida? La importancia de la definición de salud de la OMS radica en la inclusión del término bienestar y, consecuentemente, enfatizar la subjetividad. Fue probablemente este mayor protagonismo del bienestar y lo que significa lo que ha motivado la evolución hacia una atención sanitaria centrada en el paciente y en la atención sanitaria basada en valor, donde la medición de resultados en salud reportados por el paciente y de la experiencia del paciente son métricas clave para evaluar la calidad asistencial. Ambas mediciones recogen información sobre la perspectiva de los pacientes y ambas permiten valorar no solo la calidad de vida sino el impacto que la enfermedad y los tratamientos en la vida diaria de nuestros pacientes. Nos permiten “oír la voz de nuestros pacientes” a través de datos clínicos.

ABSTRACT

Mental health is essential for wellbeing and for having a full life; actually, wellbeing is a nuclear element to define health according to the World Health Organization (WHO), where wellbeing seems to be a kind of ideal state, a sort of objective to achieve so that a person could be considered as healthy. Nevertheless, we could wonder: Is there a unique wellbeing?, could we consider there exist a universal goal situation, called wellbeing? The importance of the WHO definition of health lies on the inclussion of the term wellbeing and, therefore, to emphasize. It was probably this higher protagonism of wellbeing and what it means what has motivated the evolution towards a patient-centered health attention and value-based attention, where the patient-reported outcomes measures and the patient-reported experience measurement are key metrics to assess quality of care. Both measurements gather information about patient views and both of them allow us to asses not only quality of care but also the impact of illness and treatments in our patient’s daily life. They provide us “to hear our patient’s voice” throught clinical data.

Cut‐off scores of the Depression Anxiety Stress Scale‐8: Implications for improving the management of chronic pain

Abstract

Aim

Mental distress, non-specific symptoms of depression and anxiety, is common in chronic pelvic pain (CPP). It contributes to poor recovery. Women's health nurses operate in multidisciplinary teams to facilitate the assessment and treatment of CPP. However, valid cut-off points for identifying highly distressed patients are lacking, entailing a gap in CPP management.

Design

This instrumental cross-sectional study identified a statistically derived cut-off score for the Depression Anxiety Stress Scale-8 (DASS-8) among 214 Australian women with CPP (mean age = 33.3, SD = 12.4, range = 13–71 years).

Methods

Receiver operator characteristic curve, decision trees and K-means clustering techniques were used to examine the predictive capacity of the DASS-8 for psychiatric comorbidity, pain severity, any medication intake, analgesic intake and sexual abuse. The study is prepared according to the STROBE checklist.

Results

Cut-off points resulting from the analysis were ordered ascendingly. The median (13.0) was chosen as an optimal cut-off score for predicting key outcomes. Women with DASS-8 scores below 15.5 had higher analgesic intake.

Conclusion

CPP women with a DASS-8 score above 13.0 express greater pain severity, psychiatric comorbidity and polypharmacy. Thus, they may be a specific target for nursing interventions dedicated to alleviating pain through the management of associated co-morbidities.

Implications for patient care

At a cut-off point of 13.0, the DASS-8 may be a practical instrument for recommending a thorough clinician-based examination for psychiatric comorbidity to facilitate adequate CPP management. It may be useful for evaluating patients' response to nursing pain management efforts. Replications of the study in different populations/countries are warranted.

Desafíos que plantea la inteligencia artificial en la publicación científica

El pasado 1 de junio tuvo lugar el IX encuentro con editores de revistas científicas, en el que se debatió sobre las implicaciones del uso de la Inteligencia Artificial (IA) en las publicaciones científicas. En el encuentro, Atía Cortés. Investigadora en Barcelona Supercomputing Center expuso nociones básicas acerca del funcionamiento de la IA y cómo puede ser capaz de aprender y mejorar de manera automática (por ejemplo, a a partir de lo publicado). Es lo que se denomina machine learning. No obstante, la Dra. Cortés también nos advirtió de la existencia del machine bias, esto es, sesgos que ocurren si los datos que utiliza el modelo no tienen calidad o se encuentran sesgados

Consecuencias del engaño y la exageración del factor de impacto de una revista

El pasado 20 de marzo Nandita Quaderi, editora jefe de la Web of Science (WoS) anunciaba que más de 50 revistas habían sido expulsadas de la WoS (y, en algunos casos, habrían perdido su índice de impacto JCR). Generalmente las revistas son expulsadas por patrones de citación anómalos, como un elevado número de autocitas o el hecho de llegar a acuerdos encubiertos con otras instituciones o revistas para aumentar el número de citas de sus artículos y con ello, incrementar su factor de impacto. Esto, además de mostrar una vez más cómo factor de impacto no es sinónimo de calidad ni de confiabilidad en la información proporcionada, plantea algunas cuestiones relevantes, sobre todo teniendo en cuenta que la publicación en revistas con factor de impacto está más valorada en muchos casos.

ABSTRACT

Last March, 20th Nandita Quaderi, editor-in-chief of the Web of Science (WoS) anounced that more than 50 journals had been de-listed from the WoS (and, in some cases, they would have lost their impact factor JCR). Usually journals are removed because of citation patters outside of a normal range, as an unusually high number of self-citations or citation stacking which makes them increase their impact factor. This shows one more time that impact factor is not synonimous of quality or reliability in the information provided. But it also states also some relevant questions, overall considering that publications in factor impact journals is more valuated in many cases.

Hoy mamá está estupenda

Citando una oración que solían decir las hijas de una señora con enfermedad de Alzheimer, esta narrativa, invita a reflexionar sobre cuestiones tales como la importancia de la comunicación y de la educación sanitaria respecto a la enfermedad, y  la necesidad de establecer una relación de confianza entre las enfermeras y las familias de dichos enfermos institucionalizados, que dan lugar a que el familiar del enfermo de Alzheimer alcance los conocimientos y las habilidades necesarias para mostrar disposición al cambio, desarrollar estrategias de afrontamiento, tener confianza y motivación y tomar decisiones a lo largo de la enfermedad. “Hoy mamá está estupenda” es una oración que las hijas de Rosario, protagonista de esta narrativa, han ido adaptando a cada etapa de la enfermedad, demostrando cómo han sido capaces de aceptar y afrontar la evolución de la misma.

¿Por qué mejorar la experiencia del paciente mejora los resultados en salud? Un posible modelo explicativo

La evidencia disponible muestra una relación positiva entre experiencia del paciente, resultados en salud y calidad asistencial. Sin embargo, parece existir un importante salto cualitativo entre experiencia del paciente y resultados en salud. El presente artículo postula un modelo explicativo que sería capaz de explicar preguntas como: ¿por qué mejorar la experiencia del paciente funciona?, ¿cómo es posible que actuar sobre variables latentes, altamente fenomenológicos, podamos obtener mejoras objetivas?
El modelo explicativo (basado en la evidencia disponible) hipotiza que pueden existir variables que actúen (como variables mediadoras unas y como variables de resultado a diferentes niveles otras) cuya interacción podría explicar los hallazgos de los estudios publicados.

Podría ser, entonces, que lo que parece ser un importante salto cualitativo no es más que el primer y el último eslabón de una cadena que involucra a diferentes variables cuyas interacciones hacen que surjan las mejoras en resultados objetivos obtenidas.

ABSTRACT

Evidence shows a positive relationship among patient experience, health outcomes and quality of care. However, it seems to be a high qualitative leap between patient experience and health outcomes. The current article postulates a tentative explanation model which would be able to answer questions like: why improving patient experience works? How is it possible that acting over something untouchable, highly phenomenological variables, we could get objective improvements? The explanation model (based on current evidence) postulate that there might be variables acting (as mediator variables ones and as outcome variables at different levels others) which interaction could be able to explain the results obtained in the published studies.

It could be, then, that what seems to be a high qualitative leap is just the first and the last link in a chain where several variables are involved whose interactions make possible the objective outcomes improvements obtained.

Nure Investigación evoluciona y se renueva al cumplir 20 años

El año 2023 no será un año más para Nure Investigación. Este año la revista celebra su 20 aniversario y queremos compartirlo con quienes habéis hecho posible, número a número, año tras año, que Nure sea una de las revistas referentes en nuestra disciplina. 

Hemos considerado que es un momento idóneo para seguir evolucionando y creciendo. Hemos realizado cambios muy explícitos, como el nuevo logotipo y la migración de la página Web de la revista a una versión más actualizada, con más funcionalidades; y otros que, aunque no se perciban a simple vista son, sin lugar a dudas, muy importantes como la asignación de un DOI a los artículos o la nueva sección de originales para la práctica clínica. 

El uso de un lenguaje inclusivo y respetuoso (también con las normas gramaticales) en la publicación científica

Sin lugar a dudas, el lenguaje es un potente instrumento de comunicación social y permite la adquisición de conocimientos y el desarrollo de nuevas formas de pensamiento. El lenguaje forma parte de la cultura y, por tanto, de los conocimientos y las actitudes que se transmiten de una generación a otra. No es de extrañar, entonces, que las campañas de sensibilización hacia la igualdad de género también se ocupen del lenguaje, a fin de que se utilice un lenguaje no sexista e inclusivo como una medida más hacia una sociedad más igualitaria.
No obstante, en ocasiones, el afán por promover un uso no sexista del lenguaje llega a contravenir las normas de la gramática y, los editores, nos debatimos en los siguientes dilemas: ¿mostramos nuestro respeto, compromiso y sensibilización con la igualdad de género asumiendo este tipo de redacción o nos acogemos a la norma de la lengua y adoptamos sus recomendaciones?, ¿favorecemos la expresión de la sensibilidad de género a pesar de que este tipo de redacción dificulta la comprensión del texto y entorpece su lectura? Y, considerando que uno de las normas de la literatura científica es que esta ha de ser clara, simple, sin grandes ornamentaciones en el lenguaje, nos preguntamos: ¿es conforme ese estilo de redacción con las directrices para la escritura de artículos científicos?, ¿deben las revistas científicas primar la corrección en la expresión o tienen cabida estas formas de redacción en ellas?

 

ABSTRACT

Without a doubt, language is a powerful instrument for social communication and it allows the acquisition of knowledge and the development of new ways of thinking. Language is part of the culture and, therefore, of the knowledge and attitudes pass down from generation to generation. It is not surprising, then, that awareness campaigns towards gender equity also concern about language, promoting a non-sexist and inclusive language as one more step towards a more egalitarian society.
Nevertheless, sometimes that eagerness for promoting a non-sexist use of language contravene gramatical rules and editors must face some dilemmas: do we show our respect, compromise and awareness towards gender equity adopting that stile of redaction or should we attend to the gramatical rules?, do we promote the expression of gender awareness despite this kind of redaction hinder the comprehension of the text and it obstruct its reading? And, considering that one of the rules for scientific literature is that it must be clear and simple, without language ornamentation, we wonder: is it this kind of redaction according to the scientific articles writing guidelines?, should scientific journals encourage the correct expression or this kind of redactions have a place?

 

La ¿limitada? capacidad de generalización de los hallazgos de la investigación cualitativa

Una de las principales críticas que se hace a los diseños cualitativos de investigación es su escasa capacidad para la generalización de sus hallazgos a otras poblaciones. Se entiende que al ser un tipo de investigación altamente contextualizada, fuertemente enraizada a los modelos culturales que imperan en la población donde se seleccionó a los participantes, los hallazgos no pueden extrapolarse más allá de esa “muestra” donde la información fue recabada, pero quizás esta crítica no debería ser tan firme. Realmente la investigación cualitativa se utiliza para incluir la participación ciudadana, para valorar la acogida de programas de salud o sociales y para otros fines que podrían entenderse como un uso generalizado de la investigación cualitativa. Por tanto, parece que la transferibilidad de los diseños cualitativos dependen de su calidad y rigor (al igual que en el caso de la investigación epidemiológica, ¿no?).

 

ABSTRACT

One of the main critics usually done to qualitative research refers to its low capacity for generalizing their findings to other populations. It is understood that, as it is a highly contextualized research, highly rooted to cultural models from the population where participants were selected, results cannot be extrapolated beyond the “sample” where information was collected, but perhaps this critic should not be so solid. Actually, qualitative research is used for including citizen participation as well as for evaluating the embrace to health or social programs and other objectives which could be understood as a generalized use for qualitative research. Thus, it seems transferability of qualitative research depends on its quality and rigour (just the same as epidemiological research, isn’t it?).

Efectividad del aceite de coco como tratamiento alternativo para la pediculosis capitis en niños: revisión sistemática

Objetivo principal: Analizar la efectividad del tratamiento de la pediculosis capitis con aceite de coco versus la permetrina o ivermectina para la reducción de la infestación en niños escolares. Metodología: Revisión sistemática con análisis interpretativo. Se consultaron bases de datos como PubMed, ScienceDirect, Epistemonikos, entre otros. Se incluyeron documentos publicados entre 2011 y 2021 derivados de la cadena de búsqueda: aceite de coco AND pediculosis capitis AND efectividad en español e inglés. Resultados principales: Después de aplicar criterios de exclusión y eliminación, se analizaron 10 documentos, que incluían ensayos comunitarios, estudios preclínicos de laboratorio y revisiones sistemáticas, los cuales proponen el aceite de coco como un tratamiento alternativo eficaz contra la pediculosis. Conclusión principal: Aunado a los reportes de alta efectividad de tratamiento, no se reportan efectos adversos y se sugiere el uso de gorra de baño así como un peinado vigoroso con una lendrera para aumentar la efectividad.

❌