Examinando por Autor "Parra-Anguita, Laura"
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Ítem Attitudes of Spanish Nurses towards Pressure Injury Prevention and Psychometric Characteristics of the Spanish Version of the APuP Instrument(MPDI, 2020-11-18) López-Franco, María Dolores; Parra-Anguita, Laura; Comino-Sanz, Inés; Pancorbo-Hidalgo, Pedro LuisThe prevention of pressure injuries in hospitalised patients is a critical point of care related to patient safety. Nurses play a key role in pressure injury (PI) prevention, making it important to assess not only their knowledge but also their attitude towards prevention. The main purpose of this study was to translate into Spanish and evaluate the psychometric properties of the Attitude towards Pressure ulcer Prevention instrument (APuP); a secondary aim was to explore the associations of attitude with other factors. A Spanish version was developed through a translation and back-translation procedure. The validation study was conducted on a sample of 438 nursing professionals from four public hospitals in Spain. The analysis includes internal consistency, confirmatory factorial analysis, and construct validity in known groups. The 12-item Spanish version of the APuP fit well in the 5-factor model, with a Cronbach’s alpha of 0.7. The mean APuP score was 39.98, which means a positive attitude. Registered nurses have a slightly better attitude than Assistant nurses. A moderate correlation (R = 0.32) between knowledge and attitude for the prevention of PI was found. As concluded, the Spanish version of the APuP questionnaire is a valid, reliable and useful tool to measure the attitude toward PI prevention in Spanish-speaking contexts. This version has 12 items grouped into 5 factors, and its psychometric properties are similar to those of the original instrument.Ítem Burden and anxiety in family caregivers in the hospital that debut in caregiving(MDPI, 2019-10-18) Pérez-Cruz, Margarita; Parra-Anguita, Laura; López-Martínez, Catalina; Moreno-Cámara, Sara; Del-Pino-Casado, RafaelThis cross-sectional study aims to determine the level of subjective burden and anxiety of caregivers of dependent older relatives that start providing care in the hospital and to analyse the relationship between objective burden, subjective burden and anxiety in these caregivers. Seventy-two caregivers of dependent older relatives were recruited in a medium–long stay hospital. Sociodemographic variables, number of basic activities of daily living (ADLs) attended, hours of surveillance, burden, and anxiety were collected from caregivers. A trajectory analysis was used to analyse the relationship between variables. Of the caregivers, 36.1% had subjective burden and 14.9% had anxiety. Subjective burden was positively associated with the number of basic ADLs attended, the hours of surveillance, and the cognitive impairment of the care recipient. Anxiety was also positively associated with subjective burden. Subjective burden mediated the effects of the number of basic ADLs attended, hours of surveillance and the cognitive impairment of the care recipient on anxiety. The levels of subjective burden and anxiety in caregivers debuting in hospital care are elevated, showing the need for these caregivers to be cared for. Subjective burden is a possible risk factor for anxiety, independent of the objective burden; it may buffer the effects of objective burden on anxiety.Ítem Climate change effects in older people's health: A scoping review(Wiley, 2024) Montoro-Ramírez, Eva María; Parra-Anguita, Laura; Álvarez-Nieto, Carmen; Parra-Anguita, Gema; López-Medina, Isabel MaríaBackground: Climate change has serious consequences for the morbidity and mortal-ity of older adults.Objective: To identify the effects of climate change on older people's health.Methods: A scoping review was conducted following the Joanna Briggs Instituteguidelines and the PRISMA-ScR checklist. Quantitative research and reports from or-ganizations describing the effects of climate change on older people were selected.Results: Sixty-three full-text documents were selected. Heat and air pollution werethe two factors that had the most negative effects on cardiovascular and respiratorymorbidity and mortality in older people. Mental health and cognitive function werealso affected.Conclusions: Climate change affects several health problems in older individuals,especially high temperatures and air pollution. Nursing professionals must have thenecessary skills to respond to the climate risks in older adults. More instruments arerequired to determine nursing competencies on climate change and the health of thispopulation group.Ítem Coping and anxiety in caregivers of dependent older adult relatives(MDPI, 2019-05-12) Pérez-Cruz, Margarita; Parra-Anguita, Laura; López-Martínez, Catalina; Moreno-Cámara, Sara; Del-Pino-Casado, RafaelThe aim of this study was to analyze the relationship between coping and anxiety in caregivers of dependent older adult relatives. A cross-sectional study was carried out in the province of Jaén (Andalusia, Spain). The convenience sample consisted of 198 family caregivers of dependent older adults. The main measurements were anxiety (Hamilton scale), coping (Brief COPE), subjective burden (Caregiver Strain Index), objective burden and sex of the caregiver. The main analyses were bivariate analysis using the Pearson correlation coefficient, and multivariate analysis using multiple linear regression. An independent regression model was developed for anxiety and each type of coping, adjusting for sex, subjective burden and objective burden. Our results demonstrate that anxiety was negatively associated with planning (partial r = −0.18), acceptance (partial r = −0.22) and humor (partial r = −0.20), and it was positively associated with self-distraction (partial r = 0.19), venting (partial r = 0.22), denial (partial r = 0.27) and self-blame (partial r = 0.25). Planning, acceptance and humor coping strategies may be protective factors of anxiety. Strategies such self-management, relief, denial and self-blame may be risk factors for anxiety.Ítem Creation and psychometric validation of the OPEH-NCQ (Older people’s Environmental Health-Nursing Competencies Questionnaire) in professionals and nursing students.(2024) Montoro-Ramírez, Eva María; Parra-Anguita, Laura; Álvarez-Nieto, Carmen; López-Medina, Isabel María; Montoro-Ramírez, Eva MaríaDatabase used for validation of the OPEH-NCQ (Older People's Environmental Health- Nursing Competencies Questionnaire)Ítem Development and Psychometric Properties of the Pressure Injury Prevention Knowledge Questionnaire in Spanish Nurses(MPDI, 2020-04) López-Franco, María Dolores; Parra-Anguita, Laura; Comino-Sanz, Inés; Pancorbo-Hidalgo, Pedro LuisPressure injuries (PIs) are a major health problem with severe implications for patients. Professionals who care for people at risk should have high knowledge about PIs prevention. The actual knowledge can be measured using different tools, but we have found no questionnaire to measure the knowledge on PIs prevention developed and validated for Spanish-speaking countries. The aim of this study was to develop a questionnaire in Spanish to measure the knowledge about PIs prevention based on current international guidelines. Content validity was evaluated by 12 experts in wound care. A convenience sample of 438 nursing professionals from Spain participated to evaluate the questionnaire using item analysis, Rasch model, and known-groups validity. The PI Prevention Knowledge (PIPK) questionnaire shows good discrimination and difficulty indices. The 31-item PIPK shows good fit and reliability of 0.98 for items and 0.72 for people; also, it has enough evidence for construct validity. Because the questionnaire has been developed based on the recommendations from international guidelines, the English version of this questionnaire could be used in further studies to test its psychometric properties.Ítem Development and validation of the Pressure Injury Prevention Barriers questionnaire in hospital nurses in Spain(BMJ, 2020-12-30) López-Franco, María Dolores; Parra-Anguita, Laura; Comino-Sanz, Inés; Pancorbo-Hidalgo, Pedro LuisObjective: To develop and validate a new questionnaire to measure the nurses’ perceptions of the barriers towards the prevention of pressure injuries (PIs) at hospitals. Design: Validation study with mixed methods. Setting: Four university hospitals in southern Spain. Participants: The questionnaire was developed based on a literature review. A panel of 14 wound care experts rated the content validity. A sample of 438 nurses (registered nurses and assistant nurses) participated in the survey. Main outcome measures: The psychometric properties of the Pressure Injury Prevention Barriers (PIPB) questionnaire evaluated were: content validity, internal consistency reliability and construct validity. Results: The final version of the questionnaire has 25 items grouped into four factors (management and organisation, motivation and priority, knowledge, and staff and collaboration). The confirmatory factor analysis showed good fit and error indices for the model (Comparative Fit Index=0.92, root mean square error of approximation=0.074). Cronbach’s alpha was 0.90 (overall), and 0.89 (factor 1), 0.75 (factor 2), 0.72 (factor 3) and 0.45 (factor 4). Construct validity was good, demonstrated by the expected association with the scores on patient safety culture and on considering PIs as an adverse effect of hospital stay, but not with attitude score. Conclusion: The PIPB questionnaire is an instrument useful for measuring nurses’ perceptions of the barriers to PIs prevention. The initial evidence shows that the questionnaire has good content validity, internal consistency and adequate construct validity. Relevance and comprehensiveness need to be assessed in further studies. It can be used both in research and in the evaluation of clinical settings to implementation of PIs preventive programmes in hospitals.Ítem Effectiveness of scenario‑based learning and augmented reality for nursing students’ attitudes and awareness toward climate change and sustainability(BMC, 2022-09-03) Álvarez-Nieto, Carmen; Álvarez-García, Cristina; Parra-Anguita, Laura; Sanz-Martos, Sebastián; López-Medina, Isabel MaríaBackground: Mainstreaming sustainable healthcare into the curricula of health professions is a key action to raise awareness and change attitudes. Therefore, the present study aimed to assess the contribution of scenario-based learning and augmented reality to the environmental awareness and attitudes toward climate change and sustainability among undergraduate nursing students. Methods: This study was designed as a time-series analysis. Undergraduate nursing students in their 3 years were introduced to sustainability and climate change in the context of healthcare through scenario-based learning sessions. Questionnaires were used to collect data on participants’ attitudes towards sustainability and climate change, the usefulness of the educational sessions and the extent to which students changed their clinical practice. A data summary, related sample Friedman and Wilcoxon signed-rank tests were used to test for differences in survey scores. Results: Attitudes and environmental awareness toward climate change and sustainability increased significantly as students received the learning sessions over the 3 years. After their first clinical training period, students already showed a high awareness of unsustainable practices in their working environment; however, they still struggled to apply sustainability and address unsustainable practices in healthcare settings. Most students felt that the scenarios helped them to make links between climate change, resources, and health. Conclusions: The scenario-based learning and augmented reality increase environmental awareness and attitudes toward climate change and sustainability among nursing students. Students are very aware of unsustainable practices in their work environment, but more work needs to be done on the application of sustainability principles to nursing practice.Ítem Effects of climate change in the elderly’s health: a scoping review protocol.(BMJ, 2022) Montoro-Ramírez, Eva María; Parra-Anguita, Laura; Álvarez-Nieto, Carmen; Parra-Anguita, Gema; López-Medina, Isabel MaríaIntroduction Climate change is a global problem that affects human health, especially the most vulnerable groups, including the elderly. However, no scope review includes the perspective of institutions specialised in climate change and health and whose reports are the basis for policies orientated on the environmental health. Therefore, this study aims to identify these effects on older people health. The results will allow health professionals to have valuable information enabling them to provide quality care in meeting the demand that this situation is producing. Methods and analysis A scoping review of the relevant literature will be performed from 2008 to 2021. The Joanna Briggs Institute guidelines and the PRISMA- Scoping Review Extension checklist will be used. A peer- reviewed search will be conducted using the electronic databases Medline, Scopus, Cumulative Index to Nursing and Allied Health Literature, Cochrane, PsycINFO and Cuiden Plus between October and December 2021. Original quantitative studies and reports from official agencies on the effects of climate change on the elderly health in any health and geographical context will be included. Literature selection will be made by two reviewers. The table format used for data extraction will be reviewed by the review team and tested by two reviewers. Ethics and dissemination This study does not require approval by an ethics committee to be conducted. This article will result in the mapping of the direct and indirect effects of climate change on the health of the elderly. The results will be published in scientific journals to be accessible to health professionals in the creation of care plans for the elderly at climate risk.Ítem Evaluating Satisfaction and Self-Confidence among Nursing Students in Clinical Simulation Learning(MDPI, 2024-04-25) Moreno-Cámara, Sara; da-Silva-Domingues, Henrique; Parra-Anguita, Laura; Gutiérrez-Sánchez, BelénBackground: Clinical simulation is effective in nursing student education, fostering autonomous learning and critical skill development in safe environments. This method is adaptable to dynamic educational approaches and integrates technology. Satisfaction and self-confidence are key elements in its evaluation. The general objective of this research was to describe the levels of satisfaction and self-confidence among undergraduate nursing students regarding the use of clinical simulation in the field of family and community nursing. Methods: A cross-sectional descriptive study was conducted at the University of Jaén, Spain, during the 2023/2024 academic year. Data on sociodemographic aspects, satisfaction, and self-confidence were collected using a validated instrument. The statistical analysis included central measures, dispersion, and frequencies, with confidence intervals. Results: The study involved 96 students in scenario 1 (family assessment) and 97 in scenario 2 (family intervention), with the majority being women. In scenario 1, the mean satisfaction score was 4.38 out of 5, and self-confidence was scored 4.44 out of 5. Prior preparation time correlated significantly with higher levels of satisfaction and self-confidence. In scenario 2, the mean scores were slightly higher but not statistically significant. Conclusions: Our study demonstrated high levels of satisfaction and self-confidence among nursing students following clinical simulations. Prior preparation was associated with better outcomes, and the quality of the simulation positively impacted the results.Ítem Knowledge about the care of people with Alzheimer’s disease of the nursing staff of nursing homes in Spain(MDPI, 2019-12-05) Parra-Anguita, Laura; García-Fernández, Francisco P.; Del-Pino-Casado, Rafael; Pancorbo-Hidalgo, Pedro L.Abstract: People with Alzheimer’s disease often live in nursing homes. Updated knowledge among the nursing staff has led to better quality of care. The aim of this study was to measure the knowledge about the care of people with Alzheimer’s disease of the nursing staff of nursing homes in Spain. A cross-sectional study was conducted in 24 nursing homes in the province of Jaén (Spain) with a sample of 361 members of staff, i.e., registered nurses (RNs), assistant nurses (ANs), and eldercare workers (EWs). The University of Jaén UJA-Alzheimer’s Care Scale was used to measure the knowledge. The knowledge was higher among the RNs (83.3% of the maximum) than among the ANs and EWs (71.6%). Work experience and updated training were associated with the knowledge score in RNs, but only the updated training in ANs and EWs. Nursing homes with less experienced nursing staff and with a small proportion of staff receiving training on dementia have a low knowledge score. The nursing staff of nursing homes in Jaén have medium to high knowledge about Alzheimer’s care. There is a wide range of variation in the knowledge score among the nursing homes. Up-to-date staff training in dementia care is the factor with the strongest association with knowledge.Ítem Measuring knowledge of Alzheimer's: Development and psychometric testing of the UJA Alzheimer's Care Scale(Springer Nature, 2019-03-04) Parra-Anguita, Laura; Sánchez-García, Inmaculada; Del Pino-Casado, Rafael; Pancorbo-Hidalgo, Pedro L.Background: Care for people with Alzheimer’s disease or other dementias should be based on up-to-date clinical practice guidelines. The education and training of nurses and other healthcare staff in dementia is a key factor in providing quality care. Knowledge of Alzheimer’s disease can be measured through questionnaires. The aim of this study was to develop and validate a scale to measure Alzheimer’s disease knowledge among both nursing staff and students. Methods: This was a cross-sectional survey study undertaken in three stages: 1) development of the questionnaire and item wording; 2) content validation by an expert panel; 3) questionnaire testing with two samples to establish psychometric properties. Sample 1 comprised 361 Registered Nurses, Assistant Nurses and eldercare workers from 24 nursing homes in Jaén (southern Spain). Sample 2 comprised 297 nursing students. The data were analysed through item analysis and a Rasch model. Convergent and construct validity and internal consistency were also examined. Results: The 23-item UJA Alzheimer’s Care Scale shows good outfit and infit values based on the Rasch model. One item presented differential functioning between Registered Nurses and Assistant Nurses. The intraclass correlation coefficient between the UJA Alzheimer’s Care Scale and the Spanish version of the Dementia Knowledge Assessment Tool 2 showed strong agreement among nursing staff (0.63) and students (0.79). The scale is able to distinguish between professionals with low or high knowledge of Alzheimer’s care. The overall Cronbach’s alphas were 0.70 (nursing staff) and 0.82 (nursing students). The intraclass correlation coefficient between the first test and the retest was good (0.84). Conclusions: The UJA Alzheimer’s Care Scale is a useful tool for measuring knowledge of Alzheimer’s disease and dementia care among nursing professionals or nursing students. The initial validation study obtained good psychometric properties concerning validity and reliability.Ítem Obligation and negative consequences in primary caregivers of dependent older relatives(2018-09-07) Del-Pino-Casado, Rafael; López-Martínez, Catalina; Serrano-Ortega, Natalia; Del Mar Pastor-Bravo, María; Parra-Anguita, LauraThe purpose of this study was to analyse the multidimensional nature of obligation and the relations between each dimension of obligation and both anxiety and depression. A secondary analysis of data from two cross-sectional studies of primary home caregivers (N = 400; probabilistic sample) of older adult relatives in Spain was conducted. Data regarding obligation (four categories basing on beliefs of obligation and social pressure: low pressure and low beliefs, low pressure and high beliefs, high pressure and low beliefs and high pressure and high beliefs), stressors, anxiety and depression were collected by interview in 2013. The combination of high pressure and low beliefs had the highest levels of anxiety and depression, and the combination of low pressure and high beliefs had the lowest levels of anxiety and depression. When the relation of behavioural problems with anxiety and depression stratified by the previous four categories of obligation was analysed, behavioural problems were associated with anxiety and depression in the subgroups with low beliefs of obligation, whereas this association disappeared in the subgroups with high beliefs of obligation.Ítem Perceived needs of the family caregivers of people with dementia in a mediterranean setting: A qualitative study(MDPI, 2019-03-19) Moreno-Cámara, Sara; Palomino-Moral, Pedro A.; Moral-Fernández, Lourdes; Frías-Osuna, Antonio; Parra-Anguita, Laura; del-Pino-Casado, RafaelThe purpose of this study was to identify, classify and analyze the perceived needs of caregivers of elderly people with dementia during the care process. A descriptive phenomenological qualitative study using seven focus groups was conducted in different primary health care centers in the province of Jaén (Spain) between July 2012 and February 2013. Eighty-two family caregivers who were caring for people with dementia in different stages of the disease were selected by purposeful maximum variation sampling. Data were analyzed and organized thematically, considering the semantic and pragmatic content and field notes. Two main categories of the perceived needs of caregivers were identified. The first was related to the management of caring for a relative with dementia, and the second was related to the management of the caregivers’ own care. Our findings support the provision of comprehensive interventions for the improvement of caregivers’ emotional health that encompass more than one care need. This is where psycho-educational interventions aimed at managing the various aspects of dementia and self-care in caregivers can be accommodated. In addition, proactive interventions to develop important skills to care for a relative with dementia, which are not perceived as needs by the caregivers, are needed. These include skills in family negotiation, planning and searching for resources outside the family.Ítem Perceptions and concerns about sustainable healthcare of nursing students trained in sustainability and health: a cohort study(Elsevier, 2022-10-29) López-Medina, Isabel María; Álvarez-García, Cristina; Parra-Anguita, Laura; Sanz-Martos, Sebastián; Álvarez-Nieto, CarmenAim: To describe nursing students’ perceptions of sustainable health education in the nursing curriculum and their concerns about sustainable healthcare and the impact of climate change on nursing. Background: Sustainable health education involves education on the impact of climate change on health and the impact of healthcare on the environment. The effectiveness of sustainable health education in improving attitudes, knowledge and skills in sustainable healthcare has been demonstrated. However, there is a need to study students’ perceptions of this and their concerns about achieving sustainable healthcare from the use and disposal of healthcare resources. Design: A cohort study with an inductive content analysis of open-ended questions included in a survey. Methods: The study was carried out with undergraduate nursing students throughout their four-year undergraduate academic program using scenario-based learning and augmented reality related to sustainability, climate change and health. As students were exposed to three educational interventions, they completed a survey of open-ended questions about their perceptions of their environmental sustainability training in the nursing curriculum, their concerns about the resources’ used in healthcare and their perceptions of the impact of climate change on the nursing profession. Results: Students identified content in the nursing degree program on climate change and health and hospital waste segregation. They also demanded more content on ’low environmental impact nursing care’ when their clinical practice training increased. Students were concerned about the excessive and unnecessary use of materials in healthcare, especially in the post-pandemic period, the lack of environmental awareness of healthcare professionals and the lack of power to change the situation. They recognised the lack of proper waste segregation in healthcare settings, no recycling bins and little reuse of materials. They were also concerned about the polluting disposal of material. They perceived important impacts of climate change on nursing, such as patient care due to increased pollution-related diseases, including foetal malformations and new health care needs arising from weather conditions. Finally, students were concerned about the impact this will have on nursing care work and require ’nursing leadership in environmental awareness’. Conclusions: Students demand more training in low environmental impact healthcare and innovative educational practices are effective in this regard. Appropriate Sustainable Healthcare Education can make future health professionals more environmentally aware and enable them to lead the shift towards climate-smart care.Ítem Sustainability education in nursing degree for climate-smart healthcare: a quasi-experimental study(Emerald Publishing Limited, 2024-07-26) Álvarez-Nieto, Carmen; Parra-Anguita, Laura; Álvarez-García, Cristina; Montoro-Ramírez, Eva María; López-Franco, María Dolores; Sanz-Martos, Sebastián; López-Medina, Isabel MaríaPurpose– In light of the world’s accelerating march towards a sustainable future, the education for sustainable healthcare must be sufficiently acknowledged in health professions curricula. Early integration of these competences into nursing degree programme emphasizes its importance and applicability. This paper aims to investigate the effectiveness of an educational sustainability intervention in higher education to change nursing students’ attitudes towards sustainability and climate change, and environmentalawareness. Design/methodology/approach– A quasi-experimental study was performed with repeated measures between September 2019 and May 2023. Undergraduate students were introduced to sustainability and climate change in the context of healthcare using scenario-based learning and augmented reality over the courses in nursing degree. Participants’ attitudes and awareness were collected by online questionnaires. Findings– The educational intervention showed effectiveness in significantly improving attitudes towards climate change and sustainability, and the environmental awareness for changing their clinical practice (p < 0.01). However, students struggled to apply sustainability and address unsustainable practices in healthcare settings. Originality/value– This study shows an effective model of curricular sustainability that can be implemented in other universities and health disciplines. The findings highlighting the importance of sustainability education in nursing and its potential to drive positive change in healthcare practice and society at large. Embedding key topics aligned with sustainable development goals in the curriculum prepares nursing or health workforce to address planetary health and implement sustainable practices that provide climate-smart care.Ítem Undergraduate nursing students' knowledge of Alzheimer's disease and related dementias care(ELSEVIER, 2022-03) Parra-Anguita, Laura; López-Franco, María Dolores; Del Pino-Casado, Rafael; García-Fernández, Francisco Pedro; Pancorbo-Hidalgo, Pedro LuisBackground: The increase in the number of people with Alzheimer's disease and Related Dementias (ADRD) will results in an increased need for nurses with up-to-date knowledge of ADRD and who are well-educated in ADRD care. Therefore, it is important to be sure that this topic is covered in the undergraduate nursing curriculum. Purpose: To assess undergraduate nursing students' knowledge of Alzheimer's disease and related dementias care. Method: Cross-sectional study carried out among nursing students at two universities in southern Spain. The University of Jaen (UJA)-Alzheimer's Care scale was used to measure their knowledge. Results: The mean age of the students was 21.39 years, and 83.2% of the 678 students were women. For students, the UJA Alzheimer's Care scale has a good fit and reliability of 0.99 for the items and 0.74 for the persons, according to the Rasch model. The mean knowledge score of nursing students was 15.33 (SD 3.69) out of 23; (95%CI: 15.06–15.61). The value of the latent variable (theta) was 1.16 (SD 1.21); (95%CI: 1.06–1.25). The factors positively associated with students' knowledge were the number of years in the program, experience in caring for a patient with ADRD during their placements, and the education on ADRD received in the nursing program as self-rated by the students. Conclusion: The UJA-Alzheimer's Care scale is a useful tool for measuring knowledge of ADRD care among nursing students in Spain and other Spanish-speaking countries. Nursing students at the two universities reached moderate scores in the knowledge of ADRD care. More years in the nursing program, practical experience in clinical placements, and higher self-rated level of education on ADRD received during the program were associated with higher scores on knowledge.