Pilot Testing and Psychometric Validation of the Nijmegen Professionalism Scale for Spanish Nursing.

BACKGROUND AND PURPOSE: Professional commitment is frequently used as a humanistic care indicator. Thus, it is important to design and validate a tool which is able to measure professional commitment of nurses in Spain. In this study we aimed to analyze the psychometric properties of the Nijmegen Professionalism Scale for Spanish (NPS-S) nursing in order to verify its validity and reliability. METHODS: We undertook the pilot testing and psychometric validation of the NPS-S. A total sample of 249 nursing professionals from a variety of areas of expertise took part in this study. The STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Statement was used for reporting this research. RESULTS: The NPS-S achieved a high degree of content validity, construct validity, internal consistency, temporal stability, and usability; this version is, thus, equivalent to the Nijmegen Professionalis Scale in its original version. IMPLICATIONS FOR PRACTICE: Based on the results obtained from the validation of this tool, it is possible to affirm that the NPS-S is an effective instrument for measuring professional commitment in this population. The NPS-S will evaluate and thus contribute to the promotion of professional commitment in Spanish nursing. Additionally, it will serve to establish correlations between professional commitment and other variables including quality of care and patient satisfaction. Future studies should analyze the evaluation capacity of this tool.

Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls.

Falls in the elderly are one of the main geriatric syndromes and a clear indicator of fragility in the older adult population. This has serious consequences, leading to an increase in disability, institutionalization and death. The purpose of this cross-sectional study was to analyze the prevalence of risk of falling and associated factors in a population of 213 non-institutionalised, able older adults with a history of falling in the previous year. We used the following assessment tools: Questionnaire of the WHO for the study of falls in the elderly, Geriatric Depression Scale and Tinetti's Gait and Balance Assessment Tool. Age, using ambulatory assistive devices, polymedication, hospital admission following a fall and depression were significantly associated with risk of falling. In order to prevent fall reoccurrence, community-based fall prevention programs should be implemented.

English-to-Spanish Translation of the Nijmegen Professionalism Scale.

BACKGROUND AND PURPOSE: The aim of this investigation was to perform the cross-cultural and linguistic translation and adaptation of the Nijmegen Professionalism Scale for Spanish nursing. Originally designed by Tromp et al. (2010) for its use by general practitioners, the new Spanish version of this tool assesses professional commitment, allowing for the comparison, prevention, association, and longitudinal monitoring of commitment among nursing professionals. METHODS: The linguistic translation from English to Spanish was performed using the translation-back-translation method; the process of cross-cultural adaptation to the Spanish nursing context was carried out following the recommendations given by a panel of experts comprised of 24 practicing nurses with different professional backgrounds. The data for the feasibility study were collected between December 2015 and January 2016. RESULTS: The original English version of the instrument contains 106 items and was originally developed for assessing professional behavior of general practitioner trainees; the new version, with a significant reduction in the initial number of items, comprises 49 items and is now ready for pilot testing and validation in our context. IMPLICATIONS FOR PRACTICE: The Nijmegen Professionalism Scale in its Spanish version will act not only as a tool for measuring professional commitment among Spanish nurses but also as a motivational resource and means for reflection which will, in turn, increase the quality of the care provided by these professionals.

A concept analysis of professional commitment in nursing.

BACKGROUND: The concept of professional commitment is being widely studied at present. However, although it is considered an indicator for the most human part of nursing care, there is no clear definition for it, and different descriptors are being used indiscriminately to reference it. OBJECTIVE: The aim of this study is to clarify the concept of professional commitment in nursing through the Rodgers' evolutionary concept analysis process. DESIGN: Systematic search using English and Spanish descriptors and concept analysis. Studies published between 2009 and June 2015, front-to-back analysis of the Nursing Ethics journal and manual check of articles cited in studies related to the Nijmegen Professionalism Scale. RESEARCH DESIGN: The procedure of concept analysis developed by Rodgers was used. ETHICAL CONSIDERATIONS: Although the topic was not labeled as sensitive and subject to ethical approval, its realization was approved by the Ethical Committee of Clinical Research of Aragon (CEICA) approved the study on 18 March 2015 and also careful procedures have been followed according to ethics expressed in the Declaration of Helsinki. FINDINGS AND DISCUSSION: A total of 17 published studies. A clear definition of the concept was made, and surrogate terms, concept dimension, differential factors related to the concept, sociocultural variations and consequences for nursing practice were identified. CONCLUSION: There is a need for continuous advancement in the development of the concept, specific actions to encourage this and the improvement of evaluation methods for its study.

[CONSEQUENCES OF FALLS IN A GERIATRIC NURSING CENTER FOR VALID. DESCRIPTIVE STUDY]. / Consecuencias de las caídas en un centro geriátrico para ancianos válidos. ESTUDIO DESCRIPTIVO.

OBJECTIVE: To address the immediate consequences produced in the falls suffered by valid institutionalized elderly population' in the last twelve months. METHOD: A cross sectional study, by personal interview. Simple random sampling was performed. The study area corresponded to a private nursing home. The measuring instruments used in the study were the Mini Mental State Examination Lobo (MEC-35, 1979) to initially assess the level of cognitive development elderly study participants, and the WHO questionnaire for the study of falls in the elder 1989. RESULTS: Of the 21 drops produced in the last twelve months was found that 61.9% of falls were female, compared to 38.1% who relapsed in males. 52.4% of falls are not caused any consequences. 28.6% of falls caused superficial injuries and/or bruises, while the proportion of fractures corresponded to 19% for both sexes. Most of the falls did not produce immediate consequences whose percentage was 52.4% of cases. Second are superficial wounds and/or bruises with 28.6% and finally fractures with a ratio of 19%. CONCLUSIONS: The investigators considered the necessity of involvement of health professionals and the implementation ofpreventive strategies that can reduce the prevalence of falls. Thiswill successfully improve the quality of life of the elderly.

[GUIDE TO DEVELOPING A RESEARCH PROJECT. PART TWO]. / Guía de elaboración de un proyecto de investigación. Segunda parte.

This work aims to develop a practical guide to writing a research project.

[GUIDE TO DEVELOPING A RESEARCH PROJECT. PART ONE]. / Guía de eLaboración de un proyecto de investigación. PRIMERA PARTE.

This work aims to develop a practical guide to writing a research project.

La ética del cuidado, sustento de la bioética enfermera / The ethics of care, support of nursing bioethics

En la actualidad, la enfermería ha sabido reconocer la importancia de las exigencias éticas que vinculan al acto del cuidado, y así ha dado razón a los diferentes conflictos de valores a los que los profesionales hacen frente a diario. No obstante, la profesión, no ha sabido encontrar un modelo bioético único que englobe todos los aspectos que surgen de su quehacer profesional y que ayudaría a aumentar la calidad de los servicios de salud percibida, para humanizar así la acción profesional del cuidado. El presente trabajo pretende, mediante la discusión teórica y el método de compara- ción constante, demostrar la necesidad de la profesión enfermera de conocer los distintos modelos bioéticos, y en especial la llamada “ética del cuidado”, modelo impulsado en 1982 por la psicóloga y filósofa norteamericana Carol Gilligan, que podría servir como sustento para definir un modelo bioético enfermero concreto. De la misma manera, se pretende explicar la diferencia entre la ética del cuidado y la ética de los cuidados.(AU)

Nowadays, nursing has been able to recognize the importance of ethical requirements linked to the act of caring, recognizing the different conflicts of value that nursing professionals must face daily. Nevertheless, the nursing profession has not yet been able to identify a single bioethical model that encompasses all the aspects that stem from its professional activity, and which would help to im- prove the perceived quality of health services, thus humanizing the professional act of caring. This study aims, through theoretical discussion and the constant comparison method, to demonstrate the nursing profession’s need to know the various bioethical models; especially the so-called “ethics of care”, a model proposed in 1982 by the American psychologist and philosopher Carol Gilligan, which may serve as the foundation to define a specific nursing bioethical model. Likewise, this article aims to explain the difference between ethics of care and ethics of caring.(AU)

Na atualidade, a enfermagem tem sabido reconhecer a importância das exigências éticas que ligam o ato do cuidado e, portanto, tem dado a razão a os vários conflitos de valores aos que os profissio- nais têm que enfrentar diariamente. No entanto, a profissão não foi capaz de encontrar um modelo único de bioética que englobe todos os aspectos que surgem do seu quefazer profissional e ajudar a aumentar a qualidade dos serviços de saúde percebidos, para humanizar assim a ação profissional do atendimento do cuidado. O presente trabalho tem como objetivo, através da discussão teórica e o método de comparação constante, demonstrar a necessidade de a profissão de enfermagem para conhecer os vários modelos de bioética, e especialmente a chamada “ética do cuidado”, modelo promovido em 1982 pela psicóloga e filósofa norte-americana Carol Gilligan, que poderia servir de base para a definição de um determinado modelo concreto de bioética em enfermagem. Da mesma forma, pretende-se explicar a diferença entre a ética do cuidado e a ética dos cuidados.(AU)

La ética del cuidado y su aplicación en la profesión enfermera / A ética do cuidado e sua aplicação na profissão de enfermagem / The ethics of caring and its application in nursing profession

Este trabajo tiene como objetivo analizar la utilidad de la ética del cuidado en la profesión enfermera. Para ello será necesario definir los conceptos de "cuidado" y "ética del cuidado" y analizar la posible aplicación práctica de la ética del cuidado en el ámbito de la enfermería española. Se utilizó el método analítico-sintético; revisión bibliográfica, lectura comprensiva, reflexión personal, definición de conceptos y método comparativo.

This article has as aim to analyze the usefulness of the ethics of caring in nursing profession. For this it will be necessary to define the concepts of "caring" and "ethics of caring" and analyze the possible practical application of ethics of caring in the nursing field of Spain. The analytic-synthetic method, bibliography review, comprehensive reading, personal reflection, definition of concepts and comparative method were used.

Este trabalho tem como objetivo analisar a utilidade da ética do cuidado na profissão de enfermagem. Para isso será necessário definir os conceitos de "cuidado" e "ética do cuidado" e analisar a possível aplicação prática da ética do cuidado no âmbito da enfermagem espanhola. Utilizou-se método analítico-sintético; revisão bibliográfica, leitura compreensiva, reflexão pessoal, definição de conceitos e método comparativo.

[EPIDEMIOLOGY OF FALLS IN THE NON-INSTITUTIONALIZED SPANISH ELDERLY POPULATION, SYSTEMATIC REVIEW 2014]. / Epidemiología de caídas en la población anciana española no institucionalizada: REVISIÓN SISTEMÁTICA 2014.

UNLABELLED: OBJECTIVE To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the consequences of the falls in the geriatric spanish population aged 65 years and over who lives institutionalized in our country. MATERIAL AND METHOD: Systematic review of the epidemiological observational studies in Spain, with recording of falls, with temporary retrospective and published as scientific articles between the years 2003 and 2014 included. The articles search took place in July 2014, with the limit of language and publication year, in the electronic databases PubMed, Dialnet, RedALyC, SciELO, Enfispo and Google Scholar. RESULTS: The percentage of people who suffered falls depending on the publication year. The frequency of falls recorded varied from 14.9 % to 66.2 %. The mean intake of daily drugs was between 2.7 to 4.5 drugs per day. The fear of falling that had the elderly population non-institutionalized was between 44.7 % and 49.4 %. The vast majority of falls occurred at home, with percentages between 55.1 % and 61 %. Between 30 % and 55.1 % of people who suffered falls maintained health care contact immediately and the fractures prevalence was between 0 % and 26.1 %. CONCLUSTON: It can be confirmed that the falls prevalence in the spanish elderly population is high, so the need ofnew researches are appreciated.

La ética del cuidado y su aplicación en la profesión enfermera / The ethics of caring and its application in nursing profession

Este trabajo tiene como objetivo analizar la utilidad de la ética del cuidado en la profesión enfermera. Para ello será necesario definir los conceptos de “cuidado” y “ética del cuidado” y analizar la posible aplicación práctica de la ética del cuidado en el ámbito de la enfermería española. Se utilizó el método analítico-sintético; revisión bibliográfica, lectura comprensiva, reflexión personal, definición de conceptos y método comparativo.(AU)

This article has as aim to analyze the usefulness of the ethics of caring in nursing profession. For this it will be necessary to define the concepts of “caring” and “ethics of caring” and analyze the possible practical application of ethics of caring in the nursing field of Spain. The analytic-synthetic method, bibliography review, comprehensive reading, personal reflection, definition of concepts and comparative method were used.(AU)

Este trabalho tem como objetivo analisar a utilidade da ética do cuidado na profissão de enfermagem. Para isso será necessário definir os conceitos de “cuidado” e “ética do cuidado” e analisar a possível aplicação prática da ética do cuidado no âmbito da enfermagem espanhola. Utilizou-se método analítico-sintético; revisão bibliográfica, leitura compreensiva, reflexão pessoal, definição de conceitos e método comparativo.(AU)

[GUIDE DEVELOPMENT OF A PROCESS MODEL OF NURSE APPLYING VIRGINIA HENDERSON AND TAXONOMY NANDA]. / Guía de elaboración de un proceso enfermero aplicando el modelo de Virginia Henderson y la taxonomía NANDA.

This study aims to develop a practical guide to applying the nur- sing model recognized Virginia Henderson NANDA taxonomy and nursing process.