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.

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.

Los familiares que habitan con enfermos cardiacos de Huesca, ¿están preparados para hacer frente a una parada cardiorrespiratoria? / Relatives who live with heart patients Huesca are they prepared to face a cardiac arrest?

Objetivo: Describir si los familiares que habitan con enfermos cardiacos, poseen los conocimientos suficientes para hacer frente a una parada cardiaca extrahospitalaria (PCEH). Métodos: Estudio descriptivo, transversal. La población a estudio estuvo compuesta por los familiares de los pacientes ingresados en el Servicio de Cardiología del Hospital San Jorge de Huesca, en los meses de septiembre y octubre de 2014. Las variables fueron recogidas con un cuestionario estructurado de elaboración propia. Resultados: El total de los participantes fue de 177. El 61% eran mujeres, la edad media fue de 55,63 años. El 26,6% había presenciado una PCEH, el 20,9% había realizado un curso de reanimación cardiopulmonar (RCP), el 36,7% sabría reconocer personas con riesgo de sufrir una parada cardiaca, el 56,5% conocía el número del Servicio de Emergencias Médicas (SEM), el 9,6% tenía los conocimientos suficientes para iniciar maniobras de RCP, el 98,3% creía que era importante tener conocimientos sobre RCP y el 72,9% participaría en cursos de formación. Conclusiones: Los familiares que habitan con enfermos cardiacos no poseen los conocimientos suficientes para hacer frente a una PCEH y por ello es de vital importancia que se incrementen los esfuerzos en la creación de estrategias dirigidas a desarrollar los dos primeros y fundamentales eslabones de la cadena de supervivencia (AU)

Objective: To describe if people who lives with cardiac patients, possess the sufficient knowledge to confront out of hospital cardiac arrest. Methods: A descriptive crossover study. The population to study was composed by the family of the patients hospitalized in the Service of Cardiology of San Jorge Hospital in Huesca, in September and October, 2014. The variables were gathered by a structured questionnaire of own production. Results: The total of the participants was 177: 61% was women; the middle ages were 55,63 years. 26,6% had witnessed a out of hospital cardiac arrest , 20,9% had realized a course of cardiopulmonary resuscitation, 36,7 % would be able to recognize people at the risk of suffering a heart arrest, 56,5% knew the Service of Medical Emergencies number, 9,6% had the sufficient knowledge to initiate manoeuvres of cardiopulmonary resuscitation, 98,3% was thinking that it was important to have knowledge cardiopulmonary resuscitation and 72,9% would take part in training courses. Conclusions: The person who lives with cardiac patients, do not possess the sufficient knowledge to face out of hospital cardiac arrest and for that it is really important increase the efforts in the creation of strategies directed to develop the two first and fundamental links of the chain of survival (AU)

Prevalencia del Síndrome del Burnout en el personal de enfermería del Servicio de Cardiología, Neumología y Neurología del Hospital San Jorge de Huesca / Prevalence of burnout syndrome in nurses of the Cardiology, Pneumology and Neurology, Hospital San Jorge of Huesca

El objetivo fue determinar la prevalencia del Síndrome del Burnout en el personal de enfermería del Servicio de Cardiología, Neumología y Neurología del Hospital San Jorge de Huesca. Se realizó un estudio descriptivo transversal, las variables sociodemográficas se recogieron mediante un cuestionario de elaboración propia, el Síndrome de Burnout se midió mediante el Maslach Burnout Inventory, en su versión validada en español. El total de los participantes fue de 22. La edad media fue de 40,8 años. El 36,4 % trabaja en el servicio de Cardiología, el 31,8% en Neumología y el 31,8% en Neurología (Área de Ictus). La prevalencia del Síndrome de Burnout fue del 31,81%. No se encontraron diferencias estadísticamente significativas de padecimiento del síndrome según la edad, ni entre el personal de enfermería dedicado al servicio de Neurología (Área de Ictus) y resto de unidades (p=0,630) (AU)

The objective was to determine the prevalence of burnout syndrome in nurses of the Cardiology, Pneumology and Neurology, Hospital San Jorge of Huesca. We performed a cross - sectional study, the sociodemographic variables were collected using a specifically designed questionnaire, the burnout syndrome was measured by the Maslach Burnout Inventory in its validated Spanish version. The total number of participants was 22. The average age was 40.8 years, 36.4% work in the service of Cardiology, 31,8% of Pneumology and 31,8% of Neurology (Ictus Area). No significant statistically differences were found of syndrome disease by age or between nursing staff dedicated to serving Neurology (Ictus Area) and other units (p = 0.630) (AU)

Habilidades de comunicación como herramienta útil para la prevención del síndrome de burnout / Communicating skills as a useful tool for preventing burnout syndrome

El “burnout“ o síndrome de desgaste profesional, es un constructo utilizado para describir un estado psicológico que aparece tras un periodo prolongado de exposición a factores de riesgo psicosocial. Enfermedades degenerativas, sida, insuficiencias específicas orgánicas(renal, cardiaca, hepática, etc.), además de enfermedades oncológicas, están claramente relacionadas, sobre todo en sus últimas fases, con una mayor demanda de atención y soporte a la que los profesionales deben responder. El tipo de pacientes, así como la carga emocional de las situaciones de los últimos días y la elaboración del proceso de morir, hacen que los profesionales de la salud sean personas más propensas a sufrir este síndrome de agotamiento. Se han detectado tres grandes grupos de factores de riesgo relacionados con la aparición de este síndrome. Los factores relacionados con aspectos del ambiente laboral y los factores personales han tenido más relevancia en la mayoría de las investigaciones, siendo los factores de relación con el paciente menos considerados hasta el momento. El objetivo de este trabajo es aportar algunas habilidades comunicativas básicas que sirvan como recurso para la mejora de estas relaciones entre profesionales y pacientes (AU)

Burnout or professional burnout syndrome is a construct employed to describe a psychological state which arises following a long period of exposure to psychosocial risk factors. Degenerative diseases, AIDS, specific organ insufficiencies (renal, cardiac, hepatic, etc.) in addition to oncological diseases are clearly related, most especially in the final stages, to a greater demand for care and support to which the professionals must provide a response. The type of patients as well as the emotional burden of the situations during the final days and preparing for the dying process make healthcare professionals more prone to experiencing this burnout syndrome. Three major sets of risk factors related to the onset of this syndrome have been detected. The factors related to aspects of the working environment and the personal factors have been found to be of greater importance in most of the research conducted, the factors involved in the relationship with the patient being considered of lesser importance to date. The purpose of this study is to furnish some basic communicating skills to serve as a resource for improving these relationships between professionals and patients (AU)

Efectividad del programa de ayuda al triaje (Web_e-PAT v3.5) en el Hospital San Jorge de Huesca / Effectiveness of the Triage Aid Programme (Web_e-PAT v3.5) at the Hospital San Jorge in Huesca

Objetivo: evaluar la efectividad de la implantación del programa de ayuda al triaje (Web_e-PAT v3.5) en el Hospital San Jorge de Huesca a través del índice de ingresos, el tiempo de estancia en Urgencias y el consumo de recursos. Material y método: estudio de intervención antes-después tras la implementación del sistema de triaje español con la ayuda del programa informático Web_e-PAT v3.5. Se utilizaron indicadores indirectos o sustitutos de gravedad como variables de resultado: índice de ingreso, tiempo de estancia en el servicio de Urgencias y consumo de pruebas diagnósticas. Para el contraste de hipótesis se utilizaron las pruebasT de Student, U de Mann-Whitney y ji cuadrado. Resultados: se atendieron 2.973 pacientes en el servicio en el periodo de pre-intervención (año 2008) y 3.000 en el de post-intervención (año 2009). La estancia media en el servicio aumentó en el segundo periodo de 161,78 a 168,40 minutos, así como el índice de ingreso hospitalario (en 2008, 31,2% y en 2009, 32,6%), aunque fueron cambios estadísticamente significativos. Se produjo una reducción significativa (p < 0,027) en el uso de pruebas electrocardiográficas. Conclusiones: la implantación del programa de ayuda al triaje en el Hospital San Jorge no ha logrado una reducción significativa en todas las variables de resultado estudiadas (solo en la solicitud de pruebas electrocardiográficas), pero se observaron disminuciones en el consumo de otras pruebas diagnósticas que, junto a la mayor ventaja del triaje y la clasificación inmediata del paciente a la llegada al servicio, hacen del triaje un instrumento imprescindible tanto para controlar la gestión y la calidad como para aumentar la satisfacción de los pacientes (AU)

Objective: To evaluate the effectiveness of the implementation of the Triage Aid Programme (Web_e-PAT v3.5) at the San Jorge Hospital, Huesca through the admission rate, length of stay in the ER and resource consumption. Material and methods: Before-after intervention after the implementation of Spanish triage system with the help of software v3.5 Web_e-PAT. We used indirect indicators or proxies of severity as outcome variables: admissions ratio, length of stay in the emergency room and use of diagnostic tests. For hypothesis testing the Student t test, Mann-Whitney U and chi-square were used. Results: 2,973 patients were treated in the service in the pre-intervention period (year 2008) and 3,000 in the post-intervention period (year 2009). The average length of stay in the service increased in the second period from 161.78 to 168.40 minutes, as did the hospitalization rate (in 2008, 31.2% and in 2009, 32.6%), although changes were statistically significant. There was a significant reduction (p <0.027) in the use of electrocardiographic tests. Conclusions: the implementation of triage aid programme at the Hospital San Jorge has not achieved a significant reduction in all outcome variables studied (only in the requests for electrocardiographic tests), but there were decreases in the use of other diagnostic tests, which together with the greater advantage of immediate triage and patient classification upon arrival at the service, make the triage an essential tool both to control management and quality as well as to increase patient satisfaction (AU)