Lumbar epidural vein thrombosis mimicking disc herniation: A report of 3 cases.

Epidural vein thrombosis is a rare cause of lumbosciatica than can clinically and radiologically mimic other causes of nerve root compression such as disc herniation. We describe 3 unusual cases of spinal epidural plexus vein thrombosis illustrating the difficulty in preoperative diagnosis of this entity. Misinterpretation of imaging findings can lead to an erroneous diagnosis and inappropriate treatment. Knowledge of certain radiologic findings will increase the likelihood of recognizing epidural vein thrombosis.

Patient Information and Informed Consent for Research in the Elderly: Lessons Learned from a Randomized Controlled Trial.

The informed consent (IC) of subjects participating in experimental studies is the mainstay to comply with the ethical principle of autonomy to ensure that the participation is voluntary. This experience was performed within the context of a single-center randomized clinical trial in elective prosthetic surgery. Obtaining IC in clinical trials is not without difficulties, and especially in the case of vulnerable populations it can be very challenging. This work aimed to identify the difficulties during the IC process for a clinical trial in subjects older than 65 years old and quantify and describe the use of IC in front of a witness. METHODS: This is a mixed methodology study with a qualitative part (focus group with 4 nurses involved in the inclusion of subjects) and a quantitative part describing the characteristics of patients who signed IC forms. RESULTS: The main difficulties identified are related to comprehension, sensory impairments, education level, and time. IC in front of witnesses was used in 20 patients out of 508. CONCLUSIONS: The participation of subjects older than 65 years old in clinical trials requires an adaptation of the process. The use of IC in front of a witness should always be considered in studies including elderly subjects.

Effect of Breed Purity and Rearing Systems on the Stability of Sliced Iberian Dry-Cured Ham Stored in Modified Atmosphere and Vacuum Packaging.

The long-term storage stability of three quality categories of sliced Iberian dry-cured ham defined by the Spanish Iberian Quality Standard (Black, purebred Iberian reared outdoors in Montanera system; Red, Iberian × Duroc crossed (50%) pigs reared outdoors in Montanera system;, and White, Iberian × Duroc crossed (50%) pigs commercially fed) and packaged under vacuum and modified atmosphere packaging (MAP) was studied. Commercial category affected the shelf life, being Black and Red presented the highest lipid oxidation during storage, whereas the effect of packaging was not as clear as the effect of commercial category. MAP preserved more the colour and the antioxidants content than vacuum packaging, while this latter reduced lipid oxidation development and maintained better the brightness and flavour of slices than MAP.

Barreras para la utilización de la investigación en la práctica clínica: opinión de las enfermeras de un hospital universitario / Barriers for the use of research in clinical practice: the opinion by nurses in a University Hospital

OBJETIVO: identificar las principales barreras percibidas para la utilización de la investigación en la práctica clínica por parte de las enfermeras. MÉTODO: se realizó un estudio descriptivo transversal mediante la administración del cuestionario de "Barreras para la utilización de la investigación enfermera" en profesionales de Enfermería que estaban trabajando en el Consorci Corporació Parc Taulí de Sabadell (Barcelona) en mayo-septiembre de 2017. El muestreo fue no probabilístico accidental. La distribución de este cuestionario autoadministrado se efectuó vía online. Se llevó a cabo análisis univariante y bivariante. Se consideró que había diferencias estadísticamente significativas si la p< 0,05. RESULTADOS: participaron 276 profesionales de Enfermería. 244 (88,4%) mujeres. La media (DE) de experiencia laboral fue de 18,7 años (10,4) y de 11,32 años (8) de experiencia en el servicio en el que trabajaban en el momento del estudio. Un 46,7% recibió formación pregrado en investigación y un 70,3% postgrado. Las participantes consideran que la investigación es una actividad necesaria (88,8%) que contribuye al desarrollo de la profesión (98,9%), aunque opinan que requiere una gran inversión de tiempo y esfuerzo (94,9%) para poder llevarla a cabo. Las tres barreras identificadas con mayor puntuación fueron "los artículos/informes de investigación se publican con mucha demora" con una media (DE) de 3,03 (0,89), "los médicos no colaboran en la implementación" con una media (DE) de 2,99 (0,90) y "no hay tiempo suficiente en el trabajo para implementar nuevas ideas" con una media (DE) de 2,98 (1,03). CONCLUSIÓN: las principales barreras identificadas en este estudio por parte de los profesionales de Enfermería que han participado han sido falta de tiempo, falta de conocimientos en metodología investigadora y la percepción de falta de apoyo institucional

OBJECTIVE: to identify the main barriers perceived for the use of research in clinical practice by nurses. METHOD: a descriptive cross-sectional study, conducted through the administration of the Questionnaire on Barriers for the Use of Nursing Research by Nursing professionals, which was prepared by the Consorci Corporació Parc Taulí of Sabadell (Barcelona) during May-September, 2017. There was non-probabilistic accidental sampling. This self-administered questionnaire was distributed online. Univariate and bivariate analyses were conducted. It was considered that there were statistically significant differences if p < 0.05. RESULTS: the study included 276 Nursing professionals; 244 (88.4%) were women. Their mean (SD) work experience was 18.7 years (10.4) and 11.32 years (8) of experience at the Hospital Unit where they worked at the time of the study. Of them, 46.7% had received undergraduate training in research, and 70.3% postgraduate. The participants considered that research is a necessary activity (88.8%) which contributes to the development of the profession (98.9%); although they reckon that it requires a major investment in time and effort (94.9%). The three barriers identified with the highest scores were: "research articles / reports are published with delay" with a mean (SD) 3.03 (0.89), "there is no collaboration by physicians in their implementation" with a mean (SD) 2.99 (0.90) and "there is not enough time at work to implement new ideas" with a mean (SD) 2.98 (1.03). CONCLUSION: the main barriers identified in this study by Nursing professionals who have participated are: lack of time, lack of knowledge regarding research methodology, and the perceived lack of support by the institutions

Investigación en enfermería: análisis de actitud y motivación en un centro universitario regional / Nursing research: analysis of attitude and motivation in a regional university center

OBJETIVO: Conocer la producción, motivación y consumo de investigación entre las enfermeras de nuestros centros asistenciales. MATERIAL Y MÉTODO: Se realiza un estudio descriptivo transversal mediante la administración del cuestionario de Actitud y Motivación de Enfermería hacia la Investigación. RESULTADOS: Un total de 276 enfermeras participaron en el estudio, la mayoría mujeres, con 18,7 años de experiencia laboral media, 45 % con carga familiar alta o muy alta y formación profesional variada en cuanto a postgrados, máster y especialidades. Un 46,7 % recibió formación pre-grado en investigación y un 70,3 %, postgrado. Las participantes consideran que la investigación es una actividad necesaria (88,8 %) que contribuye al desarrollo de la profesión (98,9 %), aunque opinan que requiere una gran inversión de tiempo y esfuerzo (94,9 %) para poder llevarla a cabo. Se muestran los resultados en las distintas dimensiones del cuestionario. CONCLUSIÓN: Se pone de manifiesto que las barreras expresadas por las profesionales pueden ser convertidas en un incentivo positivo en la motivación profesional que nos permita la difusión, crecimiento y facilitación de la investigación enfermera, aplicando estrategias de favorecimiento relacionadas con las necesidades expresadas por las enfermeras que han participado en el estudio

OBJECTIVE: We have to know the production, motivation and consumption of research between the nurses of our healthcare centers. MATERIAL AND METHOD: We have realized a cross-sectional descriptive study by administering the Nursing Attitude and Motivation to Research questionnaire. RESULTS: A total of 276 nurses took part in the study, most of them women, with 18.7 years of average work experience, 45 % with high or very high family burden and varied professional training in postgraduate, master's and specialties. 46.7 % received pre-graduate training in research and 70.3 %, postgraduate. The competitors consider that research is a necessary activity (88.8 %) that contributes to the development of the profession (98.9 %), although they believe that it requires a great investment of time and effort (94.9 %) to carry it out. The results are shown in the different dimensions of the questionnaire. CONCLUSION: It is evident that the barriers expressed by the professionals can be converted into a positive incentive in the professional motivation that allows us the diffusion, growth and facilitation of the nursing research, applying strategies of favoring related to the needs expressed by the nurses who have participated in the study

Cohort Study on the Implementation of a Surgical Checklist from the Operating Room to the Postanesthesia Care Unit.

PURPOSE: To provide evidence of a well-structured information transfer that prevents the loss of information relevant to patient care. DESIGN: Pre-post cohort study on the implementation of a surgical checklist from the operating room to postanesthesia care unit. METHODS: Main variable was the transfer of relevant and correct information. The secondary variables include time, interruptions, and satisfaction. FINDINGS: In the prechecklist stage, 59 transfers were collected; with an average time of 68.5 seconds, 41.7% of the transfers encountered interruptions, and only 8.5% of the reports were complete with all data. After instituting the checklist, 63 transfers were analyzed with an average time of 96.4 seconds, no interruptions occurred in 71.3% of the transfers, and all the items were transmitted in 92.1% of the cases. Number of interferences decreased. Transfer time increased significantly, but 80.3% of staff found the checklist useful. CONCLUSIONS: A written and structured checklist minimizes the loss of relevant information, thus improving safety in the process.

The elbow: review of anatomy and common collateral ligament complex pathology using MRI.

The elbow is a complex joint whose stability is imparted by osseous and soft-tissue constraints. Anatomical and biomechanical knowledge of the supporting structures that provide stability to the medial and lateral elbow is essential to correctly interpret the pathological findings. Conventional MRI and MR arthrography are the imaging modalities of choice in the evaluation of elbow ligament injuries. Elbow instability can be classified according to timing (acute, chronic, or recurrent), the direction of displacement, the degree of displacement, and the articulations involved. This article reviews the MR imaging protocols recommended for each diagnosis and the normal anatomy and biomechanical aspects of the medial and lateral collateral ligament complex. We also present multiple cases of typical and atypical patterns of injury.

Open-label randomized controlled trial to compare wound dressings for patients undergoing hip and knee arthroplasty: study protocol for a randomized controlled trial.

BACKGROUND: Surgical wounds are covered to prevent bleeding, absorb the exudates, and provide a barrier against external contamination. Currently, in our hospital, after orthopedic surgery, traditional occlusive dressing of sterile gauze and non-woven hypoallergenic adhesive tape is placed. Some of the newest dressings have been shown to reduce the incidence of blisters compared with traditional dressing or colloid adhesive dressings. However, there are no comparative evaluations between the different types of dressings and their contribution to the overall results of the healing process. METHODS/DESIGN: This is a randomized, controlled, open-label trial to compare five types of dressings used in total knee and hip arthroplasty surgical wounds. A total of 550 patients will be randomly allocated to one of the following dressings: (1) traditional occlusive dressing, (2) Aquacel Surgical®, (3) Mepilex® Border Post-Op, (4) OpSite Post-Op Visible, or (5) UrgoTul® Absorb Border. The dressing assigned is placed right after surgery. Patients will be followed up to 14 days after surgery when the dressing is definitively removed and will be tracked up to 3 months to record any late complications. During the immediate postoperative period and patient hospitalization and at the ambulatory visits after discharge, every time that the dressing is changed, nurses perform the study assessments. The main study outcome will be the percentage of patients with skin integrity at all times when the dressing has been changed. Skin integrity is a composite of the absence of blisters, erosion, erythema, maceration, swelling, wound dehiscence, and purulent exudates. Secondary outcomes include time to first change of dressing; percentage of patients with presence/absence of blisters, erosion, erythema, maceration, swelling, wound dehiscence, and purulent exudates; number of dressing changes needed; days of hospital stay; and nurse and patient satisfaction. Differences in the main variable between each treatment group and group 1 will be tested by means of a chi-squared test or Fisher's exact test. Subgroup analyses of diabetic and non-diabetic patients, patients with a body mass index of more than 30 or not more than 30, and type of surgery (hip or knee) are planned. DISCUSSION: The results of this study will be useful for clinical decision making by giving information on the contribution of the dressings studied to the outcome of the wound and may also show which dressing offers better results depending on the characteristics of patients. TRIAL REGISTRATION: This trial has been registered at ClinicalTrials.gov ( NCT03190447 ). Retrospectively registered on 16 June 2017.

Correlation and concordance between the primary glomerular filtration MDRD-6 and creatinine clearance by the conventional method / Correlación y concordancia entre el filtrado glomerular primario MDRD-6 y la depuración de creatinina por el método convencional

Background: The aim of the study was to determine the correlation and concordance between the primary glomerular filtration rate estimated by the MDRD-6 (Modification of Diet in Renal Disease, (mL/min/1.73 m2) equation and the creatinine clearance in 24-hour urine (DCr.mL/min) by conventional method. Methods: Retrospective, observational and comparative study. We studied 180 patients, were quantified in serum: creatinine (Cr), urea nitrogen (BUN) albumin (Alb) and, in urine for 24 hours: creatinine (Cr). The calculation of the primary glomerular filtration was made with the equation MDRD-6 (mL/min/1.73 m2) and for the creatinine clearance in urine and 24 hours the equation of the conventional method (mL/min). The comparison of methods was calculated with the correlation coefficient of Person and the agreement with the unweighted Kappa test using the Landis and Koch classification. Results: The correlation obtained between both methods was r2 = 0.4238 with a value p = < 0.0001, the strength of agreement between both Kappa methods = 0.1631. Conclusions: The primary glomerular filtration estimated by the MDRD-6 equation (mL/min/1.73 m2) and the creatinine clearance in urine of 24 hours estimated by the conventional method equation (mL/min) have a poor correlation and poor agreement.

Introducción: el objetivo del presente trabajo fue determinar la correlación y concordancia entre el filtrado glomerular primario estimado por la ecuación MDRD-6 (Modification of Diet in Renal Disease, mL/min/1.73 m2) y la depuración de creatinina en orina de 24 horas (DCr.mL/min) por método convencional. Métodos: estudio retrospectivo, observacional y comparativo. Se estudiaron 180 pacientes, se les cuantificó en suero: creatinina (Cr), nitrógeno de urea (BUN) y albumina (Alb), y en orina de 24 horas: creatinina (Cr). El cálculo del filtrado glomerular primario se realizó con la ecuación MDRD-6 (mL/min/1.73 m2), y para la depuración de creatinina en orina en 24 horas la ecuación del método convencional (mL/min). La comparación de métodos se calculó con el coeficiente de correlación de Person y la concordancia con la prueba de Kappa no ponderada, utilizando la clasificación de Landis y Koch. Resultados: la correlación obtenida entre ambos métodos fue de r2 = 0.4238 con un valor p = < 0.0001, la fuerza de concordancia entre ambos métodos de Kappa = 0.1631. Conclusiones: el filtrado glomerular primario estimado por la ecuación MDRD-6 (mL/min/1.73 m2) y la depuración de creatinina en orina de 24 horas estimada por la ecuación del método convencional (mL/min) guardan una pobre correlación y escasa concordancia.

Validation of the Spanish version of the HIV Related Fatigue Scale and application in people with hepatitis C / Validación de la versión española de la HIV Related Fatigue Scale y aplicación en personas con hepatitis C

OBJECTIVES: To validate the American fatigue scale HIV-Related Fatigue Scale (HRFS) and present the Spanish version called Integrated Fatigue Assessment Scale to assess fatigue in HCV and co-infected PATIENTS: Method: Psychometric study with cross-sectional design was used. The HRFS was translated into Spanish using the back-translation method-later to be validated. Participants completed the questionnaire adapted to a self-report form, as well as a sociodemographic questionnaire. The reliability and validity of the Spanish version was evaluated. RESULTS: A total of 7 public service hospitals and two prisons in Catalonia participated in the evaluation. The sample consisted of 122 subjects selected by consecutive sampling in the fourth week of treatment of hepatitis C with combination therapy or triple therapy. The Cronbach alpha for the total scale was 0.958. Content Validity Index (I-CVI) varied from 0.5 to 1. Validity Scale Content-level (S-CVI) was 0.85. Pearson correlations between the three dimensions were between 0.49 and 0.68. CONCLUSIONS: The process followed for the cultural adaptation and validation shows that the Spanish version of the HRFS) is a valid and reliable instrument that can be used in clinical practice and in the investigation of fatigue in patients with hepatitis C (AU)

OBJETIVOS: Realizar la adaptación cultural y validación de la versión española de escala americana HIV-Related Fatigue Scale (HRFS), denominada Escala de Valoración Integral de la Fatiga (EVIF) para pacientes con VHC y/o coinfectados con VIH. MÉTODO: Estudio descriptivo transversal centrado en el analisis de las propiedades psicométricas de la escala de Valoración Integral de la Fatiga (EVIF) para pacientes con VHC y/o coinfectados con VIH. La HRFS ha sido traducida al español usando el método de traducción-retrotraducción para ser validada posteriormente. Los participantes cumplimentan el cuestionario adaptado en forma de autoinforme, además de un cuestionario de variables sociodemográficas. Se evalúan la fiabilidad y la validez de la versión española. RESULTADOS: Participaron 7 hospitales de servicio público y 2 centros penitenciarios de Cataluña. La muestra fue de 122 personas seleccionadas por muestreo consecutivo en la cuarta semana de tratamiento de la hepatitis C con biterapia o triple terapia. El alfa de Cronbach para la escala total fue de 0,958 y el índice de validez de contenido por ítem (I-CVI) fue de 0,5 hasta 1. y el índice de validez de contenido de la escala (S-CVI) fue de 0,85. Las correlaciones de Pearson entre las 3 dimensiones oscilaron entre 0,49 y 0,68. CONCLUSIONES: Tras la adaptación cultural y el proceso de validación se considera que la versión española de la HRFS es un instrumento válido y fiable que se puede utilizar en la práctica clínica enfermera y en la investigación de la fatiga en enfermos con hepatitis C

[Validation of the Spanish version of the HIV Related Fatigue Scale and application in people with hepatitis C]. / Validación de la versión española de la HIV Related Fatigue Scale y aplicación en personas con hepatitis C.

OBJECTIVES: To validate the American fatigue scale HIV-Related Fatigue Scale (HRFS) and present the Spanish version called Integrated Fatigue Assessment Scale to assess fatigue in HCV and co-infected patients. METHOD: Psychometric study with cross-sectional design was used. The HRFS was translated into Spanish using the back-translation method-later to be validated. Participants completed the questionnaire adapted to a self-report form, as well as a sociodemographic questionnaire. The reliability and validity of the Spanish version was evaluated. RESULTS: A total of 7 public service hospitals and two prisons in Catalonia participated in the evaluation. The sample consisted of 122 subjects selected by consecutive sampling in the fourth week of treatment of hepatitis C with combination therapy or triple therapy. The Cronbach alpha for the total scale was 0.958. Content Validity Index (I-CVI) varied from 0.5 to 1. Validity Scale Content-level (S-CVI) was 0.85. Pearson correlations between the three dimensions were between 0.49 and 0.68. CONCLUSIONS: The process followed for the cultural adaptation and validation shows that the Spanish version of the HRFS) is a valid and reliable instrument that can be used in clinical practice and in the investigation of fatigue in patients with hepatitis C.

Escala de felicidad en la pareja: Desarrollo y validación / Happiness Scale in the Couple: Development and Validation

La felicidad humana es compleja, y en términos interpersonales, particularmente en la relación de pareja, existen muchos elementos vinculados (Argyle, 1987). Sin embargo no existe una escala que mida la felicidad en la pareja. Por ello, el objetivo del trabajo fue desarrollar y validar una escala de felicidad en la pareja, culturalmente adecuada y confiable. La investigación se realizó dos fases. En la primera fase, se elaboró la escala de felicidad en la pareja y se obtuvo validez y confiabilidad; en la segunda fase, se realizó un análisis factorial de segundo orden con los factores. Los resultados muestran una escala valida y confiable que mide la evaluación de la felicidad en la pareja así como los elementos que necesita una pareja para ser feliz.

Human happiness is complex, and in interpersonal terms, particularly in a relationship, there are many elements involved (Argyle, 1987). But there is no scale to measure happiness in the couple, therefore, the objective was to develop and validate a scale of happiness in the couple, culturally appropriated and reliable. The research was conducted in two phases. In the first phase, a scale for happiness in the couple was developed and reliability and validity were obtained; in the second phase, we performed a second-order factor analysis. The results showed a valid and reliable scale that measures the evaluation of happiness in the couple as well as the elements needed for a couple to be happy.

Revisión de las observaciones más frecuentes en la hoja de información al paciente para ensayos clínicos / A review of the most frequent objections made to patient information sheets of clinical trials

No disponible

Modelos teóricos y estudiantes de enfermería: aspectos motivacionales para su elección durante las prácticas clínicas / Theoretical models and nursing students: motivational aspects for election in clinical practice

Introducción. El cuerpo teórico y filosófico de enfermería es complejo; existen un gran número de teorías enfermeras, algunas de difícil comprensión, por lo que habitualmente su aplicación práctica se ve restringida. Objetivo. Identificar el modelo teórico de enfermería que los estudiantes dicen utilizar durante las prácticas clínicas, la motivación para su elección, y la escuela universitaria donde estaban cursando sus estudios. Sujetos y métodos. Estudio descriptivo en el que participaron 105 estudiantes (de una población total de 108) que realizaban prácticas de enfermería en el hospital durante el curso 2006-2007. La variables de estudio fueron los modelos teóricos enfermeros, las razones de la elección y variables sociodemográficas. La recogida de datos se llevo a cabo mediante un cuestionario cumplimentado durante su experiencia clínica. El análisis de los datos se realizó mediante un análisis temático de texto, categorizando para crear finalmente un marco explicativo. Resultados y conclusiones. El modelo elegido es principalmente el de Virginia Henderson. Las motivaciones para la elección, según los estudiantes, son su uso en la enseñanza universitaria y la facilidad de ejecución del modelo. Se evidenció confusión entre los términos ‘modelo conceptual y/o teórico’ y ‘metodología enfermera’ (AU)

Introduction. The theoretical and philosophical nursing is complex, there are a large number of nursing theories, some difficult to understand, because this usually its practical application is restricted. Aim. To identify the theoretical model of nursing students say they use in clinical practice, the motivation for their choice, and school where they were pursuing their studies. Subjects and methods. Descriptive study. Participants were 105 students doing school practice during the academic year 2006-2007 (of a total population of 108 students). The study variables were the nursing models and theories, the reasons for the choice and demographic variables. Data collection was conducted through a questionnaire completed during their clinical experience. The analysis of data using a thematic analysis of text, categorizing to finally create an explanatory framework. Results and conclusions. The model chosen is mainly that of Virginia Henderson. The motivations for the election as students are used in university education and ease of implementation of the model. It was evident confusion between the terms related to nursing model and methodology (AU)

[Clinical pathway for women with locally advanced breast cancer and neoadjuvant chemotherapy]. / Trayectoria clínica para mujer con cáncer de mama localmente avanzado en tratamiento con quimioterapia neoadyuvante.

Breast cancer is a very important public health issue, due its high incidence and mortality. Neoadjuvant chemotherapy has proven to be a valid option in the treatment of operable breast cancer and a better aesthetic result if breast- tumour ratio is unfavourable. The administration of the therapy itself is complicated, but the difficulty lies mainly in the management of side effects or adverse effects of the treatment. The emergence of a new therapeutic applications need to be constantly reviewed, which combined with the high work loads in the oncology day hospital requires easily managed, standardised and updated methodologies. A method of choice would be the use of clinical pathways that are just emerging in Spain, but could be helpful in managing this disease. The aim of this publication is to share the design of a clinical path for this specific disease with the scientific community. The process of preparing this document has been work of reflection, literature review and unification of criteria that may be used to facilitate work within the Oncology Day Hospital, improving the records of the work involved, especially those related to nursing practice. Their evaluation would enable proposals to be defined for improving and facilitating evidence-based practice.

Trayectoria clínica para mujer con cáncer de mama localmente avanzado en tratamiento con quimioterapia neoadyuvante / Clinical pathway for women with locally advanced breast cancer and neoadjuvante chemotherapy

El cáncer de mama es un problema de salud pública muy importante, tanto por su alta incidencia como por la mortalidad que ocasiona. La quimioterapia neoadyuvante ha demostrado ser una opción válida en el tratamiento del cáncer de mama operable con un mejor resultado estético en caso de una relación tumor-mama no favorable. La administración de la terapia en sí es complicada, pero su dificultad radica sobre todo en el manejo de los efectos secundarios o adversos del propio tratamiento. La aparición de nuevos esquemas terapéuticos demanda una revisión constante que, unida a las elevadas cargas de trabajo en los hospitales de día oncológicos, requiere de metodologías que dispongan de actuaciones estandarizadas y actualizadas para su manejo. Una metodología de elección sería el uso de trayectorias clínicas, que en España es incipiente, pero podría ser de gran ayuda en el manejo de este tipo de patología. El objetivo de la presente publicación es compartir con la comunidad científica el diseño de una trayectoria clínica específica para este tipo de pacientes. El proceso de elaboración de este documento supuso un esfuerzo de reflexión, revisión bibliográfica y unificación de criterios, un reto que seguro podrá facilitar el trabajo en el Hospital de Día de Oncología del centro, mejorando los registros de las tareas realizadas, sobre todo las relacionadas con la práctica enfermera; su evaluación permitirá definir propuestas de mejora y facilitar la práctica basada en la evidencia(AU)

Breast cancer is a very important public health issue, due its high incidence and mortality. Neoadjuvant chemotherapy has proven to be a valid option in the treatment of operable breast cancer and a better aesthetic result if breast- tumour ratio is unfavourable. The administration of the therapy itself is complicated, but the difficulty lies mainly in the management of side effects or adverse effects of the treatment. The emergence of a new therapeutic applications need to be constantly reviewed, which combined with the high work loads in the oncology day hospital requires easily managed, standardised and updated methodologies. A method of choice would be the use of clinical pathways that are just emerging in Spain, but could be helpful in managing this disease. The aim of this publication is to share the design of a clinical path for this specific disease with the scientific community. The process of preparing this document has been work of reflection, literature review and unification of criteria that may be used to facilitate work within the Oncology Day Hospital, improving the records of the work involved, especially those related to nursing practice. Their evaluation would enable proposals to be defined for improving and facilitating evidence-based practice(AU)

Los modelos en la práctica asistencial: visión de los profesionales y estudiantes de Enfermería / Models in healthcare practice: the perspective of professionals and Nursing students

Objetivo: indagar la percepción de los profesionales y de los estudiantesde Enfermería en relación al uso en la práctica de los modelos y teoríasde Enfermería.Material y método: estudio descriptivo transversal. La muestra estuvo formadapor los profesionales asistenciales y estudiantes matriculados en lasescuelas que realizan prácticas clínicas en la Corporación Sanitaria delParc Taulí durante 2006/2007.Resultados: el modelo aprendido durante la formación es Henderson enambos grupos. En cuanto al uso del modelo en la práctica asistencial,los estudiantes usaban modelos en un 62% mientras lo hacían el 23%de los profesionales. Referente a si se identificaban con el modelo conel que atendían a las personas, los estudiantes dijeron sí en un 88% y losprofesionales en un 83%.Conclusiones: ambos grupos muestran una gran variabilidad y confusiónen algunos conceptos. El uso de un modelo o teoría en la formaciónno condiciona a identificarse con los conceptos de la autora estudiada.El metaparadigma enfermero no se nutre de un sólo modelo (AU)

Objective: to gain deeper knowledge on the perception that professionalsand nursing students have regarding the practical use of Nursingmodels and theories.Material and method: cross-sectional, descriptive study. The sample wascomprised of healthcare professionals and students enrolled in the schoolsthat carried out clinical practice sessions in the Parc Taulí Health Corporationduring 2006/2007.Results: The model learned during the training period was the Hendersonmodel in both groups. In regards to the use of the model in healthcarepractice, 62% of students and 23% of professionals claimed that theyused the models. In terms of whether they identified with the care modelused, 88% of students and 83% of professionals responded affirmatively.Conclusions: both groups showed high variability and confusion in certainconcepts. The use of a certain model or theory during training doesnot necessarily lead to identification with the studied author’s concepts.The nursing meta-paradigm is not shaped by one exclusive model (AU)

Perspectiva de la enfermería de un centro sociosanitario sobre la aplicabilidad y utilidad de los modelos enfermeros en la práctica / Sociosanitary nursing perspective about the applicability and utility of the models nurses in their practice

La teoría es esencial porque nos ayuda a tomar decisionessobre las intervenciones enfermeras. Pese a ello, existeuna dicotomía entre la teoría y la práctica. En nuestrocentro asistencial, en el momento del estudio, no existíaun modelo de metodología enfermera para guiar lapráctica asistencial, por lo que el objetivo era conocerla filosofía del cuidado de los profesionales de enfermeríaa través de un estudio descriptivo, observacional.Se llegó a la conclusión de que existe variabilidad de posicionamentoteórico, confusión entre metodología y teoríaenfermera, necesidad de formación y registros quefaciliten la asistencia bajo un modelo enfermero(AU)

The theory helps us to take decisions on the nursing care.In spite of it, a dichotomy exists between theory and practice.In our center did not exist a nursing model to guide thepractice in the moment of the study. The aim was to knowthe care philosophy of nursing professionals with a descriptivestudy, observacional. The conclusions were: variabilityexists of theoretically positioning, confusion among methodologyand nursing theory, it is necessary formation and registrychart that favour working under a nursing modelAU)