Perspectivas de la investigación enfermera en España. Una revisión narrativa / [Perspectives of nursing research in Spain. A narrative review]

En las últimas décadas los avances en la investigación enfermera han supuesto un incremento del consumo, la generación y producción científica, pero todavía son necesarios cambios importantes para una "cultura de la investigación enfermera". El objetivo general es realizar un análisis de la literatura sobre la investigación enfermera desde los conocimientos y motivaciones, barreras y limitaciones y perspectivas de futuro hacia la investigación. Se puede concluir con los datos recientes que existen déficits sobre los conocimientos y motivaciones de los/as enfermeros/as hacia la investigación y que las barreras y limitaciones en la investigación de los cuidados requieren de estrategias y propuestas de cambio para el futuro de la ciencia enfermera. (AU)

Validation of Content for an App for Caregivers of Stroke Patients through the Delphi Method.

The aim of this study was to reach a consensus among experts (using the Delphi technique) to validate the informative content that should be included in an App to be used by informal caregivers of stroke patients in order to improve their quality of life, facilitating access to the health care system and involving them in their own health. This technique was developed between June and December 2021. The group of experts was selected on the basis of previously established criteria, and the coefficient of variation (v) was used as a measure of consensus. In addition, the concordance index was calculated to determine the stability of the different rounds. In the first round, the preliminary content, previously elaborated by the research group, was evaluated as very appropriate for the objectives set (N-P < 1.07). In addition, averages of 4.5 out of five and a coefficient of variation of less than 0.5 were obtained, confirming the consensus. In the second round, suggestions were made by the experts on how to improve the content of the information, obtaining 100% agreement with the results obtained in the first round. The results obtained allow a positive evaluation of the use of the Delphi method for the elaboration of the information to be housed in an App.

e-Health as a tool to improve the quality of life of informal caregivers dealing with stroke patients: Systematic review with meta-analysis.

OBJECTIVE: The objective of this review was to elucidate the evidence related to utilizing e-Health as a tool in improving the quality of life of informal caregivers of dependent patients due to cerebrovascular accident (CVA). METHODS: This systematic review with meta-analysis includes 13 studies. For these studies, seven databases were searched between 2009 and 2019. A random-effects model was adopted for overall estimation and to explain the heterogeneity. RESULTS: A random-effects model was adopted for overall estimation and to explain heterogeneity. The results did not demonstrate statistical significance (p<0.05) and low heterogeneity (I2  = 0). CONCLUSIONS: There is a tendency toward improvement in psychological health, solving care-related problems, as well as better prevention of problems arising from the burden. Therefore, new studies with larger sample size and primarily to conduct them for more than 6 months for the accuracy. CLINICAL RELEVANCE: This study reflects a trend toward improving psychological health, solving care-related problems, as well as improved the prevention of problems arising from the burden.

Drones: uso sanitario en situaciones de emergencia / Drones: sanitary use in emergency situations

Los drones, aparatos en auge en nuestra sociedad, se quieren introducir en las emergencias sanitarias. Este trabajo quiere explorar las opiniones al respecto de personal sanitario y de especialistas en ingeniería aeroespacial. Para ello se realiza un estudio con enfoque cualitativo utilizando entre-vistas en profundidad. La muestra to-tal es de 8 entrevistas, las cuales se distribuyen en 6 expertos en gestión de crisis y 2 expertos en ingeniería aeroespacial. Las categorías que se han analizado han sido TIC (tecnologías de in-formación y comunicación) en emergencias, inspección en la zona, el dron como elemento del gabinete de crisis, el dron en el triage, la capacidad de carga de pago de un dron para el transporte de recursos y la relación de las características de los drones. Del análisis se han obtenido resulta-dos claramente a favor de la integración de los drones como apoyo a los órganos de decisión. Para concluir con este trabajo, se anima a la integración de drones en los simulacros de gestión de crisis para comprobar, asegurar y mejorar su aplicación en este ámbito

Drones, devices booming in our society, are to be introduced in health emergencies. This work explores the views of health personnel and aerospace engineering specialists. This study is a qualitative approach performed using in-depth interviews. The total sample is 8 interviews which are decomposed into 6 experts in crisis management and 2 experts in aerospace engineering. The categories used were TIC (In-formation and Communication Technologies) in emergencies, inspection of the area, the drone as an element of the cabinet crisis, the drone in the triage, the payload capacity of a drone for the transportation of resources and the relationship of the characteristics of the drones. The analysis results obtained go clearly in favor of the integration of drones to support decision makers. To conclude this work, we encourages the integration of drones in crisis management drills to test, ensuring and improving their application in this area

Proceso asistencial en el accidente cerebrovascular agudo: Activación del código ictus. Caso clínico / Acute stroke care process. activating the code stroke. Clinical case

El accidente cerebrovascular se ha convertido en uno de los motivos de asistencia más frecuentes y de extrema gravedad en los servicios de Urgencias. Requiere una atención inmediata y coordinada para tratar de restablecer la perfusión cerebral con la mayor rapidez posible y permitir así que el paciente recupere sus funciones reduciendo el tiempo de isquemia cerebral. El Código Ictus (CI) es un protocolo que permite la coordinación intra e interhospitalaria en la que sus profesionales se coordinan y actúan de manera rápida para realizar un diagnóstico adecuado y proporcionar un tratamiento precoz que permita conseguir mayores beneficios para el paciente. En este artículo se expone un caso clínico para verificar cual es el proceso asistencial que sigue el paciente con ictus isquémico desde que se atiende en el domicilio hasta que recibe el tratamiento definitivo

Cerebrovascular accidents, more commonly known as strokes, have become one of the most frequent and extremely serious reasons for attending emergency services. Strokes require immediate and coordinated attention, aimed at restoring cerebral perfusion as quickly as possible, and allowing the patient to regain his functions by reducing the time of cerebral ischemia. The Code Stroke (CS) is a protocol that enables intra and interhospital coordination, facilitating health professionals to coordinate and act quickly, in order to reach an adequate diagnosis and provide early treatment that will result in greater benefits for the patient. The present article presents a clinical case with the aim of monitoring the care process that a patient suffering from acute ischemic stroke undergoes, from the time he/she is seen at home until he/she receives definitive treatment