Adherence to antituberculosis drug regimens is critical for the prevention and treatment of tuberculosis in pediatrics. In a large retrospective series of children and adolescents in Barcelona, Spain, completion of treatment was worse among patients treated for latent infection, compared with those treated for active tuberculosis or receiving primary chemoprophylaxis. Toxicity and cultural and language barriers were identified as predictors of nonadherence.
ObjectivesTo explore the presence of specialist outpatient nursing activity in care for kidney transplant recipients in Spain and to determine the level of competence development of this activity according to the Advanced Practice Nurse model.DesignDescriptive, cross‐sectional study.Participants and MeasurementsAll outpatient nurses specialising in renal transplantation in the 39 transplant hospitals in Spain were included. To fulfil the study objectives, an ad hoc questionnaire and the ‘Advanced Practice Nurse Role Definition Instrument (IDREPA)’ were administered to assess the nurses' level of competence development.ResultsOf the facilities included in the study, 25 (64.1%) had posttransplant nursing activity, 13 (33.3%) had pretransplant nursing activity and 11 (28.2%) had nursing activity involving kidney donor candidates. Twenty‐seven specialist nurse's offices were identified. The results of the IDREPA reflect the presence of advanced practice in the domains of ‘expert care planning’ and ‘comprehensive care’. Three (11.1%) nurses met all criteria for advanced nursing practice.ConclusionThe results on specialised outpatient nursing activity at the 39 transplantation facilities in Spain indicate a low presence of this type of activity, with an even lower presence of advanced practice nurses.Implications for Clinical PracticeManagement teams should consider investing in the quality of care provided by advanced nurse practice to ensure that suitable treatment is provided and better clinical outcomes are obtained.
Objetivo. Facilitar el aprendizaje autónomo y reflexivo del estudiante de enfermería a través del análisis de creaciones artísticas (cine, literatura y artes plásticas). Sujetos y métodos. En el curso académico 2008-2009 se diseñó una ficha técnica y didáctica para cada obra seleccionada que permite el análisis y la reflexión sobre los procesos de salud-enfermedad. El uso de estas fichas-guía se utilizó en una asignatura troncal y en dos optativas para que fueran analizadas como complemento a los contenidos de las asignaturas. Además, se diseñó una página web en la que aparecen fichas de cine, literatura y artes plásticas. Resultados. En esta experiencia participaron 340 estudiantes matriculados en la asignatura 'Enfermería comunitaria II', 70 estudiantes de la asignatura 'Atención a la familia en el domicilio' y 30 estudiantes de la asignatura 'La creación artística como soporte en el aprendizaje de la enfermería comunitaria'. Las obras utilizadas con más frecuencia han sido: Te doy mis ojos, Bailar por dentro, Tierras de penumbra (cine); Paula, Diario de una buena vecina, La soledad de los números primos (literatura); Acechando la muerte, La morfina, El grito (artes plásticas). Conclusiones. Analizar una obra artística ha supuesto para los estudiantes una mayor comprensión de fenómenos que se explican en clase de forma aislada, aunque en la realidad se producen globalmente. Este aspecto se ha comprobado en el rendimiento académico de los estudiantes y en el enriquecimiento de los debates en el aula. Palabras clave. Aprendizaje. Creaciones artísticas. Enfermería.
AimsTo analyse the aspects involved in the care of individuals assessed as kidney transplant candidates and to identify the role of nurses in providing specialised care for this population.DesignScoping review. The results were summarised using a narrative synthesis technique.Data SourcesA review of the literature published between 2001 and 2021 was conducted between October and November 2021 using PubMed, CINAHL and SciELO.Review MethodsThe research team agreed on a search strategy based on clinical practice guidelines for assessing kidney transplantation candidates. Quantitative, qualitative and mixed methods studies published in peer‐reviewed journals in English, Spanish, French and Portuguese were included.ResultsA total of 377 studies were identified, and 49 articles were included after the inclusion and exclusion criteria were applied. The narrative synthesis was structured into four themes: Physical needs; Psychological and quality of life needs; Education and adherence needs; and Nurses' role.ConclusionNursing assessment of kidney transplantation candidates should encompass physical, psychosocial and adherence aspects. A variety of methodologies and resources are available for this assessment. Nurses contribute to coordinating access to kidney transplantation, aiming to improve adherence to an appropriate lifestyle to prevent patients from being excluded from kidney transplantation or suffering from kidney transplantation–related complications.ImpactBased on our findings, we managed to design a nursing care map for kidney transplantation candidates combining the main elements of nursing care that should be incorporated into this process. Advanced practice nursing professionals play a crucial role in accessing renal transplant care.
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