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Cardenete-Reyes C, Cintora-Sanz AM, Mateos-Rodríguez A, Cardós-Alonso C, Pérez-Alonso AM. Analysis of organ procurement from non-heart-beating donors over a 10-year period in Madrid. Emergencias 2020; 31:252-256. [PMID: 31347805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
OBJECTIVES The Autonomous Community of Madrid procures the largest number of organs from uncontrolled non-heart-beating donors (NHBD) after circulatory death in Spain. The aim of this study was to analyze the yield of these donations in terms of viable organs procured (category IIa) according to information extracted from the CORE registry of the Spanish National Transplant Organization (ONT) for the Madrid area. METHODS Retrospective observational study of NHBD data registered between 2007 and 2017, including age, height, weight, body mass index (BMI), emergency care times, method of chest compressions applied (mechanical cardiopump vs manual compressions), and viable organs extracted. RESULTS A total of 679 circulatory death donors were registered; 458 (67.6%) of them were utilized donors. The median BMI correlated negatively (-0.161) with the number of viable organs extracted (P<.001). The method of applying chest compressions significantly influenced liver viability: only those extracted after mechanical cardiopump compressions were viable for transplantation. Type of compressions did not effect kidney or lung viability. CONCLUSION Variables to bear in mind as predictors of success in NHBD donation are BMI and type of chest compressions applied.
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Affiliation(s)
- César Cardenete-Reyes
- Servicio de Urgencias Médicas de Madrid-SUMMA 112, Madrid, España. Universidad Europea de Madrid, Madrid, España. Comisión de Investigación SUMMA 112, Madrid, España
| | - Ana María Cintora-Sanz
- Servicio de Urgencias Médicas de Madrid-SUMMA 112, Madrid, España. Comisión de Investigación SUMMA 112, Madrid, España
| | - Alonso Mateos-Rodríguez
- Oficina Regional de Coordinación de Trasplantes, Consejería de Sanidad, Comunidad de Madrid, Madrid, España. Grupo de Investigación en Donación y Trasplantes, Facultad de Medicina, Universidad Francisco de Vitoria, Madrid, España
| | - Carmen Cardós-Alonso
- Servicio de Urgencias Médicas de Madrid-SUMMA 112, Madrid, España. Comisión de Investigación SUMMA 112, Madrid, España. Universidad Complutense de Madrid, Madrid, España
| | - Ana María Pérez-Alonso
- Servicio de Urgencias Médicas de Madrid-SUMMA 112, Madrid, España. Comisión de Investigación SUMMA 112, Madrid, España
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Aguilar-Ortega JM, González-Pascual JL, Cardenete-Reyes C, Pérez-de-Algaba-Cuenca C, Pérez-García S, Esteban-Gonzalo L. Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers. BMC Pregnancy Childbirth 2019; 19:44. [PMID: 30691401 PMCID: PMC6348660 DOI: 10.1186/s12884-018-2161-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 12/21/2018] [Indexed: 11/10/2022] Open
Abstract
Background Benefits of breastfeeding on the health of children, mothers and society are well known. However, breastfeeding rates vary according to the population examined. Chinese-born women migrated to high-income countries have shown low breastfeeding rates. Nevertheless, studies comparing breastfeeding rates of Chinese-born immigrants and natives are scarce. The aims of this study were therefore: 1) to compare the rate of exclusive breastfeeding at hospital discharge after giving birth between Chinese-born women resident in Spain and native Spanish women, 2) to assess the influence of the biological, socioeconomic, work-related and cultural factors on exclusive breastfeeding in women of Chinese origin. Methods A cross-sectional descriptive study with between group comparisons. This study included 73 postpartum women (33 Chinese-born and 40 native Spanish women). The association between exclusive breastfeeding and the country of origin was assessed by binary logistic regression. Results Native Spanish women showed a greater prevalence of exclusive breastfeeding (80%) compared to Chinese born immigrant women (36.4%) (adjusted for socioeconomic status, parental level of education, age, cesareans and birth weight) (OR = 0.21; 95% CI 0.05–0.91; p = 0.037). However, in other models that considered both work and cultural influences, no differences were observed. Discussion The classic biological and socioeconomic variables (educational and socioeconomic levels) do not seem to explain the lower rates of exclusive breastfeeding among Chinese immigrant women. This paradigm of inequity appears to be based on both the work conditions as well as cultural characteristics of Chinese born women in Spain, such as their overall attitude towards breastfeeding.
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Affiliation(s)
- Juana María Aguilar-Ortega
- "12 de Octubre" University Hospital, Madrid, Spain.,Nursing Department, Rey Juan Carlos University, Alcorcón, Spain
| | - Juan Luis González-Pascual
- Nursing Department, School of Biomedical and Health Sciences, Universidad Europea de Madrid (UEM), Edificio A. Departamento de Enfermería. c/ Tajo, s/n, 28670, Villaviciosa de Odón, Madrid, Spain.
| | - César Cardenete-Reyes
- Nursing Department, School of Biomedical and Health Sciences, Universidad Europea de Madrid (UEM), Edificio A. Departamento de Enfermería. c/ Tajo, s/n, 28670, Villaviciosa de Odón, Madrid, Spain
| | | | - Santiago Pérez-García
- "12 de Octubre" University Hospital, Madrid, Spain.,Nursing Department, Complutense de Madrid University, Madrid, Spain
| | - Laura Esteban-Gonzalo
- Nursing Department, School of Biomedical and Health Sciences, Universidad Europea de Madrid (UEM), Edificio A. Departamento de Enfermería. c/ Tajo, s/n, 28670, Villaviciosa de Odón, Madrid, Spain
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González-Pascual JL, Aguilar-Ortega JM, Esteban-Gonzalo L, Mesa-Leiva C, Pérez-García S, Cardenete-Reyes C. Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid. Int Breastfeed J 2018; 13:45. [PMID: 30305837 PMCID: PMC6171230 DOI: 10.1186/s13006-018-0187-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Accepted: 09/25/2018] [Indexed: 11/10/2022] Open
Abstract
Background Maternal breastfeeding is a practice that is associated with multiple health benefits for mothers and children. One of the lowest rates of breastfeeding has been observed among Chinese women who immigrate to high income countries. At present, there is a lack of comparative information between this group and that of Spanish-born women. Considering the relationship between the attitude of women towards breastfeeding and the initiation of breastfeeding, the aim of the study was to determine whether the attitude towards breastfeeding among Chinese postpartum women who have immigrated to Spain differs from that of Spanish-born postpartum women. Methods Cross-sectional study, with between-group comparison, of 73 postpartum Spanish-born and Chinese immigrant women admitted to the maternity units of “12 de Octubre” Hospital (Spain) between April and November 2016. Attitudes toward breastfeeding were analyzed using the Spanish or Chinese version of the Iowa Infant Feeding Attitude Scale (IIFAS). A wide set of socioeconomic, biological, working and attitudinal conditions were considered as covariates. The association between IIFAS and country of origin was assessed by three multiple linear regression models (B, SE, and 95% confidence interval were calculated). Results All Chinese women were first generation immigrants. Chinese-born women were four years younger than Spanish-born mothers, had a lower educational level, more frequently had a paid job (mainly self-employed), and planned to return to work almost two months earlier than Spanish-born mothers did. Most Chinese women did not breastfeed exclusively. Chinese immigrant women obtained scores of approximately 9 points less in the Iowa Infant Feeding Attitude Scale (IIFAS) when compared to Spanish-born women [95% CI -15.59, -2.48], after adjusting for the different socioeconomic, educational and work-related factors. Conclusions Chinese-born women resident in Spain present a lower score on the IIFAS, when compared to Spanish-born women, which implies a more negative attitude towards breastfeeding. The between-groups difference is consistent, even when adjusting for known confounders and other factors which could affect the attitude of the mothers. It is therefore striking that, despite being in Spain, Chinese-born women maintain these preferences/attitudes regarding breastfeeding, compared with Spanish-born women, who obtain overall high scores.
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Affiliation(s)
- Juan Luis González-Pascual
- 1School of Biomedical and Health Sciences, Nursing Department, Universidad Europea de Madrid (UEM), Villaviciosa de Odón, Madrid, Spain
| | | | - Laura Esteban-Gonzalo
- 1School of Biomedical and Health Sciences, Nursing Department, Universidad Europea de Madrid (UEM), Villaviciosa de Odón, Madrid, Spain
| | | | | | - César Cardenete-Reyes
- 1School of Biomedical and Health Sciences, Nursing Department, Universidad Europea de Madrid (UEM), Villaviciosa de Odón, Madrid, Spain
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Rodríguez-García M, Medina-Moya JL, González-Pascual JL, Cardenete-Reyes C. Experiential learning in practice: An ethnographic study among nursing students and preceptors. Nurse Educ Pract 2018; 29:41-47. [DOI: 10.1016/j.nepr.2017.11.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2016] [Revised: 04/24/2017] [Accepted: 11/06/2017] [Indexed: 11/30/2022]
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González-Pascual JL, Icaran E, Saiz-Navarro EM, Esteban-Gonzalo L, Cardenete-Reyes C, Beunza JJ. Impact of the first interprofessional education undergraduate program in Spain. J Interprof Care 2017; 32:374-377. [DOI: 10.1080/13561820.2017.1417240] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Juan-Luis González-Pascual
- School of Biomedical and Health Sciences, Universidad Europea (Laureate International Universities), Madrid, Spain
| | - Eva Icaran
- School of Biomedical and Health Sciences, Universidad Europea (Laureate International Universities), Madrid, Spain
| | - Elena M. Saiz-Navarro
- School of Biomedical and Health Sciences, Universidad Europea (Laureate International Universities), Madrid, Spain
- “12 October” University Hospital, Madrid, Spain
| | - Laura Esteban-Gonzalo
- School of Biomedical and Health Sciences, Universidad Europea (Laureate International Universities), Madrid, Spain
| | - César Cardenete-Reyes
- School of Biomedical and Health Sciences, Universidad Europea (Laureate International Universities), Madrid, Spain
- Madrid Medical Emergency Service 112 (SUMMA 112), Madrid, Spain
| | - Juan-José Beunza
- School of Biomedical and Health Sciences, Universidad Europea (Laureate International Universities), Madrid, Spain
- IMPULS, University of Navarra, Pamplona, Spain
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Velarde-García JF, Luengo-González R, González-Hervías R, Cardenete-Reyes C, Álvarez-Embarba B, Palacios-Ceña D. Limitation of therapeutic effort experienced by intensive care nurses. Nurs Ethics 2016; 25:867-879. [PMID: 28027690 PMCID: PMC6238171 DOI: 10.1177/0969733016679471] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: Nurses who practice limitation of therapeutic effort become fully involved in emotionally charged situations, which can affect them significantly on an emotional and professional level. Objectives: To describe the experience of intensive care nurses practicing limitation of therapeutic effort. Method: A qualitative, phenomenological study was performed within the intensive care units of the Madrid Hospitals Health Service. Purposeful and snowball sampling methods were used, and data collection methods included semi-structured and unstructured interviews, researcher field notes, and participants’ personal letters. The Giorgi proposal for data analysis was used on the data. Ethical considerations: This study was approved by the Ethical Research Committee of the relevant hospital and by the Ethics Committee of the Rey Juan Carlos University and was guided by the ethical principles of voluntary enrollment, anonymity, privacy, and confidentiality. Results: In total, 22 nurses participated and 3 themes were identified regarding the nurses’ experiences when faced with limitation of therapeutic effort: (a) experiencing relief, (b) accepting the medical decision, and (c) implementing limitation of therapeutic effort. Conclusion: Nurses felt that, although they were burdened with the responsibility of implementing limitation of therapeutic effort, they were being left out of the final decision-making process regarding the same.
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Affiliation(s)
- Juan Francisco Velarde-García
- Juan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain
| | - Raquel Luengo-González
- Juan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain
| | - Raquel González-Hervías
- Escuela de Enfermería de Cruz Roja de Madrid, Spain.,Juan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain
| | - César Cardenete-Reyes
- Universidad Europea de Madrid, Spain.,Juan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain
| | - Beatriz Álvarez-Embarba
- Universidad Autónoma de Madrid, Spain.,Juan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain
| | - Domingo Palacios-Ceña
- Universidad Rey Juan Carlos, Spain.,Juan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain
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Velarde-García JF, Luengo-González R, González-Hervias R, Cardenete-Reyes C, Alvarado-Zambrano G, Palacios-Ceña D. Facing death in the intensive care unit. A phenomenological study of nurses' experiences. Contemp Nurse 2016; 52:1-12. [PMID: 27225999 DOI: 10.1080/10376178.2016.1194725] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Nurses may experience considerable emotional burden due to patient death, in part as they are generally the professionals who have the most contact with patients. OBJECTIVE To describe the lived experience of Spanish nurses working in intensive care units regarding how they face the death of their patients. METHODS A qualitative phenomenological study was performed. A purposeful sample was used. The data collection strategies used included in-depth unstructured and semi-structured interviews, field notes and personal documents. Afterwards, data were analyzed using the Giorgi proposal. RESULTS 22 nurses participated, with a mean age of 40.8 years and a mean work experience of 13.8 years. Three themes were identified: 1) dealing with expectations of recovery, 2) accepting the age of death, and 3) experiencing emotional attachment. CONCLUSIONS Nurses in intensive care units report a great emotional burden derived from patients death, Support programs for nurses should be organised within these units.
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Affiliation(s)
| | - Raquel Luengo-González
- a Department of Nursing , Spanish Red Cross , Avda. Reina Victoria n°28, Madrid 28003 , Spain
| | - Raquel González-Hervias
- a Department of Nursing , Spanish Red Cross , Avda. Reina Victoria n°28, Madrid 28003 , Spain
| | - César Cardenete-Reyes
- b Department of Nursing , Universidad Europea , Calle Tajo s/n, Villaviciosa de Odon, Madrid 28670 , Spain
| | - Gema Alvarado-Zambrano
- c Servicio Madrileño de Salud, Nursing Division , Hospital Universitario La Paz , Paseo de la Castellana, 261, Madrid 28046 , Spain
| | - Domingo Palacios-Ceña
- d Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine , Universidad Rey Juan Carlos , Avenida Atenas s/n. 28922. Alcorcn, Madrid . Spain
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Velarde-García JF, González-Cervantes S, Meneses-Monroy A, Tovar-Reinoso A, Cardenete-Reyes C, Palacios-Ceña D. [THERAPEUTIC LIMITATION OF INTENSIVE CARE UNIT]. Rev Enferm 2016; 39:20-24. [PMID: 27405143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The therapeutic limitation is a relatively common in Intensive Care Units practice. There are different types of therapeutic limitation, and the patient can be classified according to measures likely to withdraw or not start. Among such measures include removal of stand mechanical ventilation with the analgesia and sedation applied to the end of life of the patient.
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