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Sufrate-Sorzano T, Di Nitto M, Garrote-Cámara ME, Molina-Luque F, Recio-Rodríguez JI, Asión-Polo P, Durante Á, Gea-Caballero V, Juárez-Vela R, Pérez J, Santolalla-Arnedo I. Media Exposure of Suicidal Behaviour: An Umbrella Review. Nurs Rep 2023; 13:1486-1499. [PMID: 37987404 PMCID: PMC10660843 DOI: 10.3390/nursrep13040125] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 10/14/2023] [Accepted: 10/19/2023] [Indexed: 11/22/2023] Open
Abstract
AIM To analyse recommended interventions for the safe and responsible dissemination of suicidal behaviour in the media for preventive purposes. BACKGROUND Suicide is a serious public health problem that leads to more than 700,000 deaths per year, which translates into one death every forty seconds. The media play a significant role in shaping public perceptions and reflecting societal issues. Because of its active role in the construction of reality, the way in which the media report and expose suicidal behaviour has the capacity to influence the population in either a preventive or harmful way. DESIGN An umbrella review was carried out and a report was written according to the Preferred Reporting Items for Overviews of Reviews. METHODS We systematically searched for reviews published from inception to February 2023 in MEDLINE (PubMed), CINAHL and PsycInfo (via EBSCOhost), Web of Science, Embase, Cochrane Library of Systematic Reviews, Scopus, and Google Scholar. A narrative synthesis of the results was conducted. RESULTS Six systematic reviews with a moderate to high quality level were selected. Among the recommended interventions were the inclusion of positive messages of hope, resilience, or of overcoming the event, narratives with information on available resources or the promotion of support-seeking attitudes as an effective prevention mechanism, as well as the avoidance of repetitive reporting of the same suicide. The appropriate and responsible dissemination of information on suicidal behaviour in the media with complete and up-to-date information on available centres, organisations, institutions, and resources has proven to be effective, especially in vulnerable populations. CONCLUSION Educating and training the media in an appropriate approach to disseminating suicidal behaviour helps to reduce the number of suicidal behaviours. Knowing what information is advisable to include in the news item as well as what information to avoid is a strong point. Guidelines to promote responsible media reporting are a key component of suicide prevention strategies. This study was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO) on 23 April 2022 with the registration number CRD42022320393.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
| | - Marco Di Nitto
- Department of Health Sciences, University of Genoa, 16126 Genova, Italy;
| | - María Elena Garrote-Cámara
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
| | - Fidel Molina-Luque
- Faculty of Education, Psychology and Social Work, University of Lleida, 25001 Lleida, Spain;
- Group for the Study of Society, Health, Education and Culture (GESEC), University of Lleida, 25001 Lleida, Spain
- Research Institute in Social and Territorial Development (INDEST), University of Lleida, 25001 Lleida, Spain
| | - José Ignacio Recio-Rodríguez
- Faculty of Nursing and Physiotherapy, University of Salamanca, 37008 Salamanca, Spain;
- Primary Care Research Unit of Salamanca (APISAL), Institute of Biomedical Research of Salamanca (IBSAL), 37008 Salamanca, Spain
| | | | - Ángela Durante
- Department of Translational Medicine, University of East Piedmonet, 13100 Vercelli, Italy;
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, International University of Valencia, 46002 Valencia, Spain;
| | - Raúl Juárez-Vela
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
- Prevention and Early Intervention in Mental Health (PRINT), Institute of Biomedical Research of Salamanca (IBSAL), 37008 Salamanca, Spain;
| | - Jesús Pérez
- Prevention and Early Intervention in Mental Health (PRINT), Institute of Biomedical Research of Salamanca (IBSAL), 37008 Salamanca, Spain;
- Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain
- Department of Psychiatry, University of Cambridge, Cambridge CB2 1TN, UK
| | - Iván Santolalla-Arnedo
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
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Garrote-Cámara ME, Juárez-Vela R, Rodríguez-Muñoz PM, Pérez J, Sánchez-González JL, Rubinat-Arnaldo E, Navas-Echazarreta N, Sufrate-Sorzano T, Santolalla-Arnedo I. NANDA nursing diagnoses associated with the occurrence of psychomotor agitation in patients with severe mental disorder: a cross-sectional study. BMC Nurs 2023; 22:292. [PMID: 37641035 PMCID: PMC10464465 DOI: 10.1186/s12912-023-01434-2] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Accepted: 08/07/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND Psychomotor agitation is increased psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by overreacting to intrinsic and extrinsic stimuli, experiencing stress and/or cognitive impairment. the aim was to analyse the association of nursing diagnoses with the disinhibition dimension, the aggressiveness dimension and the lability dimension of the Corrigan Agitated Behaviour Scale. METHODS This study was conducted in Spain using a multicentre cross-sectional convenience sample of 140 patients who had been admitted to psychiatric hospital units and had presented an episode of psychomotor agitation between 2018 and 2021. RESULTS The Corrigan Agitated Behaviour Scale was used to assess psychomotor agitation. Associated nursing diagnoses, violence directed at professionals and the environment are shown to be predictive values for the severity of the agitation episode. Moderate-severe psychomotor agitation episodes are shown as predictors of violence directed mainly at professionals and the environment. CONCLUSIONS There is an urgent need for mental health nurses to have knowledge of the extended clinic in order to care for users and improve their health conditions in dealing with people, with their social, subjective and biological dimension.
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Affiliation(s)
| | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain.
| | | | - Jesús Pérez
- Department of Psychiatry, University of Cambridge, Cambridge, UK
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Sufrate-Sorzano T, Santolalla-Arnedo I, Garrote-Cámara ME, Angulo-Nalda B, Cotelo-Sáenz R, Pastells-Peiró R, Bellon F, Blanco-Blanco J, Juárez-Vela R, Molina-Luque F. Interventions of choice for the prevention and treatment of suicidal behaviours: An umbrella review. Nurs Open 2023. [PMID: 37218123 DOI: 10.1002/nop2.1820] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 02/25/2023] [Accepted: 05/05/2023] [Indexed: 05/24/2023] Open
Abstract
AIM This umbrella review aims to determine which interventions can be considered as effective in the prevention and treatment of suicidal behaviour. DESIGN Umbrella review. METHODS A systematic search was conducted of works indexed in the PubMed, CINAHL, Cochrane Database of Systematic Reviews, Scopus, ISI Web of Knowledge and Joanna Institute Briggs databases. The search covered works published from 2011 to 2020. RESULTS The scientific literature shows that, in addition to being the most prevalent interventions in use, dialectical and cognitive behavioural therapies are the most effective in the treatment and management of suicide attempts and suicidal ideation. It is shown that the prevention and treatment of suicidal behaviour requires multidisciplinary and comprehensive management. Among the interventions that stand out the most are the promotion of providing coping tools, work based on thought and behaviour, and behavioural, psychoanalytic and psychodynamic therapies for the management of emotions.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Iván Santolalla-Arnedo
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - María Elena Garrote-Cámara
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
| | - Beatriz Angulo-Nalda
- Rioja Health Service, Coordinator Saint Peter's Hospital, Logroño, La Rioja, Spain
| | - Ruth Cotelo-Sáenz
- Rioja Health Service, Primary Care Coordination, Logroño, La Rioja, Spain
| | - Roland Pastells-Peiró
- Department of Nursing and Physiotherapy. Faculty of Nursing and Physiotherapy, University of Lleida. Healthcare Group (GRECS), Lleida, Spain
- Institute of Biomedical Research in Lleida (IRBLleida), Lleida, Spain
- Group for the Study of Society Health Education and Culture (GESEC), Lleida, Spain
| | - Filip Bellon
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS) Biomedical Research Institute of Lleida, IRBLleida, Lleida, Spain
| | - Joan Blanco-Blanco
- Group for the Study of Society Health Education and Culture (GESEC), Lleida, Spain
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS) Biomedical Research Institute of Lleida, IRBLleida, Lleida, Spain
| | - Raúl Juárez-Vela
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Fidel Molina-Luque
- Faculty of Education, Psychology and Social Work, University of Lleida, Spain
- Group for the Study of Society, Health, Education and Culture (GESEC), University of Lleida, Lleida, Spain
- Research Institute in Social and Territorial Development (INDEST), University of Lleida, Lleida, Spain
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Ramírez-Torres CA, Rivera-Sanz F, Sufrate-Sorzano T, Pedraz-Marcos A, Santolalla-Arnedo I. Closed Endotracheal Suction Systems for COVID-19: Rapid Review. Interact J Med Res 2023; 12:e42549. [PMID: 36548950 PMCID: PMC9874988 DOI: 10.2196/42549] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 12/12/2022] [Accepted: 12/13/2022] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND The increase in admissions to intensive care units (ICUs) in 2020 and the morbidity and mortality associated with SARS-CoV-2 infection pose a challenge to the analysis of evidence of health interventions carried out in ICUs. One of the most common interventions in patients infected with the virus and admitted to ICUs is endotracheal aspiration. Endotracheal suctioning has also been considered one of the most contaminating interventions. OBJECTIVE This review aims to analyze the benefits and risks of endotracheal suctioning using closed suction systems (CSS) in COVID-19 patients. METHODS A rapid review was carried out using the following databases: PubMed, MEDLINE, CINAHL, LILACS, the Cochrane Library, and IBECS. The data search included articles in English and Spanish, published between 2010 and 2020, concerning adult patients, and using the key words "endotracheal," "suction," and "closed system." RESULTS A total of 15 articles were included. The benefits and risks were divided into 3 categories: patient, care, and organization. Relating to the patient, we found differences in cardiorespiratory variables and changes in the ventilator, for example, improvement in patients with elevated positive and end-expiratory pressure due to maladaptation and alveolar collapse. Relating to care, we found a shorter suctioning time, by up to 1 minute. Relating to organization, we found fewer microorganisms on staff gloves. Other conflicting results between studies were related to ventilator-associated pneumonia, bacterial colonization, or mortality. CONCLUSIONS Aside from the need for quality research comparing open suction systems and CSS as used to treat COVID-19 patients, closed endotracheal suctioning has benefits in terms of shorter stay in the ICU and reduced environmental contamination, preventing ventilator disconnection from the patient, reducing the suctioning time-though it does produce the greatest number of mucosal occlusions-and preventing interpatient and patient-staff environmental contamination. New evidence in the context of the SARS-CoV-2 virus is required in order to compare results and establish new guidelines.
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Affiliation(s)
- Carmen Amaia Ramírez-Torres
- Health and Care Research Group, University of La Rioja, Logroño, Spain
- Research Unit on Health System Sustainability, Biomedical Center of La Rioja, Logroño, Spain
| | | | - Teresa Sufrate-Sorzano
- Health and Care Research Group, University of La Rioja, Logroño, Spain
- Research Unit on Health System Sustainability, Biomedical Center of La Rioja, Logroño, Spain
| | | | - Ivan Santolalla-Arnedo
- Health and Care Research Group, University of La Rioja, Logroño, Spain
- Research Unit on Health System Sustainability, Biomedical Center of La Rioja, Logroño, Spain
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Garrote-Cámara ME, Gea-Caballero V, Sufrate-Sorzano T, Rubinat-Arnaldo E, Santos-Sánchez JÁ, Cobos-Rincón A, Santolalla-Arnedo I, Juárez-Vela R. Clinical and Sociodemographic Profile of Psychomotor Agitation in Mental Health Hospitalisation: A Multicentre Study. Int J Environ Res Public Health 2022; 19:15972. [PMID: 36498042 PMCID: PMC9735933 DOI: 10.3390/ijerph192315972] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 11/27/2022] [Accepted: 11/28/2022] [Indexed: 06/17/2023]
Abstract
Psychomotor agitation is characterised by an increase in psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by over-reacting to both intrinsic and extrinsic stimuli, experiencing stress and/or altered cognition. The objective of this study is to assess the clinical and sociodemographic profile of psychomotor agitation in patients with severe mental disorders. The study was carried out in Spain by means of multicentre cross-sectional convenience sampling involving 140 patients who had been admitted to psychiatric hospital units and had experienced an episode of psychomotor agitation between 2018 and 2021.Corrigan's Agitated Behaviour Scale was used to assess psychomotor agitation. The results show that the predominant characteristic in psychomotor agitation is aggressiveness, which is also the most reported factor in patients with severe mental disorder. Patients who also have anxiety develop psychomotor agitation symptoms of moderate/severe intensity. The clinical and sociodemographic profile found in our study is consistent with other studies on the prevalence of psychomotor agitation.
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Affiliation(s)
- María Elena Garrote-Cámara
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Vicente Gea-Caballero
- Research Group on Community Health and Care, Faculty of Health Science, Valencia International University, 46002 Valencia, Spain
| | - Teresa Sufrate-Sorzano
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Esther Rubinat-Arnaldo
- Society, Health, Education and Culture Study Group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25003 Lleida, Spain
| | | | - Ana Cobos-Rincón
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Iván Santolalla-Arnedo
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Raúl Juárez-Vela
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
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Sufrate-Sorzano T, Pérez J, Juárez-Vela R, Garrote-Cámara M, de Viñaspre RR, Molina-Luque F, Santolalla-Arnedo I. Umbrella review of nursing interventions NIC for the treatment and prevention of suicidal behavior. Int J Nurs Knowl 2022. [PMID: 35997164 DOI: 10.1111/2047-3095.12392] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 07/27/2022] [Indexed: 11/28/2022]
Abstract
PURPOSE The aim of this umbrella review was to determine the most effective nursing interventions for the prevention and management of suicidal behavior. In order to do so, the review identifies interventions from the Nursing Interventions Classifications taxonomy with evidence to this end. METHODS A systematic search was conducted for systematic reviews included in the PubMed, CINAHL, Cochrane, Scopus, Web of Knowledge, and Joanna Briggs Institute databases between January 1, 2011 and May 1, 2020. FINDINGS The review is made up of 21 systematic reviews. In order to carefully analyze the interventions described, these were coded into categories, grouping the interventions into those based on psychological therapy, interventions related to pharmacotherapy, interventions related to the professional relationship between health professional and patient, and interventions aimed at the general public. CONCLUSIONS Nursing interventions for suicide risk management are prevalent in the scientific literature and are shown to be effective for patients with suicidal ideation or suicide attempts. Prevention and treatment of suicidal behavior require the provision of coping tools, behavioral interventions that directly address suicidal thoughts and behaviors, and support through therapeutic partnerships, among others. IMPLICATIONS FOR NURSING PRACTICE This paper synthesizes the most current evidence on the most effective Nursing Interventions Classifications interventions for the treatment and prevention of suicidal behavior. It provides nursing practitioners with a comprehensive review of the therapeutic interventions with the best evidence and is useful for the development of clinical guidelines and protocols, as well as for the development of health policies and plans.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Jesús Pérez
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
| | - Raúl Juárez-Vela
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - MaríaElena Garrote-Cámara
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain
| | - Regina Ruiz de Viñaspre
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain
| | - Fidel Molina-Luque
- Faculty of Education, Psychology and Social Work, University of Lleida, Lleida, Spain.,Group for the Study of Society, Health, Education and Culture (GESEC). University of Lleida, Lleida, Spain.,Research Institute in Social and Territorial Development (INDEST), University of Lleida, Lleida, Spain
| | - Iván Santolalla-Arnedo
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
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Sufrate-Sorzano T, Jiménez-Ramón E, Garrote-Cámara ME, Gea-Caballero V, Durante A, Júarez-Vela R, Santolalla-Arnedo I. Health Plans for Suicide Prevention in Spain: A Descriptive Analysis of the Published Documents. Nursing Reports 2022; 12:77-89. [PMID: 35225895 PMCID: PMC8884007 DOI: 10.3390/nursrep12010009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 01/29/2022] [Accepted: 02/04/2022] [Indexed: 11/16/2022] Open
Abstract
The number of deaths by suicide worldwide each year is more than 800,000 people, which is equivalent to one death every 40 seconds. Suicide prevention has been listed by the World Health Organisation as a global imperative and has become a priority for global public health. This descriptive study describes and compares the intervention components included in the suicide prevention plans in the different provinces of Spain. We analysed the published documents through an extensive literature search and summarised the findings using descriptive content analysis. The search was carried out through the official websites of the government and health departments of each province in addition to consulting other official digital platforms such as the National Suicide Observatory, the World Health Organisation and the National Institute of Statistics. The results show the most relevant differences between the prevention plans, revealing that although all the activities included were related to the health sector, not all of them include prevention aimed at the general population level. We conclude that there is a lack of interventions related to the application of universal prevention, while selective and indicated prevention are the most developed tools in Spain.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- San Pedro Hospital, Rioja Health Service, 26006 Logroño (La Rioja), Spain; (T.S.-S.); (E.J.-R.); (M.E.G.-C.)
- Group of Research in Sustainability of the Health System (GISSOS), Biomedical Research Centre of La Rioja (CIBIR), 26006 Logroño (La Rioja), Spain;
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño (La Rioja), Spain;
| | - Elena Jiménez-Ramón
- San Pedro Hospital, Rioja Health Service, 26006 Logroño (La Rioja), Spain; (T.S.-S.); (E.J.-R.); (M.E.G.-C.)
| | - María Elena Garrote-Cámara
- San Pedro Hospital, Rioja Health Service, 26006 Logroño (La Rioja), Spain; (T.S.-S.); (E.J.-R.); (M.E.G.-C.)
- Group of Research in Sustainability of the Health System (GISSOS), Biomedical Research Centre of La Rioja (CIBIR), 26006 Logroño (La Rioja), Spain;
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño (La Rioja), Spain;
| | | | - Angela Durante
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño (La Rioja), Spain;
| | - Raúl Júarez-Vela
- Group of Research in Sustainability of the Health System (GISSOS), Biomedical Research Centre of La Rioja (CIBIR), 26006 Logroño (La Rioja), Spain;
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño (La Rioja), Spain;
- Correspondence: ; Tel.: +34-941-299-062
| | - Iván Santolalla-Arnedo
- Group of Research in Sustainability of the Health System (GISSOS), Biomedical Research Centre of La Rioja (CIBIR), 26006 Logroño (La Rioja), Spain;
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño (La Rioja), Spain;
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Garrote-Cámara ME, Santolalla-Arnedo I, Ruiz de Viñaspre-Hernández R, Gea-Caballero V, Sufrate-Sorzano T, del Pozo-Herce P, Garrido-García R, Rubinat-Arnaldo E, Juárez Vela R. Psychometric Characteristics and Sociodemographic Adaptation of the Corrigan Agitated Behavior Scale in Patients With Severe Mental Disorders. Front Psychol 2021; 12:779277. [PMID: 34955998 PMCID: PMC8693627 DOI: 10.3389/fpsyg.2021.779277] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Accepted: 11/04/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Severe mental disorder (SMD) is understood in a first approximation as a disorder of thought, emotion, or behavior of long duration, which entails a variable degree of disability and social dysfunction. One of the most widely used assessment scales for agitated behavior, in its English version, is the Corrigan Agitated Behavior Scale (ABS); several studies have demonstrated solid psychometric properties of the English version, with adequate internal consistency. Objective: The objective of this study was to evaluate the psychometric properties of the Spanish version of the ABS Corrigan scale, in a sample of patients with severe mental disorders. The psychometric analyses of the Spanish version of the ABS Corrigan included tests of the reliability and validity of its internal structure. Results: The structure of the factorial loads of the analyzed elements is consistent with the hypothesized three-dimensional construction referred to in the original ABS. The results suggest that the reliability and validity of the three dimensions are acceptable (First 0.8, Second 0.8, and Third 0.7). The internal consistency of the Spanish version of the complete ABS and of each of the three domains that compose it is high, with values very close to those found in the original version, with approximate figures of 0.9. Conclusion: In our study, the three domains aim to explain 64.1% of the total variance of the scale, which exceeds the 50% found in the original version.
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Affiliation(s)
- María Elena Garrote-Cámara
- Mental Health Center of Albelda de Iregua, Riojan Health Service, Government of La Rioja, La Rioja, Spain
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
| | - Iván Santolalla-Arnedo
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Care Research Group (GRUPAC) - University of La Rioja, La Rioja, Spain
| | - Regina Ruiz de Viñaspre-Hernández
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Care Research Group (GRUPAC) - University of La Rioja, La Rioja, Spain
| | | | - Teresa Sufrate-Sorzano
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Care Research Group (GRUPAC) - University of La Rioja, La Rioja, Spain
| | - Pablo del Pozo-Herce
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Care Research Group (GRUPAC) - University of La Rioja, La Rioja, Spain
- Department of Psychiatry, Fundación Jiménez Díaz University Hospital, Madrid, Spain
| | - Rebeca Garrido-García
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Care Research Group (GRUPAC) - University of La Rioja, La Rioja, Spain
- Najera Health Center, Riojan Health Service, Government of La Rioja, La Rioja, Spain
| | - Esther Rubinat-Arnaldo
- Research Group of Health Care (GRECS) - IRBLleida, Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Research Group Society, Health, Education and Culture (GESEC), University of Lleida, Lleida, Spain
- Center for Biomedical Research Network on Diabetes and Associated Metabolic Diseases (CIBERDEM), Carlos III Health Institute, Barcelona, Spain
| | - Raúl Juárez Vela
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Care Research Group (GRUPAC) - University of La Rioja, La Rioja, Spain
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Ruiz de Viñaspre-Hernández R, García-Erce JA, Rodríguez-Velasco FJ, Gea-Caballero V, Sufrate-Sorzano T, Garrote-Cámara ME, Urra-Martínez R, Juárez-Vela R, Czapla M, Santolalla-Arnedo I. Variability in Oral Iron Prescription and the Effect on Spanish Mothers' Health: A Prospective Longitudinal Study. J Clin Med 2021; 10:jcm10215212. [PMID: 34768732 PMCID: PMC8584634 DOI: 10.3390/jcm10215212] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 11/02/2021] [Accepted: 11/05/2021] [Indexed: 11/16/2022] Open
Abstract
Background: No consensus exists regarding the hemoglobin (Hb) values that define postpartum anemia. Knowledge is currently lacking regarding prescription and consumption practices, which prevents evaluating the rational use of iron supplementation postpartum. Aim: In this study, our objective was to describe this practice and analyze its association with maternal health outcomes. Methods: A prospective observational study was conducted with 1010 women aged between 18 and 50. The hemoglobin value on the first postpartum day; the prescription schedule at hospital discharge; iron consumption; and data on hemoglobin, serum ferritin, maternal fatigue, type of breastfeeding, and perceived health six weeks after delivery were collected. Findings: Oral iron was prescribed to 98.1% of mothers with anemia and 75.8% without anemia. At the same Hb value, the maximum amount of total iron prescribed was between 8 and 10 times greater than the minimum amount. Iron intake was significantly lower than prescribed (p < 0.01). At six weeks, anemic mothers who took iron presented a 3.6-, 3-, and 2.4-times lower probability of iron deficiency, anemia, and abandoning breastfeeding, respectively. Discussion: Postpartum iron intake shows a protective effect on iron deficiency and anemia at six weeks, but not on fatigue or self-perceived health level. Conclusion: We conclude that there is wide variability in the prescription regimen. Oral iron supplementation can benefit mothers with anemia and harm those without. Subsequent studies should further explore the Hb figure that better discriminates the need for postpartum iron.
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Affiliation(s)
- Regina Ruiz de Viñaspre-Hernández
- Centro de Salud “Cascajos”, Servicio Riojano de Salud, Government of La Rioja, 26002 Logroño, Spain;
- GRUPAC, Biomedical Research Center of La Rioja (CIBIR), Research Unit on Health System Sustainability (GISSOS), Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
| | - José Antonio García-Erce
- Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain;
- Hematologist, Bank of Blood and Tissue, Government of Navarra, 31015 Pamplona, Spain
| | | | - Vicente Gea-Caballero
- Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain;
- Faculty of Health Sciences, International University of Valencia, 46010 Valencia, Spain
- Correspondence: (V.G.-C.); (R.J.-V.)
| | - Teresa Sufrate-Sorzano
- GRUPAC, Biomedical Research Center of La Rioja (CIBIR), Research Unit on Health System Sustainability (GISSOS), Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
| | - María Elena Garrote-Cámara
- GRUPAC, Biomedical Research Center of La Rioja (CIBIR), Research Unit on Health System Sustainability (GISSOS), Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
| | - Raquel Urra-Martínez
- Servicio Riojano de Salud, Hospital San Pedro, Government of La Rioja, 26006 Logroño, Spain;
| | - Raúl Juárez-Vela
- GRUPAC, Biomedical Research Center of La Rioja (CIBIR), Research Unit on Health System Sustainability (GISSOS), Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain;
- Correspondence: (V.G.-C.); (R.J.-V.)
| | - Michał Czapla
- Laboratory for Experimental Medicine and Innovative Technologies, Department of Emergency Medical Service, Wroclaw Medical University, 51-516 Wroclaw, Poland;
- Institute of Heart Diseases, University Hospital, 50-566 Wroclaw, Poland
| | - Iván Santolalla-Arnedo
- GRUPAC, Biomedical Research Center of La Rioja (CIBIR), Research Unit on Health System Sustainability (GISSOS), Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
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Sufrate-Sorzano T, Juárez-Vela R, Ramírez-Torres CA, Rivera-Sanz F, Garrote-Camara ME, Roland PP, Gea-Sánchez M, Del Pozo-Herce P, Gea-Caballero V, Angulo-Nalda B, Santolalla-Arnedo I. Nursing interventions of choice for the prevention and treatment of suicidal behaviour: The umbrella review protocol. Nurs Open 2021; 9:845-850. [PMID: 34547187 PMCID: PMC8685777 DOI: 10.1002/nop2.1068] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Accepted: 09/01/2021] [Indexed: 11/08/2022] Open
Abstract
AIM To determine which interventions, from a nursing perspective, can be considered as the interventions of choice for the prevention and treatment of suicidal behaviour. In this way, the umbrella review attempts to identify nursing interventions from the Nursing Interventions Classification (NIC) taxonomy with evidence for this purpose. DESIGN Descriptive study protocol. METHODS This umbrella review will consist of an extensive, systematic search of published systematic reviews and meta-analyses of studies examining interventions of choice for the prevention and treatment of suicidal behaviour. A systematic search of papers indexed in PubMed, CINAHL, Cochrane Database of Systematic Reviews, Scopus, ISI Web of Knowledge and the Joanna Briggs Institute databases will be carried out; the results will be evaluated for inclusion by two independent reviewers. In addition, the bibliographic references of the included reviews will be searched. The assessment of the methodological quality of the included systematic reviews and meta-analyses, and data extraction, will be performed by two independent reviewers. Conflicts between reviewers will be resolved by an independent third reviewer. Research Ethics Committee approval is not required for this umbrella review. RESULTS We will determine which of the interventions identified as being of choice in the review are included in the Nursing Interventions Classification (NIC); they may be an effective therapeutic tool for nurses in the prevention and treatment of suicidal behaviour.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, Spain
| | - Raúl Juárez-Vela
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, Spain.,Research of PBM Group, Research Institute IDI-PAZ, Madrid, Spain
| | - Carmen Amaia Ramírez-Torres
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
| | - Félix Rivera-Sanz
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain.,Rioja Health Service, Primary Care, Logroño, Spain
| | - María Elena Garrote-Camara
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain.,Rioja Health Service, Mental Health Center of Albelda de Iregua, Logroño, Spain
| | - Pastells-Peiró Roland
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.,Healthcare Group (GRECS), Institute of Biomedical Research in Lleida (IRBLleida), Lleida, Spain.,Group for the Study of Society Health Education and Culture (GESEC), Lleida, Spain
| | - Montserrat Gea-Sánchez
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.,Healthcare Group (GRECS), Institute of Biomedical Research in Lleida (IRBLleida), Lleida, Spain.,Group for the Study of Society Health Education and Culture (GESEC), Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Lleida, Spain
| | - Pablo Del Pozo-Herce
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain.,Hospital Universitario Fundación Jiménez Díaz, Psychiatry Department, Madrid, 28040, Madrid
| | - Vicente Gea-Caballero
- Research of PBM Group, Research Institute IDI-PAZ, Madrid, Spain.,Faculty of Health Sciences, International University of Valencia, Valencia, Spain
| | | | - Iván Santolalla-Arnedo
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, Spain
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