Aim: To clarify the meaning of the concept of self‐efficacy for people with chronic disease, I will use the existing literature.Design: Concept analysis.Methods: Systematic search in Pubmed, Scopus, and OVID databases (January 2018 to November 2023). 30 peer‐reviewed articles were included in the study and analysed using Rodgers' Evolutionary Method of Concept Analysis.Results: Five attributes were identified: motivation, individual perception, judgement, direct experience, and self‐regulation. The most relevant antecedents were: educational level, social modelling, verbal persuasion, physiological and emotional states, coping styles, and health literacy. The consequences found corresponded to the influence on quality of life by enabling people to face life's challenges with confidence in their ability to handle stressful situations and overcome obstacles. Self‐efficacy is thus a consistent predictor of self‐care and treatment adherence.Conclusion: Nurses will be enabled to recognise attributes and antecedents to be enhanced in educational interventions to guide the target population in decision‐making and problem‐solving. Theoretical basis has been provided for future research on intervention approaches to enhance self‐efficacy, and to develop a scale that reflects all of the defining attributes.Implications: Nurses using this knowledge to design educational interventions focused on identified attributes and antecedents of self‐efficacy may improve treatment adherence and self‐care in patients with chronic diseases, leading to improved quality of life. The development of a scale based on these attributes would provide a more accurate assessment and personalised interventions.Impact: The need for a clarified concept of self‐efficacy was addressed. Five attributes of the concept were identified. This research will have an impact on: First, researchers intending to dig deeper into this; second, healthcare measurement scale developers as the need for a scale based on the attributes of the concept has been identified; third, healthcare professionals who assist chronic patients; and finally, chronic patients who will benefit from improved interventions.Reporting Method: N/A.Patient or Public Contribution: No patient or public contribution.

Aim: To determine the professional profile and the work conditions of nurses working in intensive care units (ICU) in Colombia, Argentina, Peru and Brazil.Background: ICUs require a differentiated professional profile to provide quality care, and appropriate working conditions, leading to a transformation of care and management practices.Design: Descriptive multicentre cross‐sectional observational study.Methods: An online survey was applied to identify both the characteristics of the professional profile and the working conditions. 1,427 ICU nursing professionals were included. RStudio statistical software was used for the analysis of the information. Descriptive statistics were used for the presentation of the results. The STROBE checklist for cross‐sectional studies was used in this study.Results: Only 33.6% of the professionals had a specialisation degree in intensive care. The skills that were most frequently put into practice were communication (68.5%) and care management (78.5%). The most predominant nurse‐to‐patient ratios were 1:2, and greater than 1:6. 59.1% of the nurses had an indefinite term contract, 38.8% worked 48 hours per week and 49.8% had rotating shifts. Only 50.4% of them received incentives. The average salary ranged between 348 and 1,500 USD. 64.5% of the participants were satisfied with their job.Conclusion: It is necessary to strengthen nurses’ professional profile by promoting both postgraduate education and the development of troubleshooting and teamwork skills. It is necessary to standardise the nurse‐to‐patient ratio, improve wages and increase incentives to achieve greater job satisfaction.Relevance to practice: The knowledge and the improvement of both the professional profile and the work conditions of nurses working in intensive care units will improve the quality of the care given to critical patients and, therefore, the quality of health outcomes.

Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical state

Competencia de los cuidadores familiares para cuidar a los pacientes con falla cardíaca

Objetivo: Determinar los eventos adversos (EA) reportados por enfermería y sus factores en unidades de cuidado intensivo (UCI) adulto, pediátrica o neonatal de tres países participantes (México, Argentina y Colombia). Método: Se desarrolló un estudio multicéntrico, descriptivo, correlacional. La unidad de observación la constituyeron los EA reportados por enfermería durante un periodo de seis meses en 17 UCIS. Para el reporte se diseñó un formulario digital, presentado en línea, que contenía las categorías y los factores relacionados de los Eventos Adversos. La información se analizó con el programa estadístico SPSS Statistics 22.0, versión 2013.Resultados: Se reportaron 1163 eventos, de los cuales el 34 %, se relacionó con el cuidado, el 19 % con vía aérea y ventilación mecánica, el 16 % con el manejo de accesos vasculares y drenajes, el 13 % con infección nosocomial y el 11 % con la administración de medicamentos. El 7 % restante correspondió a relacionados con pruebas diagnósticas y equipos. El 94,8% se consideraron prevenibles. Para determinar los factores presentes en los EA, se utilizó el coeficiente Phi y se encontró que los que podrían estar relacionados fueron aquellos del sistema en los que predominó la falta de adhesión a protocolos, problemas de comunicación, formación y entrenamiento inadecuado (Phi 0-1 p<0,05). Conclusiones: Los EA con mayor prevalencia están relacionados, en su mayoría, con el cuidado directo al paciente y el de vía aérea. El posible factor relacionado fue el del sistema. Por tal motivo, el profesional de enfermería debe establecer estrategias para fortalecer y mejorar los procesos relacionados con la aplicación de protocolos, comunicación y una política de recursos humanos.

This study sought to determine the effect of a digital health literacy program regarding knowledge and skills in the use of digital resources related to self-care and health empowerment for patients with heart failure. A cross-sectional pilot study was conducted before and after the program in patients (n = 28) with heart failure at a tertiary care center. Both a knowledge test and the Health Empowerment Scale were used with a Cronbach's α of 0.89. The information was processed using the statistical software Restudio, which allowed us to make a descriptive and inferential analysis. Seventy-five percent of the participants were men with an average age of 68 years, 60.7% had elementary schooling, 71.4% had preserved ejection fraction, and 57.6% had a family member as a caregiver. A statistically significant change (P < .005) was found in the level of empowerment and the knowledge and skills in the use of digital resources applied in health. The results showed that the digital health literacy program is a cost-effective intervention that nursing professionals must integrate into continuity of care, not only in pandemic times but also in a permanent and standardized manner. An empowered patient with knowledge and skills in the use of digital resources is a patient with the ability to decide, satisfy needs, and solve problems, with critical thinking and control over their health.