It is necessary to develop self-reported instruments that evaluate the process of living with chronic heart failure (HF) holistically. The Living with Chronic Illness Scale—HF (LW-CI-HF) is the only available tool to evaluate how patients are living with HF. The aim is to analyse the psychometric properties of the LW-CI scale in the HF population. An international, cross-sectional validation study was carried out in 603 patients living with HF from Spain and Colombia. The variables measured were living with HF, perceived social support, satisfaction with life, quality of life and global impression of severity. The LW-CI-HF scale presented good data quality and acceptability. All domains showed high internal consistency with Cronbach’s alpha coefficient ≥ 0.7. The intraclass correlation coefficient for the total score was satisfactory (0.9) in test–retest reliability. The LW-CI-HF correlated 0.7 with social support and quality of life measures. Standard error of measurement was 6.5 for total scale. The LW-CI-HF scale is feasible, reliable and valid. However, results should be taken with caution in order to be used in clinical practice to evaluate the complex process of living with HF. Further research is proposed.

The nursing meta-paradigm and its concepts have been previously discussed, but the debate has centered on the concepts rather than the strategies for its implementation. This editorial proposes to broaden the debate regarding the meta-paradigm’s use for the nursing professional and the discipline with its respective contributions to knowledge, practice, and research.

Life skills are essential for school health in adolescents; however, their conceptual understanding remains limited, so this concept will be explored. To analyse the concept of "life skills that promote school health in adolescents" in the literature. Concept analysis followed the eight steps described by Walker and Avant. In the evidence synthesis, an integrative review was conducted, following the PRISMA 2020 methodological guidelines. The literature review was performed on the Web of Science platform, and in the PubMed, Scopus, and ScienceDirect databases, for articles published between 2020 and 2024, written in Spanish or English, and including qualitative, quantitative, mixed-methods studies, or systematic reviews. Eighteen studies were included, from which four key attributes of life skills were identified: decision-making, effective communication, stress management, and problem solving. These skills contribute to reducing risky behaviours, improving resilience, and strengthening overall well-being. Despite the limited evidence linking life skills that promote adolescent school health these can be defined as a set of essential psychosocial competencies that enable adolescents to effectively cope with health-related challenges in school and social environments. The theoretical framework for understanding life skills provided in this study can be used to develop specific educational programs and interventions for adolescents.

Objective: to assess the effect of a care intervention focused on meeting the needs of family members of surgical patients during the surgery waiting time, when compared to conventional care. Method: a study with a quasi-experimental design that was developed from December 2019 to February 2020 and included 313 family members (Intervention Group=149 and Control Group=164) from a private hospital. The intervention consisted in four moments: “knowing the surgical environment and process”, “information when the surgery starts”, “information when the surgery ends”, and “family-patient reunion”. The “satisfaction” variable was assessed through the “Patient Satisfaction with Nursing Care Quality Questionnaire” instrument. The data were analyzed using descriptive and analytical statistics. The study observed the ethical principles in research. Results: the family members in the Intervention Group presented greater satisfaction with Nursing care, 90.07(9.8), when compared to the Comparison Group, 78.72(16.38), with an 11.35-point increase(p=0.000). Conclusion: the results showed that the families that received the intervention on the patient’s status during the surgery waiting time were more satisfied with Nursing care in comparison to the conventional intervention.

Objective: To analyze the concept of “Adaptation of the patient and his family caregiver” during the hospital-home transition”.

Introduction: Family members of patients admitted to an Intensive Care Unit present high uncertainty level due to not knowing what is happening and to not having clear details about the related events; therefore, interventions are required to allow modulating those levels. Objective: To evaluate the effect of an educational Nursing intervention compared to conventional care on the uncertainty of family members of patients hospitalized in an ICU. Materials and methods: An experimental study with a sample comprised by 132 relatives of patients admitted to an ICU, randomly distributed in four Solomon groups (33 in each group). The Nursing intervention based on the concepts of the Uncertainty in Illness Theory was applied to both experimental groups and devised under the Whittemore and Grey parameters with three moments: assessment; education about the relative's hospitalization in the ICU; and accompaniment. This was done with pre-assessments for two groups and post-assessments for the four groups, using the PPUS-FM Uncertainty Scale. The data were analyzed by means of descriptive statistics and respective non-parametric analyses. The study took into account the ethical principles in research. Results: The family members in the experimental groups presented a lower final uncertainty level when compared to the control groups, with a difference of 73.04 points and a p-value of 0.001. Discussion: Standardized interventions and under a theoretical model allow reducing uncertainty in relatives of patients in ICUs. Conclusions: The Nursing intervention based on the Uncertainty theory allows reducing uncertainty in relatives of patients hospitalized in an Intensive Care Unit.