El propósito del estudio es reportar evidencias de la validez de constructo y confiabilidad de un nuevo instrumento de autorreporte para medir mindfulness y ecuanimidad en una población de habla hispana. Una lista de 26 ítems originales fue examinada por 17 expertos de España y Latinoamérica y se realizaron las modificaciones correspondientes sobre la base de sus comentarios. La lista final de 21 ítems fue administrada a una muestra de 746 estudiantes universitarios de México y Perú. Sus respuestas fueron analizadas factorialmente sobre la base del método de los mínimos cuadrados no ponderados (MCP) con rotaciones promin. Se identificaron dos factores denominados mindless y mindful con cargas factoriales que varían entre .36 y .65. Los coeficientes de confiabiliadad fueron de .78 para el primer factor y .82 para el segundo factor. La correlación interfactorial fue de -.51. Los resultados indican evidencias de validez de tipo convergente y discriminante.
Oral anticoagulation self-control programs have demonstrated efficiency and cost-effectiveness over recent years. This study aimed to evaluate the effectiveness of a training intervention focused on patients with antivitamin K anticoagulants included in a self-care program. For this, we made a quasi-experimental study, pretest and post-test, using a validated questionnaire with 2 measures, before and after an educational intervention about oral anticoagulation focused on patients that will initiate the self-control program in consultation. To check the patient’s adherence and coagulation level, we evaluated the Rosendaal time in therapeutic rank, both before and after the intervention. One hundred fifty patients were included since the start of the self-monitoring program in our center in 2016. The mean age was 49 years (standard deviation [SD] = 17.24). The distribution by gender was 76 women and 69 men (52.4%–47.6%). The mean score for the first test was 14.61 (SD = 3.26) and the mean score for the second test was 17.01 (SD = 2.14) (P <.001). We also measured Rosendaal time in therapeutic rank, a parameter that indicates stabilization in international normalized ratio determinations and quality of the anticoagulation management. Values before and after interventions were also statistically significant (67.46 vs 70.53, P <.001). Patients’ knowledge improved after the training session, with statistical significance. Despite intentional sampling, the population was homogeneous. Scoring data dispersion in the second test was significantly lower than in the first one. Time on therapeutic rank values was better after the training. We intend to adapt its content to the rest of anticoagulated patients to enhance and improve their follow-up.
Preanalytical errors account for up to 70% of the total potentially detectable errors in the laboratory. The main problems detected are related with procedures associated with Primary Care nursing practices that are directly involved in the preanalytical phase. The objective of this study is to carry out a transcultural adaptation and piloting of the “Regarding Blood-Sampling Practices at Primary Health Care Centres” questionnaire as regards blood sampling in Primary Care. For this, a cross-sectional descriptive study has been developed within the Primary Care area of the Andalusian Public Health System. The venous blood sampling questionnaire was translated into and adapted to Spanish by qualified professionals and expert translators. The questionnaires were then delivered to all staff nurses from the health districts involved. The total sample consisted of 224 primary care nursing professionals. The factors that showed statistically significant relationships were identification and sample collection, management with information search, storage and labelling of samples, and reporting of errors. A lack of global relationship between factors makes it impossible to find a global quality factor in the sampling process. The process of translation, adaptation, and piloting of the questionnaire from its original version to the Spanish one has proven to be understandable by professionals in its entirety and to offer data similar to the original version.
Background: In Spain, the number of patients anticoagulated with vitamin K antagonists (VKAs) is high. Among them, poor adherence is common, which may be justified by a low level of knowledge, and could affect their quality of life. We analyzed treatment adherence, health-related quality of life, and knowledge level about treatment, and evaluated the possible influence of these factors on patients’ time in the therapeutic range while also studying potential differences between patients under routine monitoring or self-monitoring. Methodology: A cross-sectional descriptive study was conducted using three validated and cross-culturally adapted questionnaires to study therapeutic adherence, health-related quality of life, and knowledge level about VKA treatment in a sample of anticoagulated patients. Additionally, it was assessed whether they were self-monitoring or not; the Rosendaal Time in Therapeutic Range (TTRr) was also administered for each patient at the time of recruitment. Descriptive analysis of all variables was performed, and a logistic regression model was constructed to evaluate the possible interaction of variables. Results: Ninety-eight patients participated and were selected sequentially from those attending the oral anticoagulation clinic at Hospital Universitario Virgen de la Victoria in Malaga. Of these, 39 were men and 59 were women. The mean age of these participants was 60.62 years (SD 11.67). Sixty-six were under conventional monitoring and thirty-two followed the self-monitoring program. The DecaMIRT had a mean score of 39.22 (SD 8.57), the SF-12 mean score was 31.73 (SD 6.21), and the knowledge questionnaire’s was 14.2 (SD 2.6). The mean TTRr value was 63.88 (SD 22.99). Self-monitored patients showed better results in DECAMirt and knowledge. Discussion: Overall, patients included in the sample presented satisfactory values in these three questionnaires, which seems to indicate that this was a treatment-compliant group with a correct quality of life, and adequately informed about their treatment. Conclusions: The work of nurses responsible for these aspects appears crucial in achieving these results. We aim to extend this study by focusing on groups with poorer results to design specific activities that allow for improvement in care and, as much as possible, homogenize outcomes. For this purpose, we intend to use all available tools, including those derived from the use of health-oriented artificial intelligence.
Background: Organ transplants are currently the most effective treatment for end‐stage organ failure and are sometimes the only option. They can affect the life expectancy of patients who depend on treatments that seriously compromise their quality of life. Various studies have been conducted to ascertain opinions, perceptions and attitudes toward organ donation among different sectors of society, including healthcare professionals. It was therefore deemed appropriate to extend these questions to undergraduate students, who will soon be responsible for these tasks. Method: This exploratory qualitative study was conducted with 120s‐year nursing students who participated from a cohort of 152 students enrolled in Adult Nursing I at the University of Málaga. Twelve focus groups were conducted after a specific seminar on organ donation. The study therefore explored students' postseminar perceptions, knowledge, and attitudes toward organ donation. Transcripts were analysed using inductive thematic analysis. Results: The results revealed a significant perceived knowledge gap regarding the donation process, despite participants expressing positive attitudes toward donation. Most students considered that training on this subject was insufficient within the university curriculum and requested more formal, practical education on organ donation and transplantation. Generosity, solidarity, and the idea of leaving a legacy emerged as key motivations for donating. Gender‐related perceptions were also identified, particularly the view that women may be more willing to donate during life. Conclusion: These findings suggest that organ donation education could strengthen nursing students' preparedness and may inform future educational interventions; however, effects on family refusal rates or transplant‐system outcomes should be examined in subsequent studies rather than inferred directly from this exploratory qualitative work. Public Contribution: No formal patient or public involvement was undertaken in the design, conduct, analysis, or reporting of this study. Nursing students participated solely as research participants in the focus groups, not as formal patient or public contributors. Their perspectives, however, provide relevant insight into how future nurses perceive organ donation, the educational gaps they identify, and the type of training they consider necessary to support future clinical nursing practice, particularly in communication with patients and families, health education, and professional involvement in the organ donation process.