To validate the "Questionnaire on breastfeeding knowledge and skills" in Nurses (EcoLa). A validation study, with prior linguistic adaptation, according to the skills and training of the nurses. Cantabria. General nurses, paediatrics specialists, and midwives from the Cantabrian Health Service, with responsibility for mother-child care. The psychometric properties of the nursing version of ECoLa were evaluated. Internal consistency was measured using α-Cronbach for multiple choice and overall answer questions, and Kuder-Richardson's formula (KR20) for dichotomous response questions. Inter-observer concordance was measured using the kappa coefficient in items 18 and 21, and the test-retest reliability with 11 subjects using the intraclass correlation coefficient. The mean score in the questionnaire was 21.15±4.67 points. There were no statistically significant differences as regards the gender or number of children. There was an association between the score obtained in the questionnaire and previous experience in lactation, and with the professional profile (midwife 24.23 points, paediatric nurse 21.20 points, and general nurse 20 points; P<.01). The internal consistency showed a KR20 of 0.802, and the α-Cronbach for multiple-choice questions was 0.719, and 0.866 for overall. Interobserver concordance for Item 18 had a kappa=0.6, for item 30 kappa=0.825), and for total score the kappa=0.856). The test-retest reliability overall score (CCI=0.856, 95% CI 0.55-0.96), and for question 30 (CCI=0.93, 95% CI 0.75-0.98). The questionnaire scale has psychometric properties that make its use valid and reliable in the evaluation of the training of nursing professionals.

This study reports the characteristics of patients with dementia or cognitive impairment hospitalized with a proximal femur fracture requiring surgery. Methods: Multicentric descriptive longitudinal study conducted in three traumatology units, representing high-technology public hospitals across Spain. Data collection took place between August 2018 and December 2019 upon admission to hospital, discharge, one month and three months after discharge. Results: Study participants (n = 174) were mainly women (81.6%), and the mean age was 90.7± 6.3 years old. Significant statistical differences were noted in the decline of functional capacity at baseline and one month later, and after three months they had still not recovered. Malnutrition increased from baseline to the one-month follow-up. The use of physical restraints increased during hospitalization, especially bilateral bedrails and a belt in the chair/bed. After one month, 15.2% of patients had pressure ulcers. Although pain decreased, it was still present after three months. Conclusion: Hospitalization after hip surgery for elderly people with dementia or cognitive impairment negatively impacted their global health outcomes such as malnutrition and the development of pressure ulcers, falls, functional impairment and the use of physical restraints and pain management challenges. Hospitals should implement policy-makers’ strategic dementia care plans to improve their outcomes.

Introduction: The Journal Enfermería Nefrológica (EN) is the official publication of the Spanish Nephrology Nursing Association (SEDEN), and in 2018 EN celebrates its 20th anniversary. Articles of a journal analysis allows to determine the publication´s evolution. Aim: Analyze the scientific production published in the journal EN during the period 1998-2017. Methods: Bibliometric cross-sectional descriptive study of the journal EN from volume 1 to 20, using the software "Publish or Perish" 6 version. The following variables were analyzed: total number of articles and citations; citations per article, per author, per year; articles by author and authors by article; AWCR, g index and h index. Five-year periods analyzes were carried out (P1 1998-2002, P2 2003-2007, P3 2008-2011, P4 2012-2017). Results: 1198 articles were analyzed: P1 n=81 (6,76%), P2 n= 160 (13,35%), P3 n=164 (13,68%), P4 n=793 (66,19%); and 2167 citations: P1 n=47 (2,17%), P2 n= 759 (35%), P3 n=782 (36%), P4 n=579 (26,7%). Average number of authors per article: P1: 1,96, P2 2,66, P3 2,82, P4: 3. AWCR: P1: 2.80 (sqrt=1.67) 1.58/author, P2: 60.33 (sqrt=7.77) 26.58/author, P3: 93.93 (sqrt=9.69), 35.21/author, P4: 147.12 (sqrt=12.13), 57.31/author. H index: P1: 4 (a=2.94, m=0.20, 35 cites=74.5% coverage), P2: 16 (a=2.96, m=1.07, 433 cites=57.0% coverage), P3: 9 (a=7.15, m=1.50, 116 cites=20.0% coverage), P4: 11 (g/h=1.22, 133 cites=23.0% coverage). Conclusions: The journal EN has grown exponentially in the last 20 years, both in production volume and in quality and visibility, becoming the reference publication of renal care in the Spanish-speaking world.

Aim: To assess the effects of virtual reality (VR) on the depressive state of patients with stroke admitted to neuro-rehabilitation units. Design: Systematic review and meta-analysis protocol. Methods: Randomized Controlled Trials (RCTs) focusing on the effects of virtual reality on depressive state as a primary outcome will be included. Grey literature and the following databases will be consulted: PubMed, Cinahl, PsycInfo, Scopus, Embase, Cochrane Library and Web of Science. The recently revised Cochrane risk of bias tool will be used to assess the quality of included studies. Data will be extracted and meta-analyses will be performed within the specific condition of the emotional state of stroke patients admitted to neurorehabilitation units. Meta-regression and subgroup analyses will be used to identify effective modes and patterns of therapy delivery. The approach of assessment, development and evaluation of recommendations will be applied to reach a convincing conclusion. Discussion: An accurate, transparent and standardized review process is expected to provide recommendations on the use of VR technology in the healthcare of stroke patients. Impact: Emotional difficulties are common after stroke and have an impact on rehabilitation outcome. VR seems to have an important role in the treatment and depression in neurological patients, as it is able to improve levels of well-being, coping strategies and social relationships. The systematic review may contribute to a more convincing and specific conclusion compared to existing studies of this type. Trial registration: Systematic review registration: CRD42022303968.