Open Access
Quality of life of male breast cancer survivors: a systematic review
(Wiley, 2025-04-30) López Wilson, Arleen; Leite, Ana Carolina Andrade Biaggi; Soto Ruiz, María Nelia; Escalada Hernández, Paula; García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak
Introduction: Breast cancer treatments signifcantly infuence the quality of life of cancer survivors. While most studies havefocused on female breast cancer survivors, data on the quality of life of men who have undergone medical, surgical or radiologicaltreatments for breast cancer are limited. Objective: To evaluate the quality of life of male breast cancer survivors. Methods: A systematic review was conducted according to the PRISMA statement with a search in four databases: PubMed,Embase, Cochrane and Web of Science. We screened and extracted data and assessed the methodological quality of the studies viathe Cochrane RoB-2 and ROBINS-I tools for randomised clinical trials and follow-up studies, respectively. Te data werepresented in a narrative synthesis format. Results: In total, 993 records were identifed, of which three studies were included for analysis: two randomised clinical trials andone cohort study. Te interventions in the randomised clinical trials involved evaluating the impact of endocrine therapy and theimplementation of online physical training. Although there was a reduction in the overall quality of life during cancer treatment,patients who received tamoxifen monotherapy did not report a clinically signifcant change in their sexual function. Additionally,moderate exercise was shown to improve physical health and enhance social well-being. In the cohort study, quality of life andsymptom burden were evaluated in men with breast cancer treated with endocrine therapies at the time of diagnosis via symptomassessment scales. Conclusions: Male breast cancer survivors experience a decrease in quality of life during and after treatment. While tamoxifenmonotherapy preserves sexual function, moderate-intensity physical rehabilitation signifcantly improves both quality of life andsocial functioning. Te limited number of studies included in this review highlights the need for further research to address thephysical, psychological and social needs of male breast cancer survivors.
Open Access
Can virtual reality reduce pain and anxiety in pediatric emergency care and promote positive response of parents of children? A quasi-experimental study
(Elsevier, 2023) Ferraz Torres, Marta; Soto Ruiz, María Nelia; Escalada Hernández, Paula; García Vivar, Cristina; San Martín Rodríguez, Leticia; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Aim: To evaluate the effectiveness of virtual reality to reduce pain and anxiety in pediatric patients during venipuncture procedure in emergency care and the behavioral response of their parents/companions. Background: Virtual reality is being used as a source of distraction in children undergoing invasive procedures. Methods: Quasi-experimental study with 458 children (from 2 to 15 years) who attended a pediatric emergency service from September 2019 to April 2021. An intervention based on virtual reality as a distraction method during venipuncture procedure was applied. The level of pain and anxiety of children and attitude of parents/ companions were assessed. Ordinal and binary logistic regressions were applied. Results: A protective effect of using virtual reality was observed in the intervention group both for the absence of pain (− 4.12; 95 % CI: − 4.85 to − 3.40) and anxiety (− 1.71; 95 % CI: − 2.24 to − 1.17) in children aged between 2 and 15 years. A significant reduction in the blocking response of the accompanying parents (− 2.37; 95 % CI: − 3.017 to − 1.723) was also observed. Conclusions: VR is effective in reducing pain and anxiety in children during venipuncture in emergency care. A positive attitude of the parents during the invasive procedure to their children was found.
Open Access
Intención de abandono de la profesión enfermera por salud mental en Navarra (España) durante la pandemia de COVID-19
(Gobierno de Navarra, 2025-04-30) García Vivar, Cristina; Ferraz Torres, Marta; Escalada Hernández, Paula; Soto Ruiz, María Nelia; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako Gobernua
Fundamento. El objetivo es estimar la intención de abandono de la profesión enfermera o del puesto de trabajo en la comunidad foral de Navarra (España) durante la sexta ola de la pandemia por COVID-19 (octubre 2021-marzo 2022) y analizar su relación con el estado de salud mental de las enfermeras y sus características socio-demográficas. Metodología. Estudio descriptivo y transversal con enfermeras que trabajaron durante la pandemia de COVID-19 en instituciones sanitarias de Navarra. Se diseñó un cuestionario con escalas validadas para evaluar depresión, ansiedad, insomnio, estrés postraumático y la intención de abandonar el puesto de trabajo o la profesión enfermera. El cuestionario se envió por correo electrónico a las enfermeras colegiadas, cerrando la recogida de datos al alcanzar el tamaño muestral requerido. Resultados. Se recibieron 691 cuestionario completos. El 43% de las enfermeras manifestaron intención de abandonar la profesión y, de ellas, el 52% también consideraron la posibilidad de cambiar de puesto de trabajo. Las enfermeras con niveles moderados de ansiedad y estrés postraumático mostraron mayor intencionalidad de abandono de la profesión, así como aquellas con menor experiencia profesional. Conclusiones. La intención de abandono de la profesión enfermera en Navarra durante la sexta ola de la pandemia por COVID-19 se asocia significativamente con niveles moderados de ansiedad y estrés postraumático, y menor experiencia profesional. Es necesario implementar estrategias para mejorar las condiciones laborales, promover el bienestar mental y reducir el riesgo de abandono profesional de las enfermeras, especialmente en contextos de crisis sanitaria.
Open Access
'Opportunistic care': a focus group study of nurses' perspective on caring for long-term cancer survivors and their families
(Wolters Kluwer, 2024) Elizondo Rodríguez, Nerea; La Rosa-Salas, Virginia; Leite, Ana Carolina Andrade Biaggi; Domingo-Oslé, Marta; Nascimento, Lucila; García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak
Background: The global population of long-term cancer survivors is increasing, thanks to advances in treatments and care. Healthcare systems are working to address the unique needs of these individuals. However, there remains a knowledge gap concerning nurses' view on cancer survivorship care. Objective: To identify nurses' perspective of care for long-term cancer survivors and their families. Methods: This qualitative descriptive study used 5 focus groups comprising 33 nurses from primary healthcare and specialized oncology care. Data analysis was conducted through thematic analysis, and the study received ethical approval. Results: Long-term cancer survivors and their families often remained unrecognized as a distinct group within the healthcare system. Consequently, nurses provide what can be termed as opportunistic care during nurse-survivor encounters, addressing health needs beyond the purpose of the initial healthcare visit. This absence of a systematic or structured approach for this patient group has prompted nurses to seek the establishment of a comprehensive framework through survivorship care plans, thus ensuring a continuum of care for this specific population. Conclusion: The lack of a structured approach to caring for long-term cancer survivors and their families, often invisible as a distinct population group, results in nurses providing care on an opportunistic basis. Implications for practice: It is crucial to develop and implement survivorship care plans tailored to this population's needs. Simultaneously, it is important to advance research in this area and establish an educational framework for nurses, enabling them to effectively address the care of long-term cancer survivors and their families.
Open Access
The experience of hope in families of children and adolescents living with chronic illness: a thematic synthesis of qualitative studies
(Wiley, 2019-11-25) Leite, Ana Carolina Andrade Biaggi; García Vivar, Cristina; Neris, Rhyquelle Rhibna; Alvarenga, Willyane de Andrade; Nascimento, Lucila; Ciencias de la Salud; Osasun Zientziak; Institute of Smart Cities - ISC
Aim To synthesize qualitative studies on the experience of hope in families of children and adolescents living with chronic illness. Background Hope is multidimensional, dynamic, and varies according to experienced events, cultural environments and stage of life. The qualitative synthesis of the experience of hope in the paediatric population with chronic conditions is scarce. Design Thematic synthesis of qualitative studies. Data sources A systematic literature search in PubMed, CINAHL, LILACS, PsycINFO, Scopus, and Web of Science was performed supplemented by manual search strategies. Thirty-one studies from fifteen countries, published between 1981-2018, were included. Findings Findings were integrated into an analytical theme "FAMILY HOPE: KEEPING THE DAY-TO-DAY BALANCE", encompassing the following five descriptive themes: Uncertainty; Support; Information; Between "dark thoughts" and positive thoughts; and Hoping to go back to normality. Conclusion This thematic synthesis brings a new dimension of hope among families of children and adolescents living with chronic illness. "Family Hope" highlights the influence of the relationships between relatives and the chronically ill child in the balance of hope. It is recommended that health professionals use a family-focused approach to support these families. Impact Shifting the focus to a family dimension of hope is a promising pursuit that has the potential to inform future nursing practices to support the experiences of families living with chronic illness in the paediatric context. A better understanding of the role and characteristics of family hope will promote the development of more effective interventions for families to adapt to long-term paediatric conditions.
Open Access
The use and misuse of the concept of cancer survivor
(Lippincott, Williams & Wilkins, 2022) García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak
This editorial is not intended to be conclusive about a definition of cancer survivor but to provide a catalyst for a universally accepted definition to establish the most appropriate research and care delivery agenda. There is a need for consensus that a cancer survivor is a person who completed treatment and is disease-free for at least 1, 3, 5, or more than 5 years. In addition, there is a need to recognize the full spectrum of late and long-term effects in cancer survivorship as well as to meet the challenges of those no longer cancer patients but survivors who may feel "lost in transition".
Open Access
Nurses' attitudes towards family importance in nursing care across Europe
(Wiley, 2022) Shamali, Mahdi; Esandi Larramendi, Nuria; Østergaard, Birte; Barbieri-Figueiredo, María; Brødsgaard, Anne; Canga Armayor, Ana; Dieperink, Karin Brochstedt; García Vivar, Cristina; Konradsen, Hanne; Nordtug, Bente; Lambert, Veronica; Mahrer-Imhof, Romy; Metzing, Sabine; Nagl-Cupal, Martin; Imhof, Lorenz; Svavarsdottir, Erla Kolbrun; Swallow, Veronica; Luttik, Marie Louise; Ciencias de la Salud; Osasun Zientziak
Aims and Objective To explore differences in nurses' attitudes regarding the importance of family in nursing care and factors associated with nurses' attitudes across 11 European countries. Background Family involvement in healthcare has received attention in many European healthcare systems. Nurses have a unique opportunity to promote family involvement in healthcare; however, their attitudes and beliefs may facilitate or impede this practice. Design A cross-sectional survey across European countries. Method A broad convenience sample of 8112 nurses across 11 European countries was recruited from October 2017 to December 2019. Data were collected using the Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA) questionnaire. We used the STROBE checklist to report the results. Results There were significant differences in nurses' attitudes about families' importance in nursing care across Europe. Country was the factor with the strongest association with the total scores of the FINC-NA. Older age, higher level of education, increased years since graduation, having a strategy for the care of families in the workplace, and having experience of illness within one's own family were associated with a higher total FINC-NA score. Being male and working in a hospital or other clinical settings were associated with a lower total FINC-NA score. Conclusion Nurses' attitudes regarding the importance of family in nursing care vary across 11 European countries. This study highlights multiple factors associated with nurses' attitudes. Further research is necessary to gain a deeper understanding of the reasons for nurses' different attitudes and to develop a strong theoretical framework across Europe to support family involvement in patient care. The inclusion of family healthcare programs in the baccalaureate curriculum may improve nurses' attitudes.
Open Access
La atención y los cuidados a los supervivientes de cáncer en España: un reto pendiente de las políticas sanitarias
(Sociedad Española de Enfermería Oncológica, 2021) Doménech-Climent, Nuria; García Vivar, Cristina; González Concepción, Melinda; González Monterubio, Gema; Navarro Castuera, Vanesa; Rubio Uria, Catalina; Ulibarri Ochoa, Ainhoa; Ciencias de la Salud; Osasun Zientziak
Editorial en el que se defiende la implementación de planes específicos para supervivientes de cáncer dentro de los sistemas sanitarios.
Open Access
Impacto de la dotación de enfermeras en la calidad de la atención en centros residenciales para personas mayores
(Colegio Oficial de Enfermeras de Navarra, 2024) Escalada Hernández, Paula; Pimentel Parra, Gustavo Adolfo; Soto Ruiz, María Nelia; García Vivar, Cristina
Informe elaborado por el Grupo de Investigación Inno-CARE de la Universidad Pública de Navarra, a petición del Colegio Oficial de Enfermeras de Navarra. El objetivo del informe es conocer el impacto de la dotación de enfermeras en la calidad de la atención en los centros residenciales para personas mayores. El informe se estructura en tres partes. La primera parte describe la regulación del personal sanitario de atención directa en centros residenciales en España. La segunda parte presenta una síntesis de la evidencia científica sobre la relación entre la dotación de enfermeras y la calidad de la atención. Finalmente, la tercera parte muestra un posicionamiento sobre la figura de la enfermera en las residencias de personas mayores en España.
Open Access
Validación de una versión reducida del Cuestionario Estilos de Respuesta Parental (CERP-R) frente a la enfermedad de un hijo
(Sociedad Española de Enferemería Oncológica, 2020) Egea Zerolo, Blanca; García Vivar, Cristina; Núñez Partido, Juan Pedro; Visedo, Paula; Pitillas Salvá, Carlos; Ciencias de la Salud; Osasun Zientziak
Tener un hijo con una enfermedad grave puede ser muy estresante para los padres. Con el objetivo de ofrecer a los profesionales de la salud un sistema preciso y de fácil aplicación para detectar diferentes respuestas parentales frente a la enfermedad del hijo, se creó una versión breve del Cuestionario de Estilos de Respuesta Parental (CERP). Objetivo: analizar la fiabilidad y la validez de una versión reducida del CERP en una muestra de padres de niños y adolescentes con enfermedad crónica. Metodología: se analizaron las características psicométricas (validez, fiabilidad y análisis factorial) de una versión reducida a 16 ítems de la versión original del CERP, que mide principalmente cuatro formas de respuesta parental negativa frente a la enfermedad del hijo: desgana/disforia, irritabilidad/rechazo, sobreprotección y percepción de desajuste. La muestra estuvo compuesta por 28 padres y madres de un hijo enfermo. Resultados: el análisis de fiabilidad de la versión reducida (CERP-R) mostró un índice de consistencia interna alto. En los datos globales del cuestionario no hay diferencias estadísticamente significativas entre padres y madres de las mismas parejas en cuanto a su puntuación global. En el análisis por factores, las respuestas de disforia/desgana son significativamente más altas en madres, mientras que la sobreprotección es significativamente superior entre padres. Conclusión: el CERP-R analiza las diferencias en las respuestas afectivas de los padres y madres frente a la enfermedad del hijo. Es un instrumento fiable y válido, que permite medir los diferentes estilos de respuesta parental, de cara a planificar intervenciones familiares.