Escalada Hernández, Paula
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Escalada Hernández
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Paula
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Ciencias de la Salud
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ISC. Institute of Smart Cities
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28 results
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Publication Open Access How did COVID-19 lockdown impact the health of older adults in nursing homes?: a scoping review(BMC, 2024) San Martín-Erice, Isabel; Escalada Hernández, Paula; García Vivar, Cristina; Furtado Eraso, Sara; San Martín Rodríguez, Leticia; Soto Ruiz, María Nelia; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate PublikoaBackground. The impact of the COVID-19 pandemic on older adults in nursing homes is signifcant, with high death rates, disrupted care, isolation measures, and inadequate treatment. Social isolation has increased risks of cognitive disorders, anxiety, and depression. While many studies have examined the pandemic’s efects on nursing home staf and residents’ families, less is known about the health consequences for the residents themselves. This review aims to synthesize literature on the COVID-19 lockdown’s impact on the functional, cognitive, and psycho-emotional states of older adults in nursing homes. Methods. A scoping review was conducted following the Joanna Briggs Institute guidelines and the PRISMA exten sion for Scoping Reviews (PRISMA-ScR). Four databases were searched: CINAHL, PubMed, Web of Science, and Psy cINFO. The eligibility criteria included studies on older adults in nursing homes during the COVID-19 pandemic, with data that could be disaggregated for this population and results on the lockdown’s impact on physical, cognitive, and psycho-emotional levels. Results. Seventeen articles met the criteria for data extraction The synthesis was categorized into four main areas: functional, cognitive and psycho-emotional status, and isolation measures. Key fndings included decreased func tional abilities, lower cognitive test scores during the pandemic’s frst waves, development of psychological symp toms, and increased negative feelings among residents. Conclusions. Highlighting the consequences of confnement for nursing home residents is essential for updating evidence, developing efective strategies, and establishing protocols to mitigate the impact and prevent health issues in future pandemics.Publication Open Access Salud familiar en tiempos de pandemia(Ediciones Rol, S.L., 2022) García Vivar, Cristina; Escalada Hernández, Paula; San Martín Rodríguez, Leticia; Soto Ruiz, María Nelia; Ciencias de la Salud; Osasun ZientziakEditorial en el que se relaciona la salud familiar, que constituye la salud que presenta el conjunto de los miembros de la familia y la crisis sanitaria derivada de la pandemia Covid-19.Publication Open Access Augmented reality for intramuscular injection training: a cluster randomized controlled trial(Elsevier, 2025-07-01) Soto Ruiz, María Nelia; Escalada Hernández, Paula; Bujanda Sainz de Murieta, Arantxa; Ballesteros Egüés, Tomás; Larráyoz Jiménez, Ana; San Martín Rodríguez, Leticia; Ciencias de la Salud; Osasun Zientziak; Institute of Smart Cities - ISCBackground: The acquisition of clinical skills, such as intramuscular injection, is crucial in nursing education, traditionally taught through theory and practice. Recent studies suggest that augmented reality (AR) enhances students' learning. Aim: To evaluate the effect of an augmented reality application (ARSim2care) for training intramuscular injections technique among undergraduate nursing students. Methods: A cluster randomized controlled trial was conducted. A total of 72 nursing students participated in the study (32 in the intervention group and 40 in the control group). Sociodemographic variables and dependent variables such as knowledge, skills, satisfaction and self-confidence with learning were measured. Results: The groups showed statistically significant differences in age. Knowledge acquisition in the intervention group was 0.56 points higher, this difference was statistically significant. No significant differences were found in technical skills, satisfaction and self-confidence although both groups showed positive results. Conclusions: The ARSim2care application enhanced nursing students' theoretical knowledge of intramuscular injections, although no significant improvements in technical skills were observed. Augmented reality shows potential as an educational tool; however, further research is required to evaluate its long-term effectiveness.Publication Open Access Desafíos en la continuidad de cuidados para la práctica profesional de enfermería(Universidad de La Sabana (Colombia), 2022) García Vivar, Cristina; Soto Ruiz, María Nelia; Escalada Hernández, Paula; Ferraz Torres, Marta; Orzanco Garralda, María Rosario; San Martín Rodríguez, Leticia; Ciencias de la Salud; Osasun ZientziakLa transformación de los sistemas sanitarios para dar respuesta a las necesidades del paciente crónico y pluripatológico ha situado la continuidad de cuidados como uno de los pilares en los que se basan los programas de atención y el diseño de nuevos recursos para atender a estos pacientes y a sus familias. En este contexto, la práctica profesional de las enfermeras presenta retos y desafíos en las tres dimensiones de la continuidad de cuidados: relacional, informativa y de gestión. Ante estos desafíos, la investigación en enfermería es fundamental para la profesión y necesaria para promover unos cuidados innovadores y de calidad.Publication Open Access Las enfermeras tras la pandemia por Covid-19: ¿y ahora qué?(Elsevier, 2022) San Martín Rodríguez, Leticia; García Vivar, Cristina; Escalada Hernández, Paula; Soto Ruiz, María Nelia; Ciencias de la Salud; Osasun ZientziakLa pandemia ha revelado la necesidad de proteger a los profesionales de la salud, y en especial, a las enfermeras. Son necesarias medidas políticas y económicas que permitan mejorar las condiciones de trabajo de este colectivo y potenciar su figura dentro y fuera de las organizaciones sanitarias. Avances que redundarán en una mejora de la calidad de los cuidados y, en definitiva, de los resultados de salud de la población.Publication Embargo Virtual reality to reduce pain, fatigue, and emotional distress in people with cancer: a scoping review(Lippincott, Williams & Wilkins, 2024-09-02) Cuñado Pradales, Rebeca; Soto Ruiz, María Nelia; Escalada Hernández, Paula; San Martín Rodríguez, Leticia; García Vivar, Cristina; Ciencias de la Salud; Osasun ZientziakBackground: cancer and its treatments cause symptoms such as pain, fatigue, and emotional distress, which affect the quality of life of patients at different stages of cancer. Virtual reality (VR) has emerged as a promising alternative for addressing these symptoms by immersing patients in a virtual environment that isolates them from reality. Objective: to describe the existing evidence on the use of VR to improve pain, fatigue, and emotional distress in people with cancer at different stages of the cancer trajectory. Methods: a scoping review was conducted following the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Search was conducted in PubMed and CINAHL until October 2023. Results: twenty-three primary studies related to the study topic were identified, and the following information was collected: type of VR (immersive vs nonimmersive) used in oncology services, purpose (distraction, training, or relaxation), devices used (head-mounted display, headset, or virtual controller), and the environment simulated (natural environment, skill games, or educational environment). The effects of VR on pain, fatigue, and emotional distress are described, highlighting its ability to mitigate these symptoms in the short term.Publication Open Access The Spanish version of the child medical fear questionnaire: cross-cultural adaptation and validation(MDPI, 2021) San Martín Rodríguez, Leticia; Soto Ruiz, María Nelia; Ferraz Torres, Marta; García Vivar, Cristina; Saralegui Gainza, Amaia; Escalada Hernández, Paula; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako GobernuaHaving valid and reliable tools that help health professionals to assess fear in children undergoing medical procedures is essential to offer humanised and quality of care in the paediatric population. The aim of this study was to develop the cross-cultural adaptation and the evaluation of the psychometric properties of the Spanish version of the 'Child Medical Fear Scale' in its shortened version (CMFS-R). The design consisted of two phases: first, of cross-cultural adaptation and second, of the psychometric validation of the CMFS-R with a sample of 262 children from Spain, applying a cross-sectional design. Confirmatory factor analysis was conducted to assess construct validity and the Cronbach's alpha and the adjusted item-total score correlation coefficients were performed to study reliability. The results confirmed internal consistency and construct validity of the Spanish version of the CMFS-R, indicating that the scale has an acceptable level of validity and reliability. Therefore, this study brings a new version of the scale to assess fear related to medical procedures for use in the Spanish paediatric population.Publication Open Access Guía del Programa Health-Friendly. Intervención para la disminución del miedo al entorno sanitario en niños y niñas de edad escolar(2021) Escalada Hernández, Paula; Ferraz Torres, Marta; San Martín Rodríguez, Leticia; Saralegui Gainza, Amaia; Soto Ruiz, María Nelia; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako GobernuaEl programa Health-Friendly tiene como objetivo reducir el miedo al entorno sanitario de los niños y niñas entre 5 y 9 años. Es un programa de inmersión basado en una intervención en la que los niños y niñas, a través de un entorno sanitario simulado, toman contacto con distintos escenarios, como una consulta de enfermería o una habitación de hospitalización quirúrgica. En el proyecto de diseño y evaluación del programa Health-Friendly participaron niños y niñas de distintos colegios de Navarra. La intervención se llevó a cabo en el Espacio de Habilidades Clínicas y Simulación de la Facultad de Ciencias de la Salud de la Universidad Pública de Navarra (UPNA).Publication Open Access Density of nurses and midwives in sub-Saharan Africa: trends analysis over the period 2004-2016(Wiley, 2021) Saralegui Gainza, Amaia; Soto Ruiz, María Nelia; Escalada Hernández, Paula; Arregui Azagra, Adriana; García Vivar, Cristina; San Martín Rodríguez, Leticia; Ciencias de la Salud; Osasun ZientziakAim: to analyse the trends of density rates of nurses and midwives per population in sub-Saharan Africa over the period from 2004 to 2016. Background: nursing, the largest health care workforce, is actively contributing to the achievement of the Sustainable Development Goals. The African continent is one of the most affected areas by the differences in the density of nurses and midwives indicator. Methods: joinpoint regression analysis was applied to identify significant changes in trends of the density of nurses and midwives from the 50 countries of sub-Saharan Africa. Results: from 2004 to 2013, the density of nurses and midwives in sub-Saharan Africa increased significantly from 5.6 to 12.44 per 10,000 population, although it exhibited a increasing trend of a magnitude of 8.3% until 2013 that does not continue from that year. Conclusions: only seven countries show an increasing trend, although in the case of the rest, they do not present any trend that suggests a change in this indicator in the short term. Implications for Nursing Management: from a macrolevel nursing management point of view, our study shows the importance of implementing actions that contribute to the increase of the nursing workforce in Africa, essential to achieve the Sustainable Development Goals.Publication Open Access Alcance de práctica de las enfermeras de hospitalización médico-quirúrgica y unidades de cuidados intensivos(Elsevier, 2024-07-09) Saralegui Gainza, Amaia; Soto Ruiz, María Nelia; Escalada Hernández, Paula; García Vivar, Cristina; San Martín Rodríguez, Leticia; Ciencias de la Salud; Osasun Zientziak; Institute of Smart Cities - ISCObjetivo: Analizar el alcance de práctica de las enfermeras de unidades de hospitalización médico-quirúrgicas y unidades de cuidados intensivos en el contexto español, y su relación con las características individuales de las enfermeras y de su ámbito de trabajo. Método: Estudio observacional, transversal, realizado en 29 unidades de hospitalización médico-quirúrgica de adultos y 5 unidades de cuidados intensivos de la red pública de Navarra. La variable principal, el alcance de práctica de las enfermeras, se midió mediante el cuestionario de D’Amour en su versión española. Se analizaron los datos con estadística descriptiva e inferencial, estableciendo el nivel de significación en 0,05. Resultados: Un total de 310 enfermeras participaron en el estudio, y los resultados revelaron niveles aceptables del alcance de práctica enfermera. La edad y el trabajar en unidades de cuidados intensivos fueron determinantes a la hora de identificar diferencias en las actividades desempeñadas por las enfermeras en el ejercicio de su profesión. La correlación encontrada muestra que a mayor edad existe mayor probabilidad de expresar puntuaciones más bajas en la dimensión «Cuidado centrado en paciente y familia». En contraste, en la dimensión «Calidad del cuidado y seguridad del paciente» fueron las enfermeras más jóvenes las que puntuaron significativamente más bajo. Conclusiones: Comprender el alcance de práctica de las enfermeras es esencial para abordar la escasez de profesionales en los sistemas de salud. No se trata únicamente de aumentar el número de enfermeras, sino de garantizar que estas estén dedicadas a desempeñar integralmente las funciones propias de su profesión.
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