Open Access
Health professionals' personal behaviours hindering health promotion: a study of nurses who smoke
(Wiley, 2017) Mujika Zabaleta, Agurtzane; Arantzamendi, María; López de Dicastillo Sáinz de Murieta, Olga; Forbes, Angus; Ciencias de la Salud; Osasun Zientziak
Aim: To explore the views of current and ex-smoker nurses on their role in sup-porting patients to stop smoking. Background: Long-term conditions are closely linked to harmful lifestyle behaviours, including smoking and overeating. Health professionals have an important role toplay in promoting healthier lifestyles. It has been described that nurses’ health beha-viours may be a barrier to their health promotion practice. There is a need to gainfurther understanding on why nurses’ health promotion activity is influenced bytheir own health behaviour. Design: A secondary analysis of qualitative data gathered in 2010 in the context ofa project that aimed to develop a smoking cessation intervention for nurses. Methods: Eleven transcripts of semi-structured interviews conducted with nurses (current and ex-smokers) working in one university hospital in Spain. Data wereanalysed using framework analysis. Findings: Nurses who smoked engaged in social justification in terms of socialnorms and work stress. Only nurses who had quit smoking were able to identify thenegative feelings it generated and the effect that it had on their past health promotion practice. This was expressed by ex-smokers as an internal conflict that prevented them from supporting patients with their own habit. Conclusion: Nurses who smoke may be inhibited as health promoters withoutbeing aware of it. Interventions that focus on helping these professionals dealwith the challenges associated with these encounters are necessary if health promotion practices are to be enhanced. Targeting this conflict might also work toimprove their lifestyle, which would expand the potential impact to professionals’ own health.
Open Access
A complex intervention to support breastfeeding: a feasibility and acceptability study
(Wiley, 2023-07-18) Lucchini-Raies, Camila; Márquez-Doren, Francisca; Pérez, J. Carola; Campos, Solange; Beca, Paulina; López de Dicastillo Sáinz de Murieta, Olga; Ciencias de la Salud; Osasun Zientziak
Aims: The aims of this study are to assess the acceptability and feasibility of a multicomponent intervention to support breastfeeding women and their families and explore its effectiveness. Methods: A pilot study with control and intervention groups was conducted using the complex intervention framework in two primary healthcare centres. Overall, 44 childbearing women, their partners/relatives and 20 healthcare professionals participated in the study. The intervention's feasibility and acceptability were measured. The percentage of exclusive breastfeeding rates and women's self-efficacy were measured at pre-intervention, at 10 days postpartum, and again at 2, 4 and 6 months postpartum. Postpartum depression risk was measured at 2 and 6 months postpartum. Professional self-efficacy was measured at pre-intervention and 3 months later. Results: The intervention was feasible and acceptable. No difference in self-efficacy existed between the intervention and control groups. Preliminary effects of the intervention were found in exclusive breastfeeding percentage and postpartum depression risk in the intervention group. Conclusion: The intervention is feasible and acceptable. The results are promising not only for breastfeeding maintenance but also for preventing postpartum depression and recovering exclusive breastfeeding during pandemics.
Open Access
Modelo de gestión para la investigación en enfermería: experiencia de la Universidad de Navarra
(Conferencia Nacional de Decanos y Decanas de Enfermería, 2015) García Vivar, Cristina; Canga Armayor, Ana; López de Dicastillo Sáinz de Murieta, Olga; Pérez Díez del Corral, Mercedes; Rumeu Casares, Carmen; Saracibar Razquin, María Isabel; Ciencias de la Salud; Osasun Zientziak; Institute of Smart Cities - ISC
Introducción. Las nuevas demandas universitarias están obligando a redefinir el modelo de gestión de la investigación en enfermería con el objeto de consolidar su calidad e impacto socio-sanitario. Objetivo. Presentar las estrategias utilizadas en la implantación de un modelo de gestión para el desarrollo de la investigación en enfermería en la Universidad de Navarra (UN). Metodología. Las cuatro fases de Marchette (simulación, individualista, unificada, equilibrio) son el marco para presentar el modelo de gestión llevado a cabo por la UN para potenciar la investigación en Enfermería. Resultados. Se describen las siguientes estrategias: organización de jornadas y reuniones sobre investigación; inversión en capacitación investigadora de los profesores; aprobación de las líneas de investigación como estructuras organizativas para el desarrollo del conocimiento en enfermería; creación de la Cátedra María Egea para la investigación; implantación del Plan Estratégico en investigación 2013-2018; aprobación del Programa de Doctorado en Ciencias de la Enfermería. Conclusiones. Existe la necesidad de adoptar y adaptar nuevas estructuras de gestión de la investigación que fomenten la creación de conocimiento disciplinar, el desarrollo de equipos de investigación competitivos, la interdisciplinariedad, el trabajo en equipo, y la formación de nuevos investigadores. Asimismo, estas estructuras deben dar respuesta a las nuevas demandas sociosanitarias, y promover la práctica clínica de enfermería de excelencia.
Open Access
The CRIAA Program complex intervention in primary care to support women and their families in breastfeeding: study protocol for a pilot trial
(Wiley, 2020) Lucchini-Raies, Camila; Márquez-Doren, Francisca; Beca, Paulina; Pérez, J. Carola; Campos, Solange; López de Dicastillo Sáinz de Murieta, Olga; Ciencias de la Salud; Osasun Zientziak
Aim: To report a pilot study protocol to assess the feasibility of a complex intervention, in the primary healthcare context, to support women and their families in breastfeeding. Design: A pilot/feasibility trial with control and intervention groups. Methods: The study will be conducted in two primary healthcare centres with 40 childbearing women (20 control group; 20 intervention group), with their partner/meaningful person and their respective healthcare professionals. Intervention group participants will receive the intervention: (a) in a breastfeeding workshop during their third trimester of pregnancy; and (b) via virtual breastfeeding support for six months postpartum. Health professionals will be trained to deliver the intervention. The control group will receive standard care in the outpatient clinic. The pilot will help determine the intervention's feasibility. Data collected pre-intervention, 10-days postpartum and two-, four-, and six-months postpartum will provide estimates of the intervention's preliminary effects on self-efficacy and main outcomes. Research Ethics Committee approval was obtained in April 2019. Discussion: Breastfeeding support is a complex reality influenced by multiple factors. Therefore, approaches to breastfeeding are also, requiring interventions that address its multidimensional nature, including all actors involved. The proposed intervention will be applied by an interdisciplinary professional health team, allowing for its incorporation into standard practice and its perpetual maintenance. Impact: The study will produce an original, comprehensive, complex intervention addressing contextual, and organizational factors to promote breastfeeding support using an interdisciplinary and family-based approach; breastfeeding self-efficacy is the core concept. The program evaluation and feasibility study will permit exploration of the integration of the intervention's novel aspects into the daily work of professionals and reveal how to better use existing resources in a full-scale clinical trial. Trial registration: ClinicalTrials.gov ID: NCT03944642.
Open Access
Encounters between children's nurses and culturally diverse parents in primary health care
(Wiley, 2020) Belintxon, Maider; Dogra, Nisha; McGee, Paula; Pumar Méndez, María Jesús; López de Dicastillo Sáinz de Murieta, Olga; Ciencias de la Salud; Osasun Zientziak
The objective of this study was to analyze the healthcare encounters between nursesand parents of different cultural backgrounds in primary health care. An ethnographicstudy was carried out using participant observations in health centers and interviews withnurses. Data were analyzed using thematic content analysis and constant comparativemethod. Four main themes were identified when nurses met parents of other culturalbackgrounds: lack of mutual understanding, electronic records hamper the interaction,lack of professionals' cultural awareness and skills, and nurses establish superficial or dis-tant relationships. The concepts of ethnocentrism and cultural imposition are behindthese findings, hampering the provision of culturally competent care in primary healthservices. There were difficulties in obtaining and registering culturally related aspects thatinfluence children's health and development. This was due to e-records, language barriers,and the lack of cultural awareness and skills in health professionals making the encoun-ters difficult for both nurses and parents. These findings show that there is a clear threatfor health equity and safety in primary care if encounters between nurses and parents donot improve to enable nursing care to be tailored to any individual family needs.
Open Access
Building capacity for health promotion by addressing nurses' role confusion: study protocol of a pilot clustered randomised controlled trial
(Wiley, 2021) Iriarte Roteta, Andrea; López de Dicastillo Sáinz de Murieta, Olga; Mujika Zabaleta, Agurtzane; Antoñanzas Baztán, Elena; Hernantes Colias, Naia; Galán Espinilla, María José; Pumar Méndez, María Jesús; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako Gobernua
Aim: To describe the protocol for the pilot phase of a complex intervention, designed to address primary care nurses' role confusion in health promotion. Design: A pilot clustered randomized controlled trial, with control and intervention groups. Methods: The study will be conducted in a primary care setting. Participants will be nurses from the primary care health service working in a primary care team (PCT, 15 control group; 15 intervention group). Nurses in the experimental group will receive the ROLE-AP programme over a 3-week period. The control group will continue with the normal routine. The pilot will help determine the intervention's feasibility, acceptability, fidelity and quality of the programme components. Data collected preintervention, postintervention and 3 months after intervention will provide estimates of the intervention's preliminary effects on the main variable, nurses' degree of agreement concerning their expected role in health promotion. The study received funding from the local government in December 2019. Discussion: Role confusion is promoting primary care nurses' omissions in their health-promoting practice, which is far from the ideal portrayed by the Ottawa Charter. Interventions are needed that reveal the most appropriate mechanisms for addressing role confusion, which requires reaching an intraprofessional agreement about the expectations for role activities. Healthcare organisations could benefit from the incorporation of a programme of these characteristics into standard practice. Impact: This study will produce a novel and comprehensive complex intervention that is expected to build nurses' capacity in primary healthcare organizations for health promotion, which is key to increasing the quality, efficiency and sustainability of the National Health System. The programme evaluation and feasibility study will reveal how to better use existing resources in a full-scale clinical trial.