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
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
Psychometric properties of the Spanish version of the caregiver contribution to self-care of diabetes inventory (CC-SCODI)
(MDPI, 2025-04-12) Martínez Tofé, Jesús; Santolalla-Arnedo, Iván; Gea-Caballero, Vicente; Durante, Ángela; Martínez-Sabater, Antonio; Sánchez Barba, Mercedes; Di Nitto, Marco; Sánchez-Conde, Pilar; Gónzalez-Fernández, Silvia; Ruiz de Viñaspre-Hernández, Regina; Juárez-Vela, Raúl; Soto Ruiz, María Nelia; Ciencias de la Salud; Osasun Zientziak
Background: The Caregiver Contribution to Self-Care of Diabetes Inventory (CC-SCODI) is an instrument grounded in the middle-range theory of self-care of chronic illness. It is designed to measure how caregivers support individuals with diabetes mellitus in carrying out self-care activities. Effective tools are essential for clinicians and researchers to evaluate factors influencing self-care, including caregivers’ contributions. This study aimed to assess the reliability and validity of the Spanish translation of the CC-SCODI. Methods: A total of 201 caregivers of individuals with Type 1 Diabetes Mellitus (T1DM) and Type 2 Diabetes Mellitus (T2DM) were recruited for participation in this cross-sectional study. Participants were selected through convenience sampling at a university hospital. Before administration, the survey questions were translated and culturally adapted to ensure appropriateness for both patients and caregivers. Confirmatory factor analysis (CFA) was performed on each of the CC-SCODI subscales using models fitted to the relevant indices. Results: The initial construction of the four-dimensional tool was verified. The internal consistency of the four subscales was assessed using Cronbach’s α to measure the caregiver contribution to patients’ self-care maintenance (α = 0.725), self-care monitoring (α = 0.728), self-care management (α = 0.729), and caregiver self-efficacy in contributing to patient self-care (α = 0.921). Model fit indices demonstrated a chi-square value of 1.028 with 773 degrees of freedom. CFA indicated an excellent model fit, confirming the reliability and validity of the proposed structure. Conclusions: The internal consistency and reliability of the Spanish version of the CC-SCODI were deemed adequate. Due to its strong psychometric properties, this instrument is considered appropriate for evaluating the contribution of caregivers to the self-care behaviors of Spanish-speaking individuals with diabetes.
Open Access
Analysis of mental health effects among nurses working during the COVID-19 pandemic: a systematic review
(Wiley, 2022) García Vivar, Cristina; Rodríguez Matesanz, Irati; San Martín Rodríguez, Leticia; Soto Ruiz, María Nelia; Ferraz Torres, Marta; Escalada Hernández, Paula; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako Gobernua; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Introduction: Health professionals have suffered negative consequences during the COVID-19 pandemic. No review has specifically addressed the impact of the pandemic on the mental health of nurses exclusively according to the work context. Aim: To analyse the impact of the COVID-19 pandemic on the mental health of nurses who have worked in hospitals, primary care centres and social health centres. Method: PubMed, CINAHL, PsychINFO and Cochrane databases were searched (Prospero number: CRD42021249513). Out of 706 papers, 31 studies (2020–2021) were included in the systematic review. A qualitative synthesis method was used to analyse the data. Results: Most studies were conducted in hospitals or frontline settings. The prevalence of moderate-to-severe symptoms was for anxiety 29.55%, depression 38.79%, posttraumatic stress disorder 29.8%, and insomnia 40.66%. Discussion: This review highlights the mental health effects among nurses working in acute hospital settings. It also evidences a data gap on mental health effects among nurses working in primary health care and in nursing homes. Implications for practice: In the post phase of the pandemic, there is an urgent need to assess and respond to the impact on the mental well-being of nurses, and to monitor international policies for the improvement of nurses’ working conditions.
Open Access
Social determinants of health in post-treatment cancer survivors: scoping review
(Elsevier, 2024) Lara-Morales, Alfredo; Soto Ruiz, María Nelia; Agudelo-Suárez, Andrés A.; García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Purpose: To identify, analyze and describe the available scientific evidence about the influence of social determinants of health on cancer survivors. Methods: A scoping review was outlined according to the steps described by the Joanna Brigs Institute Reviewer¿s Manual: selection of studies, data mapping, and results grouping, synthesis and report, was conducted. PubMed, CINAHL, Scopus and LILACS databases were searched from 2011 to 2023. Results: Out of a total of 1783 papers initially screened, only 19 studies met the inclusion criteria for the scoping review, focusing on the primary social determinants impacting the health of cancer survivors. These studies were categorized into six main themes: a) employment (challenges in work reintegration and work-place difficulties); b) variations among different ethnic groups; c) disparities based on sex; d) barriers and facilitators in accessing health and social security services; e) the role of support networks and social environments; and f) socioeconomic lever (influence of income and socioeconomic status). Conclusions: Understanding the impact of social determinants on the post-treatment quality of life for cancer survivors is crucial. Comprehensive survivorship care should address not just medical needs but also holistic aspects like social support, education, overall well-being, and improvements in physical and social environments. This multifaceted approach ensures the well-rounded support needed for optimal survivorship outcomes.
Open Access
Educación interprofesional en ciencias de la salud con la colaboración de pacientes
(Elsevier, 2022) Soto Ruiz, María Nelia; Escalada Hernández, Paula; Ortega Moneo, María; Viscarret Garro, Juan Jesús; San Martín Rodríguez, Leticia; Ciencias de la Salud; Osasun Zientziak; Sociología y Trabajo Social; Soziologia eta Gizarte Lana
Introducción: la educación interprofesional en las ciencias de la salud es un enfoque muy efectivo tanto para la formación general del estudiante como para abordar diferentes aspectos específicos. Un nuevo paradigma aboga por la transformación de la filosofía de la atención sanitaria, cambiando el enfoque de cuidado centrado en el paciente a «cuidado en asociación con el paciente. El objetivo de este estudio fue evaluar una actividad de educación interprofesional con la integración del paciente con una enfermedad crónica, en los grados de Enfermería, Fisioterapia y Trabajo Social de una universidad pública española. Métodos: para dar respuesta al objetivo se aplicó un diseño paralelo convergente de metodología mixta. Diecisiete estudiantes de los grados de Enfermería, Fisioterapia y Trabajo Social evaluaron una actividad formativa, denominada ¿Integración de la Perspectiva del Paciente en la Atención Multidisciplinar, mediante un cuestionario. Se recogieron datos sobre la adquisición de conocimiento y las competencias, y su satisfacción con la actividad. Además, los 2 pacientes implicados evaluaron la actividad mediante entrevistas semiestructuradas y los docentes, con un breve cuestionario. Resultados: en la evaluación objetiva de las competencias, los estudiantes obtuvieron una puntuación global media de 7,63 puntos (DE: 2,33) sobre 10. Los estudiantes valoraron su satisfacción con la actividad con una nota media global de 4,49 (DE: 0,61) sobre 5. Tanto los pacientes como los docentes valoraron de forma muy positiva la actividad. Conclusión: los resultados presentados muestran cómo esta experiencia de aprendizaje ha sido altamente satisfactoria para todos los participantes, y cómo los estudiantes han logrado adquirir las competencias previstas
Open Access
HIV Incidence Among Women in Sub-Saharan Africa: a time trend Aanalysis of the 2000-2017 Period
(Wolters Kluwer Health, 2021) Soto Ruiz, María Nelia; Arregui Azagra, Adriana; San Martín Rodríguez, Leticia; Elizalde Beiras, Itsaso; Saralegui Gainza, Amaia; Escalada Hernández, Paula; Ciencias de la Salud; Osasun Zientziak; Institute of Smart Cities - ISC
ABSTRACT: The aim of this study was to use data from the United Nations Global Indicators Database to analyze the trends in the HIV incidence rate among women in sub-Saharan African countries between 2000 and 2017. The HIV incidence rate is defined as the number of new HIV infections per 1,000 uninfected population, aged 15 to 49 years old. Joinpoint regression analysis was applied to identify periods when there were significant changes in the HIV incidence rate. The results show that there was a global decrease trend in the HIV incidence rates among women in sub-Saharan Africa, decreasing in all sub-Saharan African countries, except in Angola, Equatorial Guinea, and Sudan, which have remained the same, and Madagascar, where the overall trend is increasing. The joinpoint regression statistical method offers an in-depth analysis of the incidence of HIV among women in sub-Saharan Africa. Copyright © 2021 Association of Nurses in AIDS Care.
Open Access
Use of telehealth among cancer survivors: a scoping review
(Mary Ann Liebert, Inc., 2023) Irurita Morales, Paula; Soto Ruiz, María Nelia; San Martín Rodríguez, Leticia; Escalada Hernández, Paula; García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak
Background: Long-term cancer survivors have specific needs that are frequently neglected. Telehealth, as a new form of health care, can benefit this growing population.Objective: To identify, analyze, and synthesize the existing evidence on the use of telehealth in the care of cancer survivors after the end of treatment.Methods: A scoping review was conducted in the databases PubMed, CINAHL, COCHRANE, SCIELO, DIALNET, and LILACS and reference institutions in cancer.Results: The initial search yielded 406 publications with 59 articles meeting the eligibility criteria. There are different types of telehealth (video calls, phone calls, websites, mobile applications, and short message services) used for the care of cancer survivors. Most telehealth interventions focus on improving the physical and mental spheres of quality of life in the extended survival phase (from 1 to 3 years postdiagnosis), with only two articles (3%) on long-term cancer survivors (>5 years postdiagnosis). Survivors are satisfied with telehealth interventions, noting the importance of improving comprehensibility, personalization of the platforms, and the lack of excessive information included.Conclusions: Telehealth is a feasible modality for cancer survival care. The scarcity of interventions aimed at long-term survivors stands out, as does the general neglect of the social and spiritual spheres of quality of life.Implications for Practice: Telehealth platforms must adapt their content, format, and items to the preferences reported by the survivors.