Enfermería global Vol.25, Nº 1 (2026)

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Open Access
Concordancia Interevaluadores de la clasificación de flebitis, sus signos y síntomas en catéteres intravenosos periféricos
(Universidad de Murcia : servicio de publicaciones, 2026) Camargo-Figuera, Fabio Alberto; Esquivel Garzón, Natalia; Parra, Dora Inés; Rojas, Lyda Z.; Sin departamento asociado
Aim: The objective of this study was to determine inter-rater agreement for the classification of phlebitis, its signs, and symptoms using the Visual Infusion Phlebitis Scale. Methods: This was a prospective cohort study of patients aged 18 years and older hospitalized in an emergency department with their first peripheral venous catheter in place. Signs and symptoms of phlebitis were assessed daily using the scale. A descriptive analysis was performed, and agreement for the classification of phlebitis, its signs, and symptoms was calculated using Cohen's Kappa coefficient. Results: 817 patients were included. The most common sign or symptom was erythema (13.59%), followed by pain (11.50%), edema (2.99%), and induration (2.02%). There was no palpable venous cord or pyrexia. The overall incidence of phlebitis was 11.44%; grade II (9.42%) and grade III (2.02%). Cohen's Kappa coefficient was 0.990 (95% CI 0.982-0.996) for the general classification of phlebitis. The highest reproducibility for signs and symptoms was pain (k=0.946), followed by induration (k=0.894), edema (k=0.716), and erythema (k=0.649). Conclusions: This study showed high inter-rater agreement overall for the scale and good to very good agreement for each sign and symptom. Future research should evaluate whether purulence and pyrexia are useful signs for screening and early identification of phlebitis
Open Access
Cumplimiento de la ingesta de suplementos de hierro en la anemia materna y el bajo peso al nacer en indonesia: metanálisis
(Universidad de Murcia : servicio de publicaciones, 2026) Trias Mahmudiono; Siti Rahayu Nadhiroh; Fatimah Ahmad Fauzi; Rizky Novita Anjaswanti; Elfira Elfiyanti; Ni Gusti Ayu Pramita Aswitami; Sin departamento asociado
Background: According to the Indonesia Ministry of Health in 2023, only 20% of pregnant women adhared to iron supplement intake. Poor adherence to iron supplementation also leads to increased prevalence of maternal anaemia and low birth weight. Objective. This review to analyze the adherence or compliance to iron supplement intake among pregnant women. Methods. The study employed a systematic review and meta-analysis based on the PRISMA 2020 guidelines. During the article selection, the study applied inclusion criteria, such as original research articles conducted in Indonesia, using Indonesian or English language, and published between 2019 and 2024. Additionally, the articles must discuss the effect of adherence to iron supplement intake on the incidence of maternal anemia and low birth weight. They were systematically searched in the following databases: PubMed, Science Direct, Springer, Google Scholar, and Proquest. To facilitate the systematic review analysis, the Odds ratio (OR) was analyzed using Review Manager 5.4. Results. A total of 16 studies (10 articles on maternal anemia and 6 articles on low birth weight) were included in this meta-analysis. The results revealed that maternal anemia had a significant relationship with adherence to iron supplement intake (OR: 0.10, 95%CI 0.06 - 0.14; p-value <0.001) and also low birth weight (OR: 0.42, 95%CI 0.21 - 0.86; p-value: 0.02). Conclusion. Based on this finding, poor adherence to iron supplement intake significantly increase risk of maternal anemia and low birth weight.
Open Access
Motivación y compromiso laboral en una población de profesionales de Enfermería
(Universidad de Murcia : servicio de publicaciones, 2026) Santana Padilla, Yeray Gabriel; Sánchez Barber, Fayna; Soria Martín, Dara Carolina; Reyes Reyes, Oliver; Sin departamento asociado
Background:The motivation and work engagement of healthcare professionals are an area of interest for healthcare management. Nurses, midwives, and nursing assistants (TCAE) represent an essential resource in the healthcare system. Objective: to analyze the relationship between motivation and work engagement in nursing professionals at a tertiary hospital, describing the levels of each construct and its dimensions.Material and Method: Descriptive-correlational transversal observational study conducted at a single center using a questionnaire. The participants were nursing staff. Work motivation was measured using Hackman and Oldham's Job Diagnosis Survey (JDS) scale, and work engagement was assessed with the shortened Utrecht Work Engagement Scale (UWES-9). Both scales were analysed based on their total scores and underlying dimensions.Outcomes: 350 nursing professionals participated in the survey. The most represented category was nurses with 177 (50.6%), followed by nursing assistants with 146 (41.7%) and midwives with 27 (7.7%). The JDS and UWEs-9 scale scores were 77.16± 8.786 and 4.49±1.130, respectively. On the JDS scale, midwives had significantly higher scores for task variety (p<0.001), while nursing assistants had higher scores for task identity (p<0.001) and feedback (p<0.001). In terms of work engagement, dedication and absorption scored highly with 4.81 and 4.29.Conclusions:The level of motivation and work engagement are average. As points for action, better feedback on performance and the impact of tasks on midwives and nurses is needed.
Open Access
Efectos de las tecnologías educativas desarrolladas para el trabajo de parto y parto: una revisión sistemática
(Universidad de Murcia : servicio de publicaciones, 2026) Ribeiro, Bruna Stefany Rodrigues; Coelho, Tatiane da Silva; Melo, Laura Pinto Torres de; Nicolau, Ana Izabel Oliveira; Damasceno, Ana Kelve de Castro; Nour, Guilherme Frederico Abdul; Sin departamento asociado
Introduction: Educational technologies (ET) are highly relevant tools for the production, dissemination, and transmission of knowledge. Within the field of Obstetric Nursing, these devices are used for health education and promotion activities, with the purpose of promoting the autonomy of pregnant women and their companions, thus strengthening good practices in childbirth and delivery.Objective:to evaluate the effects of educational technologies developed for labor and delivery.Material and method: A systematic review was developed according to JBI recommendations. The research question was formulated using the PICOS acronym, and its report was described according to PRISMA. Searches were conducted in the Pubmed/Medline, Cochrane, Scopus, EMBASE, CINAHL, Web of Science, and grey literature databases, without idiomatic and/or temporal restrictions. The RoB-2 and Robins-I tools were used to assess the risk of bias, and GRADE was used to assess the quality of evidence.Results: 630 studies were retrieved, of which 7 comprised the final sample of the review. Pregnant women who used TE showed greater knowledge about the signs of labor and delivery, in addition to feeling more prepared to experience these moments. Among the companions, there was greater security and expansion of support actions for women, with increased autonomy and empowerment, which contributed to greater satisfaction of postpartum women in relation to childbirth.Conclusion:the use of educational technologies proved to be effective and promotes improved knowledge and satisfaction of pregnant women and their birth companions when used effectively, obtaining a “strong” degree of recommendation.
Open Access
Carga de Trabajo, Motivación y Cumplimiento de Documentación Electrónica de Enfermería: Estudio Transversal en Indonesia
(Universidad de Murcia : servicio de publicaciones, 2026) Amaliyah, Eli; Kartika Ashanty; Suganda, Tomi; Sin departamento asociado
Background:The global adoption of electronic medical records (EMR) has changed the way nursing is documented. It aims to improve patientsafety and clinical efficiency. However, complying with these standards remains a challenge in countries like Indonesia. Objective:To examine the relationship between workload and job motivation, as well as nurses' compliance with electronic documentation in a provincial teaching hospital. Material and methods:A quantitative cross-sectional study was conducted with 90 inpatient nurses. Workload was measured using the NASA-TLX, motivation via Maslow’s hierarchy of needs, and documentation compliance through a retrospective audit. Data was analyzed using chi-square tests and binary logistic regression (p < 0.05). Results: Most nurses experienced high workload levels. A significant association was found between workload and compliance (p = 0.001). Low motivation significantly increased the risk of non-compliance (OR = 0.040; 95% CI 0.008-0.207), identifying it as the determining factor for compliance. Conclusion:The adherence of nursing staff to electronic documentation depends more on the workload than on personal motivation. It is essential to improve workload management and adapt the design of the EMR to nursing workflows to enhance the quality of documentation
Open Access
Capacidad funcional y autocuidado de pacientes con insuficiencia cardíaca: una revisión de alcance
(Universidad de Murcia : servicio de publicaciones, 2026) Santos, José Arthur Guimarães dos; Souza, Juliana Pessoa de; Lima, Danielly Farias Santos de; Mangueira, Suzana de Oliveira; Cabral, João Victor Batista; Sousa, Mailson Marques de; Sin departamento asociado
Objective: To map the scientific evidence on the relationship between functional capacity and self-care in patients with heart failure.Methods:Scoping review conducted in accordance with the Joanna Briggs Institute and guided by PRISMA-ScR. Seven electronic databases and gray literature were consulted. Primary studies with adults (aged 18 years or older) diagnosed with heart failure, published in any language, were included, with independent and double-blind selection.Results: 18 studies were included. Self-care was predominantly assessed using the Self-Care of Heart Failure Index. Functional capacity was primarily assessed using the New York Heart Association functional classification. The relationship between the two is complex and varied, with positive, negative, or absent correlations.Conclusion:The relationship between functional capacity and self-care in patients with heart failure is heterogeneous. Understanding the relationship between self-care and functional capacity can guide healthcare professionals in the assessment and development of personalized interventions (education, exercise support, motivation) for patients with heart failure
Open Access
Hígado graso asociado a disfunción metabólica como factor de riesgopara preeclampsia en gestantes
(Universidad de Murcia : servicio de publicaciones, 2026) Carnero Cabrera, Yohanna Xiomara; Yupari-Azabache, Irma Luz; Sin departamento asociado
Introduction: Fatty liver disease associated with metabolic dysfunction is an obstetric emergency thatcan lead to maternal and foetal complications, including death.Objective: The present investigation aimed to analyze whether fatty liver associated with metabolicdysfunction is a risk factor for preeclampsia in pregnant women in a level III hospital in Trujillo - Peru.Method:Descriptive study type, quantitative approach and non-experimental, observational, analytical etrospective, case-control design. Using a data collection form, data related to the variables analyzed in 404 pregnant women were collected. They were then analyzed with the software spss version 26, the ORand confidence intervals were calculated.Results: The results show that pregnant women with preeclampsia and MAFLD come from urban areas,higher education level, marital status cohabiting/married, multi-pregnancy, do not have the minimumnumber of prenatal check-ups, are obese, do not have type II diabetes mellitus or dyslipidemia. Theprevalence of MAFLD in this population of pregnant women is low.Conclusions:Fatty liver associated with metabolic dysfunction is a risk factor for preeclampsia in pregnant women.
Open Access
La satisfacción laboral de los trabajadores de emergencias pre-hospitalarias, revisión panorámica
(Universidad de Murcia : servicio de publicaciones, 2026) Caballero Huerga, Jorge; Fernández Martínez, Elena; Vázquez Casares, Ana María; Cerrato Sáez, Patricia; Sin departamento asociado
Background: Job satisfaction among healthcare workers is now another indicator of the quality of care provided to users.Aim:The aim of this scoping review was to identify definitions and instruments to measure job satisfaction in the field of pre-hospital emergencies. Methods: A scoping review guided by Arksey and O'Malleys methodological framework was conducted. From the PCO (Participants: prehospital emergency staff (including doctors, nurses, technicians, paramedics, physicians)/ Concept: job satisfaction/ Outcomes: definitions and measure methods), MeSH terms were searched in six databases including PubMed/ Medline, Scopus, WoS, Doaj, Dialnet y JBI systematically since 2015 to 20/03/2023.Results: Out of 323 citations, 16 matched inclusion criteria. Of these studies, only seven describe the meaning of job satisfaction. And only eight explain the measurement instrument, setting out the questions that comprise it and the aspects that are recorded.Conclusion: Considering the relationship between healthcare professionals and their work from a comprehensive perspective in the prehospital emergency setting is of paramount importance in providing quality healthcare.
Open Access
Percepción de las enfermeras peruanas sobre el estilo de liderazgo de los coordinadores de Enfermería en un hospital de emergencias
(Universidad de Murcia : servicio de publicaciones, 2026) Ccota-Estaña, Mónica; Burgos-Flores, Miguel; Li, Jair; Rosales Rimache, Jaime; Sin departamento asociado
Introduction:The work of Nursing professionals in hospitals, especially in the context of health emergencies, where leadership and motivation are characteristics that should stand out among the staff. Objective: to analyse the perception of Nursing professionals regarding the leadership styles of Nursingcoordinators in an emergency hospital in Lima.Material and Method:A descriptive cross-sectional study was conducted with the aim of analyzingNursing professionals’ perceptions of Nursing leadership styles in a Peruvian hospital. A total of 85Nursing professionals from 12 departments participated, and the 65-item Multifactor LeadershipQuestionnaire form 5X was administered.Results: We found that 80% of the Nursing professionals rated leadership as fair, followed by 12.9% as good and 7.1% as bad. Based on the total score, the highest value was found for transactional leadership(1.19 ± 0.56). According to the dimensions, the highest score was achieved in Active Management by Exception-Directive with 1.24 ± 0.52, while the lowest was obtained in “Laissez-Faire” with 0.92. ±0.50.Conclusions:Nursing professionals predominantly perceived transactional leadership positively,whereas laissez-faire leadership was least valued. These results suggest that transactional leadership is functional in structured hospital settings, but integrating transformational behaviors may enhance long-term team engagement and performance
Open Access
Cuidados y atención a las familias de recién nacidos fallecidos: análisis descriptivo de seis años
(Universidad de Murcia : servicio de publicaciones, 2026) Cuéllar-Flores, Isabel; Ordax Soler, Marta; Miras-Aguilar, María del Mar; Corredera Sánchez, Araceli; Provencio Garcia, Vanesa; Sin departamento asociado
ntroducción: Diversos estudios han señalado que la calidad del apoyo profesional recibido durante y después del fallecimiento neonatal influye significativamente en el proceso de duelo y en la salud mental de los progenitores. Este artículo tiene como objetivo describir las características de la mortalidad neonatal en el Hospital Clínico San Carlos, las prácticas de cuidado hacia las familias, y las variables con las que se asocian, así como la sintomatología depresiva materna. Método: Se realizó un estudio observacional descriptivo retrospectivo desde octubre de 2018 hasta diciembre de 2024, analizándose variables clínicas y sociodemográficas, registros internos de cuidados y puntuación en Escala de Depresión Montgomery-Asberg (MADRS) de las madres la primera semana tras el fallecimiento. Resultados: Desde 2018 se han producido 60 muertes neonatales, la mayoría prematuros extremos. Más de la mitad de las madres tenían origen extranjero. El 98% de las familias recibió al menos una intervención de cuidado, las más frecuentes ver el bebé (96%) y obteneruna caja de recuerdos (96%), la menos frecuente vestir al bebe con su ropa (30%). Más del 60% fue contactada telefónicamente por psicología clínica la primera semana tras el fallecimiento. Conclusiones: La prematuridad y el origen extranjero materno son las características más frecuentes. Las prácticas de cuidados recomendadas en la muerte neonatal se han integrado con éxito en el servicio.
Open Access
Practicas espirituales y calidad de vida en pacientes adultos mayores en un hospital peruano
(Universidad de Murcia : servicio de publicaciones, 2026) Pacheco Villa García, Luisa Antonia; Urure Velazco, Isabel Natividad; Llerena Ururi, Karen Leticia; Berrocal Pacheco, Pedro Luis; Sin departamento asociado
Introduction: Spirituality and quality of life maintain a positive relationship, where the former acts as a fundamental pillar for integral well-being.Objective: To analyze the relationship between spiritual practices and the quality of life of older adults in a Peruvian Public Hospital.Material and Methods: Quantitative, non-experimental, descriptive approach, probabilistic sampling by 340 patients. Validated instruments were used: Daily Spiritual Experience Test (DSES) with 16 items distributed in 11 dimensions, Quality of Life Scale: WHOQOL-OLD, with 24 items in 6 dimensions. Both tools use Likert scales and demonstrated high reliability, with Cronbach's alpha coefficients of 0.899 and 0.790, respectively. Results: The sample was characterized by a predominance of women (69.7%; n=216), Age (X ̅ = 67.72 and SD= 6.44) and older adults between 60 and 69 years old (63.5%). In terms of spirituality, high levels of gratitude (63.5%), divine support (58.8%) and spiritual exercises (55.9%) stood out. The highest level of spiritual practices, 43.2% and 12.1% experienced a regular quality of life. Finally, a significant association was found between the female sex and the variables of spiritual practices (45.0%) and quality of life (47.6%).Conclusions: The results of the statistical analysis using Spearman's Rho revealed a moderate positive correlation (rs = 0.423) with a level of statistical significance (p = 0.000). It is confirmed that both variables covary directly: an increase in spiritual practices is linked to a proportional improvement in the quality of life of the population under study
Open Access
Enfermería de Práctica Avanzada en México: Revisión de alcance y perspectiva para su implementación
(Universidad de Murcia : servicio de publicaciones, 2026) Casales-Hernández, Maria Guadalupe; Gonzalez Garcia, Sergio Diego; Delgado Cruz, Jessica Pamela; Covarrubias López, Esmeralda Soledad; Ramírez Villegas, Raquel María; Hernández Zavala, Margarita; Sin departamento asociado
Objective: To analyze the scientific and normative evidence available on the conceptualization, domains, and competencies of Advanced Practice Nursing in the Mexican context. Materials and methods: A scoping review was conducted following the PRISMA 2020 statement as a guideline for reporting the search and selection process. The research question was structured using the SPIDER format. Studies published in Spanish and English between January 2015, and June 2025 were included from PubMed, SciELO, BVS, national normative sources, and Google Scholar. Study selection was conducted independently by the researchers, and discrepancies were resolved by consensus. Results: Forty-three studies were included, 67.4% conducted in Mexico. The conceptualization of APN was heterogeneous: 27.9% closely matched the International Council of Nurses (ICN) definition, 41.9% partially, and 30.2% recovered only fragmented elements. The most frequent domains were research, care management, interprofessional collaboration, and clinical quality/safety (>88%), while cultural competence and advocacy were rarely addressed (<30%). Only 44.2% of the documents included a master's degree as a requirement. PHC appeared only marginally as a central conceptual axis of APN. Conclusions:The conceptualization of APN in Mexico is diverse and fragmented. These findings enabled the proposal of a context-adapted definition as an academic contribution to strengthen the understanding of the role and provide evidence to guide its design, regulation, and implementation with an emphasis on Primary Health Care
Open Access
Avances y desafíos para las prácticas avanzadas de Enfermería en Brasil: una revisión del alcance
(Universidad de Murcia : servicio de publicaciones, 2026) Pequeno, Maria Luísa Grangeiro; Freire, Wilma Tatiane Vasconcelos; Silveira, Maria Mariana Barros Melo da; Mangueira, Suzana de Oliveira; Barbosa, Keylla Talitha Fernandes; Cabral, João Victor Batista; Sin departamento asociado
Objective: To map the implementation gaps and recommendations for the development of policies and professional training for advanced practice nursing (APN) in Brazil. Materials and Methods: This was a scoping review following the Joanna Briggs Institute and PRISMA-ScR guidelines, with studies published up to February 2025 in the sources of information CINAHL, EMBASE, Lilacs, PubMed/Medline, SciELO, ScienceDirect, Scopus, Web of Science, Wiley, the Brazilian Digital Library of Theses and Dissertations, and Google Scholar. Content description was performed via the PAGER method.Results: Twenty-eight studies were included, with 50.0% of the publications concentrated in primary health care and 82.1% published after 2020. The following patterns were identified: foundations for advanced practices; advances: discussions guided by the Pan American Health Organization, the Brazilian Nursing Association, and the Federal Nursing Council; gaps: absence of regulation, weaknesses in training, difficulty in understanding, and cultural barriers; evidence for practice: positive care and care management outcomes; and recommendations: need for specific regulation and training at the professional master's and doctoral levels.Conclusions: in its initial implementation phase in Brazil, APN faces significant challenges such as regulatory urgencies and a lack of specialized training. The main recommendations for policy development and professional training are based, firstly, on legal consolidation, as well as on the creation of stricto sensu postgraduate programs with a pedagogical structure geared towards developing competencies and skills compatible with advanced practices in various care settings
Open Access
Gestión del cuidado en Chile: percepciones y significados desde una mirada gerencial
(Universidad de Murcia : servicio de publicaciones, 2026) González Nahuelquin, Cibeles; Bettancourt - Ortega, Lorena; Arredondo - González, Emanuel; González - Chordá, Víctor; Sin departamento asociado
Introduction: Nurses in managerial positions play a key role within hospitals. Objective: To explore the meanings that nurses in managerial roles attribute to the implications of care management within the Chilean hospital context. Material and method: Qualitative research with an interpretative approach, employing an embedded case study design. Participants were purposively selected with inclusion criteria being nurse deputy directors of care management with over one year of experience in the role. Content analysis as described by Bardin was conducted, focusing on units of meaning (text decomposition) followed by category development (classification). NVivo® V14 software was used to optimize analysis. The study was positively reviewed by the Deontological Committee (Reference: CD 392022) and the Scientific Ethical Committee of SSVSA (Memo 062019). Results: Three nurses were interviewed. One main category emerged: “Implications of the care management construct within the hospital structure,” which addressed the research purpose. From this, six subcategories surfaced, illustrating various ways care management is approached, the challenges faced, reflective processes, risks of “losing ground,” and how implementation can be measured through indicators and care standardization. Conclusions: Chilean regulation on care management has left a significant mark on the hospital structure; however, it remains a fluid construct requiring greater professional, social, and legal recognition.
Open Access
Análisis de transferencia por los equipos de enfermería de pacientes complejos hospitalizados en Medicina Interna
(Universidad de Murcia : servicio de publicaciones, 2026) Roldán-Valcárcel, María Dolores; Veiga Rodríguez, María; Ruiz Merino, Guadalupe; Sin departamento asociado
Introduction: Currently, nursing teams lack standardised tools to ensure patient handovers during shift changeovers and to guarantee continuity of care, particularly for highly complex patients. This issue prompts reflection on shift changeovers with regard to patient safety. Objectives: To analyse the perceptions of nursing team professionals regarding the handover of complex chronic patients (PCC) hospitalised in internal medicine units in the Region of Murcia. Method: Multicentre, descriptive, observational, prospective and cross-sectional study with a quantitative approach. An adapted questionnaire was administered to nursing teams in internal medicine units across the Region of Murcia. Sociodemographic, work-related and perception variables were analysed using descriptive and inferential statistics (p<0.05) with SPSS 23.0. Results: Of the 244 participants, 85% believed they performed patient handovers correctly; however, 84.83% felt that handovers could be improved for more complex patients. The majority of participants were women (88.11%), over 40 years of age (68.4%), and working 12-hour shifts (82.4%). Significant associations were found between years of experience and the appropriateness of the handover location; between being a nurse and forgetting information after a night shift; and between working 12-hour shifts or holding a supervisory position and the need to contact others due to missing information. Conclusions: The findings reveal a positive yet insufficient perception of the handover process. Standardisation of information transfer for complex patients, together with the establishment of multidisciplinary teams, is required to strengthen patient safety and ensure continuity of care

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