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Díaz Agea, José Luis

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Díaz Agea, José Luis
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Universidad de Murcia. Departamento de Enfermería
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    The communication skills and quality perceived in an emergency department: the patient's perspective
    (Wiley, 2020-03-11) Orcajada Muñoz, Irene; Amo Setien, Francisco José; Díaz Agea, José Luis; Hernández Ruipérez, Tomás; Adánez Martínez, María de Gracia; Leal Costa, César; Medicina
    Aim: To examine the influence of health care provider's communication skills on the quality of care perceived by Emergency Department patients. Background: Communication between patients and health care providers in the context of Emergency Department is challenging and can potentially have a negative impact on the quality of care perceived by patients. Design: Cross-sectional descriptive study conducted in the Emergency Department at the University Clinical Hospital Virgen de la Arrixaca of Murcia, Spain. Method: Data were collected from 6 to 9 June 2016. Different instruments were used to evaluate the perception of patients on the communication skills and quality of care at the Emergency Department. Results. The sample was composed of 200 patients, with an average age of 44.1 (SD = 18.3), of which 106 (53%) were men. The multiple linear regression analysis showed the association between communication skills (respect, problem solving, and nonverbal communication) and age with the quality of care perceived by the patients. Conclusions: We found that the communication skills of the health care providers were explanatory variables of the quality of care perceived in an Emergency Department.
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    Learners’ perspectives on interprofessional simulation and co-debriefng: an exploratory mixed-methods study
    (Wiley, 2026-02-26) Díaz Agea, José Luis; Ros-Romero, Álvaro; Leal Costa, César; Vera Pérez, José Antonio; Cánovas-Pallarés, Juan Manuel; Piñero Zapata, Manuel; Cinesi-Gómez, César; Adánez Martínez, María de Gracia; Pujalte-Jesús, María José; Cayuela Fuentes, Pedro Simón; Segura López, Gabriel; José Luis Díaz-Agea; Enfermería
    Introduction: Interprofessional simulation enhances both technical and nontechnical skills among healthcare professionals, improving their clinical practice. Co-debriefng, where two facilitators lead debriefng sessions, is a common approach in these trainings. This study aims to assess educational aspects of interprofessional simulation and co-debriefng in postgraduate medical and emergency nursing students. Methods: A descriptive cross-sectional study with a mixed-methods approach was conducted among postgraduate students (n = 46). A mixed-methods design was used, combining quantitative questionnaire data with qualitative content analysis of openended responses, allowing integration of numerical trends with in-depth learner perspectives. A valid and reliable ad hoc questionnaire was designed, and qualitative content analysis was used to examine participants’ free-text responses. Results: Students’ perceptions were evaluated across six dimensions: applicability, satisfaction, motivation, safe environment, organization, and co-debriefng. Signifcant diferences were found between medical and nursing students in all dimensions except applicability and organization. Overall, students rated interdisciplinary sessions and co-debriefng positively, though nurses highlighted areas for improvement, such as icebreaker activities, more dynamic simulations, and equal representation of both professions. Conclusions: While interprofessional simulation and co-debriefng were well received, participants—especially nurses—identifed areas for enhancement to ensure a more balanced and engaging learning experience. By integrating quantitative outcomes with qualitative insights, the study highlights when co-debriefng adds value in interprofessional simulation and when singlefacilitator approaches may be sufcient.
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    Self-directed learning in nursing students: a quasi-experimental comparison of two simulation methods
    (Elsevier, 2025-09-24) Molina Rodríguez, Alonso; Díaz Agea, José Luis; Cheng, Su-Fen; Lopez-Chicheri-García, Isabel; Suárez Cortés, María; Doménech Asensi, Guillermo; Enfermería; Facultad de Enfermería
    Background: Nursing is a dynamic profession requiring self-motivated professionals capable of continually updating their knowledge and skills. Self-directed learning (SDL) is essential to meet evolving clinical demands, and simulation provides innovative approaches to promote it Aim: To examinewhether theSelf-Learning Methodology in Simulated Environments (MAES ) enhances SDL skills in nursing students compared with traditional high-fidelity simulation. Methods: A quasi-experimental study was conducted with 109 undergraduate nursing students. The intervention group (n = 49) applied MAES, where students defined objectives, designed scenarios, and identified resources tailored to their needs. The control group (n = 60) participated in a traditional high-fidelity simulation. SDL ability was assessed with the Self-Directed Learning Instrument (SDLI) at baseline and postintervention. Results: Intra-group analysis showed significant improvement in the MAES group (p = 0.014) compared with the traditional group (p = 0.088). However, between-group comparisons revealed no significant differences (p = 0.157). The most improved dimensions were self-control (time and effort management) and interpersonal communication. Conclusions: MAES shows a favorable trend in fostering SDL, suggesting its potential as an effective educational strategy in nursing.
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    Training with high fidelity simulation in the care of patients with Coronavirus—A learning experience in native health care multi-professional teams
    (MDPI, 2021) Rojo-Rojo, Andrés; Soto-Castellón, María Belén; García-Méndez, Juan Antonio; Leal Costa, César; Adánez Martínez, María de Gracia; Pujalte-Jesús, María José; Díaz Agea, José Luis; Medicina
    The training of emergency and intensive care teams in technical and non-technical skills is fundamental. The general aim of this study was to evaluate the training of various professional teams with simulations based on the care of COVID-19 patients using Zone 3 simulations (native emergency medical services and intensive care units-ICU teams) in the Region of Murcia (Spain). A mixed pilot study was designed (qualitative/quantitative) comprised of three phases: Phase 1: detection of needs (focus groups), Phase 2: design of simulation scenarios, and Phase 3: training with high-fidelity simulation and evaluation of competences. The results were used to determine the real training needs of these health professionals, which were used to design four simulation scenarios in line with these needs. The team competences were evaluated before and after the training session, with increases observed after the training sessions, especially in non-technical skills such as communication. Training with zone 3 simulation, with multi-professional native emergency and intensive care teams who provided care to patients with coronavirus was shown to be an effective method, especially for training in non-technical skills. We should consider the training needs of the professionals before the start of any training program to stay one-step ahead of crisis situations.
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