¿Que ens motiva a investigar? Impacte PERIS

PERIS; Infermeria; Investigació sanitàriaPERIS; Enfermería; Investigación sanitariaPERIS; Nursing; Health researchDins de les diferents àrees de coneixement de la salut, concretament la recerca infermera té poc recorregut històric en el nostre entorn, per tant, això fa que es disposi de poc recolzament i en conseqüència de poques oportunitats de finançament. Però malgrat les dificultats, és important posar en valor els beneficis que suposa gaudir dʼajudes com podrien ser les intensificacions PERIS o altres Beques. Aquestes ens permeten generar nous coneixements per millorar la cura dels nostres pacients, redefinir programes de salut més eficaços o ajudar a visibilitzar la recerca infermera. Lʼobjectiu dʼaquest pòster és motivar a companyes i companys infermers a través dʼuna infografia a iniciar el camí de la recerca, destacant els valors claus: autonomia, expertesa, sentiment de pertinença, autoestima.Amb el suport del Departament de Salut com a entitat finançadora per la Intensificació d’infermeria: SLT008/18/0007

Eficàcia d’una intervenció educativa centrada en la persona, realitzada per infermeria en pacients amb Malaltia Inflamatòria Intestinal

Atenció centrada en el pacient; Malaltia inflamatòria intestinal; Programa d'intervenció educativaAtención centrada en el paciente; Enfermedad inflamatoria intestinal; Programa de intervención educativaPatient care; Inflammatory bowel disease; Educational intervention programEl conocimiento sobre la propia enfermedad tiene una importancia crucial, cuando trabajamos bajo el paradigma del modelo de atención centrado en el paciente. Y son los programas educativos para la salud, una de las herramientas utilizadas para empoderar a nuestros pacientes. Conseguir poner de manifiesto la eficacia de los programas educativos en la mejora de la adquisición de conocimientos sobre la propia enfermedad para los pacientes con enfermedad inflamatoria intestinal, tanto la enfermedad de Crohn como la colitis ulcerosa, es muy relevante tanto para el diseño de programas en función de las necesidades educativas detectadas como para la evaluación objetiva de los mismos.El coneixement sobre la pròpia malaltia té una importància crucial, quan treballem sota el paradigma de el model d'atenció centrat en el pacient. I són els programes educatius per a la salut, una de les eines utilitzades per donar poder als nostres pacients. Aconseguir posar de manifest l'eficàcia dels programes educatius en la millora de l'adquisició de coneixements sobre la pròpia malaltia per als pacients amb malaltia inflamatòria intestinal, tant la malaltia de Crohn com la colitis ulcerosa, és molt rellevant tant per al disseny de programes en funció de les necessitats educatives detectades com per a l'avaluació objectiva dels mateixos.Amb el suport del Departament de Salut com a entitat finançadora per la Intensificació d’infermeria: SLT008/18/0007

Coneixements, actituds i comportaments sobre deshabituació tabàquica en infermeres que cuiden pacients amb malaltia inflamatòria intestinal

Tractament del tabaquisme; Infermeres; Malaltia inflamatòria intestinal; Malaltia de CrohnTratamiento del tabaquismo; Enfermeras; Enfermedad inflamatoria intestinal; Enfermedad de CrohnSmoking treatment; Nurses; Inflammatory bowel disease; Crohn diseaseSmoking is one the main preventable public health problems in developed countries. In relation to Crohn's disease, it is the best-characterized environmental factor that negatively impacts, both the predisposition to the disease and its evolution. Despite it has been demonstrated the effectiveness of smoking treatments and the smoking cessation minimal intervention method 5 A's ( Ask, Advise, Assess, Assist, and Arrange) in chronic patients, seem that nurses experienced in care of IBD patients don’t routinely perform it. Maybe because lack of skills or time on the job. Objective: to explain the knowledge, attitudes and behaviors in relation to smoking cessation, of nurses involved in the IBD patients care. As secondary objectives: to determine the level of implementation of smoking cessation intervention 5 A's, identify improvement areas on nurses' smoking cessation knowledge, and finally to identify factors/barriers that hinder nurses' participation in smoking cessation interventions for IBD patients. Methods: an exploratory, observational, cross-sectional and multicenter study has been designed. Target: advanced IBD nurse, gastroenterology staff nurse and daycare center's nurse Study variables: Competence in tobacco cessation activities through the self-administered KABO© (knowledge, attitudes, behaviors and organization) questionnaire. This instrument (validated in Spanish) is specifically designed to evaluate relevant factors in the implementation of stop smoking interventions. Sociodemographic variables: age, gender, smoking status, level of studies, individual characteristics the profession, years of professional experience, smoking training, current work situation and years of experience. Conclusions: We will present some preliminary data. Knowing the skills we have in smoking cessation practices would allow us to define strategies to improve our intervention.Amb el suport del Departament de Salut com a entitat finançadora per la Intensificació d’infermeria: SLT008/18/0007

Multicriteria Decision Analysis for Updating of Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units in Spain

Comprehensive care unit; Patient reported outcome; Quality indicatorsUnidad de atención integral; Resultado informado por el paciente; Indicadores de calidadUnitat d'atenció integral; Resultat informat pel pacient; Indicadors de qualitatBackground and Aims Management of inflammatory bowel disease [IBD] is complex and IBD Comprehensive Care Units [ICCUs] facilitate the delivery of quality care to IBD patients. The objective of this study was to update the existing set of quality indicators [QIs] for ICCUs, based on a nationwide quality certification programme carried out in Spain, from a multi-stakeholder perspective and using multicriteria decision analysis [MCDA] methodology. Methods An MCDA comprising three different phases was conducted. In phase 1, a systematic literature review was performed, and after validation by a scientific committee comprising 11 experts, a preliminary set of QIs was developed. In phase 2, a larger group of 49 experts determined the relevance and relative importance of each QI by prioritising and weighing the preliminary set. Finally in phase 3, the scientific committee reviewed the results and made a final selection via a deliberative process. Results The final set comprised 67 QIs, classified as Structure [23 QIs], Process [35 QIs] and Outcome [9 QIs], which were ranked according to their relative importance. Multidisciplinary management was the most important requirement in ICCUs, followed by continuity of care, standardisation of clinical care and, especially, the incorporation of patients’ reported outcomes. Conclusions This updated set of QIs comprises a weighted and prioritised set of items that represent the essential minimum of criteria for ensuring appropriate quality of care in the management of IBD patients.AbbVie sponsored the CUE programme. AbbVie had no role in the study design, data collection and analysis, decision to publish, or preparation of this manuscript

The experience of inflammatory bowel disease patients with healthcare: A survey with the IEXPAC instrument

Inflammatory bowel disease; Patients experience; Chronic diseaseMalaltia intestinal inflamatòria; Experiència dels pacients; Malalties cròniquesEnfermedad intestinal inflamatoria; Experiencia de los pacientes; Enfermedades crónicasTo assess inflammatory bowel disease (IBD) patients' experience of chronic illness care and the relationship with demographic and healthcare-related characteristics.This cross-sectional survey used the Instrument to Evaluate the EXperience of PAtients with Chronic diseases (IEXPAC) questionnaire to identify parameters associated with a better healthcare experience for IBD patients. IEXPAC questionnaire responses are grouped into 3 factors - productive interactions, new relational model, and patient self-management, scoring from 0 (worst) to 10 (best experience). Scores were analyzed by bivariate comparisons and multiple linear regression models.Surveys were returned by 341 of 575 patients (59.3%, mean age 46.8 (12.9) years, 48.2% women). Mean (SD) IEXPAC score was 5.9 (2.0); scores were higher for the productive interactions (7.7) and patient self-management factors (6.7) and much lower for the new relational model factor (2.2). Follow-up by a nurse, being seen by the same physician, and being treated with a lower number of medicines were associated with higher (better) overall patient experience score, and higher productive interactions and self-management factor scores. A higher productive interactions score was also associated with patients receiving medication subcutaneously or intravenously. Higher new relational model scores were associated with follow-up by a nurse, affiliation to a patients' association, receiving help from others for healthcare, a lower number of medicines and a higher educational level.In patients with IBD, a better overall patient experience was associated with follow-up by a nurse, being seen by the same physician, and being treated with a lower number of medicines

The experience of inflammatory bowel disease patients with healthcare: a survey with the IEXPAC instrument

[Abstract] To assess inflammatory bowel disease (IBD) patients' experience of chronic illness care and the relationship with demographic and healthcare-related characteristics.This cross-sectional survey used the Instrument to Evaluate the EXperience of PAtients with Chronic diseases (IEXPAC) questionnaire to identify parameters associated with a better healthcare experience for IBD patients. IEXPAC questionnaire responses are grouped into 3 factors - productive interactions, new relational model, and patient self-management, scoring from 0 (worst) to 10 (best experience). Scores were analyzed by bivariate comparisons and multiple linear regression models.Surveys were returned by 341 of 575 patients (59.3%, mean age 46.8 (12.9) years, 48.2% women). Mean (SD) IEXPAC score was 5.9 (2.0); scores were higher for the productive interactions (7.7) and patient self-management factors (6.7) and much lower for the new relational model factor (2.2). Follow-up by a nurse, being seen by the same physician, and being treated with a lower number of medicines were associated with higher (better) overall patient experience score, and higher productive interactions and self-management factor scores. A higher productive interactions score was also associated with patients receiving medication subcutaneously or intravenously. Higher new relational model scores were associated with follow-up by a nurse, affiliation to a patients' association, receiving help from others for healthcare, a lower number of medicines and a higher educational level.In patients with IBD, a better overall patient experience was associated with follow-up by a nurse, being seen by the same physician, and being treated with a lower number of medicines

Avance en los cuidados enfermeros a las personas con enfermedad inflamatoria intestinal

Introducció: La malaltia inflamatòria intestinal (MII) es defineix com un grup de trastorns inflamatoris crònics de causa desconeguda que afecten l'aparell digestiu. Les persones que pateixen aquestes malalties requereixen de cures expertes per a prevenir complicacions associades i millorar la seva qualitat de vida. En aquest context, les infermeres exerceixen un paper fonamental en la cura integral d'aquests pacients dins dels equips multidisciplinaris especialitzats. Objectiu: Identificar i avaluar l'impacte de l'avanç en les cures d'infermeria especialitzada per a millorar l'atenció i el maneig de les persones amb MII, a partir del treball en tres línies de recerca: I) la deshabituació al tabac dels persones amb MII i les competències de les infermeres que els atenen, II) el coneixement de l'estat actual de l'educació per a la salut en persones amb diagnòstic recent de MII, i III) l'anàlisi de la repercussió durant la pandèmia de COVID-19 en el treball de la infermera de la unitat d'atenció a les persones amb MII. Mètodes: En l'àrea de deshabituació al tabac i infermeria es va realitzar un assaig clínic aleatoritzat per a determinar l'eficàcia d'una intervenció motivacional, i un estudi descriptiu exploratori per a conèixer el nivell de competència en aquesta matèria. Per a conèixer l'estat actual de les intervencions en educació per a la salut en persones amb MII de recent diagnòstic es va elaborar una revisió sistemàtica exploratòria. I finalment, en l'estudi de l'impacte que va representar la pandèmia per COVID-19 en l'atenció infermera es va optar per un estudi observacional retrospectiu. Resultats: S'ha pogut demostrar com la infermera de pràctica avançada té un paper destacat en la seva funció com a garant de la promoció de la salut, amb la implantació d'un programa de deshabituació al tabac, sent necessari ampliar la formació sobre aquest tema per a poder millorar les competències per a dur-la a terme. Focalitzant l'atenció en la funció d'educació per a la salut, es pot concloure que hi ha un buit de coneixement en relació amb aquesta intervenció en l'atenció a persones recentment diagnosticades de MII. I, finalment, s'ha evidenciat la gran labor realitzada per part d'infermeria durant la fase aguda de la pandèmia de COVID-19, reforçant i visibilitzant el lideratge en el maneig de l'atenció a distància en les persones amb MII. Conclusions: Els resultats obtinguts en els diferents estudis han proporcionat informació per a plantejar estratègies que promoguin una gestió eficaç dels recursos, millorant la qualitat i l'efectivitat de les intervencions infermeres. Tot això ha permès visibilitzar el lideratge infermer en la cura a les persones amb MII.Introducción: La enfermedad inflamatoria intestinal (EII) se define como un grupo de trastornos inflamatorios crónicos de causa desconocida que afectan al aparato digestivo. Las personas que padecen estas enfermedades requieren de cuidados expertos para prevenir complicaciones asociadas y mejorar su calidad de vida. En este contexto, las enfermeras desempeñan un papel fundamental en el cuidado integral de estos pacientes dentro de los equipos multidisciplinarios especializados. Objetivo: Identificar y evaluar el impacto del avance en los cuidados de enfermería especializada para mejorar la atención y el manejo de los pacientes con EII, a partir del trabajo en tres líneas de investigación: I) la deshabituación tabáquica de los personas con EII y las competencias de las enfermeras que los atienden, II) el conocimiento del estado actual de la educación para la salud en personas con diagnóstico reciente de EII, y III) el análisis de la repercusión durante la pandemia de COVID-19 en el trabajo de la enfermera de la unidad de atención a las personas con EII. Métodos: En el área de deshabituación tabáquica y enfermería se realizaron por un lado un ensayo clínico aleatorizado para determinar la eficacia de una intervención motivacional, y un estudio descriptivo exploratorio para conocer el nivel de competencia en esta materia. Para conocer el estado actual de las intervenciones en educación para la salud en personas con EII de reciente diagnóstico se elaboró una revisión sistemática exploratoria. Y finalmente, en el estudio del impacto que representó la pandemia por COVID-19 en la atención enfermera se optó por un estudio observacional retrospectivo. Resultados: Se ha podido demostrar cómo la enfermera de práctica avanzada tiene un papel destacado en su función como garante de la promoción de la salud, con la implantación de un programa de deshabituación tabáquica, siendo necesario ampliar la formación al respecto para poder mejorar las competencias para llevarla a cabo. Focalizando la atención en la función de educación para la salud, se puede concluir que hay un vacío de conocimiento en relación con dicha intervención en la atención a personas recién diagnosticadas de EII. Y, por último, se ha evidenciado la gran labor realizada por parte de enfermería durante la fase aguda de la pandemia de COVID-19, reforzando y visibilizando el liderazgo en el manejo de la atención a distancia en las personas con EII. Conclusiones: Los resultados obtenidos en los diferentes estudios han proporcionado información para plantear estrategias que promuevan una gestión eficaz de los recursos, mejorando la calidad y la efectividad de las intervenciones enfermeras. Todo ello ha permitido visibilizar el liderazgo enfermero en el cuidado a las personas con EII.Introduction: Inflammatory bowel disease (IBD) is defined as a group of chronic inflammatory disorders of unknown ethology that affect the digestive tract. People suffering from these diseases require expert care to prevent associated complications and improve their quality of life. In this context, nurses play a key role in the comprehensive care of these patients within specialised multidisciplinary teams. Objective: To identify and evaluate the impact of advances in specialised nursing care to improve the care and management of IBD patients, based on work in three lines of research: I) smoking cessation in IBD patients and the nurses competencies com who care for them, II) knowledge of the current state of health education in newly diagnosed patients with IBD, and III) analysis of the impact during the COVID-19 pandemic on the work of the nurse in the IBD care unit. Methods: In the area of smoking cessation and nursing, a randomised clinical trial was conducted to determine the efficacy of a motivational intervention, and an exploratory descriptive study was carried out to determine the level of competencies in this area. A scoping review was carried out to determine the current state of health education interventions for people with newly diagnosed IBD. Finally, a retrospective observational study was chosen to study the impact of the COVID-19 pandemic on nursing care. Results: It has been possible to demonstrate how the advanced practice nurse has a prominent role in its function as a guarantor of health promotion, with the implementation of a smoking cessation programme, and it is necessary to extend training in this respect to improve the competencies to carry it out. About health education, it can be concluded that there is a knowledge gap in relation to this intervention in the care of people newly diagnosed with IBD. And, finally, the great work carried out by nurses during the acute phase of the COVID-19 pandemic has been evidenced, reinforcing, and making visible the leadership in the management of remote care in people with IBD. Conclusions: The results obtained in the different studies have provided information to propose strategies that promote efficient management of resources, improving the quality and effectiveness of nursing interventions. All of this has made nursing leadership in the care of people with IBD more visible

Coneixements, actituds i comportaments sobre deshabituació tabàquica en infermeres que cuiden pacients amb malaltia inflamatòria intestinal

Tractament del tabaquisme; Infermeres; Malaltia inflamatòria intestinal; Malaltia de CrohnTratamiento del tabaquismo; Enfermeras; Enfermedad inflamatoria intestinal; Enfermedad de CrohnSmoking treatment; Nurses; Inflammatory bowel disease; Crohn diseaseSmoking is one the main preventable public health problems in developed countries. In relation to Crohn's disease, it is the best-characterized environmental factor that negatively impacts, both the predisposition to the disease and its evolution. Despite it has been demonstrated the effectiveness of smoking treatments and the smoking cessation minimal intervention method 5 A's ( Ask, Advise, Assess, Assist, and Arrange) in chronic patients, seem that nurses experienced in care of IBD patients don’t routinely perform it. Maybe because lack of skills or time on the job. Objective: to explain the knowledge, attitudes and behaviors in relation to smoking cessation, of nurses involved in the IBD patients care. As secondary objectives: to determine the level of implementation of smoking cessation intervention 5 A's, identify improvement areas on nurses' smoking cessation knowledge, and finally to identify factors/barriers that hinder nurses' participation in smoking cessation interventions for IBD patients. Methods: an exploratory, observational, cross-sectional and multicenter study has been designed. Target: advanced IBD nurse, gastroenterology staff nurse and daycare center's nurse Study variables: Competence in tobacco cessation activities through the self-administered KABO© (knowledge, attitudes, behaviors and organization) questionnaire. This instrument (validated in Spanish) is specifically designed to evaluate relevant factors in the implementation of stop smoking interventions. Sociodemographic variables: age, gender, smoking status, level of studies, individual characteristics the profession, years of professional experience, smoking training, current work situation and years of experience. Conclusions: We will present some preliminary data. Knowing the skills we have in smoking cessation practices would allow us to define strategies to improve our intervention.Amb el suport del Departament de Salut com a entitat finançadora per la Intensificació d’infermeria: SLT008/18/0007

Multicriteria Decision Analysis for Updating of Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units in Spain.

Management of inflammatory bowel disease [IBD] is complex and IBD Comprehensive Care Units [ICCUs] facilitate the delivery of quality care to IBD patients. The objective of this study was to update the existing set of quality indicators [QIs] for ICCUs, based on a nationwide quality certification programme carried out in Spain, from a multi-stakeholder perspective and using multicriteria decision analysis [MCDA] methodology. An MCDA comprising three different phases was conducted. In phase 1, a systematic literature review was performed, and after validation by a scientific committee comprising 11 experts, a preliminary set of QIs was developed. In phase 2, a larger group of 49 experts determined the relevance and relative importance of each QI by prioritising and weighing the preliminary set. Finally in phase 3, the scientific committee reviewed the results and made a final selection via a deliberative process. The final set comprised 67 QIs, classified as Structure [23 QIs], Process [35 QIs] and Outcome [9 QIs], which were ranked according to their relative importance. Multidisciplinary management was the most important requirement in ICCUs, followed by continuity of care, standardisation of clinical care and, especially, the incorporation of patients' reported outcomes. This updated set of QIs comprises a weighted and prioritised set of items that represent the essential minimum of criteria for ensuring appropriate quality of care in the management of IBD patients