La Unidad de investigación en cuidados y servicios de salud (Investén-isciii) se crea en 1996 con el objetivo de fomentar la investigación en cuidados de enfermería y otras disciplinas relacionadas. Investén-isciii incluye profesionales, en su mayor parte de enfermería de todas las comunidades autónomas. Su ámbito de influencia es nacional, en ella están involucradas las diferentes áreas de trabajo de los profesionales de enfermería y disciplinas afines: la atención primaria, la hospitalaria, las instituciones docentes y las diferentes áreas de gestión de la provisión de cuidados. ​La misión es desarrollar estrategias y promover acciones para el fomento y coordinación de la investigación multidisciplinar y traslacional en cuidados, favoreciendo el vínculo entre la práctica y la investigación, y posibilitando la implantación de cuidados seguros y de calidad que mejoren la salud de la población. Está adscrita a la Subdirección General de Servicios Aplicados, Formación e Investigación.

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Closed Endotracheal Suction Systems for COVID-19: Rapid Review 

Background: The increase in admissions to intensive care units (ICUs) in 2020 and the morbidity and mortality associated with SARS-CoV-2 infection pose a challenge to the analysis of evidence of health interventions carried out in ICUs. One of the most common interventions in patients infected with...

A mixed methods study using case studies prepared by nursing students as a clinical practice evaluation tool 

Aim: To identify the presence of variability in the evaluation of case studies prepared by nursing students during their primary care rotations based on the existing evaluation rubric. To explore the difficulties experienced by link lecturers and students in preparing and evaluating case studies. D...

Resilience among primary care professionals in a time of pandemic: a qualitative study in the Spanish context 

Objectives: This study explores the impact of the COVID-19 pandemic on the Spanish primary care structure and services and the mechanisms implemented by the primary care workforce to restore and reinforce their reference care model. Design: An exploratory, qualitative study with semistructured inte...

Improving Nursing Assessment in Adult Hospitalization Units: A Secondary Analysis 

The main objective of this study was to analyze the impact of a multifaceted strategy to improve the assessment of functional capacity, risk of pressure injuries, and risk of falls at the time of admission of patients in adult hospitalization units. This was a secondary analysis of the VALENF proje...

Differences in Dietary Habits, Physical Exercise, and Quality of Life between Patients with Obesity and Overweight 

Background: Overweight and obesity differ in their repercussions on the health and health-related quality of life (HRQoL) of patients. The objective of this study was to compare physical activity levels and dietary habits before admission and HRQoL at discharge between patients with obesity and ove...

Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study 

Background: Malnutrition is a recurring problem that has become more relevant in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalizat...

Diagnostic accuracy study of the VALENF instrument in hospitalization units for adults: a study protocol 

Recently, the VALENF instrument, Nursing Assessment by its acronym in Spanish, was developed as a meta-tool composed of only seven items with a more parsimonious approach for nursing assessment in adult hospitalization units. This meta-tool integrates the assessment of functional capacity, the risk...

Development of an Information Guideline for Kidney Transplant Recipients in a Clinical Trial: Protocol for a Modified Delphi Method 

Background: Renal transplantation is the treatment of choice for most cases of end-stage renal disease. Recipients need to lead a healthy lifestyle to minimize the potential side effects of immunosuppressive drugs and improve transplant outcomes. There is not much evidence about the best way to inc...

Association Between Pandemic Fatigue and Disease Knowledge, Attitudes, Concerns, and Vaccination Intention at Two Key Moments of the COVID-19 Pandemic 

Objective: This study aimed to describe the change in knowledge, attitudes, concerns, perceptions, preventive practices, and vaccination intention at two key time points of the COVID-19 pandemic and to assess whether these changes varied by level of pandemic fatigue. Methods: Data included in this ...

Exploring the construct validity of the Barthel index in a sample of Spanish hospitalised patients 

[EN] Objective: Examine the construct validity of the Barthel Index in adult inpatient units. Method: A secondary analysis was performed on a sample of 1342 adult patients admitted to inpatient units. A confirmatory factor analysis of the Barthel Index did not confirm its unidimensional structure (...

Relationship between Falls and the Use of Medications and Diseases in an Otago Exercise Programme in Old People Living in the Community in Spain 

Background: Falls are a significant health problem among older adults, and can result in severe injuries, disability, and even death. In Spain, the prevalence of falls is lower if the person lives in the community than if they are institutionalized. Research has shown that exercise is an effective ...

Development and Validation of the Breastfeeding Literacy Assessment Instrument (BLAI) for Obstetric Women 

Background: Despite international efforts to protect and promote exclusive breastfeeding (EBF) for infants up to six months of age, global rates of EBF continue to fall short of the targets proposed by the WHO for 2025. Previous studies have shown a relationship between the level of health literacy...

La prevención de las caídas de las personas mayores y sus familiares: una síntesis cualitativa 

[ES] Objetivo: Analizar y sintetizar la evidencia sobre la prevención de las caídas de las personas mayores de 65 años y los proveedores de cuidados familiares. Método: Síntesis cualitativa que forma parte de una revisión sistemática integrativa de diseño convergente. Se retuvieron 41 estudios cual...

Pursuing precision in medicine and nutrition: the rise of electrochemical biosensing at the molecular level 

In the era that we seek personalization in material things, it is becoming increasingly clear that the individualized management of medicine and nutrition plays a key role in life expectancy and quality of life, allowing participation to some extent in our welfare and the use of societal resources ...

"With your age, what do you expect?": Ageism and healthcare of older adults in Spain 

Introduction: Ageism could influence the relationship between older patients' meeting needs and healthcare professionals' answers. Aims: To highlight the experience of older adults with healthcare systems, how they perceive ageism from their healthcare providers, and to explore the relationship bet...

Effects of nursing interventions to improve inpatients' sleep in intensive and non-intensive care units: Findings from an umbrella review 

Aim: This review aimed to synthesise the available reviews on the effects of nursing interventions on sleep quality among patients hospitalised in intensive care and non-intensive care units. Background: Poor sleep quality is a common fact in hospitalised patients. Nurses can contribute to the impr...

COVID-19 pandemic in long-term care: An international perspective for policy considerations 

This paper identifies key factors rooted in the systemic failings of the long-term care sector amongst four high income countries during the COVID-19 pandemic. The goal is to offer practice and policy solutions to prevent future tragedies. Based on data from Australia, Canada, Spain and the United ...

Analysing Power Relations among Older Norwegian Patients and Spanish Migrant Nurses in Home Nursing Care: A Critical Discourse Analysis Approach from a Transcultural Perspective 

Power relations in care are the link between patients and nurses regarding communication and the ability to act in this context. It can be affected when there is cultural interference between members, putting mutual understanding at risk in healthcare situations. This study analyses power relations...

Integrating shared decision-making, expressing preferences and active participation of older adults in primary care nursing: a systematic review of qualitative studies and qualitative meta-synthesis 

Objectives: To systematically synthesise the results of primary qualitative studies on how community-dwelling older adults experience shared decision-making processes, express preferences and actively participate in care. Design: Systematic review of qualitative studies and qualitative meta-synthes...

MODULEN: modelo predictivo en procesos de fragilización basado en actividades cotidianas 

La expectativa de vida libre de discapacidad (HLY) está condicionada principalmente por el deterioro en el desempeño de actividades de la vida diaria (AVD), y se asocia con la fragilidad. Incrementar HLY requiere implementar estrategias innovadoras de gestión de la fragilidad preventivas, objetivas...