A5072016444- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- Healthcare Decision-Making and Restraints
- Palliative Care and End-of-Life Issues
- Ethics in medical practice
- Ethics and bioethics in healthcare
- Patient Dignity and Privacy
- Cardiac Arrest and Resuscitation
- Film in Education and Therapy
- Empathy and Medical Education
- Aging, Health, and Disability
- Anesthesia and Sedative Agents
- Health and Medical Education
- Palliative and Oncologic Care
- Geriatric Care and Nursing Homes
- Nursing care and research
- E-Learning and Knowledge Management
- Medicine, History, and Philosophy
- Frailty in Older Adults
- Nosocomial Infections in ICU
- Long-Term Effects of COVID-19
- Obstructive Sleep Apnea Research
- Medical Malpractice and Liability Issues
- Cultural Competency in Health Care
- Cardiovascular and Diving-Related Complications
Universidad Complutense de Madrid
2015-2025
Hospital General Universitario Gregorio Marañón
2024
Universidad Europea
2021-2024
Hospital Clínico San Carlos
2012-2023
Univar (United Kingdom)
2021
Dirección de Investigación y Desarrollo
2021
Escola Superior de Enfermagem de Lisboa
2021
Contextual Change (United States)
2021
Sociedad Española de Cuidados Intensivos Pediátricos
2020
Asociación Española de Urología
2020
From the beginning, COVID-19 pandemic increased ICU workloads and created exceptionally difficult ethical dilemmas. staff around world have been subject to high levels of moral stress, potentially leading mental health problems. There is only limited evidence on distress coping styles among Spanish staff, how they influenced professionals' during pandemic.
Abstract Background The ABCDE bundle is a set of evidence‐based practices to systematically reduce the risks sedation, delirium, and immobility in intensive care patients. Implementing improves clinical outcome. Aims Objectives To investigate association between patient outcomes compliance with components ABC (analgosedation algorithms), D (delirium protocol), E (early mobilization protocol). Design A Spanish multicentre cohort study adult patients receiving invasive mechanical ventilation...
Objective To assess the incidence and determinants of ICU-acquired muscle weakness (ICUAW) in adult patients with enteral nutrition (EN) during first 7 days ICU mechanical ventilation for at least 48 hours. Methods A prospective, nationwide, multicentre cohort study a national network 80 ICUs. receiving invasive hours EN their stay were included. The primary outcome was ICUAW. secondary analysed, 3–7 stay, relationship between demographic clinical data to contribute onset ICUAW, identify...
In the last decades, there have been important developments in scientific and technological areas of healthcare. On certain occasions this provokes conflict between patients' rights values healthcare professionals which brings about, within clinical relationship, problem conscientious objection.To learn opinions that Nurses Madrid Autonomous Community regarding objection.Cross-cutting descriptive study.The nurses 9 hospitals 12 Health Centers Community. The study was done by means an auto...
Abstract Background In Spain, there has been great effort by lawmakers to put Advance Directives (ADs) into practice since 2002. At the same time, field of bioethics on rise, a discipline that spurred debate right patients exercise their autonomy. Despite all this, implementation ADs can be said have failed in because its prevalence is very low, lack knowledge about them and they little impact clinical decisions. The purpose this article analyze discuss main reasons for failure Spain. Main...
In March 2021, the Spanish Congress approved law regulating euthanasia, that regulates both euthanasia and physician-assisted suicide (PAS). this article, we analyse PAS, comparing it with rest of European laws on PAS (Netherlands, Belgium Luxembourg). Identified strengths law, respect to other norms, are is a many safeguards, which broadly recognises professionals’ right conscientious objection specification makes prior comprehensive care patient, including approach dependency. Regarding...
Safeguarding the right to die according principles of autonomy and freedom each person has become more important in last decade, therefore increasing regulation Euthanasia Medically Assisted Suicide (MAS).To learn opinions that nurses autonomous region Madrid have regarding Suicide.Cross-sectional descriptive study.All registered Madrid. The study was done by means a self-completed anonymous questionnaire. variables studied were social-demographic, giving about MAS.Each participant assured...
Abstract Background Early mobilization in the intensive care unit (ICU) helps improve patients' functional status at discharge. However, many barriers hinder this practice. Aim and objectives To identify mobility levels acquired by critically ill patients their variables. Design A multi‐centre cohort study was conducted adult receiving invasive mechanical ventilation for least 48 hours. Methods The primary outcome level of according to ICU scale. secondary human resource availability...
Objetivos: Identificar la evidencia científica sobre el concepto, desarrollo y función, de Enfermería Basada en Evidencia (EBE) analizar críticamente esta herramienta, sus elementos facilitadores barreras para su implementación.Material Método:
Abstract Since 2002, legislation in Spain has allowed for the creation and documentation of end-of-life decisionmaking. Over intervening years, actual implementation such documents is very low. Through extensive analysis literature, this article explores current status use attitudes toward advance directives then proposes strategies improvement their implementation.
Desde su origen, la Medicina Intensiva y Bioética han compartido un desarrollo común, reforzándose entre ambas. Los límites de tecnología, el cambio en relación clínica, respeto a las preferencias los pacientes, generado distintos conflictos éticos profesionales, pacientes familiares. El objetivo del presente artículo es analizar como que ingresan unidades cuidados intensivos pueden participar toma decisiones sobre actuaciones presentes (consentimiento informado) o futuras (voluntades...