Filtrar por tipo: Todos, Artículo, Proyecto, Tesis.
Imagen
García-Vivar, Cristina
Cuidadores / Dependencia, Cáncer / Cuidados Paliativos, Evaluación de intervenciones en cuidados, Gestión (de cuidados/del personal), Procesos crónicos, Metodología docente.
  • Universidad de Navarra
[Nursing facing the new social and health challenges. Spectator or main actor?].
Artículo
19/02/14
Área:
Procesos crónicos
Ámbito:
Atención Sociosanitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
García-Vivar C

[Direct clinical practice: conceptual analysis. Central competence for the development of advanced nursing practice].
Artículo
02/07/13
Área:
Gestión (de cuidados/del personal)
Ámbito:
Atención Sociosanitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Pardavila Belio MI,Vivar CG,Canga Armayor N

The recent implementation in Spain of post degree in nursing has made possible the emergence of new advanced profiles, which direct clinical practice is the core competence.
To analyse and clarify the term of direct clinical practice.
A conceptual analysis was carried out based on Rogers's evolutionary approach. A review of the literature was made in the following data bases: PubMed, CINAHL, ISI Web of Knowledge, Psych INFO (Ovid) and Cochrane Library. Furthermore, five books about advanced practice nursing were revised.
7 articles and 4 books based on the inclusion criteria were selected. After their analysis the concept of direct clinical practice is defined.
This paper clarifies the concept of direct clinical practice and helps to have a stronger base of knowledge. This will serve as foundation to improve and perfect the conceptualization of this term.

Enfermería de práctica avanzada: desarrollo de un modelo emergente
Artículo
11/06/13
Área:
Evaluación de intervenciones en cuidados
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG, Pardavila Belio MI, Del Barrio-Linares M, Canga Armayor N

[Experience on the implementation of the advanced clinical nursing practice in an oncology unit].
Artículo
08/02/13
Área:
Gestión (de cuidados/del personal)
Ámbito:
Atención Sociosanitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Beortegui Urdánoz E,Vivar CG,Canga Armayor N,Oroviogoicechea Ortega C,Canga Armayor A,Ibarrola Izura S

Social and political changes have created an increased in the demand of health care enabling the emergence of diverse professional profiles under the term Advanced Practice Nurse (APN). The APN is a nurse who has acquired a basis of expert knowledge, skills for decision making, and clinical competencies for an extended practice. In Spain, due to the Bologna process and the changes within university, such as postgraduate training, these profiles have begun to emerge.
To describe the experience on the implementation of the advanced clinical nursing role in an inpatient oncology unit.
Through the nine stages of the model known as Participatory, Evidence-Based Patient-Focused Process for Advanced Practice Nursing (PEPPA) the process of implementation of the Advanced Practice Nursing (APN) in an Oncology unit is described. For this purpose, the change project "Design of a care program for patients carrying a permanent draining catheter for malign ascitis and pleural effusion" was implemented. The project was grounded on the evidence-based theory and practice, and focused on the patient and the family. Its implementation has enabled the development of competences by the APN and the identification of barriers and facilitators.
The changes that have taken place in society favor the development of new nursing profiles, which have a positive impact on the institutions, nursing practitioners, patients and families.

Impacto psicosocial del cáncer de mama en la etapa de larga supervivencia: propuesta de un plan de cuidados integral para supervivientes
Artículo
10/09/12
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG

[Coping strategies used by the family of a patient with acute fulminant hepatitis].
Artículo
02/07/12
Área:
Cuidadores / Dependencia
Ámbito:
Varios Ámbitos
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Iriarte Cerdán L,Ruiz de Galarreta LM,Olano Lizarraga M,García Vivar C

In the holistic care to the patient, the family should be an important part because its members are also affected by the situation. Therefore, nursing work should be directed to both the individual and his environment, being of great help to identify family's needs in order to meet their specific needs accurately. Also in the process of recovery the family goes through several stages of coping, each of them have its own characteristics and nurses' interventions should be adapted to them. The aim of this paper is to evidence the importance of caring for the family, identifying the stages of coping, recognizing their needs and identifying relevant care. For this, a clinical case of a family with a relative hospitalised in an intensive care unit because of an acute fulminant hepatitis was developed. The instruments used to carry out the analysis of the case are: family's needs described by Leske et al., coping stages identified by Kubler-Ross, and ways of coping scale developed by Lazarus and Folkman. Nurses have a relevant role due to their close contact with people, this helps to become a factor which facilitates the interaction of patient and family within the hospital environment. A holistic approach of nursing care involves assessing the needs of families to develop strategies for effective interventions.

[Needs of the family in the intensive care units: a review of the literature].
Artículo
07/05/12
Área:
Cuidadores / Dependencia
Ámbito:
Atención Hospitalaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Pardavila Belio MI,Vivar CG

Admission to the Intensive Care Units (ICU) is perceived by both patients and their family as a stressful experience. This situation can cause shock, skepticism and anxiety in the patient's setting.
To analyze and present the needs of the family members of the critical patient.
A review was made of the literature in the following data bases: Pubmed, CINAHL, Cuiden and Cochrane Library. Furthermore, three journals specialized in Intensive Cares were reviewed.
After including the articles that met the screening criteria, 30 articles were finally selected. Of these, 11 were reviews of the literature, 7 qualitative studies and 12 more were quantitative investigations. Four groups of needs in the families were identified after the analysis of these articles, these being cognitive, emotional, social and practical.
One of the main needs of the family is to receive better information from the professionals followed by the need for closeness with the ill family member. This review proposes that, in order to cover these needs, the information should be protocolized and the visiting hours should be made flexible. Furthermore, incorporation of two familial evaluation tools, the genogram and ecomap, is proposed.
This work has revealed the importance of having the Intensive Care nurses identify the needs of the family during the admission of the patient in the ICU in order to be able to provide help, support and counseling care that relieves the suffering of the families.

Copyright © 2010 Elsevier España, S.L. y SEEIUC. All rights reserved.

[Patients' view of nursing care: a literature review].
Artículo
04/05/12
Área:
Gestión (de cuidados/del personal)
Ámbito:
Atención Sociosanitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Olano-Lizarraga M,Vivar CG

To know patients'vision about nursing care, to explore what the patient perceives and expresses on the care of nursing and to identify which are the potential areas for improvement.
A narrative review was conducted in which a synthesis of the information, a codification and a thematic analysis of primary studies were carried out in order to categorize the emerging themes of the reviewed literature. For this purpose, a search was conducted in the databases CINAHL, CUIDEN, MEDLINE and Cochrane Library, from 1990 to 2011.
Seven principal categories were identified: personal qualities of the nurse, individualized care, affective Implication, communication skills, "I am in good hands", knowledge and technical skills and the role of the nurse.
From the patients' statements, positive aspects could be extracted about nursing care but also different ideas were identified that should be modified. It is important to include regularly in practice patients' views of the care that they receive, since they can better evaluate the reality of the nurse role.
To provide a holistic and individualized care to the person, it is necessary to include her vision about the received care. This is the way to evaluate the quality of the care and to verify whether health care assistance corresponds with users' demands.

[Instruments for the assessment of the needs of family members of patients in intensive care units: a systematic review].
Artículo
03/05/12
Área:
Cuidadores / Dependencia
Ámbito:
Atención Sociosanitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Olano M,Vivar CG

The hospitalisation of a family member in an intensive care unit is a stressful event for the rest of the family members. During hospitalisation, the family suffers situations of fear, uncertainty and tiredness, and focuses on the medical evolution of their ill member. In this context, support and attention from health care professionals through the assessment of the needs of the family are crucial. There are different instruments for the assessment of a family's needs. This systematic review aims to identify these questionnaires and to critically analyse their characteristics, so as to offer professionals valid and reliable questionnaires that they can use when caring for families in critical units.

[Psychosocial impact of breast cancer in long-term survival: proposal of an integral follow-up care for survivors].
Artículo
01/05/12
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG

The aim of the article is to show the psychosocial impact of breast cancer in the long-term survival and to promote the idea of implementing a follow-up plan for survivors. A narrative review of published articles on the experience of survival in breast cancer survivors was conducted. Data were organised according to the domains of measurement (physical, psychological and social) of the Quality of Life of Long-term Breast Cancer Survivors Scale (LTQOL-BC). Breast cancer survivors may feel emotionally affected by the physical sequels (mastectomy, lymphedema, early menopause, and infertility), psychological (fear of recurrence and emotional stress) and/or social (family relationships and employment changes). The data are the foundation of a proposal of specific follow-up care for breast cancer survivors.

Copyright © 2010 Elsevier España, S.L. All rights reserved.

Dependencia y familia cuidadora: reflexiones para un abordaje familiar
Artículo
10/03/11
Área:
Cuidadores / Dependencia
Ámbito:
Atención Hospitalaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Canga Armayor A, Vivar C.G., Naval Duran C.

[The transitional survivorship in breast cancer: a narrative review].
Artículo
07/12/10
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Atención Sociosanitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vazquez-Calatayud M,Carrascosa-Gil R,Vivar CG

This paper presents a review undertaken to explore the experiences of patients and families in the transition to breast cancer survivorship.
The "transitional survivorship" is defined as the period immediately after the end of treatment. During this period, breast cancer survivors aim to return to their "new normality", but this time can be full of physical, emotional and social challenges for which the women may not feel prepared.
A narrative review was conducted in the databases MEDLINE, CINAHL, PSYCHINFO and CancerLit for the period 2000-2010. The search terms "breast cancer", "transition", "survivorship", "family: and "experience" were combined.
The main emerging categories that explained the experiences of breast cancer survivors during the "transitional survivorship" were "new normality", the sense of loss, uncertainty about the future, loneliness and self-transcendence.
. This review shows the importance of knowing the experiences of women with breast cancer during the transitional survivorship in order to meet their needs during this stage of the illness, so as to facilitate their transition into the next phase of survival. There is a lack of knowledge about the experiences of families during this stage of survival and the impact of family relationship on the transitional experiences of breast cancer survivors. Therefore, it seems relevant to focus on this area in future exploratory studies.

'Again': the impact of recurrence on survivors of cancer and family members.
Artículo
05/10/10
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Atención Hospitalaria
Metodología:
Interpretativo/constructivista (Fenomelogía, Teoría fundamentada, Etnografía)
Población:
Adultos > 18 años
Autores:
Vivar CG,Whyte DA,McQueen A

To examine the psychosocial impact of recurrence on survivors of cancer and their family members.
Cancer recurrence is described as one of the most stressful phases of cancer. Recurrence brings back many negative emotions, which are different and may be more intense than those after first diagnosis of cancer. Survivors and their family members have to deal with new psychological distress.
A qualitative descriptive study was conducted in four cancer units of two hospitals in North of Spain.
Fifteen survivors of cancer with a recent diagnosis of recurrence, 13 family members and 14 nurses were interviewed. Data collection and analysis were based on the constant comparative method of grounded theory.
Four major categories were found: (1) 'Again': when cancer comes back, (2) the shock of recurrence, (3) the impact of the diagnosis on family life, and (4) factors that influence the impact of recurrence. Learning that cancer had come back was, for most of the families, more devastating than hearing that they had cancer for the first time. Signs of shock and suffering were experienced by families as an initial response to recurrence. The new diagnosis often entailed a change in the family life. Survivorship period and age seemed also significant in the psychosocial experience of recurrence.
The term 'again', used by all the participants to describe a recurrence of the disease, symbolised a beginning and a continuation with cancer; it implied a re-encounter with health services, and it represented new suffering for the families.
Therapeutic nursing interventions should be planned and provided to both patients with recurrent cancer and their family members. Family nursing can play an important role in helping families master the impact of the recurrent illness.

© 2010 Blackwell Publishing Ltd.

[Cancer survival care plan: A challenge in primary health care].
Artículo
15/06/10
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG

The psychosocial impact of recurrence on cancer survivors and family members: a narrative review.
Artículo
12/03/09
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Atención Sociosanitaria
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG,Canga N,Canga AD,Arantzamendi M

This paper is a report of a review undertaken to identify, critically analyse and synthesize the psychosocial experience of cancer recurrence for survivors and family members.
Recurrence of cancer is an event after which life changes for families. Individuals move from being short- or long-term survivors of cancer to being patients once more. Families move from a state of fear of recurrence to one of uncertainty and distress as a result of the new crisis.
MEDLINE, CINAHL and CancerLit databases were searched for the period January 1980-2007. Reference lists of papers were conducted for relevant studies. The search terms recurrence, recurrent cancer, experience, survivor and family were searched for separately and in combination.
A narrative review was conducted. Data were categorized in terms of issues during survivorship and concerns after recurrence.
Three main categories were identified that explained survivors' and families' experiences of recurrent cancer: (1) fear of recurrence during survivorship, (2) when cancer recurs: families facing new challenges and (3) distress because of recurrence.
Recurrence is a distressing experience for survivors and families because they have to face again psychosocial effects of cancer, such as uncertainty, distress and concerns about death. Care should not be addressed simply to survivors, but should include the general well-being of families beyond their survivorship and support to manage better psychosocial issues occurring when a member has a recurrence of cancer.

LEY DE DEPENDENCIA: EXPERIENCIAS DE LA FAMILIA Y DEL ANCIANO DEPENDIENTE EN LA TRANSICION A LA DEPENDENCIA.
Proyecto
01/01/09
Área:
Cuidadores / Dependencia
Ámbito:
Atención Sociosanitaria
Metodología:
Interpretativo/constructivista (Fenomelogía, Teoría fundamentada, Etnografía)
Población:
Mayores (Ancianos) > 65 años
Investigadores:
GARCIA VIVAR, CRISTINA(Investigador Principal)

Getting started with qualitative research: developing a research proposal.
Artículo
14/05/07
Área:
Metodología docente
Ámbito:
Varios Ámbitos
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG,McQueen A,Whyte DA,Armayor NC

The aim of this article is to illustrate in detail important issues that research beginners may have to deal with during the design of a qualitative research proposal in nursing and health care. Cristina Vivar has developed a 17-step process to describe the development of a qualitative research project. This process can serve as an easy way to start research and to ensure a comprehensive and thorough proposal.

Long-term cancer survivors: 'who is there to work with these people?'.
Artículo
20/12/06
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Varios Ámbitos
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG

Putting conflict management into practice: a nursing case study.
Artículo
07/04/06
Área:
Gestión (de cuidados/del personal)
Ámbito:
Varios Ámbitos
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Vivar CG

This paper is intended to put knowledge in conflict management into practice through reflecting on a nursing case study.
Nursing organizations are particularly vulnerable to conflict as the context of nurses' work may be difficult and stressful. Power conflict is argued to be an important source of tension within nursing units. Learning to manage conflict at an early stage is therefore crucial to the effective functioning of nursing organizations.
A nursing case study that illustrates power conflict in an oncology nursing unit is displayed and reflection on conflict management from the case is provided.
There is no appropriate or inappropriate strategy to deal with conflict. However, detecting initial symptoms of conflict and adopting the most effective behaviour to conflict resolution is essential in nursing units.
Further nursing education in conflict management for staff nurses and nurse managers is greatly needed.

Informational and emotional needs of long-term survivors of breast cancer.
Artículo
15/08/05
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Varios Ámbitos
Metodología:
Interpretativo/constructivista (Fenomelogía, Teoría fundamentada, Etnografía)
Población:
Adultos > 18 años
Autores:
Vivar CG,McQueen A

This paper presents a review of the informational and emotional needs of long-term breast cancer survivors, with particular attention to the different needs of women according to their age and to critiquing healthcare provision to these women.
Women with a history of breast cancer are the largest group of cancer survivors. While they may be disease-free, their cancer diagnosis has ongoing physical and psychosocial implications for their lives and well-being.
A literature search for the period 1985 to March 2004 was undertaken using the CINAHL, MEDLINE, CANCERLIT, PubMed and CUIDEN databases and the keywords long-term, breast cancer survivors, needs and social support. Hand-searching was also done, and reference lists of papers were examined for relevant studies.
Survivors of breast cancer continue to experience informational and emotional needs during their long-term survivorship, and variation in the amount and type of support required is age-related. However, women's needs are often unmet by oncology teams and they have to find other sources of support, such as self-help groups. Thus, ongoing care is required after completion of medical treatment, and nurses have a significant contribution to make here.
Nursing research on long-term breast cancer survivorship is limited. Future studies need to investigate the unmet needs of long-term survivors of breast cancer and, specifically, explore the kind of support women would like to receive from oncology teams, and particularly from breast cancer nurses.

[Mammogram screening: an on-going debate].
Artículo
08/06/05
Área:
Cáncer / Cuidados Paliativos
Ámbito:
Varios Ámbitos
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
García Vivar C

General public mamma-gram screening programs directed at women aged from 50 to 65 years are a common practice in Spain and other European countries. After more than ten years being recognized as early detection programs for breast cancer A debate has opened about the effectiveness of mamma-gram screening to reduce the number of deaths due to this type of tumor. The author includes a wide bibliography and various data bases such as MEDLINE: 1989-2003, CANCERLIT: 1975-2002, CINAHL: 1982-2003, and EMBASE: 1988-2003; and realizes it is not simple to justify mamma-gram screening since there is a great diversity of opinion in medical literature.