Marina Gómez de Quero Córdoba

Aims: To analyse the perceptions of registered nurses in Spain regarding family presence during invasive procedures (FPIP), identifying perceived benefits, barriers to its implementation, and associated sociodemographic variables. Design: A descriptive, cross‐sectional, quantitative study. Methods: A nationally representative sample of 1836 registered nurses was obtained using the validated Spanish version of the Questionnaire on Family Presence in Invasive Procedures ( QFP‐IP ). Data were collected anonymously online between November and December 2024. Descriptive and inferential statistical analyses were performed (Student's t , ANOVA, post hoc tests), and the psychometric properties of the scale were examined (Cronbach's α = 0.904; ICC = 0.90). Results: Overall, nurses showed favourable attitudes towards FPIP, though barriers such as insufficient training, fear of interference, and professional stress persisted. Positive attitudes increased with age, years of experience, and higher educational attainment. Paediatric and geriatric services were the most supportive, whereas intensive care and operating theatre units were more reluctant. Men and those with postgraduate or specialised training expressed greater acceptance. Conclusions: FPIP is recognised by Spanish nurses as an ethically relevant and humanising practice that strengthens communication, autonomy, and compassion in care. Organisational and ethical frameworks are needed to ensure its safe and equitable implementation. Impact: This nationwide study offers the first empirical evidence in Spain on FPIP from a nursing perspective. Its findings provide guidance for developing clinical protocols, ethics education, and institutional policies that promote moral agency and family‐centred, humanised care. Contribution From Patients or the Public: Nurses participated via an online survey and were able to respond to it by accepting the study conditions.

The Lego Serious Play® methodology uses LEGO bricks to foster creativity, participation, and meaningful learning. We explored its impact on emotional regulation and motivation in mental health education nursing students. A qualitative study was conducted through reflective writing after group activities (8 to 10 students) involving constructions representing mental health issues, complemented by a Metaplan (participatory, visual methodology using cards to organize and discuss ideas), with symptoms, treatment, and nursing care. Students presented their models, Metaplan, and a podcast on mental health care. Findings revealed perceived advantages and disadvantages of gamification, highlighting its positive influence on motivation and emotional regulation.

Aims: To explore students’ experiences of taking part in a Death Café and whether they consider the Death Café as being a useful educational tool. Background: Talking about death remains a taboo for both nursing professionals and students. Recognizing the importance of open dialogue, Death Cafés were established to provide safe spaces for individuals to share thoughts and feelings on this topic. Design: A qualitative, exploratory, and descriptive study employing a descriptive analytical approach. Methods: This study was conducted between April 2025 and July 2025 at a public university in Catalonia. The Death Café was a mandatory activity within the palliative care course for all third-year bachelor/undergraduate nursing students. After the course, students were invited to participate in a questionnaire containing 12 open-ended questions, and all 39 students agreed to participate. Data were analyzed using Sandelowski’s qualitative descriptive approach. Results: Following questionnaire analysis, 24 units of meaning, categorized into 7 subcategories and 2 categories emerged: (1) death without fear: normalizing dialogue and communication. The Death Café fostered speaking about death freely and without prejudices; (2) emotional management and group support in the learning process. Students reported a sense of emotional relief when speaking about death and considered it a tool that can enhance their capacity to support patients and families. Conclusion: Most participants regarded the Death Café as a comfortable and enriching experience that provided a respectful environment for open conversation about death. The activity reduced perceived fears and taboos, promoted emotional reflection, and encouraged the sharing of diverse perspectives.

Background: Substance use disorders are chronic conditions with significant personal and social consequences. Nursing care plays a key role in outpatient and community-based rehabilitation programs, yet patients’ perspectives on this role remain underexplored. Objective: This study aimed to explore how patients with substance use disorders perceive and interpret nursing care in community addiction treatment centers operated by the Spanish Red Cross in Madrid, Spain. Specifically, it sought to describe the organizational and care-related roles attributed to community addiction treatment centers and analyze patients’ perceptions of nurses’ technical and relational functions. Methods: A phenomenological qualitative design was used. Fourteen in-depth, semistructured interviews were conducted with patients undergoing treatment at Red Cross centers. Participants were selected through purposive sampling to ensure diversity in age, gender, substance use, and treatment experiences. The data were analyzed using systematic text condensation and supported by the ATLAS.ti software. Results: The center is perceived as a significant space not only for offering healthy leisure activities outside the context of substance use but also as a supportive environment that fosters a sense of belonging to a community. Patients valued the emotional support, empathy, and relational care provided by nurses, often highlighting their role in building trust and offering personalized attention. However, there was limited awareness of nurses’ technical competencies. Conclusions: These findings underscore the importance of holistic, patient-centered care and the need to enhance the visibility and recognition of nursing roles in addiction treatment settings.

Requests for the presence of patients’ own companion animals during healthcare institutionalisation are increasingly encountered in nursing practice, yet remain insufficiently addressed within existing ethical and organisational frameworks. Decision-making is often guided by safety and logistical considerations, while relational and experiential dimensions of care are marginalised.This article introduces the PAMSS Model (Affective Presence of Patients’ Own Companion Animals in Healthcare Services), a theoretically grounded and practice-oriented nursing ethics framework to support structured deliberation in these situations. Drawing on care ethics, phenomenology of lived experience, relational autonomy, and nursing ethics scholarship, the model conceptualises such decisions as ethically non-neutral and embedded within contexts of vulnerability and institutional constraint.The PAMSS Model articulates seven interrelated ethical dimensions and is illustrated through a clinical case. By foregrounding lived experience, relational dignity, and nurses’ moral agency, the framework offers implications for nursing leadership, clinical practice, institutional decision-making, and ethics consultation.

Background: Vulvodynia is a chronic vulvar pain syndrome with multifactorial etiology and unclear pathophysiology. Despite its high prevalence, it remains underdiagnosed and under-researched, with significant repercussions for women’s physical, psychological, and social well-being. Objective: To synthesize the available scientific evidence on quality of life (QoL) in women diagnosed with vulvodynia, identifying the main affected domains and the assessment tools used in the literature. Methods: A rapid review was conducted following PRISMA 2020 and Cochrane Rapid Reviews guidelines. Searches were performed in PubMed, Web of Science, Scopus, CINAHL, Biblioteca Virtual en Salud, and CUIDEN without date or geographic restrictions. Studies including adult women diagnosed with vulvodynia and reporting QoL outcomes were eligible. Data was extracted and synthesized narratively, and methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: Twenty studies published between 2006 and 2025 met the inclusion criteria (13 quantitative and 7 qualitative). Vulvodynia was consistently associated with reduced QoL across physical, psychological, and social dimensions. The most frequently reported issues were chronic vulvar pain, sexual dysfunction, anxiety, depression, and social withdrawal. Tools such as SF-12, SF-36, WHOQOL-BREF, DLQI, Skindex-29, and SQLQ-F were commonly used, although heterogeneity among instruments limited comparability. Multidisciplinary interventions combining physiotherapy and psychological therapy showed improvements in emotional and physical well-being, though sexual dysfunction often persisted. Conclusions: Vulvodynia substantially impairs women’s quality of life, reflecting complex biopsychosocial interactions. The findings highlight the need for standardized QoL measures and gender-sensitive, multidisciplinary approaches to diagnosis, management, and research.

Fundamento. El objetivo es evaluar la higiene de manos en estudiantes de enfermería y conocer sus reflexiones tras una intervención pedagógica innovadora. Metodología. Estudio de simulación con estudiantes de grado de enfermería con diseño mixto: cuantitativo transversal para evaluar la efectividad de la intervención, y exploratorio cualitativo mediante escritura reflexiva. Se realizó lavado de manos con una solución hidroalcohólica que emite radiación ionizante que brilla con luz ultravioleta, empleando un dispositivo de irradiación ultravioleta para visualizar áreas limpias y sucias. Se registró el tiempo empleado y el porcentaje de superficie limpia. Tras evaluar los resultados se repitió la higiene y se compararon el tiempo empleado y la superficie limpia. Posteriormente, las personas participantes respondieron por escrito a preguntas directas y abiertas sobre el trabajo realizado. Resultados. Treinta estudiantes participaron en el estudio transversal y sesenta en el cualitativo. Las áreas de difícil limpieza fueron las yemas de los dedos y la palma de la mano, junto a los pulgares. El segundo lavado requirió 2,6 s más (p=0,012) y consiguió un 9% más de superficie mediana limpia (0,006), y las personas con limpieza ≥70% incrementaron del 36,7 al 66,7%. Las experiencias de los estudiantes mostraron grandes ventajas, como la concienciación sobre errores personales, el aprendizaje visual, y la importancia de una técnica correcta. Conclusiones. Esta estrategia educativa visual y práctica permite aumentar la concienciación del estudiantado sobre la relevancia de la higiene de manos, pudiendo contribuir a disminuir las infecciones nosocomiales provocadas iatrogénicamente.