Publications by authors named "Maria Jose Hernandez-Leal"

Objective: To analyse the characteristics of articles published on the competencies, abilities, knowledge and education that nurses should have to be able to communicate, inform, disseminate and/or be an informative source in mass media and social media.

Design: This bibliometric study involved a comprehensive search of two databases, PubMed and Scopus. The search terms included 'nursing', 'communication', and 'mass media', along with their synonyms.

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Background: Prostate cancer is the second most common neoplasm in men, with projections estimating over one million new cases by 2045. Differentially expressed genes can significantly enhance the diagnosis, treatment, monitoring, and prognosis of this disease.

Purpose: to systematically review and analyze validated differentially expressed mRNAs in prostate cancer patients to propose a robust molecular profile for clinical diagnostics.

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Article Synopsis
  • The goal of the study is to help patients with cancer make decisions about starting palliative care (which is special care for those who are very sick) using a helpful tool called a patient decision aid (PtDA).
  • The research looked at 15 different studies to find out the best ways to help patients and their families make these important decisions together.
  • It was found that training healthcare workers and creating clear guides (like videos) are really important for making sure patients feel supported and satisfied during their end-of-life care.
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Background: Time is often perceived as a barrier to shared decision making in cancer care. It remains unclear how time functions as a barrier and how it could be most effectively utilized.

Objective: This scoping review aimed to describe the role of time in patient involvement, and identify strategies to overcome time-related barriers.

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Article Synopsis
  • Limited data on costs and cost-effectiveness of hospital interventions for tackling antibiotic resistance (ABR) complicate resource allocation decisions.
  • A systematic review analyzed 20,958 articles but ultimately included 59 relevant studies on both pharmaceutical and non-pharmaceutical interventions, focusing on key bacteria and cost-effectiveness ratios.
  • Non-pharmaceutical interventions like hygiene measures were found to be much cheaper (as low as $1 per patient) and showed strong cost-effectiveness compared to pharmaceutical options, with specific treatments and infection control measures yielding favorable incremental cost-effectiveness ratios.
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Background: The objective is to examine and synthesise the best available experimental evidence about the effect of ambulatory consultation duration on quality of healthcare.

Methods: We included experimental studies manipulating the length of outpatient clinical encounters between adult patients and clinicians (ie, therapists, pharmacists, nurses, physicians) to determine their effect on quality of care (ie, effectiveness, efficiency, timeliness, safety, equity, patient-centredness and patient satisfaction).

Information Sources: Using controlled vocabulary and keywords, without restriction by language or year of publication, we searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and Database of Systematic Reviews and Scopus from inception until 15 May 2023.

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BACKGROUND: Patients with multiple sclerosis (MS) may experience decisional conflict during treatment choice. Shared decision making (SDM), whereby patients and health professionals, primarily nurses, collaborate in making decisions, reduces this decisional conflict. It requires understanding large amounts of information and may be complex, especially when decisions affect patients' autonomy and quality and prolongation of life.

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Objective: To compare the agreement between patient and clinician perceptions of care-related financial issues.

Patients And Methods: We surveyed patient-clinician dyads immediately after an outpatient medical encounter between September 2019 and May 2021. They were asked to separately rate (1-10) patient's level of difficulty in paying medical bills and the importance of discussing cost issues with that patient during clinical encounters.

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Objective: To analyse women's stated preferences for establishing the relative importance of each attribute of shared decision-making (SDM) and their willingness to pay (WTP) for more participatory care in breast cancer screening programmes (BCSP).

Design: A discrete choice experiment was designed with 12 questions (choice tasks). It included three attributes: 'How the information is obtained', regarding benefits and harms; whether there is a 'Dialogue for scheduled mammography' between the healthcare professional and the woman; and, 'Who makes the decision', regarding participation in BCSP.

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Breast cancer is the leading cause of death in the world among women. The Spanish National Health System (SNHS) introduced population-based breast cancer screening in 1990. As in most European programs, risk is identified on the basis of age and a mammogram is offered every two years to women aged 50-69 years.

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This study explored the barriers and facilitators to the implementation of a risk-based breast cancer screening program from the point of view of Spanish health professionals. A cross-sectional study with 220 Spanish health professionals was designed. Data were collected in 2020 via a web-based survey and included the advantages and disadvantages of risk-based screening and barriers and facilitators for the implementation of the program.

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Background: With the aim of increasing benefits and decreasing harms, risk-based breast cancer screening has been proposed as an alternative to age-based screening. This study explores barriers and facilitators to implementing a risk-based breast cancer screening program from the perspective of health professionals, in the context of a National Health Service.

Methods: Socio-constructivist qualitative research carried out in Catalonia (Spain), in the year 2019.

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Background: The Literature is no report support material on Shared Decision-making applied to breast cancer screening that is intended for Spanish health professionals. The researcher created both a handbook and a guide for this topic using an adaption of the Three-talk model.

Objective: A Delphi method will be used to reach an agreement among experts on the contents and design of a manual and guide, designed by the research team, and to be used by health professionals in the application of SDM in breast cancer screening.

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Objective: To adapt and validate for the Chilean context the instrument Informed Choice (IC) to measure informed decision for mammography.

Location: Primary Health Care Center in southeast Santiago, Chile.

Design: Individual, transversal, analytical and psychometric adaptation and validation study.

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Objective: To explore the barriers to and facilitators of healthcare professionals' implementation of SDM regarding screening programmes.

Method: A systematic review was conducted in PubMed, Cochrane Library, CINHAL, and PsyscInfo. The barriers and facilitators identified were classified into three factors based on their origin: patients, healthcare system performance, and healthcare professionals themselves.

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