https://hdl.handle.net/2072/484362 https://www.tecnocampus.cat/ 2026-04-06T10:14:05Z https://hdl.handle.net/20.500.12367/3209 Professional Development and Roles of Doctorally Prepared Nurses in Spain: Results From a National Survey Cabrera, Esther; Chabrera, Carolina; Zabalegui, Adelaida Aim: To explore the professional development, roles, competencies, labour environment, and recognition of doctorally prepared nurses in Spain. Design: A national cross-sectional survey. 2025-09-01T00:00:00Z https://hdl.handle.net/20.500.12367/3207 Political influence, facilitators and barriers in the decision-making processes of executive nurse leaders during the COVID-19 pandemic in Spain: an ethnographic study Alite-Cerezuela, Paula; Zabalegui, Adelaida; Velasco-Leon, Jone; Vizcaya-Moreno, Maria Flores To describe the political influence Executive Nurse Leaders (ENLs) in Spain had on decision-making processes during the COVID-19 pandemic, identifying facilitators and barriers to executive and policy-related decision-making and implementation. A focused ethnographic study, with a direct qualitative analysis of manifest content. Twenty-five semistructured interviews were conducted with ENLs who held senior management positions in one of the executive roles included. The study includes the following executive roles: Chief Nurse Executive in the autonomous government and Chief Executive Officer, Chief Nurse Officer, and Assistant Chief Nurse Officer in healthcare organisations. The study period was from February 2020 until December 2022. 2025-01-01T00:00:00Z https://hdl.handle.net/20.500.12367/3211 Physical activity promotion in Spanish adults with spinal cord injury: Community guidelines, supporting resources and messaging strategies Monforte, Javier; Castan Delshorts, Alex; Smith, Brett; Hoekstra, Femke; Úbeda-Colomer, Joan The purpose of this study was threefold: (1) to develop spinal cord injury (SCI) physical activity (PA) community guidelines suitable for a Spanish context; (2) to generate seminal resources for supporting PA participation in Spain and, potentially, other Spanish speaking countries; and (3) to identify potential communication strategies for delivering the guidelines and resource 2025-12-10T00:00:00Z https://hdl.handle.net/20.500.12367/3210 Effectiveness of high versus mixed-level fidelity simulation on undergraduate nursing students: A randomised controlled trial Chabrera, Carolina; Curell, Laura; Rodríguez-Higueras, Encarna Aim: This study evaluates the impact of high-fidelity simulation on the acquisition and retention of competències in nursing students. Background: High-fidelity simulation provides a realistic and risk-free environment allowing students to practice, which potentially enhances the acquisition and retention of required competencies. Design: A blinded, randomised clinical trial with three arms was conducted with a pretest and a follow-up at 6 months (post-test 1) and 12 months (post-test 2). Method: This study was conducted with 105 s-year nursing students, divided into three groups: control (6 lowfidelity simulations), intervention 1 (3 high-fidelity and 3 low-fidelity) and intervention 2 (6 high-fidelity simulations). Competencies were assessed using the Objective Structured Clinical Examination at baseline, 6 and 12 months. Student satisfaction was measured with the Simulated Clinical Experiences Scale. Results: Initial competency scores were similar across groups. At 6 months, both intervention groups showed significant improvements in critical thinking (6.2 and 6.0, p < 0.05), clinical skills (6.8 and 6.6, p < 0.05), communication (8.0 and 8.3, p < 0.05) and ethics (7.6 and 7.5, p < 0.05) compared with the control group. Intervention group 1 demonstrated better competency retention at 12 months. Overall satisfaction with highfidelity simulation was high (9.13/10), with particular praise for the practical dimension (8.95/10), realisme (8.02/10) and the cognitive dimension (9.43/10). Conclusions: High-fidelity simulation has the potential to enhance nursing competencies effectively. This approach supports long-term skill retention, highlighting the importance of a well-structured curriculum that integrates different simulation levels for optimal student preparation for clinical practice. . 2025-01-01T00:00:00Z