Parents as First Responders: Experiences of Emergency Care in Children with Nemaline Myopathy: A Qualitative Study Raúl Merchán Arjona, Juan Francisco Velarde-García, Enrique Pacheco del Cerro, Alfonso Meneses Monroy Nursing Reports, 2025 Background: Nemaline myopathy is a rare congenital neuromuscular disease associated with progressive weakness and frequent respiratory complications. In emergency situations, families often serve as the first and only responders. The aim of this study is to explore how parents in Spain care for children with nemaline myopathy during emergency situations, focusing on the clinical responses performed at home and the organizational challenges encountered when interacting with healthcare systems. Methods: A qualitative phenomenological study was conducted with 17 parents from 10 families belonging to the Asociación Yo Nemalínica. Semi-structured interviews were performed via video calls, transcribed verbatim, and analyzed using Giorgi’s descriptive method and ATLAS.ti software (version 24). Methodological rigor was ensured through triangulation, reflexivity, and member validation. Results: Four themes were identified. First, families were described as acting under extreme pressure and in isolation during acute home emergencies, often providing cardiopulmonary resuscitation and respiratory support without professional backup. Second, families managed ambiguous signs of deterioration using clinical judgment and home monitoring tools, often preventing fatal outcomes. Third, parents frequently assumed guiding roles in emergency departments due to a lack of clinician familiarity with the disease, leading to delays or errors. Finally, the transition to the Pediatric Intensive Care Unit was marked by emotional distress and rapid decision-making, with families often participating in critical choices about invasive procedures. These findings underscore the complex, multidisciplinary nature of caregiving. Conclusions: Parents play an active clinical role during emergencies and episodes of deterioration. Their lived experience should be formally integrated into emergency protocols and the continuity of care strategies to improve safety and outcomes.
Influence of Sex on Therapeutic Adherence in Cardiovascular Diseases: A Scoping Review Guillermo Moreno, Blanca Moreno-Ferreiro, Carla Pérez-Ingidua, María Jesús Vicente-Galán, Verónica Gimeno-Hernán, et al. Journal of Clinical Medicine, 2025 Background/Objectives: Females with cardiovascular disease (CVD) are often misdiagnosed, and they have sex-related psychosocial risk factors that pose specific health risks and affect their adherence to treatment. This study aims to evaluate sex differences in adherence to, and risk prediction for, secondary prevention measures in patients with cardiovascular disease. Methods: A scoping review of the literature was conducted. A search strategy was carried out in the PubMed, Scopus, and Web of Science databases. Articles were selected according to PRISMA guidelines, focusing on studies published within the last five years involving patients with cardiovascular disease and written in English or Spanish. Bias was assessed using the CASPe questionnaire. This project has been registered in the Open Science Framework (OSF) repository under the DOI code 10.17605/OSF.IO/GYDZF. Results: Thirteen articles were retrieved. For hypertension, medication adherence ranges from 25% to 83% in males and from 24% to 80% in females. For ischemic heart disease, the range is 32–74% in males and 32–60% in females. Adherence to physical activity ranges from 21% to 72% in males and 14% to 72% in females. Predictive factors include older age, increased comorbidity, and psychosocial aspects. Conclusions: There is evidence of sex differences in medication adherence for hypertension, ischemic heart disease, and peripheral arterial disease. However, further research is required to identify the factors that predispose individuals to non-adherence.
Virtual Active Learning to Maximize Knowledge Acquisition in Nursing Students: A Comparative Study Guillermo Moreno, Alfonso Meneses-Monroy, Samir Mohamedi-Abdelkader, Felice Curcio, Raquel Domínguez-Capilla, et al. Nursing Reports, 2024 Background: Nursing students need to acquire knowledge through active methods that promote critical thinking and decision making. The purpose of this study is to analyze whether there are differences in the acquisition of knowledge by nursing students between active face-to-face or virtual teaching methods. Methods: In this comparative study, nursing students enrolled in the psychology course were divided into two groups: a face-to-face group that received active teaching methods and a virtual group. The virtual group was exposed to the Effective Learning Strategy (ELS), which included seminars based on video content through the Virtual Campus and answering questions using the H5P tool. In addition, participants engaged in reflection tasks on the content. Covariate data were collected, and knowledge tests were administered to both groups before and after the course. After three months, subjects were re-evaluated with a final exam to assess content retention. Results: A total of 280 students were randomized. No differences were found in students’ scores at the end of the knowledge test or in their final grades in the subject. Having study habits (b = 0.12, p = 0.03) and social support from relevant people (b = 0.09; p = 0.03) were associated with better post-intervention scores, and inversely with social support from friends (b = −0.12, p < 0.01). Final grades were inversely associated with digital safety literacy (b = −0.101, p = 0.01). No factors were associated with the scores of each group separately. Conclusions: The ELS virtual active learning model is as effective as face-to-face active learning methods for teaching psychology to first-year nursing students. This study was not registered.