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Analysis of institutional authors

Acevedo-Nuevo, MAuthorGonzález Gil, TeresaAuthor

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May 11, 2022
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La contención mecánica en unidades de cuidados críticos desde la experiencia de los médicos y técnicos en cuidados auxiliares de enfermería: buscando una lectura interdisciplinar

Publicated to:Enfermeria Intensiva. 31 (1): 19-34 - 2020-01-01 31(1), DOI: 10.1016/j.enfi.2019.01.004

Authors: Acevedo-Nuevo, M; González Gil, Teresa; Solís-Muñoz, M; Arias Rivera, Susana; Toraño Olivera, MJ; Carrasco Rodríguez-Rey, LF; Velasco-Sanz, TR; Rivera, BE Martín; Carmona Monge, Francisco Javier; Rodríguez Huerta, MD; Lospitao Gómez, Sara; Martínez Alvarez, A; García González, S; Láiz Díez, Nuria

Affiliations

Centro de Investigacion Biomedica en Red de Enfermedades Respiratorias - Author
Fundación Hospital Alcorcón - Author
Hospital Clinico San Carlos de Madrid - Author
Hospital General Universitario Gregorio Marañón - Author
Hospital Ramón y Cajal - Author
Hospital Universitario 12 de octubre - Author
Hospital Universitario de Fuenlabrada - Author
Hospital Universitario de Getafe - Author
Hospital Universitario de la Princesa - Author
Hospital Universitario de Móstoles - Author
Hospital Universitario Puerta de Hierro - Author
Organización Nacional de Trasplantes - Author
Sedación - Author
Universidad Autónoma de Madrid - Author
Universidad Complutense de Madrid - Author
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Abstract

The study aim was to explore the experience of doctors and nursing assistants in the management of physical restraint (PR) in critical care units.A multicentre phenomenological study that included 14 critical care units (CCU) in Madrid (Spain). The CCU were stratified according to their use of physical restraint: "frequently used" versus "seldom used". Three focus groups were formed: the first comprised nursing assistants from CCUs that frequently used physical restraint, the second comprised nursing assistants from CCUs that seldom used physical constraint, and the final group comprised doctors from both CCU subtypes. Sampling method: purposive.thematic content analysis. Data saturation was achieved.Four principle themes emerged: 1) concept of safety and risk (patient safety versus the safety of the professional), 2) types of restraint, 3) professional responsibilities (prescription, recording, and professional roles) and 4) "zero restraint" paradigm. The conceptualisation regarding the use of physical contentions shows differences in some of the principal themes, depending on the type of CCU, in terms of policies, use and management of physical constraint (frequently used versus seldom used).The real reduction in the use of physical restraint in CCU must be based on one crucial point: acceptance of the complexity of the phenomenon. The use of physical restraint observed in the different CCU is influenced by individual, group and organisational factors. These factors will determine how doctors and nursing assistants interpret safety and risk, the centre of care (patient or professional-centred care), the concept of restraint, professional responsibilities and interventions, interactions of the team and the leadership.Copyright © 2019 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.

Keywords

auxiliares de enfermeríacritical carecuidados críticosfocus groupsgrupos focalesinvestigación cualitativamédicosnursing assistantsphysiciansqualitative researchrestraint physicalAcute elderly careBundleClinical-practice guidelinesCritical careDeliriumFocus groupFocus groupsManagementMedicineNurses decision-makingNursing assistantsPatientPhysiciansQualitative researchRestraint physicalRestrairit physicalRestricción físicaSedation

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Enfermeria Intensiva due to its progression and the good impact it has achieved in recent years, according to the agency Dialnet (Dialnet Métricas). In the year of publication of the work, 2020, thus managing to position itself as a Q1 (Primer Cuartil).

Notably, the journal is positioned in the Quartile Q3 for the agency Scopus (SJR), in the category Advanced and Specialized Nursing, classified as C in other national agencies such as CIRC.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.57, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-03, the following number of citations:

  • WoS: 2
  • Scopus: 8

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-03:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 88.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 114 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 26.1.
  • The number of mentions on the social network Facebook: 1 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 39 (Altmetric).

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Acevedo Nuevo, Maria) .