Background: Clinical narratives may be used as a means to improve the acquisition of clinical competences. Even though there are studies that recognize the potential value of clinical narratives to promote nursing professional development, there is no evidence that shows their value as a tool to improve nurses' competences to provide person-centred nursing care. Purpose: To evaluate the preliminary efficacy of narratives for the development of three nursing professional competences -respect, intentional presence and knowing the person- for providing person-centred care. Method: Using a pre-post quasi-experimental design, a pilot study with a total of 34 nurses enrolled in a training course of nursing specialization was conducted between September 2016 and June 2017. All the nurses received a multi-component intervention based on the Critical Reflective Inquiry model. The strategies of this programme consisted of writing three narratives, attending two masterclasses, participating in a discussion group, and participating in a face-to-face interview. The NarratUN Evaluation tool was used to assess the outcomes. Changes among nurses were analysed using the Wilcoxon signed Rank test. Results: The difference in the means between the pre- and post-intervention scores were statistically significant for respect [0.59 (95% CI 0.23-0.95; p = 0.001)], intentional presence [0.75 (95% CI 0.32-1.17; p < 0.0001)] and knowing the person [0.62 (95% CI 0.25-0.99; p = 0.001)]. The difference in the mean score for use of the narrative and reflection also increased significantly [0.65 (95% CI 0.32-0.98, p < 0.001)]. Conclusions: The use of narratives combined with other reflective strategies (masterclass sessions and discussion groups) proved to be effective for the development of professional competences of nurses.

goal Main objective: To know the existing evidence about the phenomenon of the patient's knowledge from the nurses' perspective. Methodology: A systematic review of the bibliography was carried out, in which nine programs of study were found. Main results: After a thematic analysis of the a thematic analysis of the selected articles, four themes were identified, which may help to explain nurses' experience of . nurses' experience of the patient's knowledge . Main conclusion: In addition to confirming the relevance and impact of the concept on the process of care and on outcomes, the main conclusion was that the concept is relevant to the process of care and to patient outcomes. the process of care and patient health outcomes, the literature review has allowed us to delve deeper into what nurses know and how they know it, as well as to identify nurses know, as well as identifying the facilitating and inhibiting factors of that knowledge which are mostly related to the nursing professional and the and the environment of the internship. Palabras core topic: knowledge of the patient. Nurse-patient relationship. Experience. Nursing. Literature review.

Aim To explore the perception of normality in life experienced by patients with chronic heart failure. Design A hermeneutic phenomenological study was conducted. Methods Individual conversational interviews were held with 20 outpatients with chronic heart failure between March 2014-July 2015. Van Manen's phenomenology of practice method was used for data analysis. Results From the analysis, four main themes emerged: (a) Accepting my new situation; (b) Experiencing satisfaction with life; (c) Continuing with my family, social and work roles; and (d) Hiding my illness from others. Conclusions The present study makes a novel contribution to understanding the importance of the perception of normality in the lives of patients with chronic heart failure. It was found that patients need to incorporate this health experience into their lives and reach a 'new normal', thus achieving well-being. Several factors were identified that can help promote this perception in their lives; therefore, nursing interventions should be designed to help develop scenarios encouraging this normalization process. Impact Although the implications of having a sense of normality or experiencing 'normalization' of the illness process in life have been studied in other chronic patient populations, no studies to date have examined how patients with chronic heart failure experience this phenomenon in their lives. For the first time, the results of this research prove that the perception of normality is a key aspect in the experience of living with chronic heart failure.

Aim To explore the literature regarding how nursing narratives have been used to enhance reflective practice. Design Theoretical review. Data sources A literature search from 1990 - 2017 was conducted in PubMed, CINHAL and PsycINFO databases. Review methods After applying the selection criteria, 13 studies were identified. The quality of articles was evaluated. Results Three themes were identified as the main components of an ongoing narrative process based on looking back to past clinical experiences, creating spaces for dialogue and bringing the worlds of theory and practice closer together. Conclusions This review provides a forum for exploring the use of narratives to enhance reflective practice, which may lead to the acquisition of professional competences.

Errasti-Ibarrondo, B; Pérez, M; Carrasco, J.M; Lama, M; Zaragoza, A; Arantzamendi, M. Essential elements of the relationship between the nurse and the person with advanced and terminal cancer: A goal-ethnography. Nursing Outlook DOI: 10.1016/j.outlook.2014.12.001 Indexed in: MEDLINE, CINAHL and the Journal Citation Reports published by Thomson Reuters. area : Nursing-SSCI Impact Index (JCR Science 2014): 2.359 Position of the journal in the area: 3/101 Quartile: 1

ICS Introduction: At bibliography there is a gap related to the holistic perspective of the process of integrating Parkinson's disease into the lives of patients and relatives. goalThe aim of the study is to explore the process of living with Parkinson's disease for patients and relatives, as well as the factors and mechanisms that favour or inhibit it. Method: The project ReNACE is a project with a combined methodology, multicentre and multidisciplinary, of 3 years duration, consisting of 2 phases (qualitative and quantitative), carried out in the Clínica Universidad de Navarra, a Health Centre of the Navarra Health Service-Osasunbidea and the association Navarra de Parkinson. Preliminary results of Qualitative Phase I are presented. We have collected data with semi-structured interviews, sociodemographic sheets and scales (Parkinson's stage). A comparative content analysis (NVivo9 software) and a statistical analysis (SPSS 15.0) were carried out. Results: 15 patients with Parkinson's disease and 16 relatives participated. Their median and interquartile age range were 73 (65¿76.25) and 65 (59.5¿74) years, respectively. In the process of adaptation to Parkinson's, two dynamic stages stand out: 1) extraordinary stage, and 2) normal stage. The main factors and mechanisms influencing living with Parkinson's disease were: coping strategies, family support, personal and social networks, available resources, as well as education and training.