Aims and objectives
To evaluate the commitment and level of self‐perceived training in evidence‐based practice among students of the Nursing degree of five Spanish universities.
Background
In ...university Health Sciences degrees, evidence‐based clinical practice can directly or indirectly impact the quality of care, the cost of the service provided and the safety of clinical practice.
Design
Multicentre cross‐sectional observational study according to STROBE guidelines.
Methods
The evidence‐based skills in Practice questionnaire (CACH‐PBE, for its acronym in Spanish) and the Utrecht Work Engagement Student Scale (UWES‐9S) were used. The study was performed in five Spanish universities (Alicante, Castilla La Mancha, Jaen, Huelva and Seville) from October to December 2020, with 755 participants (Nursing students).
Results
A total mean score of 91.9 points (SD = 11.81) was observed for the CACH‐PBE questionnaire and of 36.8 points (SD = 8.48 points) for the UWES‐9S. In addition, the multivariate analysis predicted that variables such as sex, academia, university, intention to do a Master or Doctorate degree, the level of work engagement, and the previous training in evidence‐based clinical practice were associated with a greater perception of evidence‐based practice.
Conclusion
The sample of Nursing degree students has intermediate‐high levels of knowledge, skills and attitudes regarding evidence‐based practice and work commitment, with differences observed between each of the universities.
Relevance to clinical practice
Nursing students should develop from intermediate to high levels of knowledge, skills and attitudes regarding evidence‐based practice and work commitment. There are various actions to promote EBP, such as the incorporation of a specific course covering the subject into the nursing curriculum, and the selection, for clinical practices, of care units that implemented evidence‐based care.
Mental health problems have been identified by the World Health Organization as a global development priority. Negative attitudes toward mental health patients have been documented in multiple health ...professionals. The aim of this study was to determine the level of stigma and associated factors toward people with mental health problems among students doing their degree in nursing. An explanatory sequential mixed-methods approach. A cross-sectional descriptive observational study was carried out on a sample of 359 students doing their degree in nursing. Students had to be enrolled in any of the four years of study of the degree at the time the questionnaire was done. We explored the perception and experience of students doing their degree in nursing regarding the level of stigma, through in-depth interviews (
= 30). The mean overall Mental Health Stigma Scale (MHSS) score was 30.7 points (SD = 4.52); 29.5% (
= 106) scored low for stigma, 49.9% (
= 179) showed moderate stigma, and 20.6% (
= 74) scored high. The multivariate analysis showed that 4th-year students had an OR of 0.41 (CI95%: 0.20-0.84) for high/moderate stigma and that 3rd-year students had an OR of 0.49 for high/moderate stigma compared with 1st-year students. We also observed that students with family members with mental health problems had an OR of 2.05 (CI95%: 1.19-3.56) for high/moderate stigma compared with students who did not have family members with mental health problems. The following categories emerged: fear and lack of knowledge, breaking the silence, and integration into society. The levels of mental health stigma in our sample of nursing students were moderate. Stigma levels were lower in 3rd- and 4th-year students (i.e., after having received training in mental health), and in students with family members with mental health problems.
To know the experiences and perceptions of nurses in providing care and health promotion, women belonging to groups at risk of social vulnerability, applying the model of cultural competence Purnell.
...Phenomenological qualitative study.
Department of Health Elda.
A total of 22 primary care professional volunteers.
Semi-structured interviews and focus groups with recording and content analysis, according to the theory model of cultural competence.
Socio-cultural factors influence the relationship between professionals and users of the system. The subtle racism and historical prejudices create uncomfortable situations and mistrust. The language barrier makes it difficult not only communication, but also the monitoring and control of the health-disease process. The physical appearance and stereotypes are determining factors for primary care professionals. Although perceived misuse of health services are also talking about changes. The spiritual aspects of religious beliefs alone are taken into account in the case of Muslim women, not being considered as important in the case of Gypsy women and Romanian women.
To provide quality care, consistent and culturally competent, it is necessary to develop training programs for professionals in cultural competence, to know the culture of other, and work without preconceived ideas, and ethnocentric; since the greater the knowledge of the cultural group being served, the better the quality of care provided.
to analyze the influence of gender and age on the quality of the professional lives of health care professionals at a university hospital.
a total of 546 professionals completed a general ...questionnaire that measured sociodemographic variables and evaluated job satisfaction using a scale adopted from the NTP 394 Job Satisfaction scale and translated into Spanish.
overall, 77.2% of the professionals surveyed were satisfied with the work they perform. With regards to gender, we found overwhelming evidence of the feminization of practically all health care professions included in the study, with higher levels of job satisfaction among women than men. Regarding age, 20-30-year-olds and professionals over 61 years old showed higher satisfaction levels than did middle-aged professionals. Higher levels of dissatisfaction were reported by professionals between 41 and 50 years old.
we were able to detect the influence of gender and age on the level of job satisfaction, finding significant associations between job satisfaction and both of these variables. Generally, women expressed more satisfaction than men, and elderly professionals showed higher satisfaction compared to younger professionals. Management policies should focus on taking action to correct the conditions that produce dissatisfaction among certain groups of employees.
Objectives: To identify in the scientific literature the identity-related configurations inherent to the nurse’s managerial practices of a professional that works in a hospital setting, and to ...analyze them in the light of the Structural Dialectic Care Model (SDCM). Materials and method: The article concerns about a qualitative research where an integrative review was made enabling the selection of 15 articles, analyzed in light of the SDCM. Results: From the 15 selected articles, three thematic axes were established: Leadership, care and conflicts. Conclusions: It was concluded that the SDCM has made it possible to discover the nurse’s identity models as a managerial agent in the diverse pluralities articulated to the identity-related processes of such professional.
Resumen Objetivo Conocer las experiencias y percepciones de los profesionales de enfermería en la prestación de cuidados y promoción de la salud, a mujeres pertenecientes a colectivos en riesgo de ...vulnerabilidad social, aplicando el modelo de competencia cultural de Purnell. Diseño Estudio cualitativo fenomenológico. Emplazamiento Departamento de Salud de Elda. Participantes Veintidós profesionales voluntarios de Atención Primaria. Método Entrevistas semiestructuradas y grupos focales con grabación y análisis de contenido, de acuerdo con la teoría del modelo de competencia cultural. Resultados Los factores socioculturales influyen en la relación entre profesionales y usuarias del sistema. El racismo sutil y los prejuicios históricos crean situaciones incómodas y de desconfianza. La barrera idiomática dificulta no solo la comunicación, sino también el seguimiento y control del proceso salud-enfermedad. El aspecto físico y los estereotipos son condicionantes para los profesionales de Atención Primaria. Aunque se percibe que se hace un mal uso de los servicios sanitarios, se escuchan discursos con signo de cambios. Los aspectos espirituales relacionados con las creencias religiosas solo se tienen en cuenta en el caso de mujeres musulmanas, no siendo considerados como algo importante en el caso de mujeres gitanas o rumanas. Conclusiones Para ofrecer cuidados de calidad, culturalmente congruentes y competentes, es preciso desarrollar programas de formación en competencia cultural para profesionales, con el fin de dar a conocer la cultura del otro, y trabajar sin ideas preconcebidas y etnocentristas; ya que cuanto mayor es el conocimiento del grupo cultural al que se atiende, mejor es la calidad de los cuidados prestados.
Competency based education offers the promise of reducing the gap between education and employment and concerns in Higher Education have revolved around how to achieve deep and meaningful learning, a ...long life learning, so that learning transfer to real situations, complex and changing, would be possible. Conceptualizing assessment from competency based education approach requires assuming its multidimensional character and designing an assessment for learning and not only assessment of learning seeking to improve learning quality. Awareness of the assessment impact on learning requires raising evaluation as a shared process able to be simultaneously cause and effect of learning. In this context, the aim of this study is to determine learners and teachers perceptions about current practices of competence assessment and its impact on the quality of learning. Interpretative descriptive study. Qualitative analysis of data collected through open questionnaires and discussion groups with Degree in Nursing learners and teachers. Both teachers and learners believe that current assessment practices determine learning skills, but there are big differences in their perceptions. Teachers perceive negatively this impact and claim that for student's evaluation is only overcoming subjects while students state that assessment influences them positively, guiding their learning and offering improvement opportunities. teachers perceive difficulties in overcoming evaluation's traditional, while students perceive its most formative function and demand for it sufficient and quality feedback.
In the process of infant feeding throughout history, one of the options has been the support by wet nurses, in both household and institutional level. This social figure has been reflected in press ...and can be studied in terms of its representation. We set as our goal to acquire a social vision through the analysis of a corpus of documents from the newspaper ABC of Madrid between 1903 and 1920. The method used has been the search of the term wet nurse through the review and content analysis of the ABC, in news, advertisements and other references in the period indicated. 999 documents have been recovered and analyzed, 41% corresponding to wet nurses offers and demands, 24% to advertisements and products related to food and/or food supplements. The remaining records correspond to economic measures, legislative rules, references to wet nurses of royalty or social references. Qualitative content analysis clarifies the social vision of wet nurses in society at that time. The study concludes that wet nurses are presented as a normalized social figure and as such is reflected in the press, which will also reflect the negative view of these women influenced by the hygienist current.
Ischemic heart disease in women Sancho Cantus, David; Solano Ruiz, María del Carmen
Revista latino-americana de enfermagem,
12/2011, Letnik:
19, Številka:
6
Journal Article
Recenzirano
Odprti dostop
Nowadays, Coronary Diseases (CDs) represent the main mortality cause in men and women, but there are gender differences regarding their presentation, progression and the way the disease is tackled. ...This study mainly focuses on reviewing literature about the CD and its gender approach. The authors carried out a search of texts that use qualitative methodology, published between 2003 and 2009 in the following databases: PUBMED, IME, CUIDEN and CINAHL. Factors that hinder the early diagnosis of Ischemic Heart Disease in women are identified as the main findings, and the possible consequences are pointed out. In the fifty-six texts that were selected initially, we can see the difficulty women face to recognize early symptoms of the CD and their low risk perception of this disease. Greater awareness on Ischemic Heart Disease is needed, so that the high morbidity and mortality rates can be reduced.
El objetivo del estudio consiste en describir los cambios que afectan a enfermería dentro del sistema educativo durante el proceso previo y posterior al establecimiento de la democracia en España. Se ...parte de la siguiente hipótesis: las diferencias en la organización social y política influenciaron la evolución de la enfermería española manteniéndola dentro de los esquemas del neopositivismo y los enfoques exclusivamente técnicos hasta la llegada de la democracia. La relación entre los sistemas de organización social y política en España ha determinado la evolución de un perfil específico de enfermería en el sistema educativo. Para comprender la integración de asignaturas como la antropología del los cuidados en los programas educativos de la enfermería española hay que se considerar los factores culturales, interculturales y transculturales que constituyen las claves para el entendimiento de los cambios en la educación enfermera haciendo posible la adopción de una perspectiva holística en los currículos. Hasta la llegada del sistema democrático en 1977, la educación en la Enfermería española fue solamente de naturaleza técnica y los roles de las enfermeras se limitaban al cumplimiento de tareas y procedimientos definidos por el pensamiento burocrático característico del paradigma racional tecnológico. Conclusiones: Durante el largo período predemocrático la enfermería española estuvo bajo la influencia del pensamiento neopositivista y técnico, lo cual se plasmaba en los currículos educativos. La integración en los currículos de materias humanísticas y antropológicas que facilitaban el enfoque holístico se produjo tras la integración de la enfermería en la Universidad en 1977 coincidiendo con los inicios de la democracia en España.
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