to compare pedagogical supervisors' and clinical supervisors' perceptions about the errors made by nursing students in clinical clerkship.
a qualitative exploratory-descriptive study developed with ...105 participants. Data collection was performed with a questionnaire with open-ended questions. Content analysis performed according to the conceptual model of student errors in clinical teaching.
pedagogical supervisors perceive, in descending order, errors in transversal competencies, in the execution of care and medication. Clinical supervisors perceive, in descending order, the execution of care, medication, and transversal competencies.
there was coincidence and complementarity in clinical supervisors' and pedagogical supervisors' perceptions, although not in the same order, regarding the errors made. This study presents contributions related to the existing knowledge in relation to medication errors, which are not the most perceived, and those of transversal competencies, which take on a prominent position.
Objetivo: Esta revisão sistemática teve como objetivo avaliar as evidências científicas sobre a associação entre a imagem corporal e a decisão de amamentar ao longo da gravidez. Métodos: O estudo ...utilizou a metodologia proposta pelo Instituto Joanna Briggs, e incluiu estudos identificados nas bases de dados Scopus, Web of Science, B-On e EBSCO. Os critérios de inclusão foram estudos primários publicados nos últimos 12 anos, enquanto literatura cinzenta, comunicações, estudo com foco no pós-parto, imagem corporal e alimentação do recém-nascido foram excluídos. Resultados: A pesquisa inicial resultou em 77 artigos, dos quais 73 foram excluídos após o processo de identificação. A nossa análise revelou que (i) há uma relação entre a imagem corporal e a decisão e duração da amamentação e (ii) a decisão do aleitamento materno parece depender da perceção positiva ou negativa da mulher em relação ao seu corpo. Conclusões: Compreender a influência da imagem corporal na decisão de amamentar é fundamental para que os profissionais de saúde desenvolvam estratégias eficazes para promover essa prática. No entanto, o número limitado de publicações sobre este tópico destaca a necessidade de mais pesquisas. Portanto, sugerimos que estudos futuros investiguem a relação entre a imagem corporal e a decisão em amamentar, e promovam a literacia sobre o aleitamento materno diz respeito junto da população em geral.
Objetivo: Esta revisão sistemática teve como objetivo avaliar as evidências científicas sobre a associação entre a imagem corporal e a decisão de amamentar ao longo da gravidez. Métodos: O estudo ...utilizou a metodologia proposta pelo Instituto Joanna Briggs, e incluiu estudos identificados nas bases de dados Scopus, Web of Science, B-On e EBSCO. Os critérios de inclusão foram estudos primários publicados nos últimos 12 anos, enquanto literatura cinzenta, comunicações, estudo com foco no pós-parto, imagem corporal e alimentação do recém-nascido foram excluídos. Resultados: A pesquisa inicial resultou em 77 artigos, dos quais 73 foram excluídos após o processo de identificação. A nossa análise revelou que (i) há uma relação entre a imagem corporal e a decisão e duração da amamentação e (ii) a decisão do aleitamento materno parece depender da perceção positiva ou negativa da mulher em relação ao seu corpo. Conclusões: Compreender a influência da imagem corporal na decisão de amamentar é fundamental para que os profissionais de saúde desenvolvam estratégias eficazes para promover essa prática. No entanto, o número limitado de publicações sobre este tópico destaca a necessidade de mais pesquisas. Portanto, sugerimos que estudos futuros investiguem a relação entre a imagem corporal e a decisão em amamentar, e promovam a literacia sobre o aleitamento materno diz respeito junto da população em geral.
Sea-level rise (SLR) is expected to cause major changes to coastal wetlands, which are among the world's most vulnerable ecosystems and are critical for nonbreeding waterbirds. Because strategies for ...adaptation to SLR, such as nature-based solutions and designation of protected areas, can locally reduce the negative effects of coastal flooding under SLR on coastal wetlands, it is crucial to prioritize adaptation efforts, especially for wetlands of international importance for biodiversity. We assessed the exposure of coastal wetlands important for nonbreeding waterbirds to projected SLR along the Mediterranean coasts of 8 countries by modeling future coastal flooding under 7 scenarios of SLR by 2100 (from 44- to 161-cm rise) with a static inundation approach. Exposure to coastal flooding under future SLR was assessed for 938 Mediterranean coastal sites (≤30 km from the coastline) where 145 species of nonbreeding birds were monitored as part of the International Waterbird Census and for which the monitoring area was delineated by a polygon (64.3% of the coastal sites monitored in the Mediterranean region). Thirty-four percent of sites were threatened by future SLR, even under the most optimistic scenarios. Protected study sites and study sites of international importance for waterbirds were, respectively, 1.5 and 2 times more exposed to SLR than the other sites under the most optimistic scenario. Accordingly, we advocate for the development of a prioritization scheme to be applied to these wetlands for the implementation of strategies for adaptation to SLR to anticipate the effects of coastal flooding. Our study provides major guidance for conservation planning under global change in several countries of the Mediterranean region.
Thermal adjustment of waterbird communities to climate warming is crucial but hampered by natural habitat conversion, increasing their climatic debt. As it is, in contrast, facilitated in protected ...areas, assessing the adequacy of the current protected areas network with respect to future climate and land-use changes and identifying priority sites to protect is of major importance. In this study, we assess the thermal adjustment limitations that non-breeding waterbird communities might experience by the end of the 21st century in the Mediterranean region to highlight priorities for wetland protection. Priorities were set by combining the exposure of waterbird communities to natural habitat conversion and climate warming with their thermal specialization. The latter was calculated using winter abundance data of 151 species from 2932 sites of the International Waterbird Census in 21 Mediterranean countries. Exposure was assessed using future projections of temperature and land-use under four CMIP6 scenarios (SSP1–2.6, SSP2–4.5, SSP3–7.0, and SSP5–8.5). We found that strictly protected areas are located in wetlands whose waterbird communities, without protection, would likely experience high limitations in thermal adjustment in the coming decades. This highlights that the location of existing protected areas may effectively support the thermal adjustment of waterbird communities to future climate warming. However, 490 sites considered at risk lack protection, including 32 sites of international importance for waterbirds, stressing the need to strengthen the protected areas network in these sites in priority. Our study provides important guidance for conservation planning in the Mediterranean region to support waterbird responses to climate change.
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Estuarine areas worldwide are under intense pressure due to human activities such as upstream dam building. Shorebirds strongly depend on estuarine intertidal flats during migration and wintering ...periods and so are particularly vulnerable to such impacts, whose magnitude will depend on the availability of alternative feeding habitats. In this study we analyze if man-made saltpans can represent an alternative habitat for wintering and migrating shorebirds in the Guadiana estuary, a wetland that is already experiencing environmental changes due to the building of the Alqueva reservoir, the largest in Western Europe. We compared the use of mudflats and saltpans as feeding areas by several shorebird species before the construction of the dam. A dataset with 26 years of counts data was also analyzed in order to detect any long-term trend in shorebirds abundance. We concluded that saltpans, in particular the fully mechanized, can be used as an alternative habitat by larger species during winter and southward migration, thus playing a major role in minimizing the possible effects of sediment loss due to dam building. In contrast, smaller species were particularly dependent on mudflats to feed. A significant change in population trends, from positive to negative, was detected for two species. Although we still have no evidence that this is directly linked to dam building, this result and documented changes that limit primary productivity justifies the implementation of a long-term monitoring scheme of shorebird populations in this estuary. We also reinforce the need to manage the saltpans as key habitats for shorebirds.
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