La radiología en las publicaciones periódicas de la disciplina enfermera.

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Effectiveness of an evidence-based practice (EBP) course on the EBPcompetence of undergraduate nursing students: Aquasi-experimental study

©2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Accepted, version of a Published Work that appeared in final form in Nurse Education Today. To access the final edited and published work see https://doi.org/ 10.1016/j.nedt.2015.12.012Background:International nursing institutions and experts recommend evidence-based practice (EBP) as a corecomponent of the curriculum for nurses. However, the impact of EBP training on the competence of undergrad-uate nursing students remains unclear.Objectives:To evaluate the effectiveness of an EBP course on theEBP competence undergraduate nursing students'.Method:Design: Quasi-experimental study carried out in non-randomized intervention and control groups.Settings: The study was conducted in a Spanish public university in 2010.Participants: Out of 420 second- and third-year nursingstudents, 75 were enrolled in the EBP course, forming theintervention group, and 73 were not enrolled in this course were recruited as controls.Procedure: The educational intervention was a 15-week course designed to teach EBP competence. The EBP Com-petence Questionnaire (EBP-COQ) was administered before and after the intervention. Repeated-measure ANOVAwas used to compare intervention and control group scores before and at two months after the 15-week interven-tion period.Results:At 2 months after the EBP course, mean EBP-COQ scores of the intervention group were significantly im-proved versus baseline in attitude (4.28 vs. 3.33), knowledge (3.92 vs. 2.82)and skills (4.01 vs. 2.75) dimensions,whereas little change was observed in control group scores over the same time period. Repeated-measuresANOVA revealed a significant effect of Time × Group interaction on global competence and all three EBP-COQ di-mensions.Discussions:Undergraduate nursing students experience positive changes in EBP competence, knowledge, skills, andattitude as the result of a 15-week educational intervention on EBP. This EBP course may provide nursing school ed-ucators and policymakers with a useful model for integrating EBP teaching within the nursing curriculu

Changes in radiological protection and quality control in Spanish dental installations : 1996-2003

Introduction: The European Union has established specific directives concerning radiological protection which are obligatory for member States. In addition, all Spanish dental clinics with radiological equipment are required to have an annual quality control check. Objective: To analyze the effect of new European legislation on dental radiological practice in Spain and to determine whether it has resulted in lower doses being administered to patients. Material and Methods: A total of 10,171 official radiological quality control reports on Spanish dental clinics, covering 16 autonomous regions, were studied following the passing of Royal Decree 2071/1995 on quality criteria in radiodiagnostic installations. The reports, compiled by U.T.P.R Asigma S.A., a company authorised by the Nuclear Safety Council, cover the years 1996 to 2003, which has enabled us to monitor the evolution of radiological procedures in dental clinics over a seven year period. Results: According to the reports for 2003, 77.3 % of clinics complied with EU requirements, using equipment of 70 kVp, 8 mA, 1.5 mm Al filters, with a collimator length of 20 cm. However, non-compliance was detected in approximately a third (30.8%) of the equipment inspected: alterations in the kilovoltage used, exposure time, performance of the tubing, dosage, linearity/intensity of current and acoustic-luminous signal 6.86%. The mean skin dose reached 3.11 mGy for patients who received an x-ray of an upper molar, representing a decrease of 18% over the seven years studied. Conclusion: there has obviously been a general improvement in the parameters studied, but only 77.3% of the installations complied fully with official EU regulations concerning dental radiological protection

Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program

©2020. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Published, version of a Published Work that appeared in final form in International Journal of Environmental Research and Public Health. To access the final edited and published work see https://doi.org/10.3390/ijerph17176248: International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care

Effectiveness of an interdisciplinary program performed on obese people regarding nutritional habits and metabolic comorbidity: a randomized controlled clinical trial.

©2020. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Published, version of a Published Work that appeared in final form in International Journal of Environmental Research and Public Health. To access the final edited and published work see https://doi.org/10.3390/ijerph17010336Obesity is an important public health problem. The combined use of different therapies performed by an interdisciplinary group can improve the management of this health issue. The main goal of this research is to determine the effectiveness of a multidisciplinary program based on healthy eating, exercise, cognitive-behavioral therapy, and health education in improving metabolic comorbidity, Body Mass Index (BMI), and nutritional habits among obese adults, at short (12 months) and long term (24 months). A randomized controlled clinical trial was conducted at a community care center between February 2014 and February 2016. A random sampling was done (299), total population (3262). A sample of 74 subjects diagnosed with obesity (experimental group, n = 37 and control group, n = 37) was conducted. Inclusion criteria: obese people (BMI: >30 kg/m2) with metabolic comorbidity and bad nutritional habits. Exclusion criteria: other comorbidities. A 12-month interdisciplinary program (with pre-test, 12 months and 24 months of follow-up) was applied. Intervention is based on healthy eating, exercise, and cognitive behavioral therapy. The intervention had a positive effect on nutritional habits (F2;144 = 115.305; p < 0.001). The experimental group increased fruit and vegetable intake (F2;144 = 39.604, p < 0.001), as well as fortified foods (F2;144 = 10,076, p < 0.001) and reduced fats, oils, and sweets F2;144 = 24,086, p < 0.001). In the experimental group, a BMI reduction of 2.6 to 24 months was observed. At follow-up, no participant had inadequate nutritional habits, compared to 35.1% of the control group (χ22 = 33,398; p < 0.001). There was also a positive response of metabolic comorbidities in the intervention group. The interdisciplinary program improved all participants’ metabolic parameters, BMI, and nutritional habits while maintaining the long-term effects (24 months)

Use and influence of Delivery and Birth Plans in the humanizing delivery process

;;OBJECTIVES:;; get to know, analyze and describe the current situation of the Delivery and Birth Plans in our context, comparing the delivery and birth process between women who presented a Delivery and Birth Plan and those who did not.;;;;METHOD:;; quantitative and cross-sectional, observational, descriptive and comparative cohort study, carried out over two years. All women who gave birth during the study period were selected, including 9303 women in the study.;;;;RESULTS:;; 132 Delivery and Birth Plans were presented during the first year of study and 108 during the second. Among the variables analyzed, a significant difference was found in "skin to skin contact", "choice of dilation and delivery posture", "use of enema", "intake of foods or fluids", "eutocic deliveries", "late clamping of the umbilical cord" and "perineal shaving".;;;;CONCLUSIONS:;; the Delivery and Birth Plans positively influence the delivery process and its outcome. Health policies are needed to increase the number of Delivery and Birth Plans in our hospitals.;;;;OBJETIVOS:;; conocer, analizar y describir la situación actual de los Planes de Parto y Nacimiento en nuestro entorno, comparando el proceso de parto y la finalización del mismo entre las mujeres que han presentado un Plan de Parto y Nacimiento y las que no lo han hecho.;;;;MÉTODO:;; estudio de corte cuantitativo, transversal, observacional descriptivo comparativo, en un bienio. Se ha seleccionada a la totalidad de mujeres que dieron a luz en el periodo de estudio, incluyéndose en el estudio un total de 9303 mujeres.;;;;RESULTADOS:;; el número de Planes de Parto y Nacimiento presentados en el primer año de estudio fue de 132, y en el segundo de 108. De las variables analizadas se encontró una diferencia significativa en "contacto piel con piel", "elección de postura en dilatación y parto", "uso de enema", "ingestión de alimentos o líquidos", "partos eutócicos", "pinzamiento tardío del cordón" y "rasurado del periné".;;;;CONCLUSIONES:;; los Planes de Parto y Nacimiento influyen positivamente en el proceso de parto y en la finalización del mismo. Son necesarias políticas sanitarias para aumentar el número de Planes de Parto y Nacimiento que se presentan en nuestros hospitales.;;;;OBJETIVOS:;; conhecer, analisar e descrever a situação atual dos Planos de Parto e Nascimento no contexto estudado, comparando o processo de parto e sua finalização entre as mulheres que apresentaram e as que não apresentaram um Plano de Parto e Nascimento.;;;;MÉTODO:;; estudo de coorte quantitativo, transversal, observacional descritivo comparativo, realizado durante um biênio. Foram selecionadas todas as mulheres que deram à luz no período estudado, incluindo 9303 mulheres.;;;;RESULTADOS:;; o número de Planos de Parto e Nascimento apresentados no primeiro ano foi de 132, contra 108 no segundo. Entre as variáveis analisadas, foi encontrada uma diferença significativa para "contato pele a pele", "eleição de posição de dilatação e parto", "uso de enema", "ingestão de alimentos ou líquidos", "partos normais", "clampeamento tardio do cordão" e "depilação do períneo".;;;;CONCLUSÕES:;; os Planos de Parto y Nascimento influenciam positivamente o processo de parto e sua finalização. São necessárias políticas sanitárias para aumentar o número de Planos de Parto e Nascimento apresentados nos hospitais estudados.;

Criterio ALARA en el radiodiagnóstico : reduciendo la dosis y el daño biológico tan bajo como sea razonablemente posible /David Armero Barranco; director, Miguel Alcaraz Baños.

Tesis-Universidad de Murcia.Consulte la tesis en: BCA. GENERAL. ARCHIVO UNIVERSITARIO. TM 4148

Análisis cienciométrico de la revista (Enfermería global), 2002-2004

El presente artículo es un estudio bibliométrico del producto final de la producción científica que es el artículo científico. Para el citado estudio, se han utilizado métodos cuantitativos (indicadores y tratamientos matemáticos), aplicados a la publicación periódica: Enfermería Global, con el fin de aportar conocimiento sobre producción científica, ya que el tratamiento y manejo de la literatura científica por medios cuantitativos de recuento y análisis, no sólo sirve para cuantificar el volumen de publicaciones, la productividad de autores, revistas o materias, sino también en un sentido más amplio, el conocimiento de los procesos y la naturaleza de la Ciencia objeto de estudio.ABSTRACT: The present article deals with a bibliometric study of the final product of the science production: the scientific paper. For this work, we have used quantitative methods (indicators and mathematical procedures) to analyse the journal “Enfermería Global”. The aim was to share light on scientific productivity, as evaluation of the scientific literature by counting and analysis serve, not only to quantify the volume of publications, the authors’ productivity, journals or subjects, but also, in wider sense, to get to know the processes and the characteristics of the Science being studied