36 research outputs found
Spirituality in Patients at the End of Life—Is It Necessary? A Qualitative Approach to the Protagonists
Spirituality is the most unknown aspect of palliative care despite being the need that is
most altered in the last moments of life. Objective. To identify on the one hand the spiritual needs of
patients who are at the end of life and on the other hand, the way in which nursing professionals can
work to provide effective accompaniment in this process. Method. A qualitative study was conducted
which applied different data collection techniques. This was done to describe the phenomenon
from a holistic perspective in relation to experts’ perceptions of the competencies required by health
professionals and palliative patients’ spiritual needs. Semi-structured interviews were conducted
within both populations. In order to analyze the qualitative data collected through interviews,
discourse was analyzed according to the Taylor–Bodgan model and processed using Atlas.ti software.
Results. Three well-differentiated lines of argument are extracted from the discourse in each of
the groups, on the one hand in the group of patients they define the concept of spirituality, system
of values and beliefs, and the Factors that influence the spirituality of patients at the end of life
(differentiating palliative care areas/other areas) and on the other, the professionals agree with the
patients in the line of argument of concept of spirituality although they define more metaphysical
categories and the other two lines of argument that result are the spiritual attention in this process
and the need for formation in spirituality. Conclusions. The provision of spiritual care gives meaning
to the actions of nursing professionals when it comes to providing end-of-life care, achieving holistic
care, humanizing death, and promoting a dignified en
Approaching Grief And Death In Family Members Of Patients With Covid-19: Narrative Review
RevisiĂłn Narrativa para realizar una sĂntesis de evidencias y establecer recomendaciones para el acompañamiento y duelo al familiar del paciente COVIDObjetivo: Realizar una sĂntesis de la evidencia disponible para establecer recomendaciones
sobre el abordaje del duelo y la muerte en familiares de pacientes Covid19 asĂ como ofrecer
recursos sustitutivos de los rituales y procedimientos necesarios con el fin de favorecer duelos
funcionales y prevenir duelos complicados.
Método: Se realizó búsqueda bibliográfica en bases de datos MEDLINE, EMBASE,
SCIENCEDIRECT, WOS, CINAHL y CUIDEN, utilizando términos MeSH, (family, patient,
isolation hospitals, grief, death, ceremonial behavior, self care, affects y social networking) con
su ecuaciĂłn boleana correspondiente. Los artĂculos seleccionados se sometieron a una lectura
crĂtica a travĂ©s del Critical Apraisal Skill Programme en español (CASPe).
Resultados: Se encontraron 560 artĂculos atingentes, tras aplicar los criterios de selecciĂłn, 13
estudios se incluyeron en el análisis, de los cuales 8 eran revisiones sistemáticas, 3 estudios
cualitativos,1 estudio piloto prospectivo transversal y 1 guĂa clĂnica, que permitieron identificar
estrategias para el abordaje del duelo y la muerte atendiendo a este momento de excepcionalidad
covid19, incidiendo en el manejo competencial de los profesionales sanitarios en apoyo
emocional y el acompañamiento asà como el seguimiento durante todo el proceso, asà como en
la comunicaciĂłn con la familia.
ConclusiĂłn: En el proceso final de la vida en tiempos de COVID19, los profesionales sanitarios
deben trabajar despedidas, los ritos fĂşnebres alternativos, la atenciĂłn espiritual y el afrontamiento
precoz que permitirán a su vez la prevención del duelo complicad
Effect of Music Therapy as a Non-Pharmacological Measure Applied to Alzheimer’s Disease Patients: A Systematic Review
The objective of this research was to learn about the effects of music as a non-pharmacological
therapeutic intervention applied to Alzheimer’s disease. To this aim, we evaluated its results regarding symptomatology and caregiver burden. Methods: This systematic review followed the
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. We searched
Pubmed/Medline (NLM), Web of Science, Scopus, Cochrane and Google Scholar, including articles
from 1 January 2011–20 July 2021, using the keywords “Alzheimer’s disease”, “Music therapy”, “Caregivers overload”, “Amnesia retrograde” and “Clinical evolution”. To select the articles our criteria
included complete text availability, quantitative research of an experimental nature and studies which,
at least, figured in SJR or in JCR. Results: We found a relationship between the application of music
therapy in patients with Alzheimer’s disease and an improvement regarding symptomatology, as it
smoothed down the progress of the disease. Using music therapy in Alzheimer’s patients also led to a
decrease in caregivers’ burden and an increase in their well-being. Conclusions: Our results showed
the benefits of music therapy, as it improved both patients’ symptomatology and caregivers’ burde
Digital Identities of Young People from the South of Spain: An Online Sexual Differentiation
Through a mixed methodological approach, we want to know how adolescents aged
between 14 and 16 years from the south of Spain express and identify themselves on social networks,
with respect to their sex. As such differences can determine gender inequality, we will analyse
differences between females and males regarding the expression of identity on social networks.
Analysis of obtained results demonstrates that many relevant attributes still emerge such as the
socio-cultural representation of gender as sex in social networks. Differences emerged between the
identity expressions of females and males which can generate inequalities favouring females and
males. This implies a series of repercussions and, ultimately, defines the so-called digital gender
divide. Taking into account these results we could intervene in the population of children to carry
out prevention activities focused on social network
Food as Culture among African Women: Exploring Differences between North and South (Morocco-Senegal)
The goal of this exploratory study was to analyze the influence of culture on African
women’s diet considering their role as primary caregivers. The analysis differentiated between
Moroccan and Senegalese women and identified the key elements that influence their dietary habits
and their health. Using a qualitative methodology, we performed a triangulation of data based on a
literature review and a panel of experts, all of which served as the basis for the interview script to
conduct 14 semi-structured interviews (n = 7 Moroccan and n = 7 Senegalese). This study reflects the
substantial relationship between dietary habits, cultural identity, and health that healthcare providers
need to acknowledge. It is important for healthcare practitioners to be culturally competent in order
to provide holistic and individualized car
Edad, dependencia y consecuencias sociosanitarias
The use of health resources is conditioned by several factors, that are not considered by health system. It is necesary to consider that factors in order to improve the efficiency and effectiveness, prevention, care and population health. This is especially important in a sociological and demographic context in which elderly and very elderly population is getting more and more importance. This fact, and its consequences, raise key issues not only in terms of efficiency and effectiveness of the health system, but also at the level of values and social rights.El uso de recursos sanitarios viene condicionado por una serie de factores que escapan a los tratados directamente por el sistema sanitario, y que es necesario considerar en el avance hacia la eficiencia y eficacia del mismo, asĂ como para mejorar la prevenciĂłn, la atenciĂłn y la salud de la poblaciĂłn. Esto es especialmente importante en un contexto sociolĂłgico y demográfico en el que el sector de poblaciĂłn mayor y muy mayor está ganando cada vez más peso especĂfico. Este peso, y sus consecuencias, plantean asuntos clave no sĂłlo en tĂ©rminos de eficiencia y eficacia del sistema sociosanitario, sino tambiĂ©n a nivel de valores y derechos sociales
Attitudes of nursing degree students towards end of life processes. A cultural approach (Spain-Senegal)
Introduction
The concept of death is abstract, complex and has a number of meanings. Thus, its understanding and the approach taken to it depend, to a large extent, on aspects such as age, culture, training and religion. Nursing students have regular contact with the process of death and so it is of great interest to understand the attitudes they have towards it. As we live in a plural society it is even more interesting to not only understand the attitudes of Spanish students but, also, those of students coming from other countries. In the present article, we seek to identify and compare the attitudes held by nursing degree students at Hekima-Santé University (Senegal) and the University of Huelva (Spain) about end of life processes. The study identifies elements that condition attitudes and coping with death, whilst considering curricular differences with regards to specific end of life training.
Method
A descriptive, cross-sectional and multi-center study was conducted. The overall sample (N = 142) was divided into groups: Hekima-Santé University (Dakar, Senegal) and the University of Huelva (Huelva, Spain). The measurement instruments used were an ad-hoc questionnaire and Bugen´s Coping with Death Scale.
Results
Statistically significant differences (p = 0.005, 95%CI) were found in relation to overall Bugen Scale scores. We can confirm that specialized end of life training (University of Huelva, Spain) did not lead to better coping when compared with a population whose academic curriculum did not provide specific training and who engaged in more religious practices (Hekima-Santé University, Senegal).
Conclusions
In cultures where religion not only influences the spiritual dimension of the individual, but acts in the ethical and moral system and consequently in the economic, educational and family sphere, the accompaniment at the end of life transcends the formative plane. Considering the plural society in which we live, the training that integrates the Degree in Nursing with regard to the care of the final process, must be multidimensional in which spirituality and faith are integrated, working emotional and attentional skills, as well as cultural competence strategies in this process
Educational interventions by nurses in caregivers with their elderly patients at home
Introduction: The home is the natural setting for the development of informal care. The work
that nurses are required to develop in this context (the carer/the elderly dependent/the home)
focuses on training and educational activities to assist these two groups, such as demonstrating
care activities to help dependent seniors, instruction in self-care techniques and teaching strategies
for the use of human and material resources. Aims: This article analyzes care education
interventions performed by nurses, and the factors that facilitate, or limit, health care training.
Methodological approach: This is a qualitative, descriptive study designed to be flexible and
openly analytical in its approach to the research problem and the dynamic nature of the home
environment. Triangulation of the methodological techniques and study subjects was applied.
Results: Nursing interventions related to professional attitudes, such as encouraging communication
and facilitating teaching; communication interventions in health education and
counseling; and technical interventions aimed at improving access to health information
and support for the informal carer. Lack of will, the advanced age of the carer, emotional state
and work overload are factors that undermine care instruction, which if reversed, would become
learning facilitators. The lack of time and resources in the home are the major limiting factors
on care teaching, according to nurses. Evidence from our study suggests that care in the home is
considered a key primary health care strategy, one in which nurses play a significant role.Funding for open access charge: Universidad de Huelva / CBU
Influence of the COVID-19 Pandemic on Medication Reconciliation in Frail Elderly People at Hospital Discharge: Perception of Healthcare Professionals
The current demographic panorama in Spain corresponds to an aging population; this
situation is characterized by the need to care for an elderly population, which contains polymedicated
and pluripathological individuals. Polymedication is a criterion of frailty in the elderly and a risk
factor for mortality and morbidity due to the increased risk of drug interactions and medication
errors. There are numerous studies that measure reconciliation at hospital discharge and at admission,
and even the methodology of reconciliation, but we have not found many studies that measure
reconciliation in the context of the COVID-19 pandemic from the point of view of health professionals
regarding difficulties and the strategies carried out, which is essential to begin to glimpse solutions.
Methods. This was a qualitative study based on 21 in-depth interviews and two discussion groups,
conducted between January and April 2021 (13 nurses and 8 doctors, in rural and urban areas). The
discourse was analyzed according to the Taylor–Bodgan model and processed using Atlas.ti software.
Results. The areas altered by the health crisis were access to patients, their reconciliation of medication,
and changes in the care modality, including the greater use of telephone communication, changes
in work organization, and time dedicated to patient care and family work. Difficulties encountered
during COVID-19: change in medication format, the specific characteristics of the patient and their
pathologies, and difficulties arising from communication with the patient and their family. The
strategies applied: the collaboration of home assistants and caregivers, emphasis on patient–health
professional communication, and the use of Information and Communication Technologies (ICT).
Conclusion. The discharge was interrupted by the health crisis caused by COVID-19, in terms of both
the traditional access of patients and by the remote care modalities generated by telemedicin
Autopsia de un body packer al que le habĂan extraĂdo la droga siendo cadáver
Existen multitud de métodos empleados por los narcotraficantes para el traslado internacional de la droga, siendo el más
peligroso para el individuo el transporte en el interior de su organismo, el denominado “body packer”. En ocasiones, alguno de los
paquetes puede romperse y provocar la muerte por la salida masiva del tĂłxico. El hallazgo del envoltorio roto y el resto de paquetes
Ăntegros, con la droga en su interior, al realizar la autopsia, son muy importantes para el diagnĂłstico. En el caso que nos ocupa, la
previa manipulación del cadáver para extracción y recuperación de la droga, ha dificultado la determinación de la causa de la muerte.There are many methods used by drug traffickers for transfer international of drog, being the most dangerous to physical
integrity the individual transport inside your body, known “body-packers”. These introduced drugs protected mainly for, arrived
destination, extracting it by natural means and deliver it to the receptors, although some of the containers may break inside and cause
death by the mass exodus of the toxic. In this case, the autopsy shows the continent broken or defective and other packages intact,
with the drug inside. In the present case, the manipulation of the body prior to extraction and recovery of the drug, has made it
difficult to determine the cause of deat