La recerca infermera en cures de la salut a Catalunya

Recerca infermera; cures de la salut; pràctica professionalInvestigación enfermera; curas de salud; práctica profesionalResearch nurse; Health cures; Professional practiceDocument fruit del treball i la discussió d’un grup d’infermeres de Catalunya que es dediquen a la recerca en diferents àmbits (assistencial, docent i gestor) que intenta recollir la realitat en què es troba el col·lectiu d'infermers i infermeres en relació amb la recerca. Després de descriure els diferents rols que es poden desenvolupar, s’han descrit el context, les estratègies necessàries per desenvolupar la recerca i els recursos necessaris i recomanats per poder-ho assolir. L’objectiu últim d’aquest document ha estat establir el posicionament del Departament de Salut envers el plantejament de la recerca infermera en cures de la salut.Documento fruto del trabajo y la discusión de un grupo de enfermeras de Cataluña que se dedican a la investigación en distintos ámbitos (asistencial, docente y gestor) que intenta recoger la realidad en la que se encuentra el colectivo de enfermeros y enfermeras en relación con la investigación. Una vez descritos los distintos roles que se pueden desarrollar, se han descrito el contexto, las estrategias necesarias para desarrollar la investigación y los recursos necesarios y recomendados para poder conseguirlo. El objetivo final de este documento ha sido establecer el posicionamiento del Departament de Salut ante el planteamiento de la investigación enfermera en curas de la salud

Evaluation of the COVID-19 response in Spain: principles and requirements

A resurgence of COVID-19 infections is occurring in Spain, with some of the worst figures in Europe. In August, 2020, we urged the Spanish Central Government and regional governments to independently evaluate their COVID-19 response to identify areas where public health and the health and social care system need to be improved

Measuring the Digital Skills of Catalan Health Care Professionals as a Key Step Toward a Strategic Training Plan: Digital Competence Test Validation Study

BackgroundDespite Catalonia being an advanced region in terms of digital health adoption, the “Forum for Professional Dialogue” identified the need to improve information and communication technology (ICT) competences as one of the present and future challenges for health care professionals (HPs). ObjectiveWe aimed to validate the digital competence test developed ad hoc for this study and to measure the digital competence level of Catalan HPs to establish their current level as the baseline for designing a strategic training plan. MethodsAn exploratory observational study was conducted based on a voluntary survey where sociodemographic, professional and digital tool knowledge, digital tool use, and training needs data were collected and based on the score obtained from a digital competence test developed ad hoc. The digital competence test consisted of 2 “real-life scenarios” with 7 and 11 questions. ResultsIn total, 803 HPs, of whom 612 (76.2%) were women, completed the survey between June 28 and July 16, 2021. Most participants self-rated their digital competence level as either intermediate (384/803, 47.8%) or basic (357/803, 44.5%). The mean score in the digital competence test was 22.6 (SD 4.3). Therefore, most participants displayed a basic level of digital competence. The internal consistency of the digital competence test was 0.66, and the discrimination index of all questions was ≥0.2 for all items except for 1 question. ConclusionsThis exploratory study highlights the need to improve the digital competence of HPs working in Catalonia, with special effort being made to provide training according to the specific needs of the different HP profiles. The results have informed the Health Plan for Catalonia 2021-2025 and lay the foundations for the development and deployment of a framework program for the digital competences of HPs. The developed digital competence test shows acceptable consistency for the objective pursued, although improvements are needed to fine-tune its accuracy

La recerca infermera en cures de la salut a Catalunya

Recerca infermera; cures de la salut; pràctica professionalInvestigación enfermera; curas de salud; práctica profesionalResearch nurse; Health cures; Professional practiceDocument fruit del treball i la discussió d’un grup d’infermeres de Catalunya que es dediquen a la recerca en diferents àmbits (assistencial, docent i gestor) que intenta recollir la realitat en què es troba el col·lectiu d'infermers i infermeres en relació amb la recerca. Després de descriure els diferents rols que es poden desenvolupar, s’han descrit el context, les estratègies necessàries per desenvolupar la recerca i els recursos necessaris i recomanats per poder-ho assolir. L’objectiu últim d’aquest document ha estat establir el posicionament del Departament de Salut envers el plantejament de la recerca infermera en cures de la salut.Documento fruto del trabajo y la discusión de un grupo de enfermeras de Cataluña que se dedican a la investigación en distintos ámbitos (asistencial, docente y gestor) que intenta recoger la realidad en la que se encuentra el colectivo de enfermeros y enfermeras en relación con la investigación. Una vez descritos los distintos roles que se pueden desarrollar, se han descrito el contexto, las estrategias necesarias para desarrollar la investigación y los recursos necesarios y recomendados para poder conseguirlo. El objetivo final de este documento ha sido establecer el posicionamiento del Departament de Salut ante el planteamiento de la investigación enfermera en curas de la salud

The need for an independent evaluation of the COVID-19 response in Spain

Spain has been hit hard by COVID-19, with more than 300 000 cases, 28 498 confirmed deaths, and around 44 000 excess deaths, as of Aug 4, 2020. More than 50 000 health workers have been infected, and nearly 20 000 deaths were in nursing homes. With a population of 47 million, these data place Spain among the worst affected countries. Spain is also reported to have one of the best performing health systems in the world and ranks 15th in the Global Health Security index. So how is it possible that Spain now finds itself in this position

Pre- and post-drought conditions drive resilience of Pinus halepensis across its distribution range

International audienceSevere droughts limit tree growth and forest productivity worldwide, a phenomenon which is expected to aggravate over the next decades. However, how drought intensity and climatic conditions before and after drought events modulate tree growth resilience remains unclear, especially when considering the range-wide phenotypic variability of a tree species.We gathered 4632 Aleppo pine (Pinus halepensis Mill.) tree-ring width series from 281 sites located in 11 countries across the Mediterranean basin, representing the entire geographic and bioclimatic range of the species. For each site and year of the period 1950–2020, we quantified tree-growth resilience and its two components, resistance and recovery, to account for the impact of drought and the capacity to recover from it. Relative drought intensity of each year was assessed using SPEI (Standardized Precipitation Evapotranspiration Index), a climatic water deficit index. Generalized additive mixed models were used to explore the non-linear relationships between resilience and its two components and drought intensity, preceding and following years climatic conditions.We found that P. halepensis radial growth was highly dependent on the SPEI from September of the previous year to June of the current year. Trees growing under more arid bioclimates showed higher inter-annual growth variability and were more sensitive to drought, resulting in an increased response magnitude to pre-, during and post-drought conditions. In contrast to our expectations, drought intensity only slightly affected resilience, which was rather negatively affected by favorable preceding conditions and improved by favorable following conditions.Resilience and its components are highly dependent on preceding and following years climatic conditions, which should always be taken into account when studying growth response to drought. With the observed and predicted increase in drought frequency, duration and intensity, favorable conditions following drought episodes may become rare, thus threatening the future acclimation capacity of P. halepensis in its current distribution

Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial.

To examine the cross-sectional and longitudinal (2-year follow-up) associations between dietary diversity (DD) and depressive symptoms. An energy-adjusted dietary diversity score (DDS) was assessed using a validated FFQ and was categorised into quartiles (Q). The variety in each food group was classified into four categories of diversity (C). Depressive symptoms were assessed with Beck Depression Inventory-II (Beck II) questionnaire and depression cases defined as physician-diagnosed or Beck II >= 18. Linear and logistic regression models were used. Spanish older adults with metabolic syndrome (MetS). A total of 6625 adults aged 55-75 years from the PREDIMED-Plus study with overweight or obesity and MetS. Total DDS was inversely and statistically significantly associated with depression in the cross-sectional analysis conducted; OR Q4 v. Q1 = 0·76 (95 % CI (0·64, 0·90)). This was driven by high diversity compared to low diversity (C3 v. C1) of vegetables (OR = 0·75, 95 % CI (0·57, 0·93)), cereals (OR = 0·72 (95 % CI (0·56, 0·94)) and proteins (OR = 0·27, 95 % CI (0·11, 0·62)). In the longitudinal analysis, there was no significant association between the baseline DDS and changes in depressive symptoms after 2 years of follow-up, except for DD in vegetables C4 v. C1 = (β = 0·70, 95 % CI (0·05, 1·35)). According to our results, DD is inversely associated with depressive symptoms, but eating more diverse does not seem to reduce the risk of future depression. Additional longitudinal studies (with longer follow-up) are needed to confirm these findings