Influencia del ajuste diádico sobre el estado de salud familiar. Percepción de las parejas de familias nucleares de Sevilla.

Se ha determinado la influencia del ajuste diádico en el estado de salud familiar sobre una muestra de 369 familias nucleares de la provincia de Sevilla, a través de un diseño observacional, correlacional, analítico, de corte transversal. Para ello, las familias respondieron a la Escala de Autopercepción del Estado de Salud Familiar, a la Versión breve de la escala de Ajuste Diádico, a la escala de Reajuste Social y al cuestionario de Apoyo Social Percibido. Empleando los programas estadísticos SPSS 18.0 y R 3.1.2., se realizó un análisis descriptivo y bivariante, se probaron dos modelos mediante análisis de regresión univariante y multivariante, y se calcularon los tamaños del efecto mediante r, considerándose pequeño entre 0,10 y 0,30, moderado entre 0,30 y 0,50 y grande para mayores de 0,50. Se calcularon los tamaños del efecto mediante la R2 ajustada para los modelos, considerando que este era bajo=0,01, medio=0,06 y grande=0,14. Se tuvieron en cuenta los supuestos de linealidad, homocedasticidad, normalidad y no-colinealidad y se rechazó la hipótesis nula con una p<0,05. El encuestado principal era mayoritariamente mujer (N=254, 68,8%), con edad media de 46 años+13,57 y con 22 años+14,96 de media de convivencia de pareja. Se demuestran correlaciones significativas con alto tamaño de efecto entre la salud familiar y el ajuste diádico. Según los modelos analizados, el ajuste diádico está influenciado por el nivel de estudios, el tiempo de convivencia, el número de miembros de la unidad familiar, la existencia de hijos, la etapa del ciclo vital, la transición y el apoyo social (R2ajustada= 21, p=0,000). La salud familiar viene determinada por el ajuste diádico, el sexo, nivel de estudios, tipo de población, apoyo social percibido y acontecimientos vitales estresantes (R2ajustada= 0,32, p=0,000). Ambos modelos son parsimoniosos, cumplen con los criterios pertinentes y permiten confirmar la hipótesis de estudio

Relationship between family variables and conjugal adjustment

Objetivo Analizar si las variables familiares tales como tipo de relación de pareja, años de matrimonio, existencia de hijos, número de miembros de la unidad familiar, etapas del ciclo vital familiar, transición entre etapas, apoyo social percibido y/o acontecimientos vitales estresantes se relacionan con el ajuste conyugal. Diseño Estudio transversal y correlacional mediante encuestas. Emplazamiento Consultas de atención primaria y unidades de hospitalización de los centros seleccionados de la provincia de Sevilla, España. Participantes Muestra consecutiva estratificada por cuotas de 369 parejas, mayores de 18 años, heterosexuales, que mantenían una relación de pareja, con o sin hijos, residentes en Sevilla. Mediciones principales Se emplea cuestionario autoadministrado con las variables sociodemográficas y las escalas Versión Breve de la Escala de Ajuste Diádico, Cuestionario de MOS de Apoyo Social Percibido y Escala de Reajuste Social. Se realizó análisis descriptivo e inferencial con estadísticos de correlación y regresión multivariante. Resultados Relaciones estadísticamente significativas entre el ajuste conyugal y los años de matrimonio (r = −0,10; p < 0,05), la etapa del ciclo vital familiar (F = 2,65; p < 0,05), la transición entre etapas (rpb = 0,11; p < 0,05) y el apoyo social percibido (r = 0,44; p < 0,001). El modelo de regresión mostró la capacidad predictiva del apoyo social percibido y etapa del ciclo vital familiar (etapa madura-anciana) sobre el ajuste conyugal (R2 = 0,21; F = 9,9; DF = 356; p < 0,001). Conclusiones Desde atención primaria, se puede valorar a las parejas, ofrecer recursos y proporcionar apoyo. También pueden identificarse variables que ayuden a mejorar la relación conyugal.Objective To determine whether family variables, such as type of relationship, years of marriage, existence of offspring, number of members of family, stage of family life cycle, transition between stages, perceived social support, and/or stressful life events are related to conjugal adjustment. Design A cross-sectional and correlational study using questionnaires. Location Primary care and hospital units of selected centres in the province of Seville, Spain. Participants Consecutive stratified sampling by quotas of 369 heterosexual couples over 18 years of age, who maintained a relationship, with or without children, living in Seville. Main measurements A self-report questionnaire for the sociodemographic variables, and the abbreviated version of the Dyadic Adjustment Scale, Questionnaire MOS Perceived Social Support, and Social Readjustment Rating Scale, were used. Descriptive and inferential statistics were performed with correlation analysis and multivariate regression. Results Statistically significant associations were found between conjugal adjustment and marriage years (r = −10: P < .05), stage of family life cycle (F = 2.65; P < .05), the transition between stages (RPB = .11; P < .05) and perceived social support (r = .44; P < .001). The regression model showed the predictive power of perceived social support and the family life cycle stage (mature-aged stage) on conjugal adjustment (R2 = .21; F = 9.9; df = 356; P < .001). Conclusions Couples may be assessed from Primary Care and be provide with resources and support. In addition, it can identify variables that may help improve the conjugal relationship

Systematic Review of the Relationship between Couple Dyadic Adjustment and Family Health

The importance of family functioning in the development of child and adult psychopathology has been widely studied. However, the relationship between partners’ adjustment and family health is less studied. This paper aims to describe and summarize research that analyzes the relationship between partners’ adjustment and family health. A systematic review was conducted in the PubMed, PsycINFO, Scopus, Lilacs, Psicodoc, Cinahl, and Jstor databases. Inclusion criteria were as follows: articles published from 2012 to 2019 in English, Spanish, or Portuguese. Data were extracted and organized according to the family health model: family climate, integrity, functioning, and coping. Initially, 835 references were identified, and 24 articles were assessed for quality appraisal. Finally, 20 publications were selected. Results showed that couple adjustment was an important factor that triggered the emotional climate of the family, was positively intercorrelated to parenting alliance or coparenting, and contributed to family efficacy and help when facing stressful life events. Findings revealed a consensus about the relationship between couple dyadic adjustment and family health. The results could orientate interventions to promote well-being and to increase quality of life and family strength. Health professionals should thoroughly study couple relationships to identify risk factors, assess family skills, and promote family health

Caring behaviours demonstrated to nursing students in the interpersonal relation with the faculty: A cross sectional study

Background: Nursing students need to experience caring in their educational environment in order to learn how to care for the patients. Objective: The present study describes the caring model demonstrated by the faculty to the nursing students through their behaviours, from the perspective of both students and faculty members. Design: A cross-sectional, descriptive, observational study was conducted. Participants: The sample included 286 students and faculty members. Methods: The Nursing Students’ Perceptions of Instructor Caring assessing tool was used to gather the data. Results: After analysing 676 questionnaires, it was revealed a moderately high level of caring perceived by the students. The most appreciated dimension was control versus flexibility, reporting a mean value of 82.29 and a confidence interval from 81.14 to 83.44, and the least valued was appreciation of life’s meanings, reporting a mean value of 63.90 and a confidence interval from 62.20 to 65.60. The students’ perception of the care demonstrated by the faculty was significantly lower than the care that the latter believed to transmit in all dimensions (p < 0.001). Conclusions: The caring perceived by the student was expressed through behaviours that inspired confidence in them, promoted a climate of learning and support, helped them to recognise the meaning of life, showed them flexibility and fostered their professional autonomy. The findings of this study can help to improve nursing education by providing a view of the interpersonal relations that the students established during their training with the faculty.info:eu-repo/semantics/publishedVersio

Analysis of Prehospital Care of Migrants Who Arrive Intermittently at the Coasts of Southern Spain

The aim of this study is to identify the sociodemographic characteristics and the most frequent diseases and nursing interventions carried out on migrants arriving by sea at southern Spain. Method: Cross-sectional, descriptive, and retrospective study based on the database of the Spanish Red Cross Intervention Activation System. All migrants who arrived on the coasts of a southern province during 2016 and were assisted by the Red Cross were included. Results: A total of 2027 people were registered, mostly males, aged between 18 and 40 years. Of these, 4.9% required healthcare, and 2.9% were referred to hospital. Highlighted diagnoses were headaches (15.6%), pregnancy (12.8%), and lower-limb wounds (6.4%), and outstanding nursing interventions were “care of wounds” (24.7%), “pain management” (21.9%), and “prenatal care” (15.2%). Statistically significant relationships were found between the diagnosed diseases and gender, geographic area of origin, and seasonal time of the year, as well as between nursing interventions performed and those three variables. Conclusions: Although in general, a good health condition was observed in most of the migrants treated, the most frequent health situations attended were related to dermatological, gynecological, and headache problems. The most performed nursing interventions were related to skin/wound care and promotion of physical comfort, requiring a low need for hospital transfers. Female gender, origin from sub-Saharan Africa and arrival in the summer period carry a greater risk of suffering health problems when migrants reach Spanish coast

Anxiety and Perceived Risk in Red Cross Volunteer Personnel Facing the Coronavirus Disease 2019 Pandemic

In the current situation of sanitary emergencies, humanitarian organizations and their volunteers are playing an important role in the coronavirus disease 2019 (COVID-19) pandemic. A study is proposed that includes a network of volunteers who perform humanitarian activities during the COVID-19 pandemic to assess anxiety, perceived risk, and response behaviors and to explore their relationship with sociodemographic variables. For data collection, an online questionnaire was developed through the Google Forms® platform, where the perceived risk, anxiety, and behavioral responses of the general population to the Influenza A (H1N1) pandemic were assessed. The survey presented is a modified version of that survey adapted for COVID-19. This adaptation was endorsed by an experts committee made up of the health chief of the Ecuadorian Red Cross, the focus point of operations from the International Federation of the Red Cross in Ecuador, and a member from the Health Unit of the Americas Regional Office of the International Federation of the Red Cross. A significant relationship has been shown between the job situation and perceived risk and anxiety, being the staff who worked full time away from home, which was exposed to greater risk and anxiety. Both perceived risk and perceived anxiety are very high (according to a 5-point Likert scale). Knowing these data from this first-line personnel will allow adopting measures that could be beneficial for stress management and, therefore, contribute to the well-being and support of these humanitarian and volunteer organizations in the worldwide response to COVID-1 9

The relationship between mindfulness and emotional intelligence as a protective factor for healthcare professionals: systematic review

Emotional intelligence is an essential trait and skill for healthcare professionals. Mind fulness meditation has proved to be effective in increasing the wellbeing of those who practice it, leading to better mental health, self-care and job satisfaction. This paper aims to identify the recent evidence on the relationship between mindfulness and emotional intelligence among healthcare professionals and students. A systematic review was conducted including the databases PubMed, Cinhal, PsycINFO and Web of Science. The main variables were emotional intelligence skills and mindfulness practice. Data were extracted according to the following outcomes: authors, year of publication, country, study design, participants, mindfulness training intervention, tools used in data collection and main results. The following inclusion criteria were applied: peer-reviewed articles; published in English or Spanish; published between 2010 and 2020; quantitative methodology; a study population of healthcare professionals or students; the relationship with the aim of the study. The Joanna Briggs Institute criteria were followed for assessing the methodological quality of the selected studies. Three researchers were involved in the review. After the selection process, 10 studies were selected out of the 197 references initially identified. These studies revealed a positive relation ship between mindfulness and emotional intelligence, particularly the capacity to regulate emotions. Furthermore, mindfulness is negatively related to emotional exhaustion. Training interventions based on mindfulness have proved to be useful in promoting emotional balance, emotional awareness, emotional acceptance, emotion recognition, expressive suppression and a reduction in emotional exhaustion. This study could serve as a basis for further research on the benefits of emotional intelligence and practicing mindfulness for the bio-psycho-social welfare of healthcare professionals

Influence of Personality Traits and Its Interaction with the Phenomenon of Bullying: Multi-Centre Descriptive Study

Bullying affects thousands of teenagers worldwide and has devastating consequences. Various studies suggest that the personality of teenagers is a risk profile for bullying. The aim of this study was to analyse the relationship between the personality of teenagers aged 14 to 16 years from three education centres located in the province of Seville (Spain) and bullying in any of its victim or aggressor roles. A multi-centre cross-sectional observational descriptive study was conducted in three education centres in the province of Seville (Spain). The sample consisted of 93 students. In order to measure the two main variables, the Bull-S test was used for bullying, and the EPQ-J questionnaire was used for personality traits. A descriptive and correlation analysis was performed between variables. The results showed that 14% (n = 13) of the sample were detected as victims and another 14% (n = 13) were detected as aggressors. Statistically significant differences were found between neuroticism (p = 0.044; Phi = 0.615), sincerity (p = 0.016; V de Cramer = 0.474), and anti-social behaviour (p = 0.007; Phi = 0.620) with the variables victim/aggressor. Bullies are typically males who score high on neuroticism and anti-social behaviour, with a tendency towards social dissimulation

Systematic review of the nature of nursing care described by using the Caring Behaviours Inventory

Aim To describe the nature of care received by patients measured through the Caring Behaviours Inventory. Background Professional nursing practice combines two dimensions of caring: instrumental care and expressive care. Instrumental care focuses on physical health needs, in terms of efficiency and employs interventions based on evidence. Expressive care is patient‐centred and based on the interpersonal relationship. It requires caring attitudes that include respect, kindness, sensitivity and patience. The Caring Behaviours Inventory is a tool designed to assess the care expressed through the behaviours nurses perform, contextualised within the Jean Watson's Theory of Human Caring. Methods A systematic review following PRISMA recommendations. Scopus, PubMed and CINAHL databases were consulted using the keywords “Caring Behaviours Inventory” AND “Nursing”. The Joanna Briggs Institute tool was used for the quality appraisal. A conceptual analysis and a thematic synthesis were performed for data extraction. Results 11 articles were selected. Three categories were identified: nature of caring, congruence between perceived care by patients and nurses, and factors associated with the expression of care. Discussion An emphasis on care of an instrumental nature was identified. The perception of patients differs from that of nurses, patients perceive a lower level of expressive caring than the one nurses believe to deliver. Caring behaviours are affected by the working environment, nurses' emotional intelligence and coping skills, and socio‐demographic characteristics. Conclusion This paper described the findings of previous research regarding the nature of care that is transmitted and received in clinical practice. Results highlight an emphasis on the instrumental aspect of the nursing care according to the patients' perception. Relevance to clinical practice Findings summarised in this review could contribute to a better understanding of the nursing care. Results reported in this paper could also help to improve the quality of care delivered by nurses as well as patient‐centeredness

Effects of Advertising on Food Consumption Preferences in Children

Childhood obesity is a public health problem. The purpose of this study was to know if exposure to commercial messages which advertise food products exerts any effect on the short-term consumption preferences of 4- to 6-year-old children. (2) Methods: A double-blind and randomized experimental design. Sample consisted of 421 boys and girls from twelve schools in a city in Spain. (3) Results: In three of the four product pairs shown, the products advertised in the intervention were preferred. In the results of applying the model for the first product pair presented, sugared cereals, the predictive variable which best explains the behavior of the preferences expressed is gender (Odds Ratio 0.285 (0.19–0.42); p < 0.05). For the second pair, chocolate cookies, the family’s nationality has a strong weight in the model. As regards the regression model calculated for the last pair (filled rolls), the predictive variable which showed having more influence was gender. Boys had a 1.39 times higher risk of selecting the advertised product than girls. (4) Conclusions: The persuasive effect of commercials has shown to be influential in a general, immediate, and significant way only in the case of products with wide brand awareness. This study reinforces the importance of advertising and emphasizes the need to initiate measures to control the content of TV commercials