Good practices in perinatal bereavement care in public maternity hospitals in Southern Spain

Funding sources The Department of Nursing from University of Granada pro- vided infrastructure and funding for the realization of the study (documents, material, software, web platforms etc.). Funding for open access charge: Universidad de Granada/CBUA. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.Supplementary material associated with this article can be found, in the online version, at doi:10.1016/j.midw.2023.103749Objective To assess the attitudes and care practices of midwives and nurses in the province of Granada in relation to death care and perinatal bereavement, to determine their degree of adaptation to international standards and to identify possible differences in personal factors among those who best adapt to international recommendations. Design A local survey of 117 nurses and midwives from the five maternity hospitals in the province was conducted using the Lucina questionnaire developed to explore professionals' emotions, opinions, and knowledge during perinatal bereavement care. Adaptation of practices to international recommendations was assessed using the CiaoLapo Stillbirth Support (CLASS) checklist. Socio-demographic data were collected to establish their association with increased compliance with recommendations. Findings The response rate was 75.4%, the majority were women (88.9%), with a mean age of 40.9 (SD=1.4) and 17.4 (SD= 10.58) years of work experience. Midwives were the most represented (67.5%) and reported having attended more cases of perinatal death (p = 0.010) and having more specific training (p<0.001.) Of these, 57.3% would recommend immediate delivery, 26.5% would recommend the use of pharmacological sedation during delivery and 47% would take the baby immediately if the parents expressed their wish not to watch them. On the other hand, only 58% would be in favour of taking photos for the creation of memories, 47% would bathe and dress the baby in all cases, and 33.3% would allow the company of other family members. The percentage that matched each recommendation on memory-making was 58%, 41.9% matched the recommendations on respect for the baby and parents, and 23% and 10.3% matched the appropriate delivery and follow-up options, respectively. The factors associated with 100% of the recommendations, according to the care sector, were being a woman, a midwife, having specific training and having personally experienced the situation. Key conclusions Although the levels of adaptation observed are more favourable than in other nearby contexts, serious deficiencies are identified in the province of Granada with respect to internationally agreed recommendations on perinatal bereavement care. More training and awareness-raising of midwives and nurses is needed, which also considers factors related to better compliance. Implication for practice This is the first study to quantify the degree of adaptation to international recommendations in Spain reported by midwives and nurses, as well as the individual factors associated with a higher level of compliance. Areas for improvement and explanatory variables of adaptation are identified, which allow support for possible training and awareness-raising programmes aimed at improving the quality of care provided to bereaved families.Funding for open access charge: Universidad de Granada/CBU

Evaluation of interventions in people with digestive stoma through the Nursing Interventions Classification

This manuscript is part of the project "The experience of having an intestinal stoma and its relations to nursing practice. Qualitative metasynthesis and implementation of qualitative evidence through clinical pathways." This project was funded by the Ministry of Health, Junta de Andalucia, Spain (Expt: PI-2011-0564).Purpose: To determine which nursing interventions are used in individuals with a digestive stoma and the relationships between nursing interventions used and sociodemographic and clinical variables. Methods: The present study is an observational, cross-sectional, descriptive. Data from 102 individuals in the general surgery unit of a first-level hospital (University Hospital Complex of Granada, Spain) were analyzed. Data on the use of nursing interventions and sociodemographic and clinical variables were collected. Univariate, bivariate, and multivariate data analyses were conducted. Findings: Interventions: Decision-Making Support (5250) and Ostomy Care (0480) were the most prevalent interventions in the sample. The period of care (postoperative and follow-up) was the most common significant variable (p < 0.05) among the interventions observed. Anxiety Reduction (5820), Nutritional Counseling (5246), Self-Esteem Enhancement (5400), and Body Image Enhancement (5220) were also relevant findings. Conclusions: The present study contributes to determining which nursing interventions are used in individuals with a digestive stoma. Implications for nursing practice: This study could be useful in planning nursing interventions in individuals with a digestive stoma.Ministry of Health, Junta de Andalucia, Spain PI-2011-056

Young Nursing Student’s Knowledge and Attitudes about Contraceptive Methods

We would like to thank all the nursing students who voluntarily participated in this studyPurpose: Adolescence is considered a period in which individuals are particularly at risk of negative consequences related to sexual health. Increased knowledge levels have traditionally been used as an indicator of the effectiveness of educational programs, but attitudes are not addressed and are a key element for the success of such programs. The aim of this study is to determine the level of knowledge and attitudes toward the use of contraceptive methods among nursing students. A multicenter cross-sectional study was carried out. In total, 2914 university students (aged 18–25 years) enrolled in the study. Participants completed two validated scales to measure knowledge level and attitudes toward contraceptive use. Nursing degree students who received training about contraceptives obtained a success rate of over 70%, compared to 15.3% among students who had not received such training (p < 0.001). The mean attitude score was 43.45 points (10–50), but there were no significant differences in terms of student training (p = 0.435), although they were significantly higher among students who used contraceptives at first or last sexual intercourse (p < 0.001). There was a significant weak correlation between the level of knowledge and attitudes toward the use of contraceptives. An adequate level of knowledge about sexuality and contraceptive methods does not correspond to positive attitudes toward their use, although having an excellent attitude toward contraceptive use is related to their use during youth and adolescence

Young Nursing Student’s Knowledge and Attitudes about Contraceptive Methods

Purpose: Adolescence is considered a period in which individuals are particularly at risk of negative consequences related to sexual health. Increased knowledge levels have traditionally been used as an indicator of the effectiveness of educational programs, but attitudes are not addressed and are a key element for the success of such programs. The aim of this study is to determine the level of knowledge and attitudes toward the use of contraceptive methods among nursing students. A multicenter cross-sectional study was carried out. In total, 2914 university students (aged 18–25 years) enrolled in the study. Participants completed two validated scales to measure knowledge level and attitudes toward contraceptive use. Nursing degree students who received training about contraceptives obtained a success rate of over 70%, compared to 15.3% among students who had not received such training (p < 0.001). The mean attitude score was 43.45 points (10–50), but there were no significant differences in terms of student training (p = 0.435), although they were significantly higher among students who used contraceptives at first or last sexual intercourse (p < 0.001). There was a significant weak correlation between the level of knowledge and attitudes toward the use of contraceptives. An adequate level of knowledge about sexuality and contraceptive methods does not correspond to positive attitudes toward their use, although having an excellent attitude toward contraceptive use is related to their use during youth and adolescence

La orgía: un acercamiento conceptual desde la teoría psicoanalítica

En una reunión que congrega a la clase prestante de una sociedad, y tras la intervención de un mago, se produce una orgía de la cual sólo una persona mantendrá intacto el recuerdo. Todo lo sucedido en el evento y después de él, es lo que narra el cuento “La Orgía” de Germán Espinosa, que fue el pretexto para analizar algunos conceptos del psicoanálisis freudiano relativos al inconsciente, la pulsión, la represión, la censura y la psicología de las masas. Este escrito, producto de la lectura y escritura colaborativa a lo largo de un semestre académico, da cuenta de lo elaborado en el marco de un grupo de estudio en psicoanálisis en el que participan egresados y estudiantes de psicología de todos los niveles de formación

PERSPECTIVA PSICOSOCIAL DE LOS DERECHOS HUMANOS

Hoy en día es imprescindible abordar el problema de los derechos desde una perspectiva holística que integre la posición que el individuo ocupa en la sociedad y el impacto de los hechos sociales sobre su persona. Esta perspectiva va por lo tanto más allá del enfoque clásico de las violaciones a los derechos civiles y políticos de los ciudadanos sino, también incluye sus derechos económicos, sociales y culturales. Cualquier enfoque de tipo holístico debe entender al ser humano en su ambiente, social, cultural, natural y en función a todas las estructuras existentes, por más sutiles que sean o invisibles que parezcan. Precisamente este libro permite apreciar la dimensión amplia y compleja del ser en sociedad y las interacciones que de ambas partes se generan y las ramificaciones que producen. No es un ejercicio fácil y los editores de este volumen han logrado un salto cuántico al poder congregar en un solo espacio miradas que en otras circunstancias podrían haber sido opuestas y hasta contrarias a nuestra comprensión de problemas que, en efecto, tienen raíces comunes. El libro está dividido en 5 secciones, El espíritu de los tiempos actuales y los Derechos Humanos, Construcción ciudadana y ejercicio de los Derechos Humanos, Violaciones a Derechos Humanos, victimizaciones y su atención, Ejercicio de los Derechos Humanos y situaciones disruptivas y Defensa y defensores de Derechos Humanos.Manuel Gutiérrez Romero Jessica Ruiz Magañ

Spanish Nursing Students’ Attitudes toward People Living with HIV/AIDS: A Cross-Sectional Survey

Human immunodeficiency virus (HIV) infection is still a public health issue. Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) creates, in society, stigmatizing attitudes, fear, and discrimination against infected people; even health professionals do not feel trained enough to adequately take care of these patients, which affects the quality of care provided to such patients. The purpose of this study was to explore nursing students&rsquo; attitudes and other related factors toward people with HIV/AIDS, as well as their evolution in subsequent academic years. A cross-sectional study was performed with students in four academic years from four Spanish health sciences institutions (n = 384). Data were collected voluntarily and on an anonymous basis, utilizing the &ldquo;Nursing students&rsquo; attitudes toward AIDS&rdquo; (EASE) validated scale. The students&rsquo; attitudes toward people with HIV/AIDS were relatively positive, with a total mean EASE value of 85.25 &plusmn; 9.80. Statistically significant differences were observed according to the academic year (p = 0.041), in 4 out of 21 items of the scale and among students with no religious beliefs. By adjusting every variable, only the weak association with religion was maintained (p = 0.045)

Efecto de un programa de promoción activa del ejercicio físico en la adopción de un estilo de vida saludable, en alumnos de ciencias de la salud de Ceuta

La práctica regular de actividad física, como eje central de la tesis, no debe ser considerada un objetivo deseable sino una necesidad. Una vida activa está relacionada con un menor consumo de sustancias tóxicas, mejor condición física, aumento de la productividad laboral, estados de ánimo positivos, mejor integración social, relaciones interpersonales más saludables, mejor calidad de vida (Córdoba et al, 2012) e, incluso, un descenso del 14% de la tasa de mortalidad, independientemente de la causa y un aumento de la esperanza de vida en 3 años si la práctica de ejercicio alcanza los 15 minutos diarios o los 90 minutos semanales. (Wen, Wai, Tsai & Chen 2014). La adquisición de un estilo de vida saludable, por tanto, se trata de un proceso complejo influenciado por una serie de factores de índole Psicofísica, Psicosocial, Ambiental y Psicológica, relacionados entre sí en gran medida. Este hecho nos condiciona a analizarlos en diferentes niveles para, de este modo, comprender y conseguir el cambio en aquellos comportamientos no saludables. (Baert, Gorus, Mets, Geerts, Bautmans, 2011). En un principio la familia desempeña un papel fundamental en la configuración de dicho patrón del niño (Valenzuela, Zubarew, & Correa, 2013), sin embargo, al alcanzar la adolescencia, el papel de la familia pierde relevancia y el grupo de amigos y las referencias sociales se convierten en condicionantes claves del estilo de vida del joven adolescente (Mitchell, Farrow, Haycraft, & Meyer 2013). Esta etapa es, por tanto, especialmente vulnerable a la influencia de ciertos patrones estéticos que pueden conducir a la adopción de patrones no saludables especialmente alteraciones en la alimentación y, como consecuencia de ello, a la aparición de deficiencias nutricionales (Montero, Úbeda, & García 2006). Si bien la etapa universitaria está considerada una de las más enriquecedoras donde el joven encuentra el entorno óptimo para cimentar actitudes profesionales, personales y estilos de vida que se mantendrán en la edad adulta, la adquisición de roles a los que no están habituados, pueden desencadenar una mayor percepción de estrés que les induzca a desarrollar hábitos poco saludables tales como una dieta desequilibrada y el sedentarismo. (Espinoza, Rodríguez, Gálvez, MacMillan, 2011).Tesis Univ. Granada. Programa Oficial de Doctorado en Actividad Física y Salu

Impact of Work–Life Balance on the Quality of Life of Spanish Nurses during the Sixth Wave of the COVID-19 Pandemic: A Cross-Sectional Study

This study addresses the health-related quality of life (HRQoL) of Spanish nurses during the sixth wave of the COVID-19 pandemic, assessed through the EQ-5D and EQ-VAS indices. Methods: This cross-sectional 334 study used online surveys, recruiting 305 Spanish nurses. Results: Nurses generally perceived a good HRQoL. “Negative work–family interaction” is adversely associated with the EQ-VAS (β = −0.337, 95% CI [−1.733, −0.723]) and EQ-5D (β = −0.399, 95% CI [−0.021, −0.01]) indices, while “positive work–family interaction” shows a positive relationship with the EQ-VAS (β = 0.218, 95% CI [0.381, 1.759]). The presence of a “paid supportive caregiver” is positively associated with the EQ-VAS (β = 0.18, 95% CI [1.47, 12.3]) and EQ-5D (β = 0.149, 95% CI [0.004, 0.117]) indices, but a higher “number of children” is negatively linked with the EQ-5D index (β = −0.146, 95% CI [−0.061, −0.002]). In addition, living with a partner (EQ-VAS β = 0.16, 95% CI [1.094, 14.67] and EQ-5D index β = 0.174, 95% CI [0.018, 0.163]) and working a “rotating shift” (EQ-5D index β = 0.158, 95% CI [0.005, 0.098]) are positively associated. Conclusions: These findings highlight the need to comprehensively address nurses’ well-being, considering both their working conditions and their home environment, especially in crisis contexts such as the current pandemic

Dating Violence: Idealization of Love and Romantic Myths in Spanish Adolescents.

Dating violence is a significant problem among adolescents. It encompasses a variety of violent behavior, from verbal abuse to physical and sexual abuse, from threats to rape and murder. Among young people, idealization of love and romantic myths are very common as a consequence of our culture and society, which lead them to develop dysfunctional relationships that somehow favor and facilitate partner violence and sexist ideas in daily life. Education is the basic tool to eradicate discrimination and violence against women. The objective of this study is to explore the false myths of romantic love in adolescents and their related factors. A cross-sectional study was conducted with 16-19-year-old teenagers (n = 180), through questionnaires and by employing the romantic love myths scale, the ambivalent sexism inventory, and the love attitudes scale. Adolescents accepted to a greater degree the love myths associated with idealization than those related to abuse with scale values of Med = 2.72, SD = 0.55, and Med = 1.34, SD = 0.68, respectively. Designed models predict love idealization on the basis of benevolent sexism (β = 0.03; CI 95% = 0.021-0.039), religion (β = 0.198; CI 95% = 0.047-0.349), passionate love (β = 0.038; CI 95% = 0.015-0.061), practical love (β = 0.024; CI 95% = 0.001-0.047), and friendly love (β = 0.036; CI 95% = 0.014-0.058). Hostile sexism and undergraduate studies were associated with the myths that relate love and abuse (β = 0.19; CI 95% = 0.007-0.031, β = 0.208; CI 95% = 0.001-0.414, respectively)