Valor de los datos clínicos y de laboratorio en el diagnóstico de la trombosis venosa profunda

Fac. de MedicinaTRUEProQuestpu

Evaluación de la satisfacción de los estudiantes de diferentes grados del área de Ciencias de la Salud, mediante la utilización de la plataforma Kahoot

El presente proyecto es una propuesta para evaluar la satisfacción de estudiantes universitarios sobre la planificación y el desarrollo de la actividad docente, en distintas asignaturas pertenecientes al Área de Ciencias de la Salud durante el curso 2017-2018, mediante el diseño de cuestionarios específicos y el uso de la plataforma Kahoot

The Sustainability of Public Social Services: A Qualitative Study

[EN] The 2008 global economic crisis heightened social inequality and drastically reduced equal opportunities for many people. It had negative consequences for social regulation in many European countries, which have dismantled their public social policies. The objective of the study was to describe social workers’ perceptions of their lived experiences in di erent areas of the public social services system. A qualitative study was developed, based on a hermeneutic approach. Six in-depth interviews and two focus groups were conducted with 20 social workers employed by community social services and the Andalusian public health service (Spain). The professionals agreed that the public social services system has been eroded, that the lack of resources has consequences for workers and the general public alike, and that the public authorities and the administration are responsible for this situation. Social services have become distributors of scarce resources rather than a social protection system that empowers and accompanies the most vulnerable. The system must provide the necessary resources and structures so that they can escape the situation of poverty, exclusion and social injustice.S

The paradoxical position of nurses regarding euthanasia and its legalisation: A descriptive quantitative study

Aims and Objectives To learn about the attitudes of nurses working in the Andalusian Public Health System regarding euthanasia and its legalisation. Background Euthanasia often finds itself in the crosshairs of ethical and political debate on an international scale. Currently, the Spanish Organic Law 3/2021 of 24 March, 2021, recognises euthanasia as a fundamental right in Spain. It is of particular interest to know about the views, attitudes and stances that Andalusian nurses have of euthanasia as they are key players within the framework of euthanasia and administration of life‐ending drugs. They play a central role in guiding patients through the euthanasia application process. Design Observational descriptive study. Methods A study of Andalusian Public Health System nurses was carried out using non‐probability convenience sampling. 518 nurses with an average age of 44.75 years answered in a questionnaire that was distributed on an online platform. Socio‐demographic and occupational variables were assessed, together with the Death Anxiety Scale and the Euthanasia Attitude Scale. A bivariate analysis and a multivariate linear regression model were performed. The STROBE checklist was used. Results The mean score obtained on the Euthanasia Attitude Scale was 75.95 (SD = 16.53). The mean score obtained on the Death Anxiety Scale was 7.56 (SD = 3.05). The variables age and work experience were negatively correlated with the total scores of the Euthanasia Attitude Scale and the categories ‘Ethical considerations’, ‘Practical considerations’ and ‘Treasuring life’. On the other hand, there was a significant positive correlation between age and work experience and ‘Spiritual beliefs’ category. Conclusions The current situation shows a worrying paradox. There is a stark difference between positive professional attitudes towards euthanasia and the desire to participate in its application. Relevance to Clinical Practice It is vital that educational and healthcare institutions make the necessary efforts to ensure that nurses develop sound moral judgement, displaying the moral conscience and ethical commitment required of this established profession. Patient or Public Contribution No patient or public contribution.This work was funded by the call for research project grants (modality A) of the University of Huelva [ID: 1076].Departamento de Enfermerí

Estudo qualitativo sobre as experiências do cuidador de Alzheimer: adaptação e impacto

Objetivo: Profundizar a través de las vivencias de los cuidadores familiares, cuáles eras las percepciones que tenían los cuidadores con respecto al proceso de adaptación de la enfermedad de Alzheimer y el impacto que tenía en sus vidas. Metodología: Se formaron dos grupos focales de cuidadores de pacientes con demencia tipo Alzheimer, representativos de la población de estudio. Resultados: Del análisis de los discursos emergieron cinco dimensiones o unidades de significado con catorce subdimensiones. Estas cinco dimensiones son: conocimientos sobre la enfermedad, sufrimiento del cuidador, emociones, capacidad de afrontamiento y las consecuencias en la vida del cuidador. Conclusión: Podemos determinar que la adaptación al rol de cuidador de una persona con Alzheimer queda condicionada por las creencias erróneas o pensamientos disfuncionales que surgen en el cuidador, las emociones derivadas de la responsabilidad moral de asumir el rol de cuidador desde la perspectiva de género y, por último, las consecuencias que produce el cuidado en este periodo las repercusiones en su vida personal, familiar y laboral.Objective: To deepen, through the experiences of family caregivers, what were the perceptions that caregivers had regarding the process of adaptation of Alzheimer's disease and the impact it had on their lives. Methodology: Two focus groups of caregivers of patients with Alzheimer-type dementia were formed, representative of the study population. Results: From the analysis of the discourses five dimensions or units of meaning emerged with fourteen subdimensions. These five dimensions are: knowledge about the illness, the caregiver's suffering, emotions, coping skills and the consequences in the life of the caregiver. Conclusion: We can determine that the adaptation to the role of caregiver of a person with Alzheimer's is conditioned by the mistaken beliefs or dysfunctional thoughts that arise in the caregiver, the emotions derived from the moral responsibility to assume the role of caregiver from the perspective of gender and, finally, the consequences of care during this period, the repercussions on their personal, family and work life.Objetivo: Aprofundar, através das vivências dos familiares cuidadores, quais as percepções que os cuidadores possuíam em relação ao processo de adaptação da doença de Alzheimer e o impacto que isso teve em suas vidas. Metodologia: Foram constituídos dois grupos focais de cuidadores de pacientes com demência tipo Alzheimer, representativos da população estudada. Resultados: A partir da análise dos discursos, emergiram cinco dimensões ou unidades de significado com quatorze subdimensões. Essas cinco dimensões são: conhecimento sobre a doença, o sofrimento do cuidador, emoções, habilidades de enfrentamento e as consequências na vida do cuidador. Conclusão: Podemos determinar que a adaptação ao papel de cuidador de uma pessoa com Alzheimer é condicionada pelas crenças equivocadas ou pensamentos disfuncionais que surgem no cuidador, as emoções derivadas da responsabilidade moral de assumir o papel de cuidador a partir da perspectiva de gênero e, por fim, as consequências do cuidado nesse período, as repercussões na sua vida pessoal, familiar e laboral

Attitudes of nursing students towards the legalization of euthanasia, end-of-life planning and the spiritual dimension: A quantitative study

Background: The Law on Euthanasia was approved in Spain and implemented in the health system. Nursing students must position themselves with respect to euthanasia in their work in the near future. Objectives: To know the attitudes of nursing students towards the legalization of euthanasia, its relationship with end-of-life planning, and the spiritual dimension. Design: A cross-sectional descriptive quantitative study. Settings and participants: Study carried out with students of the Nursing Degree at the Universities of Huelva and Almería in Spain from April to July 2021. Methods: Attitudes towards the final phase of life, Anxiety towards death, and Attitudes towards Euthanasia questionnaires were administered. Descriptive, inferential and logistic regression statistics were calculated to determine the relationship between attitudes towards euthanasia and sociodemographic variables, end-of-life planning, and the spiritual dimension. Results: 285 Nursing students with an average age of 23.58 years (SD = 8.19) participated. The scores on the attitude towards euthanasia were higher than the mean. While 70.5 % of the students were aware about advanced planning, only 2.5 % of them had made advanced plans. In religious practice and the spiritual dimension, the average score was high as they considered these elements to be of great support at the end of life. In terms of anxiety about death, the average score was significantly higher in women. Age, spiritual accompaniment and help, and the frequency with which spiritual beliefs are practiced are predictive factors for the attitude towards euthanasia. Conclusions: Students have a positive vision of euthanasia while admitting anxiety about death. They emphasize advance planning and greater religious practice as supports for euthanasia. The need for curricular training related to moral deliberation and values that support euthanasia is clear.This work was funded by the call for grants to carry out Research Projects (Modality A) of the University of Huelva [ID: 1076]. Funding for open access charge: Universidad de Huelva / CBU

Emotions, Feelings, and Experiences of Social Workers While Attending to Vulnerable Groups: A Qualitative Approach

[EN] Social workers in the community setting are in constant contact with the suffering experienced by the most vulnerable individual. Social interventions are complex and affect social workers’ emotional well-being. The aim of this study was to identify the emotions, feelings, and experiences social workers have while attending to individuals in situations of vulnerability and hardship. A qualitative methodology based on hermeneutic phenomenology was used. Six interviews and two focus group sessions were conducted with social workers from the community social services and health services of the Andalusian Public Health System in the province of Almería (Spain). Atlas.ti 8.0 software was used for discourse analysis. The professionals highlighted the vulnerability of certain groups, such as the elderly and minors, people with serious mental problems, and people with scarce or no economic resources. Daily contact with situations of suffering generates a variety of feelings and emotions (anger, sadness, fear, concern). Therefore, more attention should be paid to working with the emotions of social workers who are exposed to tense and threatening situations. Peer support, talking, and discussions of experiences are pointed out as relevant by all social workers. Receiving training and support (in formal settings) in order to learn how to deal with vulnerable groups could be positive for their work and their professional and personal quality of life.S

Perceived health, perceived social support and professional quality of life in hospital emergency nurses

Estudio descriptivo, transversal y multicéntrico, realizado por el equipo de investigación del Grupo de Bioética y Humanización de los Cuidados (BIOHU-2018) del Sistema Sanitario Público de Andalucía, cuyo objetivo principal ha sido analizar la Calidad de Vida Profesional (CVP) en enfermeras de servicios de urgencias hospitalarias en relación a la salud percibida, y una serie de variables sociodemográficas y sociolaborales. Entre las conclusiones obtenidas se destaca que los profesionales de enfermería de los servicios de urgencias en hospitales públicos presentan un gran desgaste emocional; los sistemas sanitarios deben desarrollar estrategias de intervención que promuevan una mejora de la calidad de vida de los profesionales sanitarios y, por tanto, una mejora en la atención que se presta a las personas atendidas. El fomento de la compasión entre los profesionales es un elemento clave para mejorar la asistencia sanitaria.Background: Emergency department nurses are continually exposed to distressing experiences that can lead to burnout, compassion fatigue, and compassionate satisfaction, thus could affect the professional quality of life. The aim of this study was to analyse professional quality of life in hospital emergency department nurses based on perceived health, social support and a series of socio-demographic and sociooccupational variables. Methods: This descriptive cross sectional study involved nursing professionals working at hospital emergency departments in Andalusia, Spain. Professional quality of life, perceived health, socio-demographic and occupa tional variables, and perceived social support were measured. A descriptive and multiple regression analysis was performed. Results: A total of 253 nursing professionals participated, of which 62.5% had high levels of compassion fatigue and compassion satisfaction (45.1%). Burnout levels were medium (58.5%). Perceived health significantly influenced on compassion fatigue and burnout. Perceived social support was found to be significantly related to all three dimensions of professional quality of life, but it had the greatest influence on the occurrence of burnout. Conclusions: Emergency department nurses in public hospitals are emotionally drained. Healthcare systems must develop intervention strategies to increase the quality of life of nursing professionals, which would lead to improved patient care. The promotion of compassion is a key element.Research project funded by the Ministry of Health of the Regional Government of Andalusia, Spain (AP-0100–2016). Funding for open access charge: Universidad de Huelva /CBUA

Pobreza en la ocupación e instrumentos de reacción

Unión Europea,Ministerio de Economía y Competitividad y el Fondo Europeo de Desarrollo Regional DER2015-63701-C3-1-

Occupational factors associated with health-related quality of life in nursing professionals: a multi-centre study

Background: Nursing professionals are exposed to stressful situations arising from the work context that may affect health-related quality of life (HRQoL). The objective of this study was to analyse the relationship between sociodemographic and work-related variables regarding HRQoL in nursing professionals. Methods: A multi-centre, cross-sectional descriptive design was used. The participants consisted 1521 nurses working in healthcare centres, in both primary care and hospital care, in the eight provinces of the Andalusian Public Health System (APHS), Spain. Sociodemographic and work-related variables were analysed: Compassion fatigue, compassion satisfaction and burnout were measured using the professional quality of life questionnaire (ProQOL), and HRQoL was measured using the SF-12 health questionnaire. Results: Compassion fatigue, burnou, and, to a lesser extent, compassion satisfaction significantly influence the physical and mental components of HRQoL. The simple regression analysis showed that burnout and compassion fatigue were significantly associated with the mental component of HRQoL. Gender influenced the mental component of HRQoL. The rest of the sociodemographic and work-related variables were not significantly related to HRQoL. Conclusion: Work-related stress and repeated contact with situations of suffering influence HRQoL. Health systems must implement programmes to increase the emotional well-being of workers