Análisis de la producción científica enfermera sobre empoderamiento femenino y salud perinatal

IntroductionThe concept of female empowerment is often used in nursing by midwifes, since it has become a key topic and discussion for said profession. Accordingly, it is used in perinatal health hand in hand with ideas such as humanized childbirth and the prevention of violence.ObjectivesThe aim of this study is to analyze the scientific production on female empowerment and perinatal health.MethodologyA bibliometric study of the scientific production published in the journals Birth, Women and Birth and Midwifery was carried out. The analysis was realized through the classification and categorization of the data. Moreover, the categories were specified, encoded and conceptually defined.Results and Discussion341 articles were identified, and 44 were selected because of their relevance. However, only 13 matched the inclusion criteria. Given that selected articles have different aims and analyze the notion of empowerment differently, it was only possible to discuss the topic through their classification and categorization. Accordingly, the most relevant aspects concerning the sense of female empowerment arising out of the interaction between patients and midwifes are: feeling that health professionals listen to what you have to say; accepting pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and the role communication as key element for empowerment.ConclusionsFemale empowerment in the perinatal period is an understudied discussed topic in the journals analyzed in this article. That is the reason why there is not a univocal definition of the term. It could be argued that female empowerment is much dependent on aspects such as confidence between patients and midwife, the feeling of being listened by health professionals; the acceptance of pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and a fluid communication.IntroducciónEl concepto de empoderamiento femenino se utiliza con una frecuencia cada vez mayor en el campo de la enfermería, concretamente por las matronas, apareciendo especialmente en el ámbito de la salud perinatal de la mano de ideas como la humanización del parto o la prevención de la violencia.ObjetivosAnalizar la producción científica sobre empoderamiento femenino en el ámbito perinatal.Metodología:Estudio bibliométrico de la producción científica en las revistas Birth, Women and Birth y Midwifery. El análisis de datos se llevó a cabo a partir de su clasificación y categorización. Además, se definieron conceptualmente, enunciaron y codificaron las categorías.Resultados y discusiónSe identificaron un total de 341 artículos, de los cuales 44 se seleccionaron por su relevancia. Sin embargo, solo 13 cumplían con los criterios de inclusión del estudio. A pesar de que los artículos seleccionados tenían diferentes objetivos y analizaban el empoderamiento femenino desde distintas perspectivas, fue posible realizar un acercamiento gracias a la clasificación y categorización del contenido de los mismos. Parece ser que son aspectos claves del empoderamiento femenino: la confianza entre la matrona y los pacientes; sentirse escuchada por los profesionales de la salud; aceptar el dolor; el soporte físico y psicológico por personas cercanas o profesionales; los cuidados personalizados; la cercanía y la empatía de los profesionales; la privacidad y la comunicación como elementos clave.ConclusionesEl empoderamiento femenino en el ámbito de la salud perinatal no es un tema tratado con amplitud en las revistas estudiadas, ya que no existe una definición unívoca del mismo. Sin embargo, podemos establecer como aspectos clave del empoderamiento femenino la confianza entre la matrona y las gestantes, la escucha activa, la aceptación del dolor, la presencia de soporte físico y mental, la personalización de los cuidados, la empatía y cercanía de los profesionales, la privacidad, y la comunicación como elemento clave empoderador

Percepções dos alunos de Enfermagem sobre flipped classroom e avaliação contínua na sala de aula de Gestão de Enfermagem

Introduction: Although the training of nurses in administration and leadership has an important repercussion on the present and the future of the profession, teaching methods are still traditional in many cases. Flipped classroom is a widely used method in nursing education but studies about its application to Nursing Administration and Management are limited. Method: Qualitative study by means of anonymous survey (dichotomous and open questions). Results: 92 % of students were shown to be satisfied with the teaching methodology and 92.9 % with the assessment. Only 31.5 % had used it previously but 83 % would like to use it in more subjects. The students showed that the methodology used had improved their opinion about the content and had increased their perception its usefulness. Conclusion: The participating students have been shown to be satisfied with flipped method and continuous assessment. These teaching strategies can help motivate nursing students towards the subject of Nursing Administration and Management, which can encourage them to pursue postgraduate training and professional practice in this area.Introducción: Si bien la formación de enfermeros en Administración y Gestión tiene una importante repercusión en el presente y el futuro de la profesión, los métodos de enseñanza siguen siendo tradicionales en muchos casos. El aula invertida es un método ampliamente utilizado en la educación de enfermería, pero los estudios sobre su aplicación a la administración y gestión de enfermería son limitados. Método: Estudio cualitativo mediante cuestionario anónimo (preguntas dicotómicas y abiertas). Resultados: El 92 % de los estudiantes se mostró satisfecho con la metodología de enseñanza y el 92,9 % con la evaluación. Solo el 31,5 % lo había usado anteriormente, pero al 83 % le gustaría usarlo en más sujetos. Los estudiantes demostraron que la metodología utilizada había mejorado su opinión sobre el contenido y había aumentado su percepción útil del mismo. Conclusión: Los estudiantes participantes han demostrado estar satisfechos con el método de aula invertida. Estas estrategias de enseñanza pueden ayudar a motivar a los estudiantes de enfermería hacia la asignatura de Administración y Gestión de los Servicios de Enfermería, lo que puede animarlos a realizar una formación de posgrado y una práctica profesional en esta área.Introdução: Embora a educação de Enfermagem em Administração e Gestão tenha um grande impacto no presente e futuro da profissão, os métodos de ensino continuam a ser tradicionais em muitos casos. A sala de aula invertida é um método amplamente utilizado na educação em Enfermagem, mas os estudos sobre a sua aplicação à Administração e Gestão de Enfermagem são limitados. Método: Estudo qualitativo utilizando um questionário anônimo (perguntas dicotômicas e abertas). Resultados: 92% dos estudantes ficaram satisfeitos com a metodologia de ensino e 92,9% com a avaliação. Apenas 31,5% já o tinha utilizado antes, mas 83% gostariam de utilizá-lo em mais assuntos. Os estudantes mostraram que a metodologia utilizada havia melhorado a sua opinião sobre o conteúdo e aumentado a sua percepção útil do conteúdo. Conclusão: Os estudantes participantes mostraram-se satisfeitos com o método invertido e com a avaliação contínua. Estas estratégias de ensino podem ajudar a motivar os estudantes de Enfermagem para a disciplina de Administração e Gestão de Enfermagem, o que pode encorajá-los a empreender uma educação de pós-graduação e prática profissional nesta área

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Search for eccentric black hole coalescences during the third observing run of LIGO and Virgo

Despite the growing number of confident binary black hole coalescences observed through gravitational waves so far, the astrophysical origin of these binaries remains uncertain. Orbital eccentricity is one of the clearest tracers of binary formation channels. Identifying binary eccentricity, however, remains challenging due to the limited availability of gravitational waveforms that include effects of eccentricity. Here, we present observational results for a waveform-independent search sensitive to eccentric black hole coalescences, covering the third observing run (O3) of the LIGO and Virgo detectors. We identified no new high-significance candidates beyond those that were already identified with searches focusing on quasi-circular binaries. We determine the sensitivity of our search to high-mass (total mass M&gt;70 M⊙) binaries covering eccentricities up to 0.3 at 15 Hz orbital frequency, and use this to compare model predictions to search results. Assuming all detections are indeed quasi-circular, for our fiducial population model, we place an upper limit for the merger rate density of high-mass binaries with eccentricities 0&lt;e≤0.3 at 0.33 Gpc−3 yr−1 at 90\% confidence level

Ultralight vector dark matter search using data from the KAGRA O3GK run

Among the various candidates for dark matter (DM), ultralight vector DM can be probed by laser interferometric gravitational wave detectors through the measurement of oscillating length changes in the arm cavities. In this context, KAGRA has a unique feature due to differing compositions of its mirrors, enhancing the signal of vector DM in the length change in the auxiliary channels. Here we present the result of a search for U(1)B−L gauge boson DM using the KAGRA data from auxiliary length channels during the first joint observation run together with GEO600. By applying our search pipeline, which takes into account the stochastic nature of ultralight DM, upper bounds on the coupling strength between the U(1)B−L gauge boson and ordinary matter are obtained for a range of DM masses. While our constraints are less stringent than those derived from previous experiments, this study demonstrates the applicability of our method to the lower-mass vector DM search, which is made difficult in this measurement by the short observation time compared to the auto-correlation time scale of DM

The construction of Female Empowerment: making obstetric violence visible

Objetivo principal: Analizar y describir la relación entre los textos que componen Feminismos y el papel de la enfermería en el empoderamiento en la salud perinatal de la mujer. Metodología: Análisis crítico y reflexivo. Resultados principales: Las mujeres poseen conocimientos deficientes sobre la violencia obstétrica, lo que nos demuestra que es un tema tabú en el ámbito perinatal. Para garantizar el empoderamiento femenino, la violencia obstétrica y su visibilización es un tema imprescindible, siendo esencial trabajar desde etapas tempranas de la formación de las enfermeras y matronas, así como la inclusión de políticas que centren y humanicen el cuidado a la mujer. Conclusión principal: El empoderamiento femenino en el ámbito perinatal actúa como factor positivo en la visibilización de las violencias, aportando a las mujeres herramientas y conocimientos sobre su autonomía y derechos.Objective: To analyze and to describe the relationship between the texts that make up Feminisms and the role of nursing in empowering women in perinatal health. Methods: Critical and reflective analysis. Results: Women have poor knowledges about obstetric violence, which shows us that it is a taboo subject in the perinatal setting. To guarantee female empowerment, obstetric violence and its visibility is a principal issue, and it is essential to work from early stages of nurses and midwives’ training, as well as the inclusion of policies that focus and humanize care for women. Conclusions: Female empowerment in the perinatal sphere acts as a positive factor in making violence visible, providing women with tools and knowledge about their autonomy and rights

Análisis de la producción científica enfermera sobre empoderamiento femenino y salud perinatal

Introducción El concepto de empoderamiento femenino se utiliza con una frecuencia cada vez mayor en el campo de la enfermería, concretamente por las matronas, apareciendo especialmente en el ámbito de la salud perinatal de la mano de ideas como la humanización del parto o la prevención de la violencia. Objetivos Analizar la producción científica sobre empoderamiento femenino en el ámbito perinatal. Metodología: Estudio bibliométrico de la producción científica en las revistas Birth, Women and Birth y Midwifery. El análisis de datos se llevó a cabo a partir de su clasificación y categorización. Además, se definieron conceptualmente, enunciaron y codificaron las categorías. Resultados y discusión Se identificaron un total de 341 artículos, de los cuales 44 se seleccionaron por su relevancia. Sin embargo, solo 13 cumplían con los criterios de inclusión del estudio. A pesar de que los artículos seleccionados tenían diferentes objetivos y analizaban el empoderamiento femenino desde distintas perspectivas, fue posible realizar un acercamiento gracias a la clasificación y categorización del contenido de los mismos. Parece ser que son aspectos claves del empoderamiento femenino: la confianza entre la matrona y los pacientes; sentirse escuchada por los profesionales de la salud; aceptar el dolor; el soporte físico y psicológico por personas cercanas o profesionales; los cuidados personalizados; la cercanía y la empatía de los profesionales; la privacidad y la comunicación como elementos clave. Conclusiones: El empoderamiento femenino en el ámbito de la salud perinatal no es un tema tratado con amplitud en las revistas estudiadas, ya que no existe una definición unívoca del mismo. Sin embargo, podemos establecer como aspectos clave del empoderamiento femenino la confianza entre la matrona y las gestantes, la escucha activa, la aceptación del dolor, la presencia de soporte físico y mental, la personalización de los cuidados, la empatía y cercanía de los profesionales, la privacidad, y la comunicación como elemento clave empoderador.Introduction The concept of female empowerment is often used in nursing by midwifes, since it has become a key topic and discussion for said profession. Accordingly, it is used in perinatal health hand in hand with ideas such as humanized childbirth and the prevention of violence. Objectives The aim of this study is to analyze the scientific production on female empowerment and perinatal health. Methodology A bibliometric study of the scientific production published in the journals Birth, Women and Birth and Midwifery was carried out. The analysis was realized through the classification and categorization of the data. Moreover, the categories were specified, encoded and conceptually defined. Results and Discussion 341 articles were identified, and 44 were selected because of their relevance. However, only 13 matched the inclusion criteria. Given that selected articles have different aims and analyze the notion of empowerment differently, it was only possible to discuss the topic through their classification and categorization. Accordingly, the most relevant aspects concerning the sense of female empowerment arising out of the interaction between patients and midwifes are: feeling that health professionals listen to what you have to say; accepting pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and the role communication as key element for empowerment. Conclusions. Female empowerment in the perinatal period is an understudied discussed topic in the journals analyzed in this article. That is the reason why there is not a univocal definition of the term. It could be argued that female empowerment is much dependent on aspects such as confidence between patients and midwife, the feeling of being listened by health professionals; the acceptance of pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and a fluid communication

Spanish women’s perceptions of empowerment during the reproductive process

AbstractDissatisfaction among women and health professionals regarding the health care provided during the perinatal period has led to the development of another style of care, oriented towards encouraging and respecting the autonomy of women during the reproductive process, what has called ‘women’s empowerment’. The aim of this paper is to describe women’s perceptions of empowerment during the perinatal period and its relationship to the humanization of childbirth, individualized care, and a dignified treatment of their bodies. Study was carried with a descriptive qualitative exploratory methodology using six focus groups of between 5 and 8 participants (June 2020–June 2022). The groups were guided by a semi-structured questionnaire. Data analysis was performed according to the Taylor-Bodgan methodology. The number of participants was 39 (29 pregnant; the rest were less than 12 months postpartum). From the analysis of the data, nine categories arose: definition, benefits, harms, role of the midwife, relationship, essential aspects, knowledge, feelings, and improvements. As concluding remarks, participants perceive women’s empowerment in the perinatal period as something beneficial, although this is a term with which they are unfamiliar. They consider that the role of the midwife and the information received are fundamental elements in this empowerment. Finally, a close relationship is established between this term and others such as individualized care and the humanization of childbirth