Nursing care in the Covid-19 pandemic in the spanish health system

La pandemia Covid-19 ha puesto de manifiesto una gran debilidad estructural del Sistema Nacional de Salud de España: la debilidad de la atención. Entre las profesiones de la salud, la disciplina que tiene el cuidado como esencia es la Enfermería. Una de las definiciones más consensuadas de cuidado es la de Colliere: “cuidar es un acto que representa una infinita variedad de actividades que tienden a sostener la vida, permitiéndole continuar y reproducirse. . . El ser humano siempre ha tenido esta necesidad como acto individual de persona autónoma y de reciprocidad, ya que la persona requiere ayuda para asumir sus necesidades vitales

Attitudes towards Immigration among Students in the First Year of a Nursing Degree at Universities in Coimbra, Toledo and Melilla

Increased migration has led to increased prejudice towards immigrant populations. This study aims to analyse attitudes towards immigration among student nurses in three universities, two in Spain and one in Portugal. Methodology: A descriptive, transversal, prospective study was carried out among student nurses (n = 624), using the Attitude towards Immigration in Nursing scale. Results: Nursing students showed some positive attitudes towards immigration, such as that immigrants should have the right to maintain their customs or that immigrants should have free access to healthcare and education, in contrast to some negative attitudes, such as that crime rates have increased due to immigration or that immigrants receive more social welfare assistance than natives. Significant di erences in attitudes were revealed between students from the three universities. Discussion: Training in transcultural nursing is necessary for all nursing students in order to reduce negative attitudes towards the immigrant population and increase the awareness and sensitivity of future healthcare sta in caring for patients of all backgrounds

The Perception of Nurses about Migrants after the COVID-19 Pandemic: Close Contact Improves the Relationship

Nurses have faced during the COVID-19 pandemic a tough professional situation in which they have had to work in a resource-limited context and with a high probability of COVID-19 transmission. In today’s multicultural societies, care for immigrant patients is also included. In our study, we have delved into the perception of hospital nurses towards migrant people in the context of the COVID-19 pandemic. We used a qualitative methodology with a phenomenological approach. Semi-structured interviews were conducted with 16 nurses. Seven categories emerged and were distributed in the three blocks of the interviews: (a) perception before the pandemic: prejudices make a mark and communication problems; (b) perception after the pandemic: prejudices weaken and communication worsens; and (c) how to improve care: improve communication, more nurses, and no need for training. The approach in the interpersonal relationship between nurses and patients during the pandemic has improved health care. Proposals arise to overcome the language barrier such as the incorporation of intercultural translators-mediators and professionals of foreign origin. There is a lack of awareness of the need for training in cultural competence on the part of the nurses in the study

Atitudes em relação à imigração dos alunos de uma escola de enfermagem de Portugal

Marco contextual: La diversidad cultural está presente en todas las sociedades. Las enfermeras deben ser culturalmente competentes para dispensar cuidados de calidad. Objetivo: Validar la Escala de Actitud hacia la Inmigración en Enfermería (EAIE) al portugués y conocer las actitudes ante la inmigración del alumnado del primer curso del grado de una escuela de Enfermería de Portugal. Metodología: Estudio descriptivo, exploratorio y analítico, con traducción y adaptación transcultural de la EAIE al portugués, constituida por 39 ítems. Participaron 143 estudiantes. Resultados: Buena consistencia interna de la escala medida con el α de Cronbach (0,94). Con el análisis unifactorial de la escala, y de cada ítem separado se identificaron diferencias actitudinales significativas entre hombres y mujeres en 6 ítems, y entre grupos de edad en 2 ítems. Conclusión: Las actitudes de una parte del alumnado no son favorables al reconocimiento pleno de los derechos en el uso de los recursos sociosanitarios de los inmigrantes. Consideramos necesario profundizar en la formación en competencia cultural y en el Derecho Universal a la Salud.Background: Cultural diversity is present in all societies. Nurses must be culturally competent to provide quality care. Objective: To validate the Scale of Attitude toward Immigration in Nursing (EAIE) in Portuguese and to know the attitudes toward the immigration of the first-year undergraduate students of a nursing school in Portugal. Methodology: Descriptive, exploratory, and analytical study, with the translation and transcultural adaptation of the EAIE to the Portuguese language, composed of 39 items. The participants were 143 students. Results: Scale with a good internal consistency, assessed with Cronbach’s α (0,94). With the univariate analysis of the scale and each separate item, significant attitudinal differences were identified between men and women in 6 items, and among age groups in 2 items. Conclusion: The attitudes of a portion of the students are not favorable to the full recognition of the rights of health and social resources of the immigrants. It is necessary to develop the training in cultural competence and the Universal Right to health.Enquadramento: A diversidade cultural está presente em todas as sociedades. Os enfermeiros devem ser culturalmente competentes para prestar cuidados de qualidade. Objetivo: Validar a Escala de Atitude em Relação à Imigração na Enfermagem (EAIE) para português e conhecer as atitudes face à imigração dos estudantes do 1º ano da licenciatura de uma escola de enfermagem de Portugal. Metodologia: Estudo descritivo, exploratório e analítico, com aplicação da EAIE, traduzida e adaptada culturalmente para a língua portuguesa, composta por 39 items. Participaram no estudo 143 estudantes. Resultados: Boa consistência interna da escala medida com o α de Cronbach (0,94). Com a análise unifatorial da escala e de cada item em separado identificaram-se diferenças significativas de atitude entre homens e mulheres em 6 itens e entre grupos etários em 2 itens. Conclusão: As atitudes de uma parte dos estudantes não mostram um reconhecimento inequívoco dos direitos dos imigrantes aos recursos sociossanitários. Consideramos necessário aprofundar a formação em competência cultural e sobre o Direito Universal à Saúde

Nursing Perspective of the Humanized Care of the Neonate and Family: A Systematic Review

This systematic review aims to determine the extent to which published research articles show the perspective of health professionals in neonatal intensive care units (NICU), as facilitators of family empowerment. Studies conducted between 2013 and 2020 were retrieved from five databases (PubMed, Cochrane, CINHAL, Scopus, and Google Scholar). The search was carried out from January to October 2020. A total of 40 articles were used, of which 13 studies (quantitative and qualitative) were included in this systematic review. Its methodological quality was assessed using the mixed methods assessment tool (MMAT). In these, the opinions and perspectives of professionals on the permanence and participation of parents were valued. In addition, the training, experiences, and educational needs of nursing within the NICU were determined. The crucial role of health professionals in the humanization of care and its effect on the neonate-family binomial was estimated. However, conceptual changes are needed within the neonatal intensive care units. To implement humanization in daily care, family participation should be encouraged in them. For this, it is necessary to modify hospital health policies to allow changes in the infrastructure that facilitate open doors 24 h a day in special services

Nursing Perspective of the Humanized Care of the Neonate and Family: A Systematic Review

This systematic review aims to determine the extent to which published research articles show the perspective of health professionals in neonatal intensive care units (NICU), as facilitators of family empowerment. Studies conducted between 2013 and 2020 were retrieved from five databases (PubMed, Cochrane, CINHAL, Scopus, and Google Scholar). The search was carried out from January to October 2020. A total of 40 articles were used, of which 13 studies (quantitative and qualitative) were included in this systematic review. Its methodological quality was assessed using the mixed methods assessment tool (MMAT). In these, the opinions and perspectives of professionals on the permanence and participation of parents were valued. In addition, the training, experiences, and educational needs of nursing within the NICU were determined. The crucial role of health professionals in the humanization of care and its effect on the neonate-family binomial was estimated. However, conceptual changes are needed within the neonatal intensive care units. To implement humanization in daily care, family participation should be encouraged in them. For this, it is necessary to modify hospital health policies to allow changes in the infrastructure that facilitate open doors 24 h a day in special services