Psychological Well-Being in Nursing Students: A Multicentric, Cross-Sectional Study

In addition to complying with strict academic standards, nursing students must acquire relevant knowledge and skills, and learn how to carry themselves in different and often stressful professional settings. These obligations could severely affect their mental health. The purpose of this study was to examine the mental health status of undergraduate nursing students and related factors. A total of 1368 nursing students from different universities in Spain and Chile were included in this study, which took place over the 2018-2019 academic year. We assessed their levels of stress related to specific learning methodologies and determined their mental health status using the General Health Questionnaire (GHQ-28). The results revealed that the more advanced the course was, the lower the total GHQ-28 score. The stress generated by different types of training activities had a significant effect on the total GHQ-28 score. These results suggest that nursing education could act as a protective factor against mental health disorders. Although a heavy academic workload could lead to higher levels of stress, overall, it seems that mental health is better in more advanced courses than in initial academic years

Efecto en la calidad de vida, el afrontamiento y las conductas de salud de los pacientes con ictus isquémico agudo tratados con neurointervencionismo endovascular

We conducted a prospective, longitudinal and comparative sample of patients with acute ischaemic stroke who were previously randomized for a clinical trial (REVASCAT) with two groups (intervention and control) according to the treatment received at the acute stage; endovascular therapy (either thrombectomy or thrombectomy and intravenous alteplase) or standard treatment (intravenous alteplase and/or hospitalization in stroke units). The aim was to study strategies, health behaviour, and neurological and funcional development, and quality of life in a sample of patients with ischaemic stroke at 3 months and one year, by comparing the results of the two groups. The results indicate that the two groups of patients have similar profiles. The patients in the neurovascular treatment group showed better neurological outcome, funcional status and quality of life the the control group both in the short and long term. Coping strategies are focused on active coping and acceptance, which are signifiant at one year and in the control group, whereas Health behaviors are better in the intervention group. In conclusion, the results obtained can be generalized to patients with acute ischaemic stroke as a whole.S’ha portat a terme un estudi prospectiu, longitudinal i comparatiu d’una mostra de pacients amb ictus isquèmic agut aleatoritzats prèviament en context d’assaig clínic (REVASCAT) amb dos grups (intervenció i control) segons el tractament rebut en la fase aguda, ja sigui teràpia endovascular (trombectomía o trombectomía i alteplasa endovenosa) o tractament estàndard (alteplasa endovenosa i/o hospitalització en unitats d’ictus). L’objectiu ha estat estudiar les estratègies d’afrontament, les conductes de salut, l’evolució neurològica i funcional, i la qualitat de vida en un mostra de pacients amb ictus isquèmic als 3 mesos i a l’any, mitjançant la comparació de resultats entre els dos grups de pacients. Els resultats obtinguts indiquen que els dos grups de pacients tenen un perfil similar. Els pacients del grup amb tractament neurovascular ha mostrat una millor evolució neurològica, estat funcional i qualitat de vida que el grup control a curt i llarg termini. Les estratègies d’afrontament es centren amb l’afrontament actiu i l’acceptació, significatives a l’any i al grup control; mentre que les conductes de salut han estat millors en el grup d’intervenció. En conclusió, els resultats obtinguts poden generalitzar-se a la globalitat dels pacients amb ictus isquèmic agut

Handover of Critical Patients in Urgent Care and Emergency Settings: A Systematic Review of Validated Assessment Tools

The emergency handover of critical patients is used to describe the moment when responsibility for the care of a patient is transferred from one critical patient care healthcare team to another, requiring the accurate delivery of information. However, the literature provides few validated assessment tools for the transfer of critical patients in urgent care and emergency settings. To identify the available evaluation tools that assess the handover of critical patients in urgent and emergency care settings in addition to evaluations of their psychometric properties, a systematic review was carried out using PubMed, Scopus, Cinahl, Web of Science (WoS), and PsycINFO, in accordance with PRISMA guidelines. The quality of the studies was assessed using the COSMIN checklist. Finally, eight articles were identified, of which only three included validated tools for evaluating the handover of critical patients in emergency care. Content validity, construct validity, and internal consistency were the most studied psychometric properties. Three studies evaluated error and reliability, criterion validity, hypothesis testing, and sensitivity. None of them considered cross-cultural adaptation or the translation process. This systematic psychometric review shows the existing ambiguities in the handover of critically ill patients and the scarcity of validated evaluation tools. For all of these reasons, we consider it necessary to further investigate urgent care and emergency handover settings through the design and validation of an assessment tool

Influence of Pain and Discomfort in Stroke Patients on Coping Strategies and Changes in Behavior and Lifestyle

The implementation of prevention strategies can reduce the risk of having a stroke. This prospective, longitudinal, multicenter observational study of 82 patients describes health habits, quality of life, coping strategies, and physical and neurological status at 3 months and 1 year after stroke. The EuroQoL-5D quality of life scale (EQ-5D) and the coping strategy measurement scale (COPE-28) were used to assess pain and discomfort, and behavioral and lifestyle changes. Significant differences were observed in the pain or discomfort levels of those patients with behavioral and lifestyle changes. Correlation was also found between pain or discomfort and the coping strategies associated with active emotional support at 1 year after stroke. The results of the pain or discomfort dimension were not, however, associated with better adherence to treatment. Pain and discomfort could have a predictive value in changes in lifestyles and behaviors but not for treatment adherence in patients who have had a stroke, which is significant at 1 year. In addition to important active coping strategies such as social support, these changes in behavior and lifestyle following a stroke are long-term and should therefore be assessed during the initial examination