El trato a las personas con trastorno límite de la personalidad: ¿es posible su recuperación?

Cuando hablamos del trastorno límite de la personalidad (TLP) no nos referimos en absoluto a algo fácil de diagnosticar. El TLP pertenece al grupo de diagnósticos de los trastornos de la personalidad que incluye el trastorno de la personalidad esquizoide, paranoide, esquizotípica, antisocial, límite, histriónica, narcisista, evasiva, dependiente y obsesivo-compulsiva. El abanico es amplio

The attitudes of mental health nurses that support a positive therapeutic relationship: the perspective of people diagnosed with BPD

Introduction: the therapeutic relationship between mental health nurses and people diagnosed with borderline personality disorder (BPD) is essential to successful treatment, and nurses' attitudes are a key component of this relationship. Some nurses develop positive therapeutic relationships with people diagnosed with BPD, while others have negative emotional reactions which in turn limit their ability to develop a positive therapeutic relationship. There is a gap in the literature with respect how people diagnosed with BPD perceive the attitudes of mental health nurses that foster a positive therapeutic relationship. Aim: to describe how people diagnosed with BPD who have experienced an improvement perceive the role of the attitudes of mental health nurses in building a positive therapeutic relationship. Method: qualitative descriptive design with 12 interviews; thematic content analysis. Results: participants identified five attitudes of mental health nurses as contributing to a positive therapeutic relationship: confidence in their ability to recover, non-judgement, humour, availability and humanity. Discussion: nurses' attitudes are key to the therapeutic relationship. It may be possible for nurses to improve their attitudes toward patients diagnosed with BPD through self-reflection. Implications for Practice: mental health nurses should incorporate methods that explore attitudes and attitudinal development of the workforce

Analysis of Stigma in Relation to Behaviour and Attitudes towards Mental Health as Influenced by Social Desirability in Nursing Students

The training undergraduate nursing students receive, both in terms of theoretical input and clinical practice, may help to instil a less stigmatising perception of mental health. To analyse the perceived evolution of attitudes and expected behaviours, a longitudinal repeated measures study was conducted in a population of student nurses during their undergraduate mental health education. The Mental Illness: Clinicians’ Attitudes Scale, a Scale for measuring attitudes to the mentally ill among future Health workers, and the Reported and Intended Behaviour Scale were completed. A mixed linear model was used to assess the effect of each factor in the questionnaires before and after the various stages of the students’ training in mental health. The overall effect of each factor was assessed by testing the interaction between factor and group, both with and without adjustment with the Social Desirability Scale. The results showed that the clinical practice stage, due to the proximity to care for people with mental health problems, improves attitudes and behaviours towards mental health in students who have not had mental health problems, and also in younger students. In conclusion, integrated, holistic training during the period of clinical practice was associated with positive changes in the attitudes and intended behaviour

Proceso enfermero orientado a personas con trastornos de la conducta alimentaria

INDICE 1.Objetivos de aprendizaje 2.Principales diagnósticos NANDA, resultados NOC e intervenciones de enfermería NIC, asociados al Trastorno de la Conducta Alimentaria 3.Pensamiento reflexivo 4.Bibliografí

The experiences of patients with diabetes and strategies for their management during the frst COVID-19 lockdown: a qualitative study

Background: During the pandemic, primary care systems prioritised attention to COVID-19 patients; chronically ill patients, such as people with Type 2 Diabetes were obliged to take more responsibility for their own care. We aimed to analyse the experiences of patients with Type 2 Diabetes Mellitus during the stay-at-home order that was in place during the first wave of the COVID-19 pandemic and identify the strategies and resources used in managing their care. Method: We conducted a qualitative descriptive study. The participants were ten patients with type 2 Diabetes Mellitus who experienced strict lockdown during the first wave of the COVID-19 pandemic in Catalonia, Spain, selected using intentional sampling. We recorded semi-structured interviews with the participants and conducted thematic analysis. Results: We identified 14 subthemes, which we then grouped into three overarching themes: 1) anxiety, fear, and vulnerability (anxiety, fear, vulnerability, rethinking life, loneliness, sadness), 2) insufficient diabetes monitoring by the health system (health care received, glycaemic control, view of treatment by health providers) and proactive self-care (changes in daily routine, diet, physical activity, medication, personal protective equipment & social distancing). Conclusion: Despite the exceptional nature of the situation and the stress, worry, and changes in their daily lives, many respondents reported that they had successfully modified their lifestyles. Self-care was effective during confinement and was based on a process of adaptation using the resources available, without face-to-face contact with primary care health staff. Relevance to clinical practice: These results can help to guide the design and implementation of self-care-focused strategies and also to explore new ways of empowering patients without access to health care personnel

Informe de brots de sarna a Catalunya (2015-2022*)

Sarna; Brots; Infecció parasitàriaSarna; Brotes; Infección parasitariaScabies; Outbreak; Parasitic infectionL’objectiu del present informe es descriure les característiques epidemiològiques dels brots de sarna notificats els darrers 8 anys a Catalunya: la distribució anual, la distribució per ámbits d’exposició i la distribució territorial per serveis de vigilància epidemiològica (SVE)

Proceso enfermero orientado a personas con trastorno límite de la personalidad

INDICE 1.Objetivos de aprendizaje 2.Principales diagnósticos NANDA, resultados NOC e intervencions de enfermería NIC, asociados al Trstorno Límite de la Personalidad. 3.Fase de crisis 3.1 Pensamiento reflexivo 3.2 Desarrollo de los principales diagnósticos en fase de crisis 4.Fase de estabilidad 4.1 Pensamiento reflexivo 4.2 Desarrollo de los principales diagnósticos en fase de estabilidad 5.Bibliografí

Front‐line nurses’ responses to organizational changes during the COVID‐19 in Spain. A qualitative rapid appraisal

Aims: To identify the organisational changes faced by front-line nurses working with COVID-19 patients during the first wave and describe how they responded to these changes. Background: The COVID-19 pandemic has altered the provision of care and the management of health care around the world. Evolving information about SARS-CoV-2 meant that health care facilities had to be reorganised continually, causing stress and anxiety for nurses. Methods: Qualitative study based on Rapid Research Evaluation and Appraisal (RREAL). The research took place in hospital and community health settings of the Spanish national health system with a purposive sampling of 23 front-line nurses. Semi-structured interviews were conducted between May and June 2020. The duration was 30-45 min per interview. We used the Dedoose® data analysis software to perform a thematic analysis. Results: Nurses responded to organisational changes using the following strategies: improvisation, adaptation and learning. Conclusion: Our rapid approach allowed us to record how nurses responded to changing organisation, information that is easily lost in a disaster such as the COVID-19