Manual de evaluación de competencias específicas del PRACTICUM

El Practicum del Grado en Enfermería es una materia obligatoria de 84 ECTS a cursar en los cursos tercero y cuarto de carrera. Supone un método de docencia aprendizaje tutelado en el que el estudiante, además de continuar su aprendizaje práctico-asistencial, va a demostrar la adquisición de las competencias que permitirán su inserción en el mercado laboral acorde a las exigencias profesionales requeridas. Para llevar a cabo una evaluación de las competencias adquiridas durante el programa de prácticas en el Grado de Enfermería se ha desarrollado el presente Manual que recoge los criterios necesarios para poder alcanzar las competencias básicas generales, genéricas y específicas acorde al Plan de Estudios del Título de Grado en Enfermería. Así como, la planificación específica y cronograma de actuación en cada una de las rotaciones. Este Manual y el uso de la Rúbrica del PRACTICUM permitirá calificar a los estudiantes por cada una de las rotaciones que engloba el Practicum, usando una herramienta objetiva

Estudiantes universitarios descubren redes sociales y edublog como medio de aprendizaje

Among the challenges considered easy to address according to the NMC Horizon Report 2018 are digital literacy and the combination of formal and informal learning. The university students belong mostly to the Millennials and Z generations, and they are supposed to have a greater capacity for self-learning from the Internet. The aim is intended to identify the profile of internet use by digital native nursing students and degree of satisfaction generated by the use of an educational blog. An anonymous and voluntary questionnaire was administered to 1st and 2nd year students of the Degree in Nursing of the University of Valladolid during the 2017-18 academic year. It is a descriptive cross-sectional study. 91,6% (n = 225) of the enrolled students participated. 74,7% did not know LinkedIn. Google+ was the most widely-used academic tool, followed by Twitter. More than 80% had mid-level knowledge of Facebook, Twitter, Pinterest, Instagram and Moodle. The advanced knowledge possessed about Instagram stands out. 48% had no or low knowledge about using blogs. The satisfaction of the students who used this educational blog Edublog Enfermería earned an overall score of 8,04 (±1,37) out of 10. Students use social networks as a means of communication and not for academic purposes. The scarce knowledge about the use of blogs and the high satisfaction reported about their use indicates the need to strengthen these tools. Blogs and social networks can be useful to provide digital to nursing students achieving continuous and updated learning.Entre los desafíos considerados fáciles de abordar según the NMC Horizon Report 2018, están la alfabetización digital y la combinación del aprendizaje formal e informal. Los universitarios pertenecen en su mayoría a las generaciones Millennials y Z, y se les presupone mayor capacidad de autoaprendizaje desde internet. Se pretende identificar el perfil de uso de internet de los estudiantes de enfermería nativos digitales y grado de satisfacción que genera la utilización de un blog educativo. Se administró un cuestionario anónimo y voluntario a estudiantes de 1º y 2ºcurso del Grado en Enfermería de la Universidad de Valladolid durante el curso académico 2017-18. Se trata de un estudio descriptivo de corte transversal. Participaron el 91,6% (n=225) de los estudiantes matriculados. El 74,7% no conocía LinkedIn. Google+ fue la herramienta de mayor uso académico, seguida de Twitter. Más de un 80% tenía conocimiento de nivel medio de Facebook, Twitter, Pinterest, Instagram y Moodle. Destaca el conocimiento avanzado que poseen de Instagram. Un 48% tenían conocimientos nulos o bajos sobre el uso de blogs. La satisfacción ante la utilización de Edublog Enfermería obtuvo una puntuación global de 8,04 (±1,37) sobre 10. Los estudiantes utilizan las redes sociales como medio de comunicación y no con fines académicos. Los escasos conocimientos sobre el uso de los blogs y la elevada satisfacción que reportó su uso, indica la necesidad de reforzar estas herramientas. Los blogs y redes sociales pueden ser útiles para dotar de competencias digitales a los estudiantes de enfermería logrando un aprendizaje continuo y actualizado

Effects of Antioxidants on Pain Perception in Patients with Fibromyalgia—A Systematic Review

In recent years, antioxidant supplements have become popular to counteract the effects of oxidative stress in fibromyalgia and one of its most distressing symptoms, pain. The aim of this systematic review was to summarize the effects of antioxidant supplementation on pain levels perceived by patients diagnosed with fibromyalgia. The words used respected the medical search terms related to our objective including antioxidants, fibromyalgia, pain, and supplementation. Seventeen relevant articles were identified within Medline (PubMed), Scopus, Web of Science (WOS), the Cochrane Database of Systematic Review, and the Cochrane Central Register of Controlled Trials. This review found that antioxidant supplementation is efficient in reducing pain in nine of the studies reviewed. Studies with a duration of supplementation of at least 6 weeks showed a benefit on pain perception in 80% of the patients included in these studies. The benefits shown by vitamins and coenzyme Q10 are remarkable. Further research is needed to identify the effects of other types of antioxidants, such as extra virgin olive oil and turmeric. More homogeneous interventions in terms of antioxidant doses administered and duration would allow the effects on pain to be addressed more comprehensively

Estudio multidisciplinar de seguimiento del peso corporal en una cohorte de pacientes en tratamiento inicial con antipsicóticos

Introduction. El aumento de peso es una de las reacciones adversas más preocupantes de los antipsicóticos atípicos por el riesgo cardiovascular que entraña, entre otros aspectos. El objetivo principal es conocer la evolución del peso e índice de masa corporal a los 6 meses asociada al tratamiento inicial con antipsicóticos en condiciones reales de uso. Métodos. Estu- dio de cohortes, multicéntrico y prospectivo. Resultados. Se ha reclutado una cohorte de 71 pacientes tratados con antipsicóticos (mediana=54 años). Un 60% de pacientes muestra un incremento de peso al finalizar el periodo de seguimiento. En los hombres (32%, mediana=37 años), se obtuvo que el peso corporal medio inicial fue 74, 9 kg (DE=15,4) y final 81,1 kg (DE=16,7); el índice masa corporal medio inicial 25, 1 kg/m2 (DE=4,2) y final 27,1 kg/m2 (DE=4,6). En las mujeres (68%, mediana=61,5 años), se obtuvo que el peso corporal medio inicial fue 61, 4 kg (DE=10,0) y final 63, 0 kg (DE=11,2); el índice masa corporal medio inicial 26, 6 kg/m2 (DE=4,9) y final 27,0 kg/m2 (DE=4,6). El aumento de 2 o más kg de peso es signi- ficativamente mayor en menores de 55 años, así como en hombres. Conclusiones. El inicio de tratamiento con un antipsicótico en condiciones reales de uso se asocia a incremento de peso e índice de masa corporal de los pacientes a los 6 meses, tanto en hombres como mujeres. Se ha constituído un grupo de investigación multidisciplinar centrado en el estudio del uso de antipsicóticos.Introduction. Weight gain is one of the most troubling adverse effects of atypical anti- psychotics due to their cardiovascular risk and other factors. The main objective is to assess possible changes of body weight and body mass index at 6 months associated with onset of antipsychotic treatment in ordinary clinical use. Methods. It's a cohort, multicentre, prospective study. Results. A cohort of 71 patients treated with antipsychotics was recruited (median=54 years). A total of 60% of patients showed an increase of body weight at the end of the follow- up period. In males (32%, median=37 years), it was obtained that mean body weight at base- line was 74, 9 kg (DE=15,4)and at 6 months 81,1 kg (DE=16,7); mean body mass index at baseline was 25,1 kg/m2 (DE=4,2) and at 6 months 27,1 kg/m2 (DE=4,6). In women (68%, median=61,5 years), it was obtained that mean body weight at baseline was 61,4 kg (DE=10,0) and at 6 months 63, 0 kg (DE=11,2); mean body mass index at baseline 26,6 kg/m2 (DE=4,9) and at 6 months 27,0 kg/m2 (DE=4,6). Increase of body weight over 2 kg was significantly higher in patients under 55 years and males. Conclusions. Onset of antipsychotic treatment in ordinary clinical use is associated with an increase of patients' body weight and body mass index at 6 months, both for men and women. A multidisciplinary research team focused on the study of antipsychotic use of has been established

Selective Lanthanide Distribution within a Comprehensive Series of Heterometallic [LnPr] Complexes

The preparation of heterometallic, lanthanide-only complexes is an extremely difficult synthetic challenge. By a ligandbased strategy, a complete isostructural series of dinuclear heterometallic [LnPr] complexes has been synthesized and structurally characterized. The two different coordination sites featured in this molecular entity allow study of the preferences of the praseodymium ion for a specific position depending on the ionic radii of the accompanying lanthanide partner. The purity of each heterometallic moiety has been evaluated in the solid state and in solution by means of crystallographic and spectrometric methods, respectively, revealing the limits of this strategy for ions with similar sizes. DFT calculations have been carried out to support the experimental results, confirming the nature of the siteselective lanthanide distribution. The predictable selectivity of this system has been exploited to assess the magnetic properties of the [DyPr] and [LuPr] derivatives, showing that the origin of the slow dynamics observed in the former arises from the dysprosium ion

Physical performance and quality of life in older adults: Is there any association between them and potential drug interactions in Polymedicated Octogenarians?

Producción CientíficaOlder adults are at increased risk of several cytochrome P450 (CYP) drug interactions that can result in drug toxicity, reduced pharmacological effect, and adverse drug reactions. This study aimed to assess the prevalence of potential CYP interactions referring to the most clinically relevant drugs and exploring the relationship between them and quality of life and physical performance in Spanish octogenarians. Institutionalized and community-dwelling octogenarians (n = 102) treated at three primary care centers, were recruited by a research nurse. Anthropometric measurements, chronic diseases, prescribed drugs, quality of life, physical performance, mobility skills, hand grip strength and cognitive status data were collected. Potential CYP drug-drug interactions (DDIs) were selected referring to the main CYP implicated in their metabolism. The 72.2% of recruited octogenarians presented potentially inappropriate CYP inhibitor-substrate or CYP inductor-substrate combinations. Analyzing the EuroQol Visual Analogue scale (EQ-VAS) results, patients with a potential CYP DDI perceived worse health status than patients without it (p = 0.004). In addition, patients with a potential CYP DDI presented worse exercise capacity, kinesthetic abilities, or mobility than those who didn’t present a potential interaction (p = 0.01, p = 0.047, and p = 0.02, respectively). To investigate and control factors associated with loss of muscle strength and poor quality of life, polypharmacy and DDIs could help institutions in the management of physical frailty.Fundación Científica Caja Rural de Soria (project 00200200227

Analysis of burnout syndrome and resilience in nurses throughout the COVID-19 pandemic: A cross-sectional study

Producción CientíficaBackground: The COVID-19 pandemic has contributed to the occurrence of work-related stress on nursing staff. Being resilience an essential element to countering adversity. The aim of the study was to assess burnout syndrome as well as resilience in hospital-care nurses during the first outbreak of the COVID-19 pandemic. Methods: A cross-sectional descriptive study of burnout syndrome and resilience of 101 nurses during the first COVID-19 outbreak. The Maslach Burnout Inventory and the Scale of Resilience of Connor-Davidson were used. Results: The burnout average score was 74.35 ± 12.78 points, and resilience was 27.94 ± 5.84. Temporary nurses reached a lower average score for the emotional fatigue dimension (23.80 ± 10.39 points) p < 0.05. The emotional fatigue dimension correlated adversely with the average score of resilience (r = −0.271; p < 0.001). Conclusions: The level of burnout in nurses was high, being higher on those who took care of COVID-19 patients. Resilient nurses were able to better cope with stressful situations

Adverse clinical events in the hospital: characterization from the point of view of the health worker.

Introducción: un evento adverso es un incidente que ha producido daño en un paciente y que puede o no estar asociado a un error clínico. Un porcentaje elevado de profesionales de la salud se encuentran implicados en este tipo de eventos anualmente. Gran parte de los profesionales desconocen la existencia de los sistemas implantados en sus centros de trabajo para una comunicación correcta de los eventos adversos. Objetivos: identificar las características de los profesionales hospitalarios afectados por algún evento adverso y evaluar su conocimiento de los sistemas de notificación. Metodología: estudio observacional descriptivo transversal. Se evaluaron variables demográficas, laborales y relacionadas con los eventos adversos y los sistemas de notificación. Resultados: participaron 207, 45,4% enfermeros y 54,6% médicos, de 39,24±10,07 años y con una experiencia de 14,43±9,9 años.  El 71,8% resultaron afectados por algún evento adverso.  El primer evento adverso ocurrió a los 6,45±6,18 años. El 42,1% conocía algún sistema de notificación; pero sólo el 24,61% de éstos, afectados por un evento adverso, lo notificaron. Los médicos fueron más afectados por un evento adverso, además, más precozmente (p &lt; 0,001); y también conocían los sistemas de notificación (p= 0,001). Discusión: muchos sanitarios, con escasa experiencia, fueron afectados por eventos adversos. Pocos conocían los sistemas de notificación y muchos menos los utilizaban. Los médicos resultaron más afectados, y más precozmente, por los eventos adversos y conocían mejor los sistemas de notificación.Introduction: an adverse event is an incident that has caused harm to a patient and that may or may not be associated with a clinical error. A high percentage of health professionals are involved in this type of event annually. A large part of the professionals are unaware of the existence of the systems implemented in their work centers for a correct communication of adverse events. Objectives: to identify the characteristics of hospital professionals affected by an adverse event and to evaluate their knowledge of the notification systems. Methods: cross-sectional descriptive observational study. Demographic, labor and related variables with adverse events and notification systems were evaluated. Results: 207, 45.4% nurses and 54.6% doctors, participated, 39.24 ± 10.07 years and with an experience of 14.43 ± 9.9 years. 71.8% were affected by some adverse event. The first adverse event occurred at 6.45 ± 6.18 years. 42.1% knew of some notification system; but only 24.61% of these, affected by an adverse event, reported it. Physicians were more affected by an adverse event, moreover earlier (p &lt;0.001) and they were also more aware of notification systems (p = 0.001). Discussion: many health workers, with little experience, were affected by adverse events. Few knew notification systems and far fewer used them. Doctors were more affected, and earlier, by adverse events and were better acquainted with notification systems

Hip fracture rates and bisphosphonate consumption in Spain. An ecologic study

Producción CientíficaIntroduction Bisphosphonates are used worldwide to treat osteoporosis and, thus, to prevent fractures. Though they have been proven in clinical trials to avoid some fractures, their effectiveness in reducing hip fractures is unclear. The aim of the present study was to explore the relationship between bisphosphonate use and hip fracture trends in Spain. Methods For this purpose, an ecologic study spanning 2002 to 2008 was conducted in Spain. Consumption data were obtained from the Spanish Ministry of Health and Social Policy. The number of hip fractures was obtained from hospital discharges; annual hip fracture rates were determined and standardized using the Spanish 2002 population census. A linear regression was performed between fracture rate and use of bisphosphonates; R2 and Pearson correlation coefficient were calculated. Results From 2002 to 2008, dispensed prescriptions of bisphosphonates in Spain increased from 3.28 to 17.66 DDD/1,000 inhabitants per day. In the same period, the crude hip fracture rate increased from 2.85 to 3.02 cases per 1,000 inhabitants older than 50 years; however, when age standardized rates were estimated, the rate declined from 2.85 to 2.79. Analyzed by sex, the standardized rate for men slightly increased from 1.45 to 1.48, while for women the rate significantly dropped from 4.00 to 3.91.Conclusion A small effect of bisphosphonates on hip fracture rates can not be ruled out; however, other factors might partially explain this decline. Assuming this medication was the only cause for hip fracture rate reduction, the elevated medication cost to avoid a single hip fracture makes it necessary to explore less expensive intervention

Fatigue, emotional distress, and illness uncertainty in patients with metastatic cancer: results from the prospective NEOETIC_SEOM study

A cancer diagnosis can have a substantial impact on a patient's mental health and quality of life. The aim of this study was to investigate the prevalence of fatigue, emotional distress, and uncertainty and examine the predictive value they have on the quality of life of advanced cancer patients. A prospective, multicenter study was conducted between February 2020 and May 2021 of individuals diagnosed with an advanced, unresectable neoplasm prior to initiating systemic antineoplastic treatment. Participants completed questionnaires to quantify fatigue, emotional distress, disease uncertainty, and quality of life. A linear regression analysis was performed to study the predictive QoL variables. The study population comprised 508 patients, 53.7% of whom were male and had a mean age of 54.9 years. The most common cancers were digestive (40.6%), bronchopulmonary (29.1%), and breast (8.5%); the most frequent histology was adenocarcinoma (63%); and most were stage IV (79.7%). More than half (55.7%) suffered fatigue, and 47.7% exhibited emotional distress; both were more prevalent among women. Fatigue, emotional distress, and disease uncertainty all correlate with diminished quality of life. Similarly, ECOG performance status and the demographic variables of age, sex, and comorbidities impacted quality of life. This patient sample displayed a high prevalence of fatigue and emotional distress, together with illness uncertainty, which are clearly linked to waning quality of life. To decrease the experience of fatigue and improve mental health treatment in cancer patients, interventions based on a biopsychosocial model must be intensified