Introduction: The COVID-19 pandemic and associated measures will cause alterations in the quality and quantity of sound, with impacts on mental health. Objectives: Understand how the pandemic and interfering confinement in routines and/or sleeping habits in children and adolescents influence mental health. Methodology: Literature review in MEDLINE, starting from the quest: What are the alterations in routines or sleep habits in children and adolescents during the pandemic? Results and discussion: Two 370 articles, selected formats 35. Due to the confinement and teaching at a distance, to the number of hours of increased sound. Therefore, with a decrease in physical activity, nutritional imbalance and an increase in time compared to exercise with reduced sono quality. Consequently, there is a negative influence on mental health. Conclusion: There has been an increase in noise disturbances and their influence on mental health, with the need to develop awareness strategies and literature on the subject.
RESUMEN Objetivo. Conocer los efectos beneficiosos de la aplicación de masaje infantil en los recién nacidos prematuros estables en cuidados intensivos neonatales. Metodología y diseño: Revisión bibliográfica según directrices de la declaración PRISMA, realizada en febrero del 2021, en las bases de datos: Pubmed, Scielo, Elsevier y Dialnet. Los criterios de inclusión considerados fueron artículos con contenido sobre masaje terapéutico en niños como tratamiento en el medio hospitalario, idioma inglés / castellano, publicados 2016-2021 y, acceso a texto completo gratuito o accesibles desde recursos institucionales. Se evaluó nivel de evidencia y grado de recomendación y la calidad metodológica con criterios CASPE. Se identifica información de cada artículo: año de publicación, diseño, participantes y resultados de la intervención. Resultados: Se incluyeron 11 artículos con calidad metodológica entre 5-10 puntos según instrumento de evaluación de revisión sistemática o ensayo clínico aleatorio respectivamente. En los resultados se consideran 12 áreas temáticas: técnica de masaje y tiempo de duración; aplicación de aceites; neurodesarrollo; sistema inmunológico; gastrointestinal; peso; función visual; sueño; estrés; dolor; apego; estancia hospitalaria. La mayor parte de los estudios informaron de beneficios tanto fisiológicos como conductuales. Los beneficios referidos en los estudios hacen relación a mejora de la actividad gastrointestinal, mejor tolerancia al dolor, disminución de la estancia hospitalaria, mejor neurodesarrollo, aumento de peso, mejora en el sistema inmune e incremento en la función visual además de favorecer el apego y la disminución de los niveles de estrés. Conclusiones: La terapia de masaje infantil proporciona beneficios y es coste-efectiva y con escasos efectos secundarios y contraindicaciones. Las enfermeras tienen competencias para ofertar este procedimiento en los cuidados habituales. Se precisa de la protocolización y desarrollo de recomendaciones para la realización del procedimiento y la realización de futuros estudios. PALABRAS CLAVE: masaje infantil, bebé prematuro, uci neonatal, estimulación táctil, nacimiento prematuro, masaje terapéutico, estimulación cinestésica, efecto del masaje. SUMMARY Objectives: To know the beneficial effects of the application of infant massage in stable premature newborns in the NICU. Methodology and design: Systematic review that follows the guidelines of the PRISMA declaration. Bibliographic research was realized in February 2021 in the databases of Pubmed, Scielo, Elsevier and Dialnet. The inclusion criteria were articles relationated with therapeutic massage as treatment in the hospitalary area, In English or Spanish, between 2016-2021 as the year of publication and full free text or accessible through institutional resources. Results: 11 articles with methodological quality between 5-10 points according to the systematic review evaluation instrument or randomized clinical trial, respectively, are included. The results consider 12 thematic areas: massage technique and time; oil application; neurodevelopment; waterproof system; gastrointestinal; weight; visual function; sleep; stress; pain; attachment; hospital stay. Most studies report both physiological and behavioral benefits. The benefits referred to in the studies are related to improved gastrointestinal activity, better pain tolerance, shorter hospital stay, better neurodevelopment, weight gain, improved immune system and increased visual function, in addition to promoting attachment and the decrease in stress levels. Conclusions: Infant massage therapy provides benefits and is cost-effective with few side effects and contraindications. Nurses have competences to offer the procedure in routine care. The development of recommendations for performing the procedure and conducting future studies is required. KEYWORDS: infant massage, preterm infant, neonatal intensive care unit or NICU, tactile stimulation, therapeutic massage, kinesthesic stimulation, massage effect.
El ruido en el medio hospitalario conlleva consecuencias serias para la salud. La evidencia demuestra que los pacientes neurológicos hospitalizados, se ven más afectados por la contaminación acústica, ya que ciertos estímulos están alterados, siendo más sensibles a luz y ruido. El descanso nocturno de los pacientes, es un aspecto relevante dentro del proceso de recuperación. Estudios previos, en relación al ruido hospitalario concluyeron que, el índice de ruido intrahospitalario supera las recomendaciones de la Organización Mundial de la Salud, que cifra por debajo de 35 decibelios, la noche, y 45 decibeilios, el día. En este contexto, la Comisión de Calidad Percibida y Humanización estableció un programa específico de intervención sobre el ruido, para la mejora de la calidad percibida de los pacientes ingresados, calidad de vida y sueño. Se planteó un estudio de investigación cuantitativo observacional de tipo transversal para describir los factores relacionados con la percepción de ruido hospitalario en la unidad de neurociencias, y en relación a la medición real de decibelios en diferentes áreas de la misma unidad. Los resultados estiman que es posible reducir la contaminación acústica hospitalaria, haciendo cambios de mínima intervención y bajo coste, pero de gran impacto en la percepción de los pacientes y en la disminución del ruido, como es el mobiliario, ajuste de horarios de visita y concienciación de los profesionales de la salud sobre el ruido generado en la realización de la propia actividad asistencial. Como estudio de extensión, se propone el estudio de la efectividad de medidas propuestas. PALABRAS CLAVE: ruido, calidad percibida, humanización SUMMARY Noise in the hospital environment has serious consequences for health. The evidence shows that hospitalized neurological patients are more affected by light and noise pollution, since certain stimuli are altered, being more sensitive to light and noise. The night rest of the patients is a relevant aspect within the recovery process. Previous studies, in relation to hospital noise, concluded that the intrahospital noise index exceeds the recommendations of the World Health Organization, which is below 35 decibels at night and 45 decibels during the day. In this context, the Perceived Quality and Humanization Commission established a specific noise intervention program to improve the perceived quality of hospitalized patients, quality of life and sleep. A cross-sectional observational quantitative research study was proposed to describe the factors related to the perception of hospital noise in the neuroscience unit, and in relation to the actual measurement of decibels in different areas of the same unit. The results estimate that it is possible to reduce hospital noise pollution, making changes with minimal intervention and low cost, but with a great impact on the perception of patients and on the reduction of noise, such as furniture, adjustment of visiting hours and awareness of health professionals about the noise generated in the performance of the care activity itself. As an extension study, the study of the effectiveness of the proposed measures is proposed. KEY WORDS: noise, perceived quality, humanization
RESUMEN La Década del Envejecimiento Saludable reabre oportunidades para invertir en entornos adaptados a las personas mayores y en sistemas integrados de atención sanitaria y social. El objetivo de este trabajo es analizar esas ventanas de oportunidad para Enfermería. El envejecimiento saludable implica que las personas mayores contribuyen a la sociedad durante más tiempo, con oportunidades para gozar de buena salud, y para mantener y desarrollar las capacidades, y que está determinado por la capacidad funcional, la capacidad intrínseca y el entorno físico y social. Para ello, son precisos sistemas sociales y de salud integrados, transformadores y centrados en las personas, en lugar de sistemas basados únicamente en la enfermedad. Enfermería puede contribuir cambiando la forma de pensar, de sentir y de actuar con respecto a la edad y el envejecimiento, ofreciendo una atención integrada y centrada en las personas, adaptando el modelo de cuidados, con el foco en la promoción de la salud y la prevención de la enfermedad, y la atención de las personas mayores potenciando sus capacidades y su autonomía, en especial desde la Atención Primaria. Luchar contra el edadismo, formar a enfermeras en competencia de práctica avanzada, mejorar la accesibilidad, formar a las personas mayores y sus familias en materia digital, investigando sobre estos factores, son oportunidades que vuelve a abrir el Informe sobre la Década del Envejecimiento Saludable para Enfermería. Palabras clave: envejecimiento saludable, edadismo, atención centrada en la persona, accesibilidad, enfermería. ABSTRACT The Decade of Healthy Ageing reopens opportunities to invest in age-friendly environments and integrated health and social care systems. The aim of this paper is to analyse these windows of opportunity for Nursing. Healthy ageing implies that older people contribute to society for longer, with opportunities to have good health, and to maintain and develop capabilities, and that it is determined by functional ability, intrinsic capacity and the physical and social environment. This requires integrated, transformative and people-centred health and social systems, rather than systems based on disease. Nursing can contribute by changing the way we think, feel and act about age and ageing, offering integrated and person-centred care, adapting the model of care, with a focus on health promotion and disease prevention, and care for older people by enhancing their capabilities and autonomy, especially in primary care. Fighting against ageism, training nurses in advanced practice competency, improving accessibility, training older people and their families in digital matters, researching on these factors, are opportunities that the Decade of Healthy Ageing Report reopens for Nursing. Key words: healthy aging, ageism, person-centred care, accessibility, nursing
Resumen: La enfermería no es una carrera de cuatro años y ahí acaba todo, sino una carrera de fondo que no acaba nunca. Requiere estar en constante actualización en busca de nuevos conocimientos y avances científicos. Dentro de este aprendizaje continuo se enmarca la formación especializada en Ciencias de la Salud, es decir, la residencia de enfermería. Aquí se presentan las vivencias propias de ser “enfermera interno residente (EIR)” en España. Esta experiencia laboral y de vida, que engloba tanto atención primaria como hospitalaria, se presenta analizando las tres necesidades de Virginia Henderson más implicadas, unido a los diagnósticos NANDA para poder hacer entender al lector lo que realmente significa realizar la residencia en enfermería. Palabras Clave: enfermeras, enfermeros, internado, residencia. Summary: Nursing is not a four-year career and that's the end of it, but a long-distance career that never ends. It requires constant updating in search of new knowledge and scientific advances. Within this continuous learning process is the specialized training in Health Sciences, that is to say, the nursing residency. Here we present the experiences of being an "internal nurse resident (EIR)" in Spain. This work and life experience, which encompasses both primary care and hospital care, is presented by analyzing the three needs of Virginia Henderson most involved, together with the NANDA diagnoses in order to make the reader understand what it really means to perform the nursing residency. Key Words: nurses, intership, residency
RESUMEN Objetivo: Describir el impacto de la primera ola de la pandemia por COVID-19 en los profesionales sanitarios. Metodología: Estudio descriptivo, retrospectivo y multicéntrico. Los datos se recogieron mediante un cuestionario autoadministrado con preguntas cerradas y abiertas. El cuestionario tenía unas variables comunes para todos los profesionales y unas exclusivas para COVID-19 positivos. Resultados: Fueron completados 599 cuestionarios. El 83% eran mujeres con una media de edad de 45,6 ± 11,0 años, el 33,4% eran enfermeras y el 21,7% técnicos. Un 65,8% de los trabajadores había recibido formación sobre los Equipos de Protección Individual (EPI) y, el 35,4% respondió que habían dispuesto de EPI el 75% de las veces y el 48,3%, siempre. Un 42,1% (n = 252) de los profesionales refirieron fatiga física, el 38,1% (n = 228) fatiga emocional, el 33,7% (n = 202) estrés y un 30,2% (n = 181) insomnio, como síntomas derivados de la situación vivida durante la pandemia. Los profesionales positivos a SARS-CoV-2 (n = 91) no tenían más antecedentes patológicos de riesgo que los negativos (p = 0,077), eran técnicos u otros profesionales asistenciales (p = 0,001) y trabajaban en el socio-sanitario (p = 0,001). La mayoría eran considerados nivel de riesgo 3 (p = 0,001) y habían estado en contacto con un paciente positivo (p = 0,012) o con otro profesional positivo (p = 0,05). Conclusiones: La primera ola de la pandemia por COVID-19 ha tenido un impacto en la salud física y mental de los trabajadores, especialmente en los de primera línea. PALABRAS CLAVE: covid-19, personal de salud, evaluación en salud, evaluación de necesidades ABSTRACT Objective: To describe the impact of the COVID-19 pandemic first wave on the healthcare professionals. Methodology: Descriptive, retrospective and multicenter study. Data were collected through a self-administering questionnaire with closed and open questions. The questionnaire had common variables for all professionals and exclusive ones for positive COVID-19 professionals. Results: 599 questionnaires were completed. The 83% were women, with a mean of 45.6±11.0 years and 33.4% were nurses and 21.7% technical. The 65.8% of the healthcare professionals affirmed that they had received training on the Personal Protective Equipment (PPE) and 35.4% responded that 75% of the times they had available PPE and 48.3%, always. The 42.1% (n=252) of the professionals reported physical fatigue, 38.1% (n=228) emotional fatigue, 33.7% (n=202) stress and 30.2% (n=181) insomnia, as symptoms derived from the situation experienced during the pandemic. The professionals who were positive for COVID-19 (n=91) had no more risk pathological antecedents than negatives ones (p=0.077); they were technical or other healthcare professionals (p=0.001) and they worked at a socio-sanitary center (p=0.001). Most of the positive professionals were considered to be at risk level 3 (p=0.001) and had been in contact with a positive patient (p = 0.012) or with another positive professional (p=0.05). Conclusions: The first wave of the COVID-19 pandemic has had an impact on the physical and mental health of the health professionals, especially in the first-line ones. KEY WORDS: covid-19, healthcare workers, health evaluation, needs assessment
Resumen El adulto mayor (AM) percibe la calidad a partir de las acciones ejecutadas al momento de brindarle algún servicio de salud. El propósito fue identificar la calidad percibida por los adultos mayores durante el proceso para la aplicación de la vacuna contra la COVID-19. El estudio fue cuantitativo-descriptivo, transversal, N=14,508 AM, n=494, muestreo aleatorio, se utilizó estadística descriptiva; prueba U de Mann-Whitney y Chi-cuadrado de Pearson, fijando el valor de significancia de p=≤0.05. El estudio contempló los principios de Helsinki. La muestra se compuso de 494 AM. (58.5%) fueron mujeres y (41.5%) eran hombres. La edad mínima fue de 60 años y la máxima de 93 años. La primera causa de enfermedad que dijo padecer el AM fue la enfermedad hipertensiva (35.6%), a través de Chi-cuadrado de Pearson, se estableció que no existen diferencias estadísticamente significativas entre el sexo y enfermedad, sig. 0.293 (p= ≤0.05). 0.05), la percepción del AM sobre el trato recibido por parte del personal de enfermería, durante la aplicación de la vacuna lo describieron como bueno 312 (63.2%), sig.=0.002 (p= ≤0.05). Los AM manifiestan que el personal de enfermería brindó información sobre el proceso para la aplicación de la vacuna y refieren estar totalmente satisfechos 399 (92.4%), sig.=0.001 (p= ≤0.05). Los resultados son novedosos, ya que evidencian el reconocimiento de la calidad de las intervenciones que las enfermeras realizan al proporcionar el cuidado, y permiten identificar que los AM tuvieron buena percepción de calidad durante el proceso de vacunación y total satisfacción con el trato recibido por enfermería. Palabras clave: percepción, anciano, vacunación, covid-19, garantía de la calidad de atención de salud, atención de enfermería Summary The older adult perceives the quality from the actions carried out at the time of providing a health service. The purpose was to identify the quality perceived by older adults during the process for the application of the COVID-19 vaccine, the study was quantitative descriptive, cross-sectional, N=14,508 AM, n=494, random sampling, descriptive statistics were used; Mann-Whitney U test and Pearson's Chi-square, fixing the significance value of p=≤0.05. The Helsinki principles were applied. The sample consisted of 494 older adult (58.5%) were women and (41.5%) were men. The minimum age was 60 years, and the maximum was 93 years. The first cause of disease reported to suffer from participants was hypertensive disease (35.6%), through Pearson's Chi-square, it was established that there are no statistically significant differences between sex and disease, sig. 0.293 (p= ≤0.05). 0.05), the perception of the participants about the treatment received by the nursing staff, during the application of the vaccine was described as good by 312 (63.2%), sig.=0.002 (p= ≤0.05).The older adult state that the nursing staff provided information on the process for the application of the vaccine and reported being totally satisfied 399 (92.4%), sig.=0.001 (p= ≤0.05). The results are novel since they show the recognition of the quality of the interventions that nurses carry out when providing care and allow to identify that the older adult had a good perception of quality during the vaccination process and total satisfaction with the treatment received by nursing. Keywords: perception, aged, vaccination, covid-19, health care quality assurance, nursing care
Resumo O interesse pela inteligência emocional e desenvolvimento das competências emocionais tem vindo a aumentar. A iliteracia emocional gera problemas socio emocionais e conflitos (Goleman, 2010). O desenvolvimento das competências emocionais dá lugar à educação emocional e representa um dos objetivos primordiais– promover a Literacia Emocional dos Enfermeiros e consequentemente uma Saúde Mental Positiva. No âmbito da Promoção da Saúde Mental, pretende-se elaborar um Módulo “+Literacia Emocional: Competências Emocionais dos Enfermeiros” de acordo com as 5 dimensões, identificadas por Xavier e Nunes (2016): Conhecimento emocional; Autonomia emocional; Regulação emocional; Competência social; Habilidades de vida e bem-estar. A intervenção, baseada no modelo multifatorial de Saúde Mental Positiva, pretende ser um recurso para o programa de Promoção de Saúde Mental Positiva “+ por Ti”, recorrendo aos instrumentos de avaliação utilizados neste programa. A metodologia adotada tem como base o método exploratório e descritivo, com revisão sistemática da literatura. Palavras-chave: literacia em saúde, saúde mental positiva, competências emocionais Abstract Interest in emotional intelligence and the development of emotional skills has been increasing. Emotional illiteracy generates socio-emotional problems and conflicts (Goleman, 2010). The development of emotional competencies gives rise to emotional education and represents one of the primary objectives – to promote the Emotional Literacy of Nurses and, consequently, Positive Mental Health. Within the scope of Mental Health Promotion, this study sought to develop a Module “+Emotional Literacy: Emotional Competences of Nurses” according to the five dimensions identified by Xavier and Nunes (2016): Emotional knowledge; Emotional autonomy; Emotional regulation; Social competence; Life skills and well-being. Based on the multifactorial model of Positive Mental Health, the intervention intends to be a resource for the Promotion of Positive Mental Health programme “+ por Ti”, using the evaluation instruments used in this programme. The methodology adopted is based on the exploratory and descriptive method, with a systematic literature review. Keywords: health literacy, positive mental health, emotional skills
RESUMEN Las nuevas tecnologías junto con las Tecnologías de la Información y la Comunicación permiten el intercambio de información entre los usuarios y pueden aportar muchos beneficios a las personas que padecen problemas de salud mental, ya que internet permite acceder a información sobre la salud y brinda la posibilidad de recibir el apoyo de fuentes variadas. El objetivo de este manuscrito es evaluar el impacto de las nuevas tecnologías en la sociedad española, describir las ventajas y desventajas de su aplicación para la atención y el control de la salud mental como problemática de salud pública, además de identificar la tipología de las nuevas tecnologías y su utilidad en los principales trastornos de salud mental. En psicología clínica se han desarrollado algunos sistemas tecnológicos como la realidad virtual, la realidad aumentada y la telemedicina, con el objetivo de promocionar, monitorizar y mejorar el estado de salud de las personas, ayudando a su vez a los profesionales de la salud en el logro de esta compleja tarea. Palabras clave: salud mental, trastornos mentales, salud pública, administración de las tecnologías de la información, telemedicina. ABSTRACT New technologies together with Information and Communication Technologies allow the exchange of information between users and can bring many benefits to people suffering from mental health problems, as the internet allows access to health information and provides the possibility of receiving support from a variety of sources. The aim of this manuscript was to assess the impact of new technologies in the Spanish society, to describe the advantages and disadvantages of their application for the care and control of mental health as a public health problem, and to identify the typology of new technologies and their usefulness in the main mental health disorders. In clinical psychology, some technological systems have been developed, such as virtual reality, augmented reality, and telemedicine, with the aim of promoting, monitoring, and improving people's state of health, in turn helping health professionals to achieve this complex task. Keywords: mental health, mental disorders, public health, information technology management, telemedicina
RESUMEN Objetivo: Describir el seguimiento y la atención al parto de las gestantes durante la pandemia por Covid- 19 en el Complejo Hospitalario de A Coruña. Recopilar evidencia y recomendaciones científicas en el seguimiento de la mujer gestante durante la pandemia Covid-19. Método: Se ha realizado una búsqueda bibliográfica en bases de datos como Medline, Cochrane y CUIDEN, además de en sitios web: OMS, el Ministerio de Sanidad y el SERGAS. Se han utilizado los términos MeSH: “Covid-19”, “Pregnancy”, “Pregnant women”, “lactation”, “vaccination in pregnant and lactating women”, “obstetrics”, “midwife” y “vertical transmission”. No se establecieron límites temporales ya que se trata de una enfermedad reciente. Se han filtrado por artículos publicados en español, inglés y gallego. Resultados: Se explica el circuito de control de atención primaria y hospitalaria del embarazo, parto y posparto en el hospital de A Coruña durante la pandemia. Conclusiones: Tras comparar la experiencia en hospital de A Coruña y atención primaria con los artículos y guías encontradas sobre el manejo y recomendaciones de las gestantes durante la pandemia de la covid-19, se observó que las actuaciones llevadas a cabo se ajustaron a las recomendaciones en ese momento y tras investigaciones posteriores del Covid se modificaron para dar una mejor asistencia a las gestantes. Es necesario la realización de nuevos estudios para corroborar que el manejo y las recomendaciones actuales son adecuadas. Palabras clave: COVID-19, embarazo, parto, lactancia, mujer embarazada, vacuna, transmisión vertical SUMMARY Objective: To describe the follow-up and delivery care of pregnant women during the Covid-19 pandemic at the Hospital of A Coruña. Compile evidence and scientific recommendations in the follow-up of pregnant women during the Covid-19 pandemic Method: A bibliographic search has been carried out in databases such as Medline, Cochrane and CUIDEN, as well as in websites: WHO, the Ministry of Health and SERGAS. The MeSH terms have been used: “Covid-19”, “Pregnancy”, “Pregnant women”, “lactation”, “vaccination in pregnant and lactating women”, “obstetrics”, “midwife” and “vertical transmission”. We have not established time limits because it is a recent illness. They have been filtered by articles published in Spanish, English and Galician. Results: The primary and hospital care control circuit for pregnancy, childbirth and postpartum in the A Coruña hospital during the pandemic is explained. Conclusions: After comparing the experience in the A Coruña hospital and primary care with the articles and guides found on the management and recommendations of pregnant women during the covid-19 pandemic, it was observed that the actions carried out were in line with the recommendations in that time and after subsequent investigations of the Covid, they were modified to provide better assistance to pregnant women. It is necessary to carry out new studies to corroborate that the current management and recommendations are adequate. Keywords: COVID-19, pregnancy, childbirth, lactation, pregnant woman, vaccine, vertical transmission
Interest in emotional intelligence and the development of emotional skills has been increasing. Emotional illiteracy generates socio- emotional problems and conflicts (Goleman, 2010). The development of emotional competencies gives rise to emotional education and represents one of the primary objectives - to promote the Emotional Literacy of Nurses and, consequently, Positive Mental Health. Within the scope of Mental Health Promotion, this study sought to develop a Module "+Emotional Literacy: Emotional Competences of Nurses" according to the five dimensions identified by Xavier and Nunes (2016): Emotional knowledge; Emotional autonomy; Emotional regulation; Social competence; Life skills and well-being. Based on the multifactorial model of Positive Mental Health, the intervention intends to be a resource for the Promotion of Positive Mental Health programme "+ por Ti", using the evaluation instruments used in this programme. The methodology adopted is based on the exploratory and descriptive method, with a systematic literature review.
OBJECTIVE: COVID-19 has hit nursing homes in Spain with virulence. The numerous infections and deaths, the impact on the physical and mental health of the professionals and the health protection and prevention measures have affected certain essential services for users, worsening their health and quality of life. The present study aims to identify the services affected by the pandemic, to determine the degree to which they have been affected and to establish possible differences of opinion according to the sociodemographic and occupational data of the responding professionals. METHOD: purposive sampling, 49 professionals from two medical residences in Moron de la Frontera (Seville), survey methodology, quasi-experimental and cross-sectional design, descriptive and inferential analysis (mean contrasts) with the SPSS program. RESULTS: many services have been affected, albeit to varying degrees. To a high degree, social relations and occupational therapies; to a medium degree, physical and mental health, BADL and social education. To a lesser degree, IADL and social resources. Likewise, no significant differences were found in the responses due to sex, age, training, profession or residence (p-value >=.05 in all cases), thus showing a high degree of agreement in the opinions of the professionals. CONCLUSIONS: numerous services and routines, fundamental to the quality of life of users, were multiply affected by the pandemic in both residential centers for the elderly.
Introduction: The COVID-19 and the shortage of nurses in Spain precipitated the hiring and incorporation of nursing students as health aid. Aim: to analyze the impact of the pandemic on fourth-year nursing students hired as health aid. Methods: Observational, descriptive and retrospective study of last year nursing degree students at School of Nursing EUI-Sant Pau de Barcelona hired as health aid from March to May 2020. The impact of the pandemic was evaluated through the use of a self-prepared questionnaire. Variables analyzed: age, gender, impact on academic activity and satisfaction with the collaboration during the health aid. Results: Of the 90 fourth-year students enrolled, 53 volunteered as health aid, of which 38 (71.7%) responded to the questionnaire. Of the students living with their family (63,1%), 57.9% separated from them to avoid contagion and 73.7% had no work experience. Half of the students were assigned to the ICU of the university hospital. In our school, 85% of the students received express training on critical patient management and 60.6% stated that the incorporation negatively affected academic performance. The degree of satisfaction expressed by the students was 4/4 on a Likert scale in 99% of the cases. Conclusions: The COVID-19 pandemic precipitated the incorporation of more than half of fourth-year students into the world of work. Although more than half of the students consider that their incorporation as a health aid harmed their training, the degree of satisfaction was very high.
Objective: The aim of this cross-sectional study is the emotional impact and the sleeping quality symptoms during the COVID-19 pandemic in nurses and auxiliary nursing care technicians. Methods: The emotional impact was measured with the SA-45 questionnaire and the quality of sleep with the Oviedo sleep questionnaire (COS) taking a sample of nurses and auxiliary nursing care technicians (N = 247) in the services they attended to COVID patients (ICU, emergencies, hospitalization plants, provincial rehabilitation institute and palliative plant) of the Gregorio Maranon Hospital. Results: Higher mean scores have been found for the somatization categories (M: 1,65; DT: 1,08) depression (M: 1,68; DT: 1,01), anxiety (M: 1,54; DT: 0,97), obsession, compulsion (M: 1,4; DT: 0,99) and insomnia (M: 24,51; DT: 7,45) The services with the highest scores being the ICU, the IPR, the emergency department, the hospitalization floors and the palliative unit. TCAES women are more vulnerable than nurses, and temporary workers than permanent ones. No differences have been found for marital status, age or seniority or the number of days caring for COVID patients. Conclusion: Nursing staff have been physically and emotionally exposed to the pandemic. The deaths of patients, the fear of contagion and the workload have been some of the causes of the psychological discomfort that they now present and that should not be neglected in order to guarantee their emotional well-being and in this way provide higher quality care.
We are facing the greatest health crisis of all time and we healthcare per-sonnel are the frontline soldiers in this battle. In addition, we must fight against an unknown enemy that causes us fear, uncertainty and loneliness. Even so, in this scenario, the patient must be our center of attention, our fears and doubts have not stopped us from caring. It does not matter if we are in extreme situations like COVID or in any other situation. Humaniza-tion should be the focus of our clinical practice. The patient and his family must be our center of action. In this report we will assess through a SWOT analysis as a study tool that takes into account the internal characteristics (Strengths and Weaknesses) and its external situation (Threats and Opportunities) of an organization. What have we done to face this crisis, what can be improved and what has allowed us to continue. To the question Is it possible to humanize in times of COVID? My answer is clear. Yes, it's possible
This article describes the barriers and facilitators identified during the implementation in the field of an observational research project about SARS-CoV-2 and carried out in different schools in Catalonia during 2020-21 and 2021-22 school years. The objectives of Escoles Sentinella project here described are to monitor the dynamics of the infection and its determinants through collection of biological samples, and to describe the knowledge, attitudes, and behaviours of students, teaching, and non-teaching staff about the infection by SARS-CoV-2 through biobehavioral questionnaires. The experience developed showed that, despite the operational difficulties due to the changing pandemic context and the social and media pressure, the study was viable and had the acceptability of a large part of the educational community. Lessons learned from this field experience could be useful and applicable in the implementation of other research studies in similar epidemiological situations.
Objectives: 1) To rank more vulnerable people, groups, or households in relation to how the COVID-19 crisis has affected them; 2) To describe the circumstances experienced during the COVID-19 crisis, the way to dealt with, and the success in handling them; 3) To identify the difficulties when applying for government aid. Methods: It was a qualitative study that was part of a broader quantitative study, combining a telephone survey with a geographical study. We phone surveyed 1321 persons using a semi-structured questionnaire with some open questions. From them, 243 we selected for qualitative analysis. Afterwards, we conducted eight in-depth interviews. Results: The COVID-19 crisis caused psychological discomfort. The drawback most frequently reported has been the need to move into worse homing conditions, which include moving to other neighbourhoods or regions, or sharing with relatives (typically, moving into parent's home). The households more frequently reporting difficulties have been those with dependent persons (young children, elderly or disabled people), single-parents households, households receiving basic subsidy only, and singles living alone. In most cases, Social Services have helped to dealt with the effects of COVID-19 crisis. However, coordination between different institutions should be improved. Conclusions: Given the characteristics of this pandemic and the impossibility of anticipating it, people already socially vulnerable have encountered special difficulties in dealing with the COVID-19 crisis, have been unable to cope with them, and have worsened their degree of vulnerability.
