Background: This SEYRE-FyC study aims to analyse the situation of specialist nurses in Family and Community Nursing (EFyC) in the Spanish National Health System (SNS), assessing the satisfaction of residents with their training, post-residency job opportunities and possible differences in each region. Methods: A cross-sectional observational study was carried out with surveys filled by EFyC specialist nurses and residents. The sample was 955 participants, obtained by convenience sampling between 26 July and 9 September 2024, using social networks and the scientific societies' support for dissemination. Descriptive analysis was completed through correlations of variables using Spearman's and Mann-Whitney U tests. Results: Participants reported higher satisfaction with clinical training than with organisational management of their Teaching Units (UD). The 'loyalty index' varied widely between regions, being particularly low in Andalusia and the Canary Islands. The correlation between recommending the region and the existence of contracts after residence was weak but positive. Conclusions: Despite the increase in trained EFyC specialists, there are still shortcomings in job retention and implementation of this speciality in primary care. The study suggests that the health services should reinforce their strategies for specialist retention, and highlights the need for more robust policies to effectively integrate EFyC nurses into the Spanish National Healthcare System.
Introduction: Unwanted loneliness is common among older adults, with negative effects on their well-being and quality of life. We aimed to determine the prevalence of unwanted loneliness and its relationship with perceived health among individuals over 65 years old who use senior centers of the Junta de Andalucia located in the city of Algeciras, Cadiz, Spain. Methods: This is a cross-sectional descriptive study using the Este II Social Loneliness Scale along with other sociodemographic, economic, habit, and health variables, collected through questionnaires in personal interviews at the Residential Center for the Elderly and Active Participation Center I. A partial correlation analysis adjusted for variables that reached significance was performed. Ethical committee approval from the Junta de Andalucia was obtained (code SI-CEIA-2024-000074). Results: Ninety questionnaires were collected from 21 men and 69 women aged between 65 and 95 years. The predominant education level was primary, and the income level was below 12,000 euros per year. The prevalence of loneliness was below the average for the autonomous community. Perceived health improves as loneliness values decrease (p=0.004). The correlational analysis between perceived health and adjusted loneliness level for significant variables showed a trend value (p=0.068). Conclusions: The prevalence of unwanted loneliness in the city of Algeciras is lower than the regional prevalence. The trend value of statistical significance suggests that higher levels of loneliness are associated with worse perceived health. It is necessary to increase the sample size and collect data from more user centers to confirm this relationship.
Objective: To analyze how undergraduate nursing students understand and observe the application of social determinants of health during their clinical placements in Primary Health Care. Specifically, it evaluates the understanding of the items from an adapted version of the Community Thermometer, the frequency of observation of these community practices, and the existing differences among the three levels of intervention (individual consultation, health center, and community). Methodology: An observational, descriptive, and cross-sectional study was conducted during the 2024-2025 academic year. Convenience sampling was used on a population of 125 first-year undergraduate nursing students. Data were collected through a self-administered online questionnaire, based on an adaptation of the Community Thermometer to the educational context, obtaining a final sample of 106 students who com pleted their clinical placements in Primary Health Care centers Results: Students more frequently understood and observed practices related to equity and the identification of social determinants of health within individual clinical care. In contrast, greater difficulties in understanding and lower levels of observation were identified in items related to technical tools, organizational procedures, and community-based actions, particularly those situated at the community level, which showed high variability across placement sites. Conclusions: The findings reveal a gap between theoretical frameworks of community health and their practical application during clinical placements. The Community Thermometer emerges as a useful tool to foster critical reflection among nursing students and to progressively strengthen competencies in community health and equity within undergraduate nursing education.
Introduction. To synthesize all available evidence on the effectiveness and vaccination coverage obtained in the target population of health systems that have initiated vaccination campaigns with the recombinant vaccine against herpes zoster. Method. Systematic review by means of a bibliographic search in the health sciences databases: Cochrane, PubMed, SCOPUS, Lilacs, IBECS, Scielo, ENFISPO and Dialnet.A critical reading of the studies was subsequently carried out using the Critical Appraisal Skills Programme guidelines, assessing quality and level of evidence with the Grading of Recommendations Assessment, Development and Evaluation Working Group and Scottish Intercollegiate Guidelines Network. Results. The review identified 190 articles among the indicated sources and included 17 articles with the established eligibility criteria. These studies show an effectiveness of 84.5% (R=83.5-85.5) and a vaccination coverage of 29% (R=3.6-69), with the reported one being 25% (R=16.6-32) and the recorded one being 29.9% (R=3.6-69). Discussion. Understanding vaccine effectiveness is crucial to understanding the differences between real results and those of clinical trials. The observed effectiveness was optimal and consistent, with vaccination coverage below the desirable objectives in the target population, which could be due to the recent introduction of the vaccine and the limited information provided. Conclusions. The effectiveness was good and stable, regardless of age, sex, race-ethnicity and geographic region. Vaccination coverage was lower than the desired target, and it was necessary to consider the healthcare characteristics and socio-health determinants that influence the level of vaccination coverage in order to try to increase.
Objectives: The quality of work life influences the well-being, productivity, and satisfaction of workers. The aim of this study was to analyse the associations between resilience, gratitude, social support, sociodemographic, occupational, and health factors with quality of work life among municipal employees. Methods: A cross-sectional descriptive analysis was conducted on 374 municipal employees between June and November 2023. Sociodemographic, health, and lifestyle variables, occupational factors, the gratitude questionnaire, and scales of resilience, social support, and quality of work life were collected. A sequential multiple linear regression was performed to assess the associations of the collected variables with the quality of work life. The study was approved by the Bioethics Committee of Granada (record number 5/23). Results: Significant relationships were found between quality of work life and perceived health, experience, resilience, gratitude, social support, and levels of stress and job satisfaction. Conclusions: Resilience, gratitude, social support, lower stress, and higher job satisfaction are positively associated with better quality of work life. Occupational health nursing plays a key role in improving well-being in the work environment, using tools such as social support, gratitude, and recognition.
