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Introduction: The research line Recriar-se: arte, lúdico e educação para a saúde, belonging to the Center for Studies in Education and Health Promotion (Recriar-se/NESPROM/CEAM/UnB), is dedicated to the production of ludic-educational technologies aimed at students, public policy professionals and those interested in gender issues in general, since 2010. Among the games produced are the board games (IN)DICA-SUS (2011), BANFISA (2011), VIOLETAS (2016), VIOLETAS 2ed (2019) and the card game VIDAS VIOLETAS (2020), recently released. Designed through the Recriar-se Lúdico (Ludic Recreate) methodology, a method developed over 12 years of specialized research, these games are available for acquisition by the interested public. Given the current stage of consolidation of the research line and the need for constant improvement of investigations, this study aims to: identify the amount of each of the games acquired over the 12 years of the Recriar-se line; characterize the profile of the purchasers of the games (IN)DICA-SUS, BANFISA and VIOLETAS; identify the potential of these games for educational practices; build a database with information about the interested public to support the improvement of Recriar-se products. Methodology: Exploratory, quantitative and qualitative research, with the application of questionnaires and content analysis. We carried out a comparative survey of the percentage of games purchased between 2010 and 2022, by type of game. Then, an online questionnaire was applied to the 104 purchasers, with 17 respondents, which enabled us to draw a preliminary profile of the target audience interested in the products of the Recriar-se research line, as well as to evaluate the potential of ludic-educational technologies produced in that period. Results/Discussion: the profile of the purchasers consists mostly of women (n=15; 88%), with age between 24-31 years (n=6; 35%), who attended graduate school (n=13; 76%) and work as teachers (n=7; 41%), linked to educational institutions of various levels. The preferred game was (IN)DICA-SUS, because it is considered more “educational”. Among the scenarios of use, the participants reported using them in classes and pedagogical workshops. Regarding the application of the games, the target audience of undergraduate health students prevailed. The evaluation of Recriar-se products was positive among all purchasers and the main suggestion was the need to update the game cards for (IN)DICA-SUS and BANFISA. Final considerations: The investigation enabled the identification of a preliminary profile, preferences and evaluation of games by purchasers, supporting the constant improvement of the Recriar-se/NESPROM/CEAM research line. Adequacy was found between the conception of the games produced and their potentiality as a ludic-educational environment for critical reflections., Introducción: La línea de investigación Recriar-se: arte, juego y educación para la salud, perteneciente al Centro de Estudios en Educación y Promoción de la Salud (Recriar-se/NESPROM/CEAM/UnB), se dedica a la producción de tecnologías lúdico-educativas dirigidas a estudiantes, profesionales de políticas públicas e interesados en temas de género en general, desde 2010. Entre los juegos producidos se encuentran los juegos de mesa (IN)DICA-SUS (2011), BANFISA (2011), VIOLETAS (2016), VIOLETAS 2ed (2019) y el juego de cartas VIDAS VIOLETAS (2020), de reciente lanzamiento. Concebidos a partir de la metodología de la Recreación Lúdica, método desarrollado a lo largo de 12 años de investigación especializada, estos juegos están disponibles para su adquisición por el público interesado. Considerando la etapa actual de consolidación de la línea de investigación y la necesidad de perfeccionamiento constante de las investigaciones, este estudio tiene como objetivos: identificar la cantidad de cada uno de los juegos adquiridos a lo largo de los 12 años de la línea Recriar-se; caracterizar el perfil de los compradores de los juegos (IN)DICA-SUS, BANFISA y VIOLETAS; identificar el potencial de estos juegos para las prácticas educativas; construir una base de datos con informaciones de los interesados para apoyar el perfeccionamiento de los productos Recriar-se. Metodología: Investigación exploratoria, cuantitativa y cualitativa, con aplicación de cuestionario y análisis de contenido. Se realizó un estudio comparativo del porcentaje de juegos adquiridos en el período de 2010 a 2022, por tipo de juego. A continuación, se aplicó un cuestionario online a 104 compradores, con 17 encuestados, que permitió trazar un perfil preliminar del público objetivo interesado por los productos de la línea de investigación Recriar-se, así como evaluar la potencialidad de las tecnologías lúdico-educativas producidas en el período. Resultados/Discusión: el perfil de los adquirentes está compuesto principalmente por mujeres (n=15; 88%), de edades comprendidas entre los 24 y los 31 años (n=6; 35%), que cursaron estudios de posgrado (n=13; 76%) y trabajaron como docentes (n=7; 41%), vinculadas a instituciones de enseñanza de diversos ámbitos. El juego preferido fue el (IN)DICA-SUS, por considerarlo más "educativo". Entre los escenarios de uso, los participantes informaron haberlos utilizado en el aula y en talleres pedagógicos. En cuanto a la aplicación de los juegos, prevaleció el público objetivo de estudiantes universitarios de salud. La evaluación de los productos Recriar-se fue positiva entre todos/os los adquirentes y la principal sugerencia fue la necesidad de actualización de las cartelas de los juegos (IN)DICA-SUS y BANFISA. Consideraciones finales: La investigación permitió identificar un perfil preliminar, las preferencias y la evaluación de los juegos por los compradores, subsidiando el constante perfeccionamiento de la investigación de la línea Recriar-se/NESPROM/CEAM. Fue constatada la adecuación entre la concepción de los juegos producidos y su potencialidad como ambiente lúdico-educativo para reflexiones críticas., Introdução: A linha de pesquisa Recriar-se: arte, lúdico e educação para a saúde, pertencente ao Núcleo de Estudos em Educação e Promoção da Saúde (Recriar-se/NESPROM/CEAM/UnB), dedica-se à produção de tecnologias lúdico-educativas voltadas para estudantes, profissionais de políticas públicas e interessados nas questões de gênero em geral, desde 2010. Dentre os jogos produzidos estão os de tabuleiro (IN)DICA-SUS (2011), BANFISA (2011), VIOLETAS (2016), VIOLETAS 2ed (2019) e o jogo de cartas VIDAS VIOLETAS (2020), lançado recentemente. Concebidos a partir da metodologia Recriar-se Lúdico, método desenvolvido ao longo de 12 anos de pesquisas especializadas, esses jogos estão disponíveis para aquisição do público interessado. Haja vista o estágio atual de consolidação da linha de pesquisa e a necessidade de aprimoramento constante das investigações, este estudo objetiva: identificar a quantidade de cada um dos jogos adquiridos ao longo dos 12 anos da linha Recriar-se; caracterizar o perfil das/os adquirentes dos Jogos (IN)DICA-SUS, BANFISA e VIOLETAS; identificar as potencialidades desses jogos para práticas educativas; construir um banco de dados com informações dos interessados para subsidiar o aperfeiçoamento dos produtos Recriar-se. Metodologia: Pesquisa exploratória, quantitativa e qualitativa, com aplicação de questionário e análise de conteúdo. Fez-se um levantamento comparativo do percentual de jogos adquiridos no período de 2010 a 2022, por tipo de jogo. Em seguida, um questionário on-line foi aplicado aos 104 adquirentes, com 17 respondentes, o que permitiu traçar um perfil preliminar do público-alvo interessado pelos produtos da linha de pesquisa Recriar-se, bem como avaliar a potencialidade de tecnologias lúdico-educativas produzidas no período. Resultados/Discussão: o perfil das/os adquirentes é composto majoritariamente por mulheres (n=15; 88%), na faixa etária entre 24-31 anos (n=6; 35%), que cursaram pós-graduação (n=13; 76%) e trabalham como docentes (n=7; 41%), vinculadas a instituições de ensino de diversos níveis. O jogo preferido foi o (IN)DICA-SUS, por ser considerado mais “educativo”. Dentre os cenários de utilização, as/os participantes referiram utilizá-los em sala de aula e oficinas pedagógicas. Com relação à aplicação dos jogos, prevaleceu o público-alvo das/os estudantes de graduação da área da saúde. A avaliação dos produtos Recriar-se foi positiva dentre todas/os adquirentes e a principal sugestão foi a necessidade de atualização de cartelas do jogo (IN)DICA-SUS e BANFISA. Considerações finais: A investigação oportunizou a identificação de um perfil preliminar, das preferências e da avaliação dos jogos pelas/os adquirentes, subsidiando o constante aperfeiçoamento das pesquisas da Linha Recriar-se/NESPROM/CEAM. Constatou-se adequabilidade entre a concepção dos jogos produzidos e sua potencialidade como ambiência lúdico-educativa para reflexões críticas.

[Português] Introdução: A linha de pesquisa Recriar-se: arte, lúdico e educação para a saúde, pertencente ao Núcleo de Estudos em Educação e Promoção da Saúde (Recriar-se/NESPROM/CEAM/UnB), dedica-se à produção de tecnologias lúdico-educativas voltadas para estudantes, profissionais de políticas públicas e interessados nas questões de gênero em geral, desde 2010. Dentre os jogos produzidos estão os de tabuleiro (IN)DICA-SUS (2011), BANFISA (2011), VIOLETAS (2016), VIOLETAS 2ed (2019) e o jogo de cartas VIDAS VIOLETAS (2020), lançado recentemente. Concebidos a partir da metodologia Recriar-se Lúdico, método desenvolvido ao longo de 12 anos de pesquisas especializadas, esses jogos estão disponíveis para aquisição do público interessado. Haja vista o estágio atual de consolidação da linha de pesquisa e a necessidade de aprimoramento constante das investigações, este estudo objetiva: identificar a quantidade de cada um dos jogos adquiridos ao longo dos 12 anos da linha Recriar-se; caracterizar o perfil das/os adquirentes dos Jogos (IN)DICA-SUS, BANFISA e VIOLETAS; identificar as potencialidades desses jogos para práticas educativas; construir um banco de dados com informações dos interessados para subsidiar o aperfeiçoamento dos produtos Recriar-se. Metodologia: Pesquisa exploratória, quantitativa e qualitativa, com aplicação de questionário e análise de conteúdo. Fez-se um levantamento comparativo do percentual de jogos adquiridos no período de 2010 a 2022, por tipo de jogo. Em seguida, um questionário on-line foi aplicado aos 104 adquirentes, com 17 respondentes, o que permitiu traçar um perfil preliminar do público-alvo interessado pelos produtos da linha de pesquisa Recriar-se, bem como avaliar a potencialidade de tecnologias lúdico-educativas produzidas no período. Resultados/Discussão: o perfil das/os adquirentes é composto majoritariamente por mulheres (n=15; 88%), na faixa etária entre 24-31 anos (n=6; 35%), que cursaram pós-graduação (n=13; 76%) e trabalham como docentes (n=7; 41%), vinculadas a instituições de ensino de diversos níveis. O jogo preferido foi o (IN)DICA-SUS, por ser considerado mais “educativo”. Dentre os cenários de utilização, as/os participantes referiram utilizá-los em sala de aula e oficinas pedagógicas. Com relação à aplicação dos jogos, prevaleceu o público-alvo das/os estudantes de graduação da área da saúde. A avaliação dos produtos Recriar-se foi positiva dentre todas/os adquirentes e a principal sugestão foi a necessidade de atualização de cartelas do jogo (IN)DICA-SUS e BANFISA. Considerações finais: A investigação oportunizou a identificação de um perfil preliminar, das preferências e da avaliação dos jogos pelas/os adquirentes, subsidiando o constante aperfeiçoamento das pesquisas da Linha Recriar-se/NESPROM/CEAM. Constatou-se adequabilidade entre a concepção dos jogos produzidos e sua potencialidade como ambiência lúdico-educativa para reflexões críticas. [English] Introduction: The research line Recriar-se: arte, lúdico e educação para a saúde, belonging to the Center for Studies in Education and Health Promotion (Recriar-se/NESPROM/CEAM/UnB), is dedicated to the production of ludic-educational technologies aimed at students, public policy professionals and those interested in gender issues in general, since 2010. Among the games produced are the board games (IN)DICA-SUS (2011), BANFISA (2011), VIOLETAS (2016), VIOLETAS 2ed (2019) and the card game VIDAS VIOLETAS (2020), recently released. Designed through the Recriar-se Lúdico (Ludic Recreate) methodology, a method developed over 12 years of specialized research, these games are available for acquisition by the interested public. Given the current stage of consolidation of the research line and the need for constant improvement of investigations, this study aims to: identify the amount of each of the games acquired over the 12 years of the Recriar-se line; characterize the profile of the purchasers of the games (IN)DICA-SUS, BANFISA and VIOLETAS; identify the potential of these games for educational practices; build a database with information about the interested public to support the improvement of Recriar-se products. Methodology: Exploratory, quantitative and qualitative research, with the application of questionnaires and content analysis. We carried out a comparative survey of the percentage of games purchased between 2010 and 2022, by type of game. Then, an online questionnaire was applied to the 104 purchasers, with 17 respondents, which enabled us to draw a preliminary profile of the target audience interested in the products of the Recriar-se research line, as well as to evaluate the potential of ludic-educational technologies produced in that period. Results/Discussion: the profile of the purchasers consists mostly of women (n=15; 88%), with age between 24-31 years (n=6; 35%), who attended graduate school (n=13; 76%) and work as teachers (n=7; 41%), linked to educational institutions of various levels. The preferred game was (IN)DICA-SUS, because it is considered more “educational”. Among the scenarios of use, the participants reported using them in classes and pedagogical workshops. Regarding the application of the games, the target audience of undergraduate health students prevailed. The evaluation of Recriar-se products was positive among all purchasers and the main suggestion was the need to update the game cards for (IN)DICA-SUS and BANFISA. Final considerations: The investigation enabled the identification of a preliminary profile, preferences and evaluation of games by purchasers, supporting the constant improvement of the Recriar-se/NESPROM/CEAM research line. Adequacy was found between the conception of the games produced and their potentiality as a ludic-educational environment for critical reflections. [Español] Introducción: La línea de investigación Recriar-se: arte, juego y educación para la salud, perteneciente al Centro de Estudios en Educación y Promoción de la Salud (Recriar-se/NESPROM/CEAM/UnB), se dedica a la producción de tecnologías lúdico-educativas dirigidas a estudiantes, profesionales de políticas públicas e interesados en temas de género en general, desde 2010. Entre los juegos producidos se encuentran los juegos de mesa (IN)DICA-SUS (2011), BANFISA (2011), VIOLETAS (2016), VIOLETAS 2ed (2019) y el juego de cartas VIDAS VIOLETAS (2020), de reciente lanzamiento. Concebidos a partir de la metodología de la Recreación Lúdica, método desarrollado a lo largo de 12 años de investigación especializada, estos juegos están disponibles para su adquisición por el público interesado. Considerando la etapa actual de consolidación de la línea de investigación y la necesidad de perfeccionamiento constante de las investigaciones, este estudio tiene como objetivos: identificar la cantidad de cada uno de los juegos adquiridos a lo largo de los 12 años de la línea Recriar-se; caracterizar el perfil de los compradores de los juegos (IN)DICA-SUS, BANFISA y VIOLETAS; identificar el potencial de estos juegos para las prácticas educativas; construir una base de datos con informaciones de los interesados para apoyar el perfeccionamiento de los productos Recriar-se. Metodología: Investigación exploratoria, cuantitativa y cualitativa, con aplicación de cuestionario y análisis de contenido. Se realizó un estudio comparativo del porcentaje de juegos adquiridos en el período de 2010 a 2022, por tipo de juego. A continuación, se aplicó un cuestionario online a 104 compradores, con 17 encuestados, que permitió trazar un perfil preliminar del público objetivo interesado por los productos de la línea de investigación Recriar-se, así como evaluar la potencialidad de las tecnologías lúdico-educativas producidas en el período. Resultados/Discusión: el perfil de los adquirentes está compuesto principalmente por mujeres (n=15; 88%), de edades comprendidas entre los 24 y los 31 años (n=6; 35%), que cursaron estudios de posgrado (n=13; 76%) y trabajaron como docentes (n=7; 41%), vinculadas a instituciones de enseñanza de diversos ámbitos. El juego preferido fue el (IN)DICA-SUS, por considerarlo más "educativo". Entre los escenarios de uso, los participantes informaron haberlos utilizado en el aula y en talleres pedagógicos. En cuanto a la aplicación de los juegos, prevaleció el público objetivo de estudiantes universitarios de salud. La evaluación de los productos Recriar-se fue positiva entre todos/os los adquirentes y la principal sugerencia fue la necesidad de actualización de las cartelas de los juegos (IN)DICA-SUS y BANFISA. Consideraciones finales: La investigación permitió identificar un perfil preliminar, las preferencias y la evaluación de los juegos por los compradores, subsidiando el constante perfeccionamiento de la investigación de la línea Recriar-se/NESPROM/CEAM. Fue constatada la adecuación entre la concepción de los juegos producidos y su potencialidad como ambiente lúdico-educativo para reflexiones críticas., Revista do CEAM, 9, 2023.

The present study aims to question the official history of nursing, analyzing the gender and race perspective in the origin of care tied to the practices of women healers. The research is a theoretical study with a literature review. As a result, a referential framework with guiding questions was elaborated to analyze the approach of ancestral knowledge of health care in nursing, from the perspective of gender and race. The literature review evidenced the marginalization of healers' knowledge throughout the history of nursing in Brazil, from the professionalization of medicine, with the discrimination of healing arts, to the professionalization of nursing, with the production of the "Standard Nurse" - a symbol that uncritically reedits gender, race, and class inequalities in the profession., Este estudio pretende cuestionar la historia oficial de la enfermería, analizando la perspectiva de género y raza en el origen de los cuidados vinculados a las prácticas de las mujeres curanderas. La investigación es un estudio teórico con revisión bibliográfica. Como resultado, se desarrolló un marco referencial con preguntas orientadoras para analizar el abordaje de los saberes ancestrales del cuidado de la salud en enfermería, desde la perspectiva de género y raza. La revisión bibliográfica evidenció la marginalización de los saberes de los curanderos a lo largo de la historia de la enfermería en Brasil, desde la profesionalización de la medicina, con la discriminación de las artes curativas, hasta la profesionalización de la enfermería, con la producción de la "Enfermera Estándar" - símbolo que reedita acríticamente las desigualdades de género, raza y clase en la profesión., O presente estudo tem como objetivo questionar a história oficial da enfermagem, analisando a perspectiva de gênero e raça na origem do cuidado atrelado às práticas das mulheres curandeiras. A pesquisa é um estudo teórico com revisão de literatura. Como resultado, elaborou-se um quadro referencial com questões norteadoras para análise da abordagem dos saberes ancestrais do cuidado em saúde na enfermagem, sob a perspectiva de gênero e raça. A revisão de literatura evidenciou a marginalização dos saberes das curandeiras ao longo da história da enfermagem no Brasil, desde a profissionalização da medicina, com a discriminação das artes de curar até a profissionalização da enfermagem, com a produção da “Enfermeira Padrão” – símbolo que reedita desigualdades de gênero, raça e classe na profissão, acriticamente.

[Português] O presente estudo tem como objetivo questionar a história oficial da enfermagem, analisando a perspectiva de gênero e raça na origem do cuidado atrelado às práticas das mulheres curandeiras. A pesquisa é um estudo teórico com revisão de literatura. Como resultado, elaborou-se um quadro referencial com questões norteadoras para análise da abordagem dos saberes ancestrais do cuidado em saúde na enfermagem, sob a perspectiva de gênero e raça. A revisão de literatura evidenciou a marginalização dos saberes das curandeiras ao longo da história da enfermagem no Brasil, desde a profissionalização da medicina, com a discriminação das artes de curar até a profissionalização da enfermagem, com a produção da “Enfermeira Padrão” – símbolo que reedita desigualdades de gênero, raça e classe na profissão, acriticamente. [English] The present study aims to question the official history of nursing, analyzing the gender and race perspective in the origin of care tied to the practices of women healers. The research is a theoretical study with a literature review. As a result, a referential framework with guiding questions was elaborated to analyze the approach of ancestral knowledge of health care in nursing, from the perspective of gender and race. The literature review evidenced the marginalization of healers' knowledge throughout the history of nursing in Brazil, from the professionalization of medicine, with the discrimination of healing arts, to the professionalization of nursing, with the production of the "Standard Nurse" - a symbol that uncritically reedits gender, race, and class inequalities in the profession. [Español] Este estudio pretende cuestionar la historia oficial de la enfermería, analizando la perspectiva de género y raza en el origen de los cuidados vinculados a las prácticas de las mujeres curanderas. La investigación es un estudio teórico con revisión bibliográfica. Como resultado, se desarrolló un marco referencial con preguntas orientadoras para analizar el abordaje de los saberes ancestrales del cuidado de la salud en enfermería, desde la perspectiva de género y raza. La revisión bibliográfica evidenció la marginalización de los saberes de los curanderos a lo largo de la historia de la enfermería en Brasil, desde la profesionalización de la medicina, con la discriminación de las artes curativas, hasta la profesionalización de la enfermería, con la producción de la "Enfermera Estándar" - símbolo que reedita acríticamente las desigualdades de género, raza y clase en la profesión., Revista do CEAM, 9, 2023.

Determinar el Rol del Profesional de Enfermería en la Estrategia Nacional de Inmunizaciones en las Unidades Operativas Abdón Calderón y San Valentín, Sucumbíos 2022. La presente investigación tuvo como objetivo general determinar el Rol del Profesional de Enfermería en la Estrategia Nacional de Inmunizaciones en las Unidades Operativas Abdón Calderón y San Valentín, Sucumbíos 2022. En cuanto a la metodología se estableció el enfoque cuantitativo y el tipo de estudio es correlacional porque se estudia el fenómeno de estudio desde variables definidas, que, mediante hipótesis, se establecerá la existencia de una correlación o, por el contrario, se negará la relación entre las variables. Su nivel e descriptivo y su diseño es de campo no experimental. La población definida el personal de enfermería de las Unidades Operativas Abdón Calderón y San Valentín que suman un total de 20 enfermeros, al ser una población no significativa no aplica el criterio probabilístico de la muestra y se trabaja con toda la población. Se estableció el método científico y se utilizó como técnica la encuesta y el cuestionario como instrumento de recolección de datos y para la validación de los instrumentos se aplicará el juicio de expertos. Para la confiabilidad se emplea el coeficiente estadístico de Kuder-Richarson debido a las preguntas politómicas. Para el procesamiento de los datos, se generará una tabulación en frecuencia, en función de las alternativas de respuestas que se repiten, se medirán y tabularán, para luego expresar los datos en valores porcentuales en gráficos para luego poder generar las conclusiones y recomendaciones. Maestría

Cuando se tiene en el presente el avance de la ciencia, la innovación tecnológica, los esfuerzos de la medicina por ser cada vez ser más especializada, y extender al ser humano todas las posibles nuevas alternativas para tratar una afección, se puede indicar sin temor a la equivocación que en salud se está avanzando.Es por ello que la Enfermería, como ciencia de la salud, debe de esforzarse en el ejercicio diario, a la compresión y manejo de la innovación en la atención, pues las condiciones para prestar un cuidado se complejizan, y requieren del mayor y más avanzado conocimiento y destreza para lograr los resultados, dado a que los procesos de la gestión en salud, implican no solo la inversión en recurso económico, tecnológico, farmacológico y humano, sino que conlleva a la vez el buscar la mayor condición de bienestar, hacia las personas, en las cuales se brinda tal atención. UCR::Vicerrectoría de Docencia::Salud::Facultad de Medicina::Escuela de Enfermería

El objetivo de esta investigación es analizar la percepción de enfermería sobre los obstáculos en las relaciones interpersonales entre enfermero(a) y persona en el preoperatorio en un hospital público en San José. Metodología: estudio de tipo cualitativo, descriptivo, estudio sistemático de la experiencia cotidiana y enfatizando en la subjetividad, se buscó conocer la realidad a través de la experiencia de 14 profesionales en enfermería que cumplieron los criterios de inclusión, se recolectó la información mediante una entrevista abierta. La necesidad de estudiar las este fenómeno durante el periodo perioperatorio surge debido a que según la teoría de las relaciones interpersonales se establece un vínculo terapéutico de un individuo con el enfermero lo que ayuda a satisfacer las necesidades presentadas y brindar cuidados oportunos, este proceso se divide en etapas iniciando por la fase de orientación esta parte con la percepción de una necesidad que precisa ayuda, y posteriormente continua con las etapas de identificación, explotación donde se guía para desarrollar mecanismos efectivos para llegar a la resolución. Se concluye que los obstáculos percibidos al establecer una relación interpersonal Enfermero/persona durante la fase de orientación se relacionan a la comunicación no asertiva, falta de escucha, la superficialidad, el idioma que dificultan desde el primer contacto lo que condiciona el resto de la interacción, en la fase de identificación las barreras están relacionadas a la condición emocional del usuario además de una crítica a la formación de los profesionales en cuanto habilidades de comunicación, así como su falta de interés en involucrarse durante la atención del usuario. En la fase de aprovechamiento las dinámicas del servicio y el volumen de trabajo se convierten en el obstáculo principal, en la fase la resolución no se obtienen datos ya que los entrevistados mencionan no llegar a esta etapa en sus intervenciones The objective of this research is to analyze the perception of nursing on the obstacles in interpersonal relationships between patient and person in the preoperative period in a public hospital in San José. Methodology: qualitative, descriptive study, systematic study of daily experience and emphasizing subjectivity, we sought to know the reality through the experience of 14 nursing professionals who met the inclusion criteria, information was collected through an interview open. The need to study this phenomenon during the perioperative period arises because, according to the theory of interpersonal relationships, a therapeutic bond is established between an individual and the patient, which helps to satisfy the needs presented and provide timely care, this process is divided in stages, starting with the orientation phase, this part with the perception of a need that requires help, and later continues with the stages of identification, exploitation where it is guided to develop effective mechanisms to reach a resolution. It is concluded that the obstacles perceived when establishing an interpersonal relationship Nurse/person during the orientation phase are related to non-assertive communication, lack of listening, superficiality, language that make it difficult from the first contact, which conditions the rest of the interaction, in the identification phase of the barriers are related to the emotional condition of the user as well as a criticism of the training of professionals in how many communication skills, as well as their lack of interest in getting involved during the care of the user. In the phase of taking advantage of the dynamics of the service and the volume of work will be adapted in the main obstacle, in the resolution phase no data was obtained since the interviewees mentioned not reaching this stage in their interventions. UCR::Vicerrectoría de Investigación::Sistema de Estudios de Posgrado::Salud::Maestría Profesional en Enfermería Quirúrgica

The aims of this study were to analyze the autonomic stress response of nurse degree students during a hospital clinical simulation and to analyze differences in the autonomic stress response of nurse degree students during a hospital clinical simulation depending on their psychological profile. We analyzed in 45 nurse students their psychological profile (purpose in life, coping flexibility, perceived stress, Framingham Type A Behavior, and personality) and the autonomic modulation by the heart rate variability in a hospital clinical simulation. Students presented decreased heart rate variability and different autonomic stress responses depending on the different psychological parameters evaluated. We concluded that a hospital clinical simulation produced a large sympathetic modulation of nurse students that was maintained during the entire clinical simulation. The autonomic response was modulated by the psychological profile of students, showing higher purpose in life, perceived stress, and neuroticism, presenting higher parasympathetic modulation. Research Grant (2020/UEM43) 3.246 Q3 JCR 2021 0.647 Q2 SJR 2021 No data IDR 2021 UEM

Determinar el nivel de estrés en el personal de enfermería que labora en UCI Hospital de Especialidades Carlos Andrade Marín, 2021. El estrés, es una respuesta general del organismo ante cualquier estimulo o situación estresante; y uno de los principales problemas de salud que aqueja a los profesionales de salud. El objetivo del presente trabajo fue, determinar el nivel de estrés en el personal de enfermería que labora en el área de cuidados intensivos de un hospital de tercer nivel de la ciudad de Quito; es un estudio con enfoque cuantitativo, descriptivo y transversal; la población estuvo constituida por 74 enfermeras, en su mayoría mujeres (74,32%), que se encuentran entre 25 a 35 años de edad, se autoidentifican como mestizas (79.73%), en cuanto a su estado civil, la mayoría (64,87%) están casados; para la recopilación de información, se utilizó la escala de Nursing Stress Scale que consta de 34 ítems, se obtiene un índice global entre 0 y 102, de forma que a mayor puntuación mayor nivel de estresores. Entre los principales resultados: la mayoría (60,81%) tienen experiencia menos de 5 años en el servicio de UCI, realizaron turnos de 24 horas seguidas, con una asignación de 2 a 3 pacientes con diagnóstico COVID 19, la categoría que más les ocasionó estrés fue la muerte y sufrimiento. Se concluye que para enfrentar la situación de Pandemia que se vive a nivel mundial, los servicios de salud tuvieron que reestructurarse, pero no se tomó en cuenta estrategias que prevengan, disminuyan o traten a los profesionales de enfermería que tienen estrés laboral. Maestría

Determinar los factores que influyen en la salud mental en tiempos de pandemia en el personal de enfermería de UCI-COVID del Hospital San Vicente de Paúl en el año 2021. A finales del año 2019, en la ciudad de Wuhan en China se da a conocer una nueva enfermedad de etiología desconocida, dada la magnitud y alcance de propagación, el 11 de marzo del 2020 ésta nueva enfermedad es catalogada como pandemia, tras confirmarse a nivel mundial más de 130 000 casos en 125 naciones de SARS- COV19 o COVID-19, según la OMS. En Ecuador se confirma el primer caso positivo con covid-19 en la ciudad de Guayaquil el 29 de febrero del 2020, y en Imbabura el 19 de marzo en el Hospital San Vicente de Paúl de la ciudad de Ibarra. El hospital inició sus labores frente al covid-19, a pesar del desconocimiento del manejo de pacientes con esta enfermedad. Es por esta razón que el objetivo principal de esta investigación fue determinar los factores que influyeron en la salud mental del personal de enfermería de UCI-COVID. La presente investigación tuvo un enfoque cuantitativo, ya que se tomó como referencia las variables planteadas, y se realizó un análisis de los datos y cifras que fueron cuantificables, además, es de tipo descriptiva y transversal ya que documenta y sintetiza los factores que influyeron en la salud mental del personal de enfermería mediante la aplicación de encuestas y entrevistas en el lugar de trabajo. En donde se pudo verificar que la mitad de la población en estudio presentó cansancio emocional por la demanda de trabajo en el área UCI-COVID, además, el 40% del personal reconoce actitudes de frialdad y distanciamiento hacia los pacientes a su cuidado. Finalmente, el 75% del personal de salud reconoce que sus sentimientos de autoeficiencia y realización personal en el trabajo no han sido afectados durante las jornadas laborales. Lo que nos llevó a la conclusión de que hay una leve prevalencia del síndrome burnout en el personal de salud. Maestría

Stigma is one of the main barriers to prevention, treatment and recovery from mental illness. However, bibliometric studies in this area are still scarce. Therefore, our aim was to quantify and analyze the scientific literature on the stigma of nursing students and professionals towards mental disorders. To this purpose, bibliometric indicators of scientific production, impact and collaboration were used. Among our results, it stands out that only 14.3% of the total number of studies analyzed measure the efficacy of the interventions carried out to reduce stigma. Furthermore, with exceptions such as Happell B and Byrne L, collaborations between authors and institutions are limited. “Service user involvement” appeared as a prominent keyword in 2018, coinciding with the increase in publications on the effectiveness of interventions. Interventions based on the involvement of people with psychiatric diagnoses in the design of nursing curricula seem to become a promising line of research. More studies measuring the efficacy of such interventions are needed. Knowledge of the lines of research that are being developed and of the researchers and institutions involved can contribute to creating synergy between the different researchers and to continue adding projects to the existing ones, thus contributing to the generation of more robust results that show the most indicated interventions to reduce the still present stigma and improve care for people with psychiatric diagnoses. Sin financiación 4.614 JCR (2021) Q1, 45/182 Public, Environmental & Occupational Health 0.814 SJR (2021) Q1, 34/136 Health, Toxicology and Mutagenesis No data IDR 2021 UEV

El presente trabajo final de graduación trata el tema del Covid-19, en sus inicios en el año 2019, momento donde la incertidumbre y temor se apoderó de la población. Llegando a modificar todas las facetas de la vida de un individuo, afectando no solo su espacio personal, sino también el inter y extra personal. UCR::Vicerrectoría de Investigación::Sistema de Estudios de Posgrado::Salud::Maestría Profesional en Enfermería de Salud Mental

This study aimed to analyze the psychological affectation of health professionals (HPs) of Spanish Emergency Medical Services (EMSs) according to the cumulative incidence (CI) of COVID19 cases in the regions in which they worked. A cross-sectional descriptive study was designed, including all HPs working in any EMS of the Spanish geography between 1 February 2021 and 30 April 2021. Their level of stress, anxiety and depression (DASS-21) and the perception of self-efficacy (GSES) were the study’s main results. A 2-factor analysis of covariance was used to determine if the CI regions of COVID-19 cases determined the psychological impact on each of the studied variables. A total of 1710 HPs were included. A third presented psychological impairment classified as severe. The interaction of CI regions with the studied variables did not influence their levels of stress, anxiety, depression or self-efficacy. Women, younger HPs or those with less EMS work experience, emergency medical technicians (EMT), workers who had to modify their working conditions or those who lived with minors or dependents suffered a greater impact from the COVID-19 pandemic in certain regions. These HPs have shown high levels of stress, anxiety, depression and medium levels of self-efficacy, with similar data in the different geographical areas. Psychological support is essential to mitigate their suffering and teach them to react to adverse events., This research was funded by Fundación ASISA and Sociedad Española de Urgencias y Emergencias (SEMES).

La amputación es uno de los procedimientos quirúrgicos más antiguos en la historia de la humanidad, este procedimiento desencadena en las personas cambios que engloban la parte física, emocional, biológica y social, ya que se enfrentan a una alteración de la imagen corporal, y debe considerarse un abordaje holístico por parte de los profesionales en Enfermería Quirúrgica, desde el momento en que se tiene la lesión hasta que la persona logre satisfacer sus necesidades de la mejor manera posible y pueda reincorporarse a la sociedad. Es por esta razón que la investigación pretende analizar las vivencias de adaptación de las personas sometidas a una cirugía de amputación en la gran área metropolitana durante el año 2020. Es una investigación cualitativa con un acercamiento al tipo fenomenológico descriptivo, la técnica utilizada fue la entrevista a profundidad, la cual fue aplicada hasta alcanzar la saturación de datos obteniendo así un total de 19 participantes. Se utilizó el método Colaizzi para el análisis de la información con el que se obtuvo que las alteraciones fisiológicas reportadas por las personas sometidas a una cirugía de amputación tuvieron principal afectación en el sueño y el patrón evacuatorio, que un pilar importante en la adaptación son las herramientas psicológicas previas a la cirugía, que el apoyo social y emocional que reciban durante la recuperación es clave para la adaptación. UCR::Vicerrectoría de Investigación::Sistema de Estudios de Posgrado::Salud::Maestría Profesional en Enfermería Quirúrgica

Documento que recoge las competencias profesionales del dietista-nutricionista según especializaciones elaborado por el Colegio Profesional de Dietistas-Nutricionistas de la Comunidad de Madrid. Aborda las competencias generales y específicas en el ámbito clínico y la atención primaria, en el comunitario o de la salud pública, restauración colectiva, docencia, investigación, industria alimentaria, actividad física y el deporte, y comunicación y divulgación. Sin financiación No data 2021 UEM

Sin financiación No data 2020 UEM

The COVID-19 pandemic fundamentally changed the way we live, work, and interact with each other. Nowhere was the pandemic more profoundly experienced than on the frontline of healthcare. From overwhelmed Intensive Care Units to shortages of Personal Protective Equipment (PPE) and clap for carers, the UK’s National Health Service (NHS) became the focal point for the pandemic response. Utilising data from online survey responses (N = 16) complemented by four online interviews and one face-to-face interview (N = 5) with NHS workers primarily during the height of the pandemic, this article offers a preliminary analysis on the challenges the UK’s healthcare workers faced through working in conditions of crisis management. The article particularly addresses NHS workers’ amplification of fear, anxiety, and exhaustion; the absence of widespread solidarity; and implications of the absence of coherent governmental messaging upon the workforce. We situate this discussion within a critical account of neoliberal political economy, the theoretical framework of social harm, and the absence to explicate the harmful conditions of the pandemic’s frontline. While the data are confined to the UK’s NHS workers, its findings are relevant to other countries across the world that enacted similar responses to deal with COVID-19. Sin financiación 1.315 Q3 JCR 2021 0.509 Q2 SJR 2022 No data IDR 2021 UEM

Sin financiación 0.530 SJR (2021) Q2, 32/94 Emergenci Medicine No data IDR 2021 5.345 JCR (2021) Q1, 5/32 Emergency Medicine 0.530 SJR (2021) Q2, 32/94 Emergency Medicine No data IDR 2021 UEM

Objective: To analyze the characteristics and challenges experienced by formal caregivers of dependent elderly at home. Methods: Multicenter qualitative study, conducted in six Brazilian cities, with formal caregivers of dependent elderly people. The interviews were conducted using a semi-structured guide, at their homes, from May to August 2019, lasting an average of 60 minutes. Results: Participants were 27 formal caregivers with a mean age of 46 years, predominantly female, with mean care time for the elderly of two years and six months, without professional training of caregivers. The analysis and interpretation of the statements led to the formulation of three thematic categories: Working and health conditions of the formal caregiver; Profile and ways of caring; and Care challenges. Final thoughts: There is need to know the characteristics and demands of formal caregivers of dependent elderly people domiciled for the development of public policies and effective interventions, taking into account the needs presented by these professionals. O objetivo deste artigo é analisar as características e os desafios vivenciados pelos cuidadores formais de idosos dependentes no domicílio. Estudo qualitativo multicêntrico, realizado em 6 cidades brasileiras, com cuidadores formais de idosos dependentes. As entrevistas foram realizadas mediante utilização de um roteiro semiestruturado, no domicílio, nos meses de maio a agosto de 2019, com duração média de 60 minutos. Participaram 27 cuidadores formais com idade média de 46 anos, predominantemente do sexo feminino, com tempo médio de cuidado ao idoso de 2 anos e 6 meses, sem formação profissional de cuidador. A análise e a interpretação das falas conduziram à formulação de três categorias temáticas: Condições de trabalho e de saúde do cuidador formal; Perfil e modos de cuidar; e Desafios para cuidar. É necessário conhecer as características e as demandas dos cuidadores formais de idosos dependentes domiciliados para que políticas públicas e intervenções eficazes possam ser desenvolvidas, levando-se em consideração as necessidades apresentadas por esses profissionais. Sin financiación No data 2020 UEV

Sin financiación SPI 2018 UEV

The objective of this article is to reveal the epistemic elements of nursing practice in the Venezuelan hospital context, based on the interaction with nursing professionals (qualitative method), of the establishments of the National Public Health System (SPNS) of Hospital Dr Jesús Mata de Gregorio and the Hospital Dr. José María Vargas, Caracas, Venezuela. Resorting to the revision of the Nursing Professional Practice Law (2005); and the Code of Ethics (2009); with references of humanism such as Acosta and Acosta (2019); and the humanized care of Guerrero-Ramírez, Meneses-La Riva and De La Cruz-Ruiz (2015); based on the interpretive approach, qualitative paradigm, emerging design of Guba and Lincoln (2000). The in-depth interview was used as a data collection technique, and for the analysis, the Continuous Comparative Method of Strauss and Corbin (2002) was used, through open, axial and selective coding, emerging as a central category, the Practice Nursing Humanist. The findings reflect that this practice is based on humanism, ethical-moral values, reflective acts and competencies. Concluding that knowledge is essential to carry out this practice, since it is linked to the understanding of the philosophical elements that govern professional conduct, helping to encourage research to strengthen nursing in the Venezuelan hospital context., El presente artículo tiene como objetivo develar los elementos epistémicos de la práctica de enfermería en el contexto hospitalario venezolano, a partir de la interacción con profesionales de enfermería (método cualitativo), de los establecimientos del Sistema Público Nacional de Salud (SPNS) del Hospital Dr. Jesús Mata de Gregorio y el Hospital Dr. José María Vargas, Caracas, Venezuela. Recurriendo a la revisión de la Ley de Ejercicio Profesional de la Enfermería (2005); y el Código Deontológico (2009); con referentes del humanismo como Acosta y Acosta (2019); y el cuidado humanizado de Guerrero-Ramírez, Meneses-La Riva y De La Cruz-Ruiz (2015); sustentado en el enfoque interpretativo, paradigma cualitativo, diseño emergente de Guba y Lincoln (2000). Se utilizó la entrevista a profundidad como técnica de recolección de datos, y para el análisis, se empleó el Método Comparativo Continuo de Strauss y Corbin (2002), a través de la codificación abierta, axial y selectiva, surgiendo como categoría central, la Práctica Humanista de Enfermería. Los hallazgos reflejan que dicha práctica, se fundamenta en el humanismo, los valores éticos-morales, actos reflexivos y las competencias. Concluyendo que, el conocimiento es esencial para realizar esta práctica, ya que está ligado a la comprensión de los elementos filosóficos que rigen la conducta profesional, contribuyendo a incentivar la investigación para fortalecer el quehacer enfermero en el contexto hospitalario venezolano.

Final dissertation is considered one of the most stressful situations in university studies, but the stress response and its incidence in academic achievement is poor knowledge. The aim of the present research was to analyze the effect of the psychophysiological stress response of physiotherapy last year students in his final degree dissertation performance. We analyzed the heart rate variability (HRV) of 110 volunteers during their final degree dissertation to evaluate the autonomic stress response. Results showed a large anticipatory anxiety response of students prior to the final degree dissertation and a no habituation response, since low HRV results were found before and during the final degree dissertation. Only after the dissertation, the HRV increased. No relationship between autonomic modulation and the dissertation academic achievement were found. Final degree dissertation in physiotherapy students, produce a large anticipatory anxiety response. Autonomic modulation parameters do not present relationship with the final degree dissertation performance. David A. Wilson Award XOTRIO1712 3.244 JCR (2020) Q2, 20/53 Behavioral Sciences 0.960 SJR (2020) Q1, 26/658 Philosophy No data IDR 2019 UEM

Objetivo Diseñar y validar un procedimiento enfermero de cribado de la neuropatía periférica diabética en atención primaria. Método El estudio se llevó a cabo en tres fases. 1) Construcción de un banco de ítems para conformar el procedimiento con una puntuación de salida que describiera la situación clínica del paciente. 2) Prueba y reducción del procedimiento tentativo inicial sobre una muestra de 50 pacientes usuarios de consultas enfermeras comunitarias, eliminando los componentes con baja fiabilidad inter-intra enfermeras. 3) Validación de la versión del procedimiento obtenida en el paso anterior sobre una muestra de 106 pacientes. Cálculo de validez y fiabilidad eliminando componentes con baja validez de criterio respecto a los resultados de la electromiografía diagnóstica utilizada como patrón de referencia. Se estimaron puntos de corte para el empleo del procedimiento como herramienta de cribado, valores predictivos, rendimiento, consistencia interna y fiabilidad inter-intra enfermera. Resultados El procedimiento tentativo inicial constó de 12 componentes que fueron reducidos a 10. En el proceso de validación de esta segunda versión el procedimiento se simplificó nuevamente, quedando conformado por 6 componentes, con un punto de corte de 2,5 en su escala de salida, punto en el que alcanza valores adecuados de sensibilidad y predictivos negativos para emplearlo como instrumento de cribado. Para este punto de corte la fiabilidad inter-intra enfermeras, la validez de criterio y la validez predictiva alcanzaron valores aceptables. Conclusiones NeuDiaCan como procedimiento de cribado enfermero de la neuropatía periférica diabética en atención primaria resulta válido, fiable y de fácil empleo. Objective To design and validate a nursing screening procedure for diabetic peripheral neuropathy in primary care. Methods The study was carried out in three phases. 1) Construction of an item bank to form the procedure with an exit score describing the patient's clinical situation. 2) Test and reduction of the initial tentative procedure on a sample of 50 patients using community nurse consultations, eliminating the components with low inter-intra nurse reliability. 3) Validation of the version of the procedure obtained in the previous step on a sample of 106 patients. Calculation of validity and reliability by eliminating components with low criterion validity with respect to the results of the diagnostic electromyography used as a reference standard. Cut-off points were estimated for the use of the procedure as a screening tool, predictive values, performance, internal consistency and inter-nurse reliability. Results The initial tentative procedure consisted of 12 components that were reduced to 10. In the process of validation of this second version the procedure was simplified again, eventually comprising 6 components, with a cut-off point of 2.5 in its output scale, the point at which it reaches adequate values of sensitivity and negative predictors to be used as a screening instrument. For this cut-off point the inter-intra nurse reliability, criterion validity and predictive validity reached acceptable values. Conclusions NeuDiaCan as a nursing screening procedure for diabetic peripheral neuropathy in primary care is valid, reliable and easy to use. Sin financiación No data JCR 2020 0.226 SJR (2020) Q3, 11/17 Fundamentals and Skills No data IDR 2020 UEC

Sin financiación No data JCR 2020 0.226 SJR (2020) Q3, 11/17 Fundamentals and Skills No data IDR 2020 UEM

La investigación tiene como objetivo proponer una estrategia didáctica para mejorar el aprendizaje significativo en los estudiantes del tercer ciclo del curso de Anatomía Funcional y de Superficie en la carrera de Fisioterapia en Huaral. La metodología se enmarca dentro del paradigma sociocrítico de enfoque cualitativo, el tipo de investigación es aplicada educacional, la muestra se realizó por muestreo no probabilístico compuesto por tres docentes y 36 estudiantes. Se aplicaron como técnicas, la encuesta, entrevista, observación y el cuestionario, como instrumentos, guía de entrevista, cuestionario, prueba pedagógica y la guía de observación. El diagnóstico demuestra que los docentes no motivan en clase, hay una mala gestión del tiempo, poco juicio crítico y en consecuencia los estudiantes no alcanzan aprendizajes significativos. La investigación muestra dos grandes categorías y presentan un fuerte sustento basado en teorías, enfoques y modelos como el constructivismo de Ausubel (2002), Piaget (1968) y Bruner (1966), aplicados en la práctica educacional y orientada al proceso pedagógico, dándole rigor científico a la propuesta. De este modo, el resultado fundamental está en diseñar diversas estrategias basadas en cuatro etapas como la activación, construcción, consolidación y diagnóstico; cada etapa está conformada por diversas actividades significativas, como la motivación al inicio de clase, escenificación en las presentaciones y trabajos en equipo, todo esto controlado y guiado por el docente. En conclusión el estudio tiene una perspectiva formativa sólida, la estrategia didáctica contribuye al logro positivo del aprendizaje significativo. Tesis

Background Healthcare workers (HCWs) are especially vulnerable to infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Aim The aim of this study was to describe the epidemiological and clinical characteristics of coronavirus disease 2019 (COVID-19) among HCWs from February 24th to April 30th, 2020, in a hospital in Madrid, Spain. Methods This was a retrospective cohort study. Cumulative COVID-19 incidence was calculated for all HCWs and categorized according to presumed level of COVID-19 exposure (high, medium, and low). Findings Among 1911 HCWs, 213 (11.1%) had COVID-19 during the study period. Cases increased gradually from March 8th, peaking on March 17th and declining thereafter. The peak of cases among HCWs was reached 14 days before the peak in admitted COVID-19 cases in the hospital. There were no significant differences in the proportion of COVID-19 cases according to level of occupational exposure (P = 0.123). There were five departments and two professions in which >20% of the workers had confirmed COVID-19. Temporal clusters were identified in three of these departments and one profession, with most of the cases occurring over a period of less than five days. The prevalence of comorbidities was low and 91.5% of patients had mild or moderate symptoms. Eleven patients were admitted to the hospital and one patient needed intensive care. None of the patients died. The median time of sick leave was 20 (interquartile range: 15–26) days. Conclusion The results suggest that HCW–HCW transmission accounted for part of the cases. In spite of a low prevalence of comorbidities and a mild clinical course in most cases, COVID-19 caused long periods of sick leave. Sin financiación 3.926 JCR (2020) Q2, 56/203 Public, Environmental & Occupational Health 1.142 SJR (2020) Q1, 442/2448 Medicine (miscellaneous) UEM

Objective: The aim of this study was to evaluate the effects of a manual therapy using fascial therapy on joint bleeding, joint pain and joint function in patients with hemophilic ankle arthropathy. Setting: Hemophilia patient associations. Design: Randomized, controlled trial, multicenter and intention-to-treat analysis. Participants: A total of 65 patients with hemophilic ankle arthropathy. Intervention: The experimental group ( n = 33) received one fascial therapy session per week for three weeks. The control group ( n = 32) received no treatment. Outcome measure: The primary outcome was frequency of joint bleeding measured using self-reporting. Secondary outcomes were joint pain (under load-bearing and non-load-bearing conditions) measured using the visual analog scale; joint condition was measured using the Hemophilia Joint Health Score. Outcomes were measured at baseline, posttreatment and after five months of follow-up. Results: Improvements in the frequency joint bleeding at T0, T1 and T2 were significantly higher in the experimental group (T0: mean (SD) = 1.56 (1.30); T1: mean (SD) = 0.00 (0.00); T2: mean (SD) = 0.27 (0.57)) compared to the control group (T0: mean (SD) = 1.70 (1.78); T1: mean (SD) = 0.05 (0.21); T2: mean (SD) = 0.58 (0.85)). Mean improvement of joint state after the study period was 1.74 points (±1.66) for patients in the experimental group, while the control group exhibited a joint deterioration with 0.43 points (±0.85). Ankle joint pain under load-bearing and non-load-bearing conditions improved in the experimental group with −1.72 (±1.86) and −0.50 (±1.39) points, respectively. Conclusion: The study showed that fascial therapy is favorable for patients with hemophilic ankle arthropathy.

To analyze whether there is an association between conformity to male and female gender norms and the Edinburgh Postnatal Depression Scale (EPDS) score as an indicator of depression during pregnancy, a cross-sectional study was made to a sample of 200 pregnant women being seen at any of the public primary care centers in Segovia (Spain) for the prenatal care. A score of 13 points or higher on the Spanish version of the EPDS is considered to be an indicator of antenatal depression. The Conformity to Feminine Norms Inventory (CFNI-84) and the Conformity to Masculine Norms Inventory (CMNI-94) were used to determine the degree of conformity to gender norms. Descriptive and inferential statistics, as well as multivariate analysis, were carried out. Logistic regression analysis showed the Nice in Relationships Subscale score to be associated with a decreased risk of depression (OR = 0.88; 95%CI 0.79–0.98; p = 0.029). In addition, the CMNI total score, as well as the Self-Reliance subscale, were associated with an increased risk of depression (OR = 1.04; 95%CI 1.01–1.07; p = 0.022; OR = 1.30; 95%CI 1.08–1.55; p = 0.004, respectively). An association between conformity to male gender norms and nonconformity to some female gender norms in pregnant women and a score on the EPDS indicating depression during pregnancy was found. Particularly, an increase in the CMNI total score was associated to increased risk of suffering depression in the pregnant women studied. Castile and León Health Authority (SACyL) - GRS 1287/B/16 2.500 JCR (2019) Q3, 78/155 Psychiatry 1.176 SJR (2019) Q1, 30/185 Obstetrics and Gynecology, 112/545 Psychiatry and Mental Health No data IDR 2019 UEM

Background Benefits of breastfeeding on the health of children, mothers and society are well known. However, breastfeeding rates vary according to the population examined. Chinese-born women migrated to high-income countries have shown low breastfeeding rates. Nevertheless, studies comparing breastfeeding rates of Chinese-born immigrants and natives are scarce. The aims of this study were therefore: 1) to compare the rate of exclusive breastfeeding at hospital discharge after giving birth between Chinese-born women resident in Spain and native Spanish women, 2) to assess the influence of the biological, socioeconomic, work-related and cultural factors on exclusive breastfeeding in women of Chinese origin. Methods A cross-sectional descriptive study with between group comparisons. This study included 73 postpartum women (33 Chinese-born and 40 native Spanish women). The association between exclusive breastfeeding and the country of origin was assessed by binary logistic regression. Results Native Spanish women showed a greater prevalence of exclusive breastfeeding (80%) compared to Chinese born immigrant women (36.4%) (adjusted for socioeconomic status, parental level of education, age, cesareans and birth weight) (OR = 0.21; 95% CI 0.05–0.91; p = 0.037). However, in other models that considered both work and cultural influences, no differences were observed. Discussion The classic biological and socioeconomic variables (educational and socioeconomic levels) do not seem to explain the lower rates of exclusive breastfeeding among Chinese immigrant women. This paradigm of inequity appears to be based on both the work conditions as well as cultural characteristics of Chinese born women in Spain, such as their overall attitude towards breastfeeding. Los beneficios de la lactancia materna en la salud de los niños, las madres y la sociedad son ampliamente conocidos. Sin embargo, las tasas de lactancia materna varían según la población estudiada. Las mujeres de origen chino que han inmigrado a países desarrollados muestran tasas muy bajas de lactancia materna. Los objetivos de la investigación son comparar las tasas de lactancia materna exclusiva tras el parto, al alta del hospital, entre mujeres de origen chino y de origen español, y evaluar la influencia de variables biológicas, socioeconómicas, relacionadas con el trabajo y culturales sobre las tasas de lactancia materna. Estudio descriptivo transversal con comparación entre grupos. Se incluyó a 73 puérperas (33 de origen chino y 40 españolas). La asociación entre lactancia materna y país de origen se evaluó utilizando regresión logística. Resultados: Las mujeres españolas mostraron una mayor prevalencia de lactancia materna exclusiva (80%) en comparación con las mujeres de origen chino (36,4%), ajustando por nivel socioeconómico, nivel educativo de los padres, edad de la madre, parto por cesárea y peso al nacer). Sin embargo, al construir otros modelos de regresión logística en los que se incluyó variables relacionadas con el trabajo de la madre, o la actitud respecto a la lactancia materna, las diferencias pasaban a ser no significativas. Discusión: Las variables clásicas biológicas y socioeconómicas no explican la diferencia en las tasas de lactancia materna entre mujeres de origen chino y españolas. Sin embargo, parece que esas diferencias están relacionadas con las condiciones laborales de las mujeres chinas (trabajan más mujeres, por cuenta propia, incorporándose antes al mundo laboral tras el parto...) y con aspectos culturales (actitud menos positiva hacia la lactancia materna). Sin financiación 2.239 JCR (2019) Q2, 33/82 Obstetrics & Gynecology 1.275 SJR (2019) Q1, 19/185 Obstetrics and Gynecology No data IDR 2019 UEM

Background Nursing is an art and science based on knowledge of professional caring. As such, the examination of how students perceive care may improve the way this concept is taught and learnt in nursing. Objectives To examine and describe the perception of caring among Spanish nursing students. Methods A cross-sectional design.From an initial population of 500 students, 321 volunteers participated in this study by completing the Caring Dimensions Inventory (CDI-25) during April 2014. Parametric tests were used to perform descriptive analyses of the dimensions of caring and the predominant factor; additionally, inferential (bivariate) analyses were performed of the dimensions of caring and of the predominant factor according to each of the independent variables. A logistic multinomial regression of the predominant psychosocial factor was calculated using the professional-technical factor as a reference, with adjustments for each of the covariates. Results The two dimensions most identified by students in relation to caring were: Providing privacy for a patient (D23) and Listening to a patient (D13) whereas the least identified were: Putting the needs of a patient before your own (D19) and Sharing your personal problems with a patient (D16). Overall, students identified caring mostly with the Psychosocial Factor (F1) (psychosocial aspects of care). Students in their first year identified caring more with the professional-technical factor, whereas those in their third and fourth year did so with the psychosocial factor. Conclusions The perception of caring among nursing students is a dynamic phenomenon that is modified throughout the nurse education process. The academic year, previous work experience in healthcare and the type of access to the university influence students' perceptions of caring. Sin financiación 2.490 JCR (2019) Q1, 7/121 Nursing, 9/41 Education, Scientific Disciplines 1.178 SJR (2019) Q1, 7/150 Nursing (miscellaneous), 129/1401 Education No data IDR 2019 UEM

El proyecto surge de la petición de formación en un Centro de Atención Temprana localizado en el Sahara Marroquí y de la oportunidad que la Universidad Europea brinda a los profesores y alumnos de involucrarse en proyectos de Cooperación Internacional a través de las becas del Banco Santander. Enmarcando la experiencia desde el voluntariado y con el objetivo de mejorar la calidad asistencial de los niños y cuidadores de la Asociación de Discapacitados, los alumnos participan, dirigidos por profesores, en un entorno único donde la aplicación práctica de los conocimientos supera al aula y añadiendo la implicación personal que genera cumplir objetivos reales. La finalidad es que los alumnos inicien su aprendizaje desde la propia universidad, teniendo de base los datos recogidos de experiencias anteriores y, desarrollar talleres, charlas, posters, etc. que luego llevarán a cabo en la asociación. La metodología cualitativa de tipo investigación acción colaborativa fundamenta todas las acciones llevadas a cabo, hecho que permite que el alumno forme parte y profundice en este tipo de investigación. La continuidad ya consolidada del proyecto supone no solo la puesta en marcha de acciones, sino también un futuro de colaboración donde cada año seguir apostando por mejorar. SIN FINANCIACIÓN No data 2019 UEM

En este trabajo en grupo, “Dinámica de Fuerza” de la asignatura de TEF II (Grado en Fisioterapia), los alumnos experimentan como sujetos de estudio un programa de ejercicios de fuerza durante 8 semanas, con el fin de vivenciar en la práctica los contenidos vistos en teoría. Cuentan con una evaluación de la fuerza máxima pre y post programa, para comprobar de una manera objetiva en ellos mismos los beneficios del ejercicio físico bien programado. SIN FINANCIACIÓN No data 2019 UEM

Background: Nurses who practice limitation of therapeutic effort become fully involved in emotionally charged situations, which can affect them significantly on an emotional and professional level. Objectives: To describe the experience of intensive care nurses practicing limitation of therapeutic effort. Method: A qualitative, phenomenological study was performed within the intensive care units of the Madrid Hospitals Health Service. Purposeful and snowball sampling methods were used, and data collection methods included semi-structured and unstructured interviews, researcher field notes, and participants’ personal letters. The Giorgi proposal for data analysis was used on the data. Ethical considerations: This study was approved by the Ethical Research Committee of the relevant hospital and by the Ethics Committee of the Rey Juan Carlos University and was guided by the ethical principles of voluntary enrollment, anonymity, privacy, and confidentiality. Results: In total, 22 nurses participated and 3 themes were identified regarding the nurses’ experiences when faced with limitation of therapeutic effort: (a) experiencing relief, (b) accepting the medical decision, and (c) implementing limitation of therapeutic effort. Conclusion: Nurses felt that, although they were burdened with the responsibility of implementing limitation of therapeutic effort, they were being left out of the final decision-making process regarding the same.

Nursing clinics in rheumatology (NCRs) are organisational care models that provide care centred within the scope of a nurse’s abilities. To analyse the impact of NCR in the rheumatology services, national multicenter observational prospective cohort studied 1-year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence of: (1) office itself; (2) at least one dedicated nurse; and (3) its own appointment schedule. Variables included were (baseline, 6 and 12 months): (a) test to evaluate clinical activity of the disease, research and training, infrastructure of unit and resources of NCR and (b) tests to evaluate socio-demographics, work productivity (WPAI), use of services and treatments and quality of life. A total of 393 rheumatoid arthritis and ankylosing spondylitis patients were included: 181 NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53 + 11.8 vs 56 + 13.5 years). Statistically significant differences were found in patients attended in sites without NCR, at some of the visits (baseline, 6 or 12 months), for the following parameters: higher CRP level (5.9 mg/l ± 8.3 vs 4.8 mg/l ± 7.8; p < 0.005), global disease evaluation by the patient (3.6 ± 2.3 vs 3.1 ± 2.4), physician (2.9 ± 2.1 vs 2.3 ± 2.1; p < 0.05), use of primary care consultations (2.7 ± 5.4 vs 1.4 ± 2.3; p < 0.001) and worse work productivity. The presence of NCR in the rheumatology services contributes to improve some clinical outcomes, a lower frequency of primary care consultations and better work productivity of patients with rheumatic diseases. Sin financiación 1.824 JCR (2016) Q3, 21/30 Rheumatology UEM

There is a great concern whether Physical Therapy students upon completion of their educational program are ready and equipped with the requisite skills to construct and implement a successful patient intervention with culturally diverse groups. The purpose of this study is to describe the professional and personal physical therapist development of Physical Therapy students after participating in Solidarity Activities in Collaboration with a Prisoner reinsertion program as a service-learning course. A qualitative approach was used. A convenience sample of twenty physical therapy students doing service learning and one teaching professor were included. Student diaries were analyzed. Semi-structured interviews were done to explore five students&rsquo, and the professor&rsquo, s judgements. Internal and external observations and filling out structure field-notes were also used as data triangulation in order to build the conceptual model. The main findings include that the application of knowledge and practice of skills in different environments are the most important skills attained with this service learning. Five key themes emerged from the data analysis, namely: application of knowledge, adaptation to different environments, improving communication with patients, assisting people and providing treatment with self-confidence. A recommendation is that Physical Therapy programs include workplace practice in different environments to enhance the development of professionalism among students.

Background Hemophilic arthropathy is characterized by loss of function and range motion. Fascial therapy mobilizes the connective tissue, intervening in the state of the injured fascial complex. Objectives The aim of this study is to assess the safety and effectiveness of a fascial therapy treatment in patients with hemophilic ankle arthropathy. Design Randomized clinical trial. Methods Sixty-five adult patients with hemophilia from 18 to 65 years of age were recruited. The intervention through fascial therapy lasted 3 consecutive weeks with a weekly session of 45 min each. The dependent variables were frequency of bleeding (selfregistration), ankle range of motion (goniometer) and lower limb functionality (6-Minute Walking Test). Three assess were made: baseline, posttreatment and after follow-up period. ANOVA of repeated measures was performed to compare both groups at the three assess time points. Bonferroni correction has been applied to control the error rate of the significance level. Results Improvements were found (p < 0.001) in terms of a reduced frequency of ankle hemarthrosis. Significant differences were found in the experimental group following intervention (p < 0.001), and when comparing baseline and follow-up assessments (p < 0.05) in all variables. The frequency of hemarthrosis (p = 0.04) and functionality (p = 0.01) improved in patients who received manual therapy as compared to the control group. Conclusions Fascial therapy achieves improvements in terms of frequency of hemarthrosis in patients with hemophilic ankle arthropathy. Ankle functionality improved in patients treated with manual therapy. This technique can improve ankle range of motion. Sin financiación 2.520 JCR (2020) Q2, 27/68 Rehabilitation 0.870 SJR (2020) Q1, 44/210 Physical Therapy, Sports Therapy and Rehabilitation No data IDR 2019 UEM

En este proyecto se implementa la realidad virtual y sistemas de captura de movimi ento humano aplicada a la p revención de riesgos laborales, ergonomía y análisis de posturas ergonómica s. Estas tecnologías permiten reproducir en un mundo virtual, las posturas de un trabajador realizando una tarea , observar detalladamente cada movimien to y analizar ángulos . El caso de estudio se cen trará en la manipulación de pacie ntes por personal enfermero . Se hará un estudio estadístico sob re una población de enfermeros. Cuya actividad consistirá en movilizar a un paciente de la camilla a la silla de ruedas sin ningún equipo de movilización y posteriormente efectuará la misma tarea utilizando una grúa . La captura de movimiento (también Mocap) es una forma de registrar digitalmente los movimientos humanos. Los datos de captura de movimiento grabad os se asignan en un modelo digit al en el software 3D ( Unity) para que el personaje digital se mueva como la persona que realiza los movimientos Facultad de Ciencias de la Empresa Universidad Politécnica de Cartagena

The purpose of this essay is to approach nursing praxis from an axiological and humanistic perspective, based on the philosophy of humanized care described by Watson Jean, in a dialogical discussion with Katherine Núñez (2017), where he understands the phenomenological and spiritual existential care; including for this a moral and ethical human action, typical of the nursing profession, also reaching a primordial therapeutic relationship between humans, based on respect and intersubjectivity. And the theory of moral development of Lawrence Kohlberg (1997), considering that psychological maturity and moral action do not necessarily parallel the biological maturation of the human being, so that the moral conscience follows a process of growth or maturity throughout of people's lives. Based on this, professional praxis should be framed with the demands and transformations of the world's health systems, therefore, training, continuous training, reflexivity and interreflexivity on the action of its practicality should be systematic, continuous and deep, aware that their action and interaction in a changing sociocultural environment is crucial to offer therapeutic help, in addition to restoring health and protecting life., El presente ensayo tiene como propósito abordar la praxis de enfermería desde una visión axiológica y humanista, basado en la filosofía del cuidado humanizado descrito por Watson Jean, en tertulia dialógica con Katherine Núñez (2017), donde comprende al cuidado desde lo existencial fenomenológico y espiritual; incluyendo para ello una acción humana moral y ética, propia de la profesión de enfermería, alcanzando además una relación terapéutica primordial entre humanos, basada en el respeto y la intersubjetividad. Y la teoría del desarrollo moral de Lawrence Kohlberg (1997), considerando que la madurez psicológica y acción moral no necesariamente van paralela a la maduración biológica del ser humano, por lo que la conciencia moral sigue un proceso de crecimiento o de madurez a lo largo de la vida de las personas. En base a ello, la praxis profesional debe ir enmarcada con las exigencias y las transformaciones de los sistemas de salud del mundo, por tanto, la formación, la capacitación continua, la reflexividad e interreflexividad sobre el accionar de su practicidad debe ser sistemático, continuo y profundo, consciente de que su actuación e interacción en un ámbito sociocultural cambiante es determinante para ofrecer ayuda terapéutica, además de restaurar la salud y proteger la vida.

Aims and objectives: To analyse link between empathy and emotional intelligence as a predictor of nurses' attitudes towards communication while comparing the contribution of emotional aspects and attitudinal elements on potential behaviour. Background: Nurses' attitudes towards communication, empathy and emotional intelligence are key skills for nurses involved in patient care. There are currently no studies analysing this link, and its investigation is needed because attitudes may influence communication behaviours. Design: Correlational study. Method: To attain this goal, self-reported instruments (attitudes towards communication of nurses, trait emotional intelligence (Trait Emotional Meta-Mood Scale) and Jefferson Scale of Nursing Empathy (Jefferson Scale Nursing Empathy) were collected from 460 nurses between September 2015-February 2016. Two different analytical methodologies were used: traditional regression models and fuzzy-set qualitative comparative analysis models. Results: The results of the regression model suggest that cognitive dimensions of attitude are a significant and positive predictor of the behavioural dimension. The perspective-taking dimension of empathy and the emotional-clarity dimension of emotional intelligence were significant positive predictors of the dimensions of attitudes towards communication, except for the affective dimension (for which the association was negative). The results of the fuzzy-set qualitative comparative analysis models confirm that the combination of high levels of cognitive dimension of attitudes, perspective-taking and emotional clarity explained high levels of the behavioural dimension of attitude. Conclusions: Empathy and emotional intelligence are predictors of nurses' attitudes towards communication, and the cognitive dimension of attitude is a good predictor of the behavioural dimension of attitudes towards communication of nurses in both regression models and fuzzy-set qualitative comparative analysis. In general, the fuzzy-set qualitative comparative analysis models appear to be better predictors than the regression models are. Relevance to clinical practice: To evaluate current practices, establish intervention strategies and evaluate their effectiveness. The evaluation of these variables and their relationships are important in creating a satisfied and sustainable workforce and improving quality of care and patient health. Sin financiación 1.757 JCR (2018) Q1, 28/120 Nursing 0.768 SJR (2018) Q1, 18/152 Nursing (miscellaneous); Q2, 836/2844 Medicine (miscellaneous) No data IDR 2018 UEV

La evolución de la profesión de enfermería ha desarrollado la figura del líder de unidad, convirtiéndola en fundamental. El estilo de liderazgo influye en el ambiente laboral y la satisfacción del personal, influyendo en el funcionamiento y la calidad de los cuidados que presta el personal de la unidad. Mediante una revisión bibliográfica, se analizan los estilos de liderazgo, las competencias que debe tener un líder de enfermería, la influencia sobre los factores estresantes y los elementos de satisfacción en el trabajo. Las publicaciones encontradas sobre los modelos usados en España evidencian cómo un buen líder influye sobre estos factores y afectan a la calidad asistencial. Asimismo la bibliografía ha mostrado experiencias en otros países y las maneras de afrontar estas situaciones donde el liderazgo de enfermería se está poniendo de relieve. The evolution of the nursing profession has developed the figure of the unit leader, making it fundamental. The leadership style influences the work environment and the satisfaction of the staff, influencing the functioning and the quality of the care provided by the staff of the unit. Through a literature review, leadership styles, the competencies that a nursing leader should have, the influence on stressors and the elements of job satisfactionare analyzed. The publications found on the models used in Spain show how a good leader influences these factors and affects the quality of care. Likewise, the bibliography has shown experiences in other countries and the ways to face these situations where nursing leadership is being highlighted. Sin financiación No data 2018 UEM

This study aimed to explore the reflective dialogues and processes that take place between preceptors and their nursing students and to examine how preceptors make use of their expert knowledge in order to enhance students' experiential learning during clinical placements. Two 30-h courses on reflective teaching were conducted. The study sample included 15 preceptors and 27 undergraduate nursing students. Data were collected during the course and during clinical placements at two X hospitals. Data collection included non-participatory observation and informal conversations with preceptors, in-depth interviews and focus groups. Preceptors used a series of strategies to promote experiential learning; these included creating links with practice, the use of examples, allowing students to adopt professional roles and enhancing autonomy. The value of preceptors is their wealth of professional experience, which is key during the learning process of nursing students. Preceptors must learn to master the art of questioning and stimulating reflective dialogues, in order to stimulate students' critical thinking and encourage them to resolve common problems that arise during practice. Students demand a more active role in their own learning processes. Sin financiación 1.665 JCR (2018) Q1, 29/118 Nursing 0.810 SJR (2018) Q1, 17/152 Nursing (miscellaneous), 218/1400 Education; Q2, 782/2844 Medicine (miscellaneous) No data IDR 2018 UEM

Sin financiación No data (2018) UEM

Esta investigación tiene como objetivo describir las experiencias que tienen los enfermeros profesionales que laboran en un servicio de urgencias donde la mayoría de paciente hacen parte de población habitantes de calle, mediante un estudio cualitativo fenomenológico descriptivo, identificando las experiencias positivas, negativas o neutrales. Dando así pautas para fortalecer la profesión de enfermería desde la formación y capacitación universitaria, reconociendo a los enfermeros como seres humanos a los cuales también vale la pena escuchar. This research aims to describe the experiences of professional nurses working in an emergency service where the majority of patients are part of the population living on the streets, through a descriptive phenomenological qualitative study, identifying positive, negative or neutral experiences. Giving guidelines to strengthen the nursing profession from university education and training, recognizing nurses as human beings, which are also worth listening to. RESUMEN ABSTRACT 1. MARCO DE REFERENCIA 1.1 Descripción del problema 1.2 Pregunta de investigación. 1.3 Justificación 1.3.1 Justificación social 1.3.2 Justificación Disciplinar 1.3.3 Justificación Teórica 1.4 Objetivo 1.4.1 General 1.4.2 Específicos 2. MARCO CONCEPTUAL 2.1 Experiencia de enfermería 2.2 Profesional de Enfermería 2.3 Cuidado de enfermería 2.4 Indigencia 2.5 Habitante de calle 3. MARCO METODOLÓGICO 3.1 Diseño 3.2 Técnica de recolección de la información 3.3 Análisis de la información 3.4 Criterios de Inclusión 3.5 Criterios de Exclusión 3.6 Criterios Éticos 3.7 Limitaciones del estudio 4. RESULTADOS 4.1 Características generales de los profesionales de enfermería 4.1.1 Género 4.1.2 Experiencia Laboral 4.1.3 Edad 4.2 Categorías emergentes del significado de las experiencias de brindar cuidado al habitante de calle. 4.2.1 Experiencia enriquecedora 4.2.2 Experiencia negativa 4.2.3 Experiencia habitual 4.2.4 Identificación de necesidades 5. CONCLUSIONES 6. RECOMENDACIONES BIBLIOGRAFÍA . Pregrado Profesional en Enfermería

Background Patient communication is a key skill for nurses involved in clinical care. Its measurement is a complex phenomenon that can be addressed through attitude evaluation. Objectives To develop and psychometrically test a measure of nurses' attitudes towards communication with patients (ACO), to study the relationship between these dimensions, and to analyse nursing attitudes. Design To develop and psychometrically test the ACO questionnaire. Settings All hospitals in the province of Valencia were invited by e-mail to distribute the ACO instrument. Ten hospitals took part in the study. Participants The study population was composed of a convenience sample of 400 hospital nurses on general or special services. The inclusion criteria were nurses at the selected centres who had previously provided an informed consent to participate. Methods A literature review and expert consultation (N = 10) was used to develop the content of the questionnaire. The 62-item version of the instrument was applied to a convenience sample of 400 nurses between May 2015 and March 2016. Factor structure was evaluated with exploratory and confirmatory factor analysis (EFA, CFA), and reliability was evaluated with Cronbach's alpha, composite reliability (CR), and average variance extracted (AVE). Results The final instrument (ACO), composed of 25 items grouped into three attitude dimensions (cognitive, affective and behavioural), had good psychometric properties. In the study sample, nurses had a favourable attitude towards communication. The cognitive and affective dimensions of the ACO should be able to predict the behaviour dimension. Conclusion The ACO is useful for evaluating current clinical practices, identifying educational needs and assessing the effectiveness of communication training or other interventions intended to improve communication. Sin financiación 2.442 JCR (2018) Q1, 9/118 Nursing, 10/41 Education, Scientific Disciplines 1.041 SJR (2018) Q1, 7/152 Nursing (miscellaneous), 134/1400 Education No data IDR 2018 UEV