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The information received by patients about the severity of their condition, the type of tests to be performed, or the average waiting time in the service are factors that influence their degree of satisfaction and, therefore, their possible anger and/or aggressiveness. Users' discomfort can sometimes lead to violence towards health workers, and this, in turn, can lead to the commonly associated physical and psychological consequences. Our main objective is to explore the relationship between the waiting time, patients' perceived satisfaction with the service, as well as the other variables under study. We used a cross-sectional design was used to evaluate 320 hospital patients in the Region of Murcia (Spain). Our indicate that receiving information about their process, waiting time until the doctor's consultation, the degree of satisfaction with the professional, and the resolution of the doubts are predictors of the degree of overall patient satisfaction with the clinical experience., La información recibida por los pacientes sobre la gravedad de su condición, el tipo de pruebas a realizar o el tiempo promedio de espera en el servicio son factores que influyen en el grado de satisfacción. La incomodidad de los usuarios a veces puede conducir a la violencia hacia los trabajadores de salud, y esto, a su vez, a las consecuencias físicas y psicológicas comúnmente asociadas. Nuestro objetivo es explorar la relación entre el tiempo de espera, la satisfacción del paciente con el servicio y otras variables de interés. Se utilizó un diseño transversal para evaluar a 320 pacientes hospitalarios en la Región de Murcia (España). Los resultados indican que recibir información sobre su proceso, el tiempo de espera hasta la consulta, el grado de satisfacción con el profesional y la resolución de dudas son predictores del grado de satisfacción general del paciente con la experiencia clínica.

Background: Workplace violence is a growing social problem among many professions, but it particularly affects the health sector. Studies have mainly focused on evaluating user violence toward health professionals, with less attention being paid to other sources of conflict, such as co-workers themselves. There are different manifestations of this violence in what has been called a context of tolerated or normalized violence among co-workers. However, its effects are far from being tolerable, as they have an impact on general health and job satisfaction and contribute to burnout among professionals. Based on this idea, and following the line of the previous literature, nursing staff are a population at high risk of exposure to workplace violence. For this reason, the present study aims to evaluate exposure to lateral violence or violence among co-workers in nursing staff in public health services and the relationship of this exposure with some of the most studied consequences. (2) Methods: A cross-sectional associative study was carried out in which scales of workplace violence (HABS-CS), burnout (MBI-GS), job satisfaction (OJS), and general health (GHQ-28) were applied to a sample of 950 nursing staff from 13 public hospitals located in the southeast of Spain. (3) Results: The results show that nursing staff have a high exposure to violence from their co-workers, which is more common in male nurses. Greater exposure is observed in professionals with between 6 and 10 years of experience in the profession, and it is not characteristic of our sample to receive greater violence when they have less experience or are younger. A positive correlation is observed with high levels of burnout and a negative correlation with general health and job satisfaction. (4) Conclusions: The results of this work contribute to increasing the scientific evidence of the consequences of a type of workplace violence frequent among nursing staff and to which less attention has been paid in relative terms to other types of prevalent violence. Organizations should be aware of the importance of this type of workplace violence, its frequency and impact, and implement appropriate prevention policies that include the promotion of a culture that does not reward violence or minimize reporting. A change of mentality in the academic environment is also recommended in order to promote a more adequate training of nursing staff in this field.

Screening for alcohol consumption in adolescents is widely justified in the health care field because of the particular vulnerability of this population, which starts drinking alcohol at a very early age and frequently consumes high levels of the same. Hospital emergency departments (ED) could be a good venue to manage early detection and carry out brief intervention (BI) programmes.The aim of this study was to identify perceived barriers for medical staff of three hospitals in Spain to successfully implement a protocol for alcohol detection and BI for minors in the ED.Exploratory qualitative analysis using focus groups with semi-structured, flexible and open-ended questions to explore beliefs, attitudes, and barriers perceived by professionals to screening alcohol consumption and implementing BI in adolescents attended at the ED.The main perceived barriers by health professionals were lack of time, work overload, mistrust, lack of validated and simple screening tools, lack of training/awareness and legal concerns about informed consent and confidentiality.Barriers to screening and intervention in ED are similar to those described previously. It is necessary to improve organization of time allocated for medical consultations, avoid limiting ED resources, motivate staff and provide appropriate training.Introducción: El cribado de consumo de alcohol en menores está ampliamente justificado en el ámbito sanitario por la evidencia epidemiológica de consumo y por la especial vulnerabilidad de este colectivo, que además se inicia a edades muy tempranas e ingiere grandes cantidades. Los servicios de urgencias (ED) podrían ser un entorno donde realizar la detección precoz e implementar una intervención breve (IB) por parte de los profesionales. Objetivo: El objetivo de este estudio es conocer las barreras percibidas por los profesionales sanitarios para implantar con éxito en los servicios de urgencias hospitalarios un protocolo de detección e IB en menores. Material y métodos: Análisis cualitativo exploratorio mediante grupos focales con preguntas semiestructuradas, flexibles y abiertas para conocer las creencias, actitudes y barreras percibidas por los profesionales de los centros donde se desarrollará un proyecto de cribado de consumo de alcohol e IB en adolescentes que acuden a Urgencias. Resultados: Las principales barreras percibidas fueron falta de tiempo, sobrecarga de trabajo, desconfianza en la sinceridad de las respuestas, necesidad de protocolos estandarizados de trabajo, desconocimiento de herramientas de cribado validadas y sencillas, falta de entrenamiento/concienciación y dudas médico-legales sobre el consentimiento informado y la confidencialidad del menor. Conclusiones: Las barreras percibidas para implementar la herramienta de cribado e IB son similares a las descritas por otros autores y sería necesario mejorar la organización de los circuitos asistenciales, no limitar los recursos dedicados a la atención en urgencias y favorecer la motivación y la formación de los profesionales.

The purpose of this study is to analyze the prevalence and association between victimization and substance use among the university population in the southeast of Spain in a sample of 543 randomly selected college students (405 females and 138 males with an average age of 22.6 years). As a cross-sectional study, data was collected through an anonymous survey to assess victimization and drug use over the last 12 months. Results indicated that 62.2% of college students reported bullying victimization and 82.9% consumed some type of psychoactive substance, and found a statistically significant association between both variables measured. Additionally, logistic regression analysis confirmed the association between psychoactive substance use and different types of victimization. Our findings confirm the need for prevention to prevent this relation between victimization and substance use.Este estudio tiene como objetivo analizar la prevalencia y la asociación entre victimización y consumo de sustancias psicoactivas entre la población universitaria en el sureste de España en una muestra de 543 estudiantes universitarios seleccionados aleatoriamente (405 mujeres y 138 hombres con una media de edad de 22,6 años). Estudio transversal analítico, la recogida de los datos se llevó a cabo por medio de una encuesta anónima que recogía información acerca de victimización y consumo de drogas durante los últimos 12 meses. Los resultados muestran que un 62,2% de los estudiantes había sufrido algún tipo de victimización y un 82,9% había consumido alguna sustancia psicoactiva, con una asociación estadísticamente significativa entre ambas variables analizadas. Además, el análisis de regresión logística mostró que el consumo de sustancias psicoactivas se relacionaba con diferentes tipos de victimización. Nuestros hallazgos confirman la necesidad de implementar programas para prevenir la relación entre victimización y consumo de sustancias.

Background: Screening for alcohol consumption in adolescents is widely justified in the health care field because of the particular vulnerability of this population, which starts drinking alcohol at a very early age and frequently consumes high levels of the same. Hospital emergency departments (ED) could be a good venue to manage early detection and carry out brief intervention (BI) programmes. Objectives: The aim of this study was to identify perceived barriers for medical staff of three hospitals in Spain to successfully implement a protocol for alcohol detection and BI for minors in the ED. Methods: Exploratory qualitative analysis using focus groups with semi-structured, flexible and open-ended questions to explore beliefs, attitudes, and barriers perceived by professionals to screening alcohol consumption and implementing BI in adolescents attended at the ED. Results: The main perceived barriers by health professionals were lack of time, work overload, mistrust, lack of validated and simple screening tools, lack of training/awareness and legal concerns about informed consent and confidentiality. Conclusions: Barriers to screening and intervention in ED are similar to those described previously. It is necessary to improve organization of time allocated for medical consultations, avoid limiting ED resources, motivate staff and provide appropriate training.

Este estudio tiene como objetivo analizar la prevalencia y la asociacion entre victimizacion y consumo de sustancias psicoactivas entre la poblacion universitaria en el sureste de Espana en una muestra de 543 estudiantes universitarios seleccionados aleatoriamente (405 mujeres y 138 hombres con una media de edad de 22,6 anos). Estudio transversal analitico, la recogida de los datos se llevo a cabo por medio de una encuesta anonima que recogia informacion acerca de victimizacion y consumo de drogas durante los ultimos 12 meses. Los resultados muestran que un 62,2% de los estudiantes habia sufrido algun tipo de victimizacion y un 82,9% habia consumido alguna sustancia psicoactiva, con una asociacion estadisticamente significativa entre ambas variables analizadas. Ademas, el analisis de regresion logistica mostro que el consumo de sustancias psicoactivas se relacionaba con diferentes tipos de victimizacion. Nuestros hallazgos confirman la necesidad de implementar programas para prevenir la relacion entre victimizacion y consumo de sustancias.

La alfabetización en salud (AES), traducción del termino inglés health literacy, es un conceptocomplejo introducido en los 70 en el mundo anglosajón, que cada día va ganando masreconocimiento entre la comunidad científica internacional. Existen multitud de definiciones deltérmino en inglés y diversas traducciones al castellano de health literacy. Entre las másconocidas y utilizadas se encuentra la que recoge la OMS en su glosario de términos de saludpública que la define como “las habilidades sociales y cognitivas que determinan el nivel demotivación y la capacidad de una persona para acceder, entender y utilizar la información deforma que le permita promover y mantener una buena salud”. Sin embargo, a pesar de launanimidad sobre su importancia, no hay una definición unánimemente aceptada del conceptode alfabetización en salud, y sus dimensiones constitutivas siguen siendo objeto decontroversia, así como tampoco hay un consenso sobre qué instrumento es el más adecuadopara medirla (Sørensen et al., 2011; Baker, 2006).