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[Abstract] Background: Nurses play key roles as vaccination agents and frontline workers who deal with prejudice and misinformation. This study examined the attitudes and perceptions of nursing students regarding corona-virus disease 2019 (COVID-19) vaccination and its social and institutional management. Method: This qualitative study consisted of an exploratory phase involving first- and fourth-year nursing students and a second phase using the PhotoVoice tool SHOWED mnemonic method followed by discussion groups with second-year nursing students. Results: Three themes emerged: (1) hope tinged with fear; (2) too much information generating fear, uncertainty, and mistrust; and (3) leaders without recognition or voice. Conclusion: The results inform the body of knowledge in nursing science and enhance changes in clinical practice by providing new insights regarding the perceptions of nursing students on vaccination and its management, highlighting the need to train future nurses in health literacy and new ways to interact with community members.

[Resumen] Introducción: El cuidado de los hijos e hijas desde una perspectiva ocupacional requiere de destrezas físicas, cognitivas, emocionales y sociales. Los padres y madres con daño cerebral adquirido pueden ver afectado su desempeño ocupacional y sus roles a causa de las alteraciones ocasionadas por su lesión. Desde Terapia Ocupacional es escaso el estudio de la crianza en padres y madres con daño cerebral adquirido. Objetivo: Describir las necesidades ocupacionales vinculadas a las vivencias de padres y madres con daño cerebral adquirido en el cuidado de sus hijos e hijas y las potencialidades de una intervención desde Terapia Ocupacional. Metodología: Se ha empleado una metodología cualitativa desde un enfoque fenomenológico. La selección de las personas participantes se ha realizado mediante un muestreo intencional. Como método de recogida de datos se ha empleado la entrevista semiestructurada y técnicas observacionales. Resultados: Tras el análisis de los datos se obtuvieron las siguientes categorías: “Dificultades en las actividades de la vida diaria”, “Cambios conductuales y emocionales”, “Pérdida del rol de cuidador o cuidadora”, “Toma de decisiones” y “Desconocimiento y potencialidades de la intervención desde terapia ocupacional”. Conclusiones: Los padres y madres con daño cerebral adquirido experimentan dificultades en la crianza derivadas de las secuelas producidas por la lesión. Debido a estas dificultades, en algunos casos, los hijos e hijas de padres y madres con daño cerebral adquirido adoptan un rol de cuidadores., [Resumo] Introdución: O coidado dos fillos e fillas dende unha perspectiva ocupacional require de destrezas físicas, cognitivas, emocionais e sociais. Os pais e nais con dano cerebral adquirido poden ver afectado o seu desempeño ocupacional e os seus roles debido ás alteracións ocasionadas pola súa lesión. Dende Terapia Ocupacional é escaso o estudo da crianza en pais e nais con dano cerebral adquirido. Obxectivo: Describir as necesidades ocupacionais vinculadas ás vivencias de pais e nais con dano cerebral adquirido no coidado dos seus fillos e fillas e as potencialidades dunha intervención dende terapia ocupacional. Metodoloxía: Empregouse a metodoloxía cualitativa dende un enfoque fenomenolóxico. A selección das persoas participantes realizouse mediante unha mostraxe intencional. Como método de recollida de datos empregouse a entrevista semiestructurada e técnicas observacionais. Resultados: Tras a análise dos datos obtivéronse as seguintes categorías: “Dificultades nas actividades da vida diaria”, “Cambios conductuais e emocionais”, “Perda do rol de coidador ou coidadora”, “Toma de decisións” e “Descoñecemento e potencialidades da intervención dende terapia ocupacional”. Conclusións: Os pais e nais con dano cerebral adquirido experimentan dificultades na crianza derivadas das secuelas producidas pola lesión. Debido a estas dificultades, nalgúns casos, os fillos e fillas de pais a nais con dano cerebral adquirido adoptan un rol de coidadores., [Abstract] Introduction: Parenting from an occupational perspective requires physical, cognitive, emotional, and social skills. Parents with acquired brain damage may have their occupational performance and roles affected by the alterations caused by their injury. From occupational therapy, the study of parenting in parents with acquired brain damage is scarce. Objective: Describe the occupational needs linked to the parenting experiences of people with acquired brain damage and the potentialities of intervention from occupational therapy. Methodology: The qualitative methodology was used from a phenomenological approach. The selection of participants was carried out through intentional sampling. Semi-structured interviews and observational techniques were used as data collection methods. Results: After the data analysis, the following categories were obtained: “Difficulties in daily life activities”, “Behavioral and emotional changes”, “Loss of the role of caregiver”, “Decision making” and “Ignorance and potentialities of the intervention from occupational therapy”. Conclusions: Parents with acquired brain damage experience difficulties in parenting derived from the sequelae produced by the injury. Due to these difficulties, children of parents with acquired brain damage can sometimes adopt a caregiving role.

[Resumen] La profesión de la Terapia Ocupacional ha experimentado una creciente evolución y un constante cambio desde sus inicios. En este proceso continuo de expansión de la disciplina para crear modelos de intervención que se aproximen más a las necesidades ocupacionales de la población, las referencias culturales son una guía para tomar decisiones innovadoras en tiempos de cambio. En este trabajo se busca conocer como la creatividad junto con las diversas referencias culturales ayudan a las y los terapeutas ocupacionales a encontrar propuestas resolutivas a esas realidades., [Resumo] A profesión da Terapia Ocupacional experimentou unha crecente evolución e un constante cambio dende os seus inicios. Neste proceso continuo de expansión da disciplina para crear modelos de intervención que se aproximen máis ás necesidades ocupacionais da poboación, as referencias culturais son unha guía para tomar decisións innovadoras en tempos de cambio. Neste traballo búscase coñecer como a creatividade xunto cas diversas referencias culturais axudan ás e aos terapeutas ocupacionais a atopar propostas resolutivas a esas realidades., [Abstract] The profession of Occupational Therapy has experimented an increasing evolution and a constant change since its begginings. In this constant process of expansion of the discipline in order to create models of intervention which aproximates more to the occupational necessities of people, cultural references are a guide for making innovative decisions in times of change. The way creativity and diverse cultural references help occupational therapists to find resolutive submissions/proposals for these realities are searched for in this project.

[Abstract] Background: Abortion is one of the most common gynaecological procedures. It is related to personal, social, and economic reasons under a legal term that is recognised as a common sexual and reproductive right in most of countries. However, making the decision to abort is complex, because it is politicised and is often framed in public discourse related to moral or ethical issues beyond women's experiences. Therefore, it is subject to medical criteria, religious evaluations, and sociological analysis. Purpouse: The aim of this synthesis of qualitative studies was to synthesise the decision-making experiences of women who legally aborted. Research design and method: The Noblit and Hare's interpretive meta-ethnography was conducted, and it was written in accordance with the eMERGe meta-ethnography reporting guidance. Ten studies met the research objective and inclusion criteria, after a comprehensive systematic search strategy in five databases. Findings: The metaphor "The wrestling between why and what will happen next" and three themes emerged from the data analysis: (1) Forces that incite the arm wrestling; (2) Facing social stigma; and (3) Defeated by a greater rival. The metaphor provided interpretive experiences of the moral conflict experienced by women who decided to have an abortion and emerged from the confrontation of the reasons why they decided to abort and the social repercussions that making the decision entails. The result of the struggle was loneliness and vulnerability. Conclusion: The lines of action impact policy makers, the media, and health professionals. Actions should focus on the de-stigmatisation and normalisation of abortion, the use of appropriate language, and the training and sensitisation of health professionals.

[Abstract] Voluntary abortions are relatively frequent and their care is complex due to the social stigma that surrounds these losses. This interpretive meta-ethnography of 11 original qualitative articles aims to synthesize the moral experiences of nurses and midwives who cared for women and couples that decided to abort or terminate the pregnancy due to foetal abnormalities. Lines of argument synthesis emerged after reciprocal and refutational translations, together with the metaphor, 'Going with the flow or swimming against the tide'. Caring in these situations was an ethical dilemma when a conflict existed between their professional duty and their moral principles. In these instances, care was associated with a significant emotional cost. They did not feel sufficiently prepared or with adequate resources, which favoured avoidance behaviours. However, the feeling of professional duty was stronger than their prejudices, and they became engaged in caring. These results could improve knowledge, clinical practice and education, being a (highly) reasonable representation of the phenomenon of interest.

[Abstract] Background: Gender-based violence is a major public health problem. Healthcare providers' ability to identify this type of violence and support victims may be influenced by their knowledge, attitudes, and beliefs, which requires solid education. Objectives: To identify the gender-based violence attitudes and dating violence experiences of students in nursing and other health sciences. Design: A multicentre cross-sectional study was performed. Settings: This study was conducted in three faculties of the University of A Coruña, Spain. Participants: Participants were undergraduate students of nursing, podiatry, occupational therapy, and physiotherapy. Methods: The Attitudes towards Gender and Violence Questionnaire and the Dating Violence Questionnaire were used from October 2019 to March 2020. Descriptive and inferential statistics were calculated to determine associated factors and identify differences in gender-based violence attitudes and dating violence experiences between sexes and degrees. Results: Data from 459 students were analysed, of whom 180 (39.2 %) studied nursing. The mean age was 20.9 (SD = 3.6) and 76.0 % were women. Statistically significant differences were obtained in attitudes towards gender-based violence according to sex where men displayed more sexist attitudes and violence justification. Results showed a significant difference in attitudes regarding the biological usefulness of sexism and violence between students of nursing and other health sciences. 61.9 % of students had experienced one or more abusive behaviours in relationships; no significant differences were detected according to the degree. However, male students experienced dating violence more often than females. It was observed that students who had suffered dating violence showed greater agreement with sexist attitudes that justify violence. Conclusion: Students of health sciences, particularly males and nursing students, show sexist attitudes that justify gender-based v

[Abstract] Introduction: Men can express different responses after pregnancy loss. This loss can interfere with their expectation of parenthood, new life, and future hopes. Expectations from the social construction of gender can encourage them to maintain an image that contradicts their actual feelings. This can lead to isolation, distancing, and difficulties in seeking support. The scarcity and low representation of men in previous studies makes research that captures the complexity of their experience necessary. The aim of this study was to explore how men confront the suffering caused by pregnancy loss. Methods: This study is part of a larger research project focusing on the experiences of parents and midwives following pregnancy loss. In this study, 22 cisgender and white heterosexual men who experienced pregnancy losses participated in semistructured interviews. Data were analyzed iteratively using constructivist grounded theory methods. Results: The substantive theory of double-layer masking of suffering emerged as way to explain the confrontation of suffering after pregnancy loss from the male perspective. The themes, (1) suffering beyond physical loss, (2) rationalization in the search for meaning, and (3) keeping a façade with others, show the impact that this loss had on men, which was masked by the meaning they gave to the situation and by its social expression. Discussion: The findings provide a theoretical conceptualization of the masking these men use to deal with the suffering they experienced from this situation. These aspects provide reasons for including these individuals in the assistance given by midwives after a pregnancy loss. Collaboration between specialized and primary care, along with staff training and support, is necessary for the provision of couple-centered care after pregnancy loss.

[Abstract] Nursing staff plays a key role in the public health response to the COVID-19 pandemic, being in the front line of care. This study sought to synthesise the qualitative literature on care experiences of frontline nurses during the COVID-19 pandemic. A search was conducted on five databases in January 2021. Fifteen qualitative studies met the inclusion criteria and were included in the research, being submitted to interpretive meta-synthesis according to the eMERGe guide. The final synthesis included a line of argument that shows the experiences of frontline nurses during the COVID-19 pandemic, divided into three major themes: 'Instability on the edge of a cliff: unpredictable and unknown context,' 'The price of walking the tightrope: the uncertainty surrounding care,' and 'Finding the balance to reach the other side: dealing with the emotional demands of care.' Although essential in the health response to the COVID-19 pandemic, nurses experienced an emotional impact arising from the hampered care provision. Our results point to need for strengthening the training of nurses and future nurses, creating and promoting measures that contribute to their psycho-emotional well-being, ensuring a safe environment for their clinical practice, and promoting their participation in decision-making processes.

[Abstract] Objectives: To synthesise the experience of nursing students in their final years regarding high-fidelity simulation in acute and critical care. Background: For the complex and changing healthcare environment, new tools are required to help health students, educational staff and managers to design and present rewarding educational simulations. Due to the complexity and limited learning opportunities in real settings, high-fidelity simulation enables students to acquire skills for the provision of acute and critical care in a controlled environment that closely imitates reality; however, the literature on students' learning experiences with this education methodology is still limited. Design: This study followed Noblit and Hare's interpretive meta-ethnography, which was written and reviewed for reporting clarity against the EQUATOR checklist using the eMERGe. Data sources: A comprehensive systematic search strategy was carried out in five databases: PubMed, Scopus, CINAHL, Web of Science and PsycINFO. Review methods: Ten studies met the research objective and inclusion criteria. Results: The metaphor 'Cultivating learning in vitro' and four themes were developed to describe the learning experiences of nursing students regarding high-fidelity simulation in acute and critical care. The themes were as follows: Learning roots-Ways to learn during high-fidelity simulation; Learning stimulants-Elements that favour learning; Learning impairments-Elements that hinder learning; and Learning flourishing-Results after high-fidelity simulation. Conclusions: Seeing, doing and reflecting constituted the main sources of learning. Students identified the stimulating and debilitating aspects of learning which could help in the design of simulation sessions and promote their incorporation into nursing curricula. Finally, 'the flowering of the plant' represents the learning outcomes developed in a controlled and safe environment. Relevance to clinical practice: The results o

[Abstract] Background: Parents who experience involuntary pregnancy loss encounter nurses and midwives when requiring care. But the environment in which this attention is provided turns it into a stressful and challenging event that favours the concealment of emotions. Literature supports the development of compassion in nurses and midwives who tend to parents who experience pregnancy losses. Aim: To synthesise the emotional experiences of midwives and nurses when caring for parents who have suffered an involuntary pregnancy loss. Method: This is a synthesis of qualitative studies following Noblit and Hare's interpretive meta-ethnography. Eleven studies met the research objective and inclusion criteria. Results: An overarching metaphor, 'Unravelling the grief of loss', accompanied by four major themes provided interpretive explanations to the experiences of midwives and nurses in caring for involuntary pregnancy losses: 'Pulling the thread' - looking for the meaning of loss; 'Yarn entanglement degree' - determinants for grief expression; 'Detangling tools' - focusing on the loss; and 'Fraying the thread' - moving away from the loss. Discussion: The provision of whole care to these parents requires midwifery and nursing training and continued education. Furthermore, the organisational culture should prioritise the health and well-being of midwives and nurses. Conclusion: Midwives and nurses encounter the parents' loss in care and personally in various ways and give meaning to the loss conditioned by personal and professional determinants. They unravel the grief of loss by looking for the meaning, expressing their grief, focusing and moving away from the loss.

[Abstract] A generic qualitative research, using a poststructuralist feminist perspective, was conducted in a Spanish gynaecology unit with the following aims: (a) to analyse how asymmetric power relations in relation to biomedical knowledge and gender shape the medical encounters between gynaecologists and women diagnosed with cervical intraepithelial neoplasia and (b) to explore the cognitive, moral, and emotional responses expressed by patients. A total of 21 women diagnosed with cervical intraepithelial neoplasia were recruited through purposive sampling. Semi-structured interviews were recorded and transcribed, and a thematic analysis was carried out. Two major themes were identified: (a) gendered relations in cervical intraepithelial neoplasia medical encounters are based on hidden, judgmental moral assumptions, making women feel irresponsible and blamed for contracting the human papillomavirus infection; (b) biomedical power is based on the positivist assumption of a single truth (scientific knowledge), creating asymmetric relations rendering women ignorant and infantilised. Women reacted vehemently during the interviews, revealing a nexus of cognitive, moral, and emotional reactions. In medical encounters for management of cervical intraepithelial neoplasia, patients feel they are being morally judged and given limited information, generating emotional distress. Healthcare professionals should question whether their practices are based on stereotypical gender assumptions which lead to power asymmetries during encounters.

[Abstract] Health professionals play an important role in addressing parents who are hesitant or reluctant to immunise their children. Despite the importance of this topic, gaps remain in the literature about these experiences. This meta-ethnography aimed to synthesise the available body of qualitative work about the care experiences of community and hospital health professionals in encounters with parents hesitant or reluctant to vaccinate their children. The aim is to provide key information for the creation of strategies that address vaccine hesitancy or refusal and ensure public trust in vaccination programs, which are required in a pandemic context such as the current one. (2) Methods: Noblit and Hare’s interpretive meta-ethnography of 12 studies was followed. A line of argument synthesis based on a metaphor was developed. (3) Results: The metaphor “The stone that refuses to be sculpted”, accompanied by three themes, symbolises the care experiences of health professionals in their encounters with parents that hesitate or refuse to vaccinate their children. (4) Conclusions: The creation of clearer communication strategies, the establishment of a therapeutic alliance, health literacy and the empowerment of parents are recommended. The incorporation of health professionals in decision making and the strengthening of multidisciplinary teams interacting with such parents are also included

[Resumen] Entre las actividades académicas de la asignatura "Microbiología y Parasitología" de Grado en Podología se incluyó una visita guiada a la depuradora de aguas residuales de A Coruña. El objetivo de este trabajo es presentar una metodología de investigación acción participativa para evaluar la pertinencia de la actividad docente. Se ha implementado el uso de diferentes pasos de fotovoz que fomenta la participación de la comunidad estudiantil a través de la fotografía y facilita la reflexión crítica sobre una realidad concreta, con el objetivo final de ser colectivamente conscientes. Cuarenta y tres estudiantes universitarios de edad comprendida entre los 18 y 45 años (edad media 22,9) presentaron foto en color y reflexiones sobre ella en su informe individual. Los resultados se obtuvieron del análisis cualitativo de las fotografías, las narraciones del informe, y la transcripción del grupo de discusión posterior realizado en clase. Se identificaron ocho categorías principales que emergieron de los datos. Consideramos muy positiva la aplicación de esta metodología cualitativa para complementar actividades formativas que se realizan en entorno real y que implican acciones con consecuencias para la comunidad. Fotovoz se puede considerar eficaz para introducir contenido transversal de sostenibilidad en los currículos de campus verdes., [Abstract] Among the academic activities of the subject "Microbiology and Parasitology" of Degree in Podiatry, a guided visit to the wastewater treatment plant of A Coruña was included. The objective of this work is to present a participatory action research methodology to evaluate the relevance of the above teaching activity. The use of different photovoice steps was implemented. Photovoice encourages the participation of the student community through photography and facilitates critical reflection on a specific reality, with the ultimate goal of being collectively aware. Forty-three university students aged between 18 and 45 years (average age 22.9) presented a color photo and reflections on it in their individual report. The results were obtained from the qualitative analysis of the photographs, the narratives of the report, and the transcription of the subsequent discussion group conducted in class. Eight main categories that emerged from the data were identified. We consider the application of this qualitative methodology to complement teaching assignments very positive. Especially, for those activities that are carried out in a real environment and that involve actions with consequences for the community. Photovoice can be considered effective in introducing transversal sustainability content in green campus curricula.

[Abstract] The pregnancy loss -involuntary pregnancy loss and termination of pregnancy for foetal anomaly- and neonatal death cause a varied, dynamic and highly individualized response in parents. Literature recognizes the special characteristics of these losses, due to the multiple losses that such a process entails for parents. However, the stigma surrounding these losses means that they are considered taboo losses and that they are silenced and made invisible in social and health settings. The care provided by health professionals, and especially nurses and midwives, is crucial to the short- and long-term well-being of parents. However, healthcare professionals report being poorly prepared and how stressful and emotional demanding it is to provide care for parents who have suffered these losses. This care is often superficial and based on the performance of procedures. Aims: This doctoral thesis is made up of two main axes. First, to know the experiences of parents in coping with pregnancy or perinatal losses and, later, to know the experiences of midwives and nurses in caring for parents who have suffered an involuntary loss of pregnancy. Methodology: This doctoral thesis is composed of 4 qualitative research studies, of which an empirical study and a meta-ethnography were developed for each objective. Regarding the first aim, 16 Spanish women who suffered an involuntary loss of pregnancy have been interviewed through a grounded theory study and a meta-ethnography of 14 qualitative studies has been carried out to XXVI Abstract synthesize the research results regarding the coping experiences of parents after pregnancy and neonatal losses. For the second objective, a metaethnography was also carried out, which included ten primary qualitative studies to discover the experiences of midwives and nurses in caring for parents who have suffered an involuntary pregnancy loss. In addition, an interpretive phenomenological study was conducted in which 11 primary care midw, [Resumen] La pérdida del embarazo -pérdidas involuntarias y terminaciones del embarazo debido a anomalías fetales- y la muerte neonatal generan una respuesta variada, dinámica y altamente individualizada en los padres. La investigación reconoce las características especiales de estas pérdidas, por las múltiples pérdidas que conlleva para los padres. Sin embargo, el estigma que rodea a estas pérdidas hace que se consideren pérdidas tabúes y que se silencien e invisibilicen en los entornos sociales y sanitarios. El cuidado de los profesionales sanitarios, y en especial de enfermeras y matronas, es crucial para el bienestar a corto y largo plazo de los padres. No obstante, los profesionales sanitarios informan lo poco preparado que se encuentran y de lo estresante y exigente que resulta el cuidado de estas pérdidas. Diversas dificultades a la hora de cuidar generan que a menudo este cuidado sea superficial y basado en la realización de técnicas. Objetivos: Esta tesis doctoral se compone de dos ejes principales. Primero, conocer las experiencias de los padres en el afrontamiento de las pérdidas del embarazo o perinatales y, posteriormente, conocer las experiencias de las matronas y enfermeras en el cuidado de padres que han sufrido una pérdida involuntaria del embarazo. Metodología: Esta tesis doctoral está compuesta de 4 estudios de investigación cualitativa, de los cuales un estudio empírico y una meta-etnografía fueron desarrollados para cada objetivo. Para responder al primero, se ha se han XXVIII Resumen entrevistado a 16 mujeres españolas que sufrieron una pérdida involuntaria del embarazo mediante un estudio de teoría fundamentada y se ha llevado a cabo una meta-etnografía de 14 estudios cualitativos para sintetizar los resultados de investigación respecto a las experiencias de afrontamiento de los padres tras las pérdidas del embarazo y neonatales. Para el segundo objetivo, también se ha realizado una meta-etnografía que incluyó diez estudios cualitativos primar, [Resumo] A perda do embarazo -perdas involuntarias e a terminación do embarazo por anormalidades fetais- e a morte neonatal xeran unha resposta variada, dinámica e altamente individualizada nos pais. A investigación recoñece as características especiais destas perdas debido ás múltiples perdas que supón para eles. Sen embargo, o estigma en torno a estas perdas xera que se consideren perdas tabús e que se silencien e que non se visibilicen nos ámbitos sociais e sanitarios. O coidado dos profesionais sanitarios, e especialmente das enfermeiras e matronas, é crucial para o benestar dos pais a curto e longo prazo. Non obstante, os profesionais sanitarios informan do pouco preparados que están e do estresante e esixente que é coidar destas perdas. Varias dificultades á hora de coidar xeran que este coidado a miúdo sexa superficial e baseado na realización de técnicas. Obxectivos: Esta tese doutoral componse de dous eixes principais. En primeiro lugar, coñecer as experiencias dos pais no afrontamento das perdas do embarazo ou perinatais e, posteriormente, coñecer as experiencias das matronas e enfermeiras no coidado dos pais que sufriron unha perda involuntaria do embarazo. Metodoloxía: Esta tese doutoral está composta por 4 estudos cualitativos de investigación, dos cales un estudo empírico e unha meta-etnografía foron elaborados para cada obxectivo. Para responder ao primeiro, entrevistáronse 16 mulleres españolas que sufriron unha perda involuntaria de embarazo a través dun estudo de teoría fundamenta e realizouse unha meta-etnografía de 14 estudos cualitativos para sintetizar os resultados da investigación sobre o afrontamento dos pais trala perda do embarazo ou dun bebé. Para o segundo obxectivo, tamén se levou a cabo unha meta-etnografía, que incluíu dez estudos cualitativos primarios para coñecer as experiencias das matronas e enfermeiras no coidado de perdas involuntarias do embarazo. Ademais, fíxose un estudo fenomenolóxico interpretativo no que se entrevistaron

[Resumo] Obxectivo: explorar as experiencias das mulleres diagnosticadas de neoplasia intraepitelial cervical (NIC) relativas ao proceso de asistencia sanitaria. Metodoloxía: realizouse un estudo cualitativo xenérico utilizando unha perspectiva post-estructuralista do manexo clínico do risco nunha Unidade de Xinecoloxía dun hospital público do Servizo Galego de Saúde (España). A mostra, seleccionada mediante mostraxe intencionada, consistiu en 21 mulleres con idades entre 21 e 52 anos e confirmación diagnóstica de NIC. As entrevistas semiestructuradas graváronse e transcribíronse e se levou a cabo unha análise cualitativa inductiva-deductiva de datos. Resultados: identificáronse dous temas: (a) experiencias das mulleres con NIC con relación ao proceso de atención realizado polos profesionais sanitarios de Atención Primaria y Especializada, e (b) consecuencias da vixilancia médica de NIC na vida persoal e social das mulleres. Conclusións: a información proporcionada ás mulleres era limitada, o que dificultaba que comprenderan e participasen na toma de decisións relativa á vixilancia médica e ao tratamento de NIC. Os/as xinecólogos/as trivializaban os cambios que as mulleres debían levar a cabo e subestimaban os efectos que as recomendacións médicas tiñan sobre o seu benestar persoal e as súas relacións sociais., [Resumen] Objetivo: explorar las experiencias de las mujeres diagnosticadas de neoplasia intraepitelial cervical (NIC) relativas al proceso de asistencia sanitaria. Metodología: se ha realizado un estudio cualitativo genérico utilizando una perspectiva post-estructuralista del manejo clínico del riesgo en una Unidad de Ginecología de un hospital público del Servizo Galego de Saúde (España). La muestra, seleccionada mediante muestreo intencional, consistió en 21 mujeres con edades entre 21 e 52 años y confirmación diagnóstica de NIC. Las entrevistas semiestructuradas se grabaron y transcribieron. Se llevó a cabo un análisis cualitativo inductivo-deductivo de datos. Resultados: se identificaron dos temas: (a) experiencias de las mujeres con NIC con relación al proceso de atención realizado por los profesionales sanitarios de Atención Primaria y Especializada, y (b) consecuencias de la vigilancia médica de NIC en la vida personal y social de las mujeres. Conclusiones: la información proporcionada a las mujeres era limitada, lo que dificultaba que comprendieran y participasen en la toma de decisiones con respecto a la vigilancia médica y el tratamiento de NIC. Los/as ginecólogos/as trivializaban los cambios que las pacientes debían llevar a cabo y subestimaban los efectos que las recomendaciones médicas tenían sobre el bienestar personal y las relaciones sociales de estas mujeres., [Abstract] Objective: To explore the experiences of women diagnosed with cervical intraepithelial neoplasia (CIN) related to their health care process. Methodology: A generic qualitative study using a poststructuralist perspective of risk management was carried out in a gynecology clinic in a public hospital of the Galician Health Care System (Spain). Participants were selected through purposive sampling. The sample consisted of 21 women, aged 21 to 52 years old, with a confirmed diagnosis of CIN. Semi-structured interviews were recorded and transcribed. An inductive-deductive qualitative data analysis was carried out. Results: Two themes were identified: (a) experiences of women diagnosed with CIN in relation to the health care process carried out by the health professionals of primary care and specialized care, and (b) effects of medical surveillance on the personal and social lives of women undergoing CIN follow-up and treatment. Conclusions: The information given to women diagnosed with CIN is limited, which makes it difficult for them to understand and participate in the decision making regarding the prevention and treatment of CIN. CIN medical surveillance performed by gynecologists simultaneously trivializes the changes expected of patients and underestimates the effects of medical recommendations on patients’ personal wellbeing and social relations.

[Abstract] Objective: To illuminate the experiences of primary healthcare midwives who care for parents who have suffered an involuntary pregnancy loss. Design: The phenomenological hermeneutic approach developed by Lindseth and Norberg was used to carry out narrative interviews. Setting and participants: A purposive sample of 11 public primary healthcare midwives from a municipality in northern Spain, was selected. The participants' ages ranged between 26 and 62 years, and they were all women. Findings: Four main themes were identified: (1) handling adversity, (2) finding a motive to get involved, (3) providing care from the rear, and (4) avoiding emotional connections with the parents. For the midwives, caring for parents who had suffered an involuntary pregnancy loss meant leaving their own comfort zone and handling adversity. They described acting in different ways such as going beyond task-focused care, following their intuition or avoiding encounters with the parents. Conclusions: More knowledge and preparation in terms of communication skills and bereavement is crucial for midwives in order to meet the needs of parents who have suffered an involuntary pregnancy loss. A caring organizational culture and supportive leadership will facilitate care continuity between specialized and primary healthcare and promote the welfare of midwives.

[Abstract] Objective: design and validate a questionnaire to evaluate the knowledge and attitudes of nurses about the subcutaneous venous reservoir. Method: pilot test: 30 specialized care nurses. Main study: 236 nurses of primary and specialized care. Content validity was evaluated by Lawshe index, reliability by test-retest, internal consistency by Cronbach alpha, and construct validity by exploratory factorial analysis. Results: Items with a Lawshe index lower than 0.51 were eliminated. In the test-retest, the intraclass correlation coefficient was higher than 0.75 for all items. The Cronbach alpha of the attitude questionnaire reached 0.865. The Cronbach alpha value for knowledge was 0.750. The exploratory factor analysis identified a set of four dimensions for each part that explain 64% (attitude) to 80% (knowledge) of variability. Conclusion: the analysis of the reliability and validity of the questionnaire supports its use as an instrument to assess the knowledge and attitudes of nurses towards the subcutaneous venous reservoir.