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RESUMEN Introducción. La Organización Mundial de la Salud considera la violencia de género como un grave problema de salud pública. Una de cada cuatro mujeres entre 15 y 49 años ha sufrido violencia de género a lo largo de su vida desde los 15 años, esto conlleva graves consecuencias para la salud no solo de las mujeres sino también de sus hijas e hijos. Desde la Organización Sanitaria Integrada Bilbao-Basurto y la Universidad del País Vasco existe el compromiso de dar respuesta a este importante problema a través de la implementación de la Guía de Buenas Prácticas: El maltrato contra las mujeres: cribado, identificación y respuesta inicial. Objetivo. Reflexionar acerca del proceso de implementación en los ámbitos asistencial y académico de la guía de buenas prácticas clínicas sobre “El maltrato contra las mujeres de la Registered Nurses’ Association of Ontario RNAO: cribado, identificación y respuesta inicial. Temas de reflexión. En este artículo se abordarán dos temas de reflexión: 1) Descripción de la metodología de implementación. 2) Descripción de cada una de las fases, tanto en el ámbito clínico como académico. Conclusiones. La Guía de Buenas prácticas “El maltrato contra las mujeres de la RNAO: cribado, identificación y respuesta inicial”, presenta una herramienta útil para la implementación de buenas prácticas en los sistemas sanitarios que ayudan a la lucha contra la violencia de género. Las enfermeras y otros profesionales de la salud se encuentran en una posición privilegiada para ayudar a las mujeres que sufren abuso/violencia de su pareja íntima. Palabras clave: Violencia de Género; Centros de Salud; Enfermeras y Enfermeros; Personal de Salud; Guía de Práctica Clínica ABSTRACT Introduction. The World Health Organization considers gender-based violence to be a severe public health problem. One in four women between 15 and 49 years of age has suffered gender-based violence in her lifetime since the age of 15. It has severe consequences for the health not only of women but also of their children. The Bilbao-Basurto Integrated Health Organization and the University of the Basque Country are committed to responding to this critical problem through the implementation of the Good Practice Guide: Abuse against Women: Screening, identification, and initial response. Objective. To reflect on the process of implementation of the good clinical practice guide on “Abuse against women in the RNAO: screening, identification and initial response”. Reflection topics. This article will address two topics for reflection: 1) Description of the implementation methodology. 2) Description of each of the phases, both clinically and academically. Conclusions. The RNAO Good Practice Guide: “RNAO Woman Abuse: Screening, identification and initial response”, presents a useful tool for implementing exemplary practices in health systems that help in the fight against gender-based violence. Nurses and other health professionals are in a privileged position to assist women in the fight agains t gender-based violence. Keywords: Gender-Based Violence; Community Health Centers; Nurses; Health Personnel; Practice Guideline RESUMO Introdução. A Organização Mundial da Saúde considera a violência de gênero um grave problema de saúde pública. Uma em cada quatro mulheres entre 15 e 49 anos de idade sofreu violência de gênero durante a vida, desde os 15 anos. Ela tem sérias consequências para a saúde não apenas das mulheres, mas também de seus filhos. A Organização Integrada de Saúde de Bilbao-Basurto e a Universidade do País Basco estão comprometidas em responder a esse importante problema por meio da implementação do Guia de Boas Práticas: Abuso contra mulheres: triagem, identificação e resposta inicial. Objetivo. Refletir sobre o processo de implementação do guia de boas práticas clínicas sobre “Abuso de mulheres na RNAO: triagem, identificação e resposta inicial”. Temas para reflexão. Este artigo abordará dois tópicos para reflexão: 1) Descrição da metodologia de implementação. 2) Descrição de cada uma das fases, tanto em ambientes clínicos quanto acadêmicos. Conclusões. O Guia de Boas Práticas da RNAO: “RNAO Woman Abuse: Screening, Identification and Initial Response” (Abuso de mulheres na RNAO: triagem, identificação e resposta inicial), apresenta uma ferramenta útil para a implementação de boas práticas nos sistemas de saúde para auxiliar na luta contra a violência de gênero. Os enfermeiros e outros profissionais de saúde estão em uma posição única para ajudar as mulheres na luta contra a violência de gênero. Palavras-chave: Violência de Gênero; Centros de Saúde; Enfermeiras e Enfermeiros; Pessoal de Saúde; Guia de Prática Clínica

Migrants who work seasonally in agriculture face living and working conditions that significantly impact their health. Some of these conditions are related to inadequate food access or food preservation and preparation hygiene. This study aimed to explore how migrant and seasonal agricultural farmworkers access food in Spain from the perspective of professionals supporting this population. We conducted a qualitative study in 2021 based on semistructured interviews with 92 social and health service professionals involved in the care of seasonal migrant workers in 4 Spanish provinces. We identified three themes through reflective thematic analysis: (1) Access to food depends on NGOs and institutions, especially after the COVID-19 pandemic; (2) Relevant cultural differences in diet depending on North African or sub)Saharan origin; (3) Seasonal migrant workers frequently suffer from nutritional and other health problems related to food security. The professionals interviewed described the diet of seasonal migrant workers as based on food with little variety, insufficient protein content, and obesogenic products. They also reported a generalized lack of hygiene in food storage and preparation. This study calls for encouraging dietary support strategies to reduce challenges in food accessibility, which would prevent health problems in this population and bring them social justice. [ABSTRACT FROM AUTHOR]

Objective: To assess the influence of job insecurity and social exclusion on the health of migrant men and women working in the agricultural sector in Spain., Method: Qualitative and quantitative data will be collected in four Spanish autonomous regions (Catalonia, La Rioja, Murcia, and Andalusia) between 2021 and 2022. First, semi-structured personal interviews with at least 40 professional key informants or experts (from NGOs, associations, health, social services, trade unions, agricultural cooperatives, politics, and cultural mediators). Second, semi-structured personal interviews combined with participatory techniques (body mapping and photovoice) will be conducted with 40 migrant men and women working in agriculture. Thirdly, a cross-sectional study with an estimated sample of 400-500 migrants working in agriculture, based on the National Health Survey and the Living Conditions Survey., (Copyright © 2021. Publicado por Elsevier España, S.L.U.)

Objective: To determine the perception of health professionals working in alternative health centres on the barriers and facilitators in the access by immigrant women to general public health services and sexual and reproductive health in the Basque Country., Location: Basque Country., Design: Analysis of qualitative content based on 11 individual interviews., Participants: Health professionals working in alternative health centres of Primary Care and sexual and reproductive health., Method: Data collection was performed between September and December 2015 in four alternative health centres. After transcription, the units of meaning, codes and categories were identified., Results: Four categories emerged from the analysis, which represented how the characteristics of immigrant women (Tell me how you are and I will tell you how to access), the attitude of the administrative and health staff ("When they are already taken care of"), the functioning of the health system (Inflexible, passive and needs-responsive health system), and health policies ("If you do not meet the requirements, you do not go in. The law is the law") influence access to health services of immigrant women., Conclusions: This study shows that there are a considerable number of barriers and few facilitators to the access by immigrant women to public health and sexual and reproductive health services in the Basque Country. The alternative health centres were presented as favouring the improvement of the health of the immigrant population and in their access., (Copyright © 2017. Publicado por Elsevier España, S.L.U.)