Revistas
Revista:
JOURNAL OF NURSING MANAGEMENT
ISSN 0966-0429
Vol. 30
N° 5
Año 2022
Págs.O10 - O22
Revista:
NURSING AND HEALTH SCIENCES
ISSN 1441-0745
Vol. 24
N° 1
Año 2022
Págs.152 - 162
Becoming a first-time father is an important transition period in men's lives that is frequently accompanied by joy and happiness. Engaging fathers has a broader impact on family and community and on fathers' own well-being. This study explores the process of men becoming first-time fathers and the experiences and challenges involved. Seventeen interviews with men in different stages of pregnancy, childbirth, and the postpartum period were conducted. Through a grounded theory design, a novel four-stage theoretical model emerged that represents the journey to first-time fatherhood. These stages are beginning the journey, fatherhood in limbo, facing reality, and settling down. Participants suggested that achieving a new normality was the final stage where they finally felt located with a sense of mastery in their journey to fatherhood. The novel theoretical approach of addressing the process of men's transition allowed more complete access to their perspectives. Men's needs are different at every phase of the transition to fatherhood, and the use of these findings can help care providers in caring for every man according to the stage he is facing.
Revista:
JOURNAL OF ADVANCED NURSING
ISSN 1365-2648
Vol. 78
N° 6
Año 2022
Págs.1798 - 1814
Aim To design, implement and evaluate a nurse-led capacity building intervention (PromoGOB) for intersectoral action for health at local governments. Design The programme was based on theories of the policy process and organizational change and facilitated by a nurse developing a health broker role. A complex intervention perspective was adopted in carrying out the study. The intervention was evaluated using a mixed method embedded design. Methods Quantitative component relied on a specific questionnaire. This tool, designed and piloted ad hoc, measured the capacity in terms of knowledge, awareness, resources, skills, and commitment, both at sectoral and government levels. For the qualitative component, semi-structured interviews were conducted. These explored the perceived capacity and feasibility and acceptability issues. The programme was initiated at the end of October 2019, and it lasted a total of 5 weeks. Nineteen individuals representing various sectors at a local government in northern Spain participated in the study. The data analysis was concluded by the end of March 2020. Findings PromoGOB positively influenced participants' capacity for addressing health promotion. Awareness component, intersectoral work and the nurse as health broker were essential in the programme. The necessity of political participation was identified as an issue to be prioritized in future studies.
Revista:
NURSE EDUCATION TODAY
ISSN 0260-6917
Vol. 106
Año 2021
Págs.105001
BACKGROUND: Cultural sensibility is an important concept linked to the achievement of cultural competence. Health professionals must first improve their cultural sensibility to become culturally competent and to be able to offer competent care to culturally diverse populations. Aim To develop and psychometrically test the Cultural Sensibility Scale for Nursing (CUSNUR), a cultural sensibility scale that can be used in nursing for the achievement of competencies needed to care for culturally diverse populations.
DESIGN AND METHODS: The cross-sectional survey was conducted over two stages. The first stage involved the cross-cultural and discipline-specific adaptation of an existing scale addressing this concept in the field of law using the reverse translation method. Second, validation of the scale was carried out from October 2016-June 2017 by studying the psychometric properties of the questionnaire through an analysis of content acceptability and reliability and through exploratory factor analysis (EFA).
RESULTS: The questionnaire was designed to be clear, easy to understand, and of adequate length, and experts involved in content validation agreed that the scale meets these criteria. A total of 253 nursing students participated in the validation stage. Four factors were identified from the EFA: (1) patient and health professional behaviours, (2) self-assessments, (3) self-awareness, and (4) cultural influence. Two items were excluded. Factorial saturation is adequate for all factors (>0.30). The Cronbach alpha was measured as 0.75.
CONCLUSIONS: This study presents the first version of the CUSNUR and demonstrates that the scale is valid and reliable.
Revista:
JOURNAL OF ADVANCED NURSING
ISSN 0309-2402
Vol. 77
N° 11
Año 2021
Págs.4574 - 4585
Aim To describe the protocol for the pilot phase of a complex intervention, designed to address primary care nurses' role confusion in health promotion. Design A pilot clustered randomized controlled trial, with control and intervention groups. Methods The study will be conducted in a primary care setting. Participants will be nurses from the primary care health service working in a primary care team (PCT, 15 control group; 15 intervention group). Nurses in the experimental group will receive the ROLE-AP programme over a 3-week period. The control group will continue with the normal routine. The pilot will help determine the intervention's feasibility, acceptability, fidelity and quality of the programme components. Data collected preintervention, postintervention and 3 months after intervention will provide estimates of the intervention's preliminary effects on the main variable, nurses' degree of agreement concerning their expected role in health promotion. The study received funding from the local government in December 2019. Discussion Role confusion is promoting primary care nurses' omissions in their health-promoting practice, which is far from the ideal portrayed by the Ottawa Charter. Interventions are needed that reveal the most appropriate mechanisms for addressing role confusion, which requires reaching an intraprofessional agreement about the expectations for role activities. Healthcare organisations could benefit from the incorporation of a programme of these characteristics into standard practice. Impact This study will produce a novel and comprehensive complex intervention that is expected to build nurses' capacity in primary healthcare organizations for health promotion, which is key to increasing the quality, efficiency and sustainability of the National Health System. The programme evaluation and feasibility study will reveal how to better use existing resources in a full-scale clinical trial.
Revista:
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
ISSN 1660-4601
Vol. 18
N° 9
Año 2021
Págs.4794
Positive parenting programs are a key strategy to promote the development of parental competence. We designed a pilot study based on parental self-efficacy to promote healthy lifestyles in their children aged between 2 to 5 years old. In this pilot study, we aimed to assess the effects of a parenting program on parental self-efficacy and parenting styles. Twenty-five parents were allocated into intervention (N = 15) and control group (N = 10). Parents from the intervention group received four group sessions (120 mi per session) to develop a positive parenting, parenting styles and parenting skills regarding to children's diet, exercise, and screen time, and two additional sessions about child development and family games. Parents from the control group received these two latter sessions. Parental self-efficacy, parenting styles, and meal-related parenting practices were measured before and after the intervention and at 3-month follow-up. Acceptability and feasibility of the program was also measured. Quantitative data were analyzed using the repeat measures ANOVA and ANCOVA tests and the effect size calculation. Content analysis was used to analyse open questions. Positive trends were found regarding parental self-efficacy and the use of authoritative parenting style. Parents also reported a great acceptability of the program getting high satisfaction. According to the feasibility barriers and facilitators aspects were identified. The positive trends founded in this study sup
Revista:
SCANDINAVIAN JOURNAL OF CARING SCIENCES
ISSN 0283-9318
Vol. 35
N° 2
Año 2021
Págs.548 - 558
Background Breastfeeding care plays a fundamental role in establishing breastfeeding and longer duration after discharge. Practices though vary among professionals involved and are often inconsistent with good practices recommended, being a threat to women's breastfeeding self-efficacy. Breastfeeding self-efficacy is considered a predictor for successful breastfeeding and a significant variable amenable to intervention for promoting lactation Aim To evaluate the efficacy, feasibility and acceptability of a new breastfeeding self-efficacy promoting programme (SIALAC) on 6-month breastfeeding maintenance. Methods In this exploratory multi-centre controlled trial, participants were allocated into control and intervention groups sequentially. Professionals in charge of the treatment groups were trained in between, with an especial focus on reducing practice variability. Control and intervention group women received usual care, and the intervention group received in addition SIALAC, a three-stage breastfeeding self-efficacy promoting programme. Primary outcome was breastfeeding maintenance up to 6 months analysed by Kaplan-Meier and Cox proportional hazard regression analysis. Student's t-test or chi-square tests were also used for continuous and categorical variables. Data on breastfeeding status and breastfeeding self-efficacy were collected at baseline, and 4, 8 and 24 weeks after birth. Results From May 2014 through November 2015, participants were enrolled. The sample consisted of 112 women. No relevant socio-demographic or obstetric difference was found between groups. The intervention achieved a significant difference between groups in breastfeeding survival (X-2 = 4.94, p = 0.026). Six-month breastfeeding maintenance was significantly higher in the intervention group (67% vs. 55%; X-2 = 5.384, p = 0.020). Breastfeeding dropout in the control group was 3.3 (CI 1.1, 10.1) times higher than that of the intervention group at 6 months. Breastfeeding self-efficacy scores were higher in the intervention group although without significant statistical difference. The programme showed good acceptability. Conclusion Breastfeeding self-efficacy promoting programme SIALAC was beneficial in fostering 6-month breastfeeding survival. Full-scale trial should consider feasibility-related issues identified.
Revista:
NURSE EDUCATION IN PRACTICE
ISSN 1471-5953
Vol. 45
Año 2020
The objective of this study was to determine the effect of an education short course on professional¿ self-efficacy in the area of breastfeeding care. The intervention had a pre-post design. A total of 43 healthcare professionals attended the course. The Kirkpatrick model for the development, implementation and evaluation of education actions was used for a 4.5-h course. The aspects evaluated included professionals¿ satisfaction and learning regarding confidence to support lactating mothers, perceived transfer of knowledge to the workplace and organizational changes. Data were collected using self-administered questionnaires (participants, unit managers, and education planners), before and after the intervention. Participants' satisfaction with the education action was high in all of the aspects measured (greater than 3.9 in scores of 0¿5). Professionals showed a significant increase in self-efficacy levels for supporting breastfeeding (Wilcoxon test p-value = < 0.05, before intervention: median = 55, [IQR] = 11; after intervention: median = 60, [IQR] = 14). Participants, managers and organizers of the course identified changes in the way that professionals cared for breastfeeding mothers. In conclusion, this educational intervention enhanced professional self-efficacy and performance in breastfeeding care.
Revista:
NURSING AND HEALTH SCIENCES
ISSN 1441-0745
Vol. 22
N° 2
Año 2020
Págs.273 - 282
The objective of this study was to analyze the healthcare encounters between nurses and parents of different cultural backgrounds in primary health care. An ethnographic study was carried out using participant observations in health centers and interviews with nurses. Data were analyzed using thematic content analysis and constant comparative method. Four main themes were identified when nurses met parents of other cultural backgrounds: lack of mutual understanding, electronic records hamper the interaction, lack of professionals' cultural awareness and skills, and nurses establish superficial or distant relationships. The concepts of ethnocentrism and cultural imposition are behind these findings, hampering the provision of culturally competent care in primary health services. There were difficulties in obtaining and registering culturally related aspects that influence children's health and development. This was due to e¿records, language barriers, and the lack of cultural awareness and skills in health professionals making the encounters difficult for both nurses and parents. These findings show that there is a clear threat for health equity and safety in primary care if encounters between nurses and parents do not improve to enable nursing care to be tailored to any individual family needs.
Revista:
JOURNAL OF NURSING MANAGEMENT
ISSN 0966-0429
Vol. 28
N° 8
Año 2020
Págs.1997 - 2000
Aim(s) This commentary aims to raise awareness of the possible causes of "missed nursing care" in health promotion and to propose possible solutions. Background Although health promotion is an essential function of nursing practice, "missed nursing care" has been scarcely studied in this area. It is crucial to know both its causes and possible strategies to prevent it. Evaluation We used evidence to identify possible causes of "missed nursing care" in health promotion, and we classified them into categories. We suggested the concept of capacity building to address its underlying causes. Key issue(s) Four main factors are involved in "missed nursing care" in health promotion, that is intrapersonal, interpersonal, organisational and cultural. Capacity building, including the development of knowledge, skills, commitment, structures, systems and leadership, could reduce missed care. Conclusion(s) "Missed nursing care" in health promotion is complex and is multifactorial in its origins. Capacity building could be a way to address its causes. Implications for Nursing Management Nursing care in health promotion is paramount and a long-term investment that can contribute to the sustainability of the health system. Organisations and managers could view capacity building processes as a tool to prevent "missed nursing care" in health promotion.
Revista:
JOURNAL OF CLINICAL NURSING
ISSN 0962-1067
Vol. 29
N° 21 - 22
Año 2020
Págs.3937 - 3949
Background Role confusion is hampering the development of nurses' capacity for health promotion and prevention. Addressing this requires discussion to reach agreement among nurses, managers, co-workers, professional associations, academics and organisations about the nursing activities in this field. Forming a sound basis for this discussion is essential. Aims and objectives To provide a description of the state of nursing health promotion and prevention practice expressed in terms of activities classifiable under the Ottawa Charter and to reveal the misalignments between this portrayal and the ideal one proposed by the Ottawa Charter. Methods A critical interpretive synthesis was conducted between December 2018 and May 2019. The PubMed, CINAHL, Scopus, PsychINFO, Web of Science and Dialnet databases were searched. Sixty-two papers were identified. The relevant data were extracted using a pro-forma, and the reviewers performed an integrative synthesis. The ENTREQ reporting guidelines were used for this review. Results Thirty synthetic constructs were developed into the following synthesising arguments: (a) addressing individuals' lifestyles versus developing their personal skills; (b) focusing on environmental hazards versus creating supportive environments; (c) action on families versus strengthening communities; (d) promoting community partnerships versus strengthening community action; and (e) influencing policies versus building healthy public policy. Conclusions There are notable misalignments between nurses' current practice in health promotion and prevention and the Ottawa Charter's actions and strategies. This may be explained by the nurses' lack of understanding of health promotion and prevention and political will, research methodological flaws, the predominance of a biomedical perspective within organisations and the lack of organisational prioritisation for health promotion and prevention.
Autores:
Lucchini-Raies, C.; Marquez-Doren, F. (Autor de correspondencia); Beca, P. ; et al.
Revista:
JOURNAL OF ADVANCED NURSING
ISSN 0309-2402
Vol. 76
N° 12
Año 2020
Págs.3641 - 3653
Aim To report a pilot study protocol to assess the feasibility of a complex intervention, in the primary healthcare context, to support women and their families in breastfeeding. Design A pilot/feasibility trial with control and intervention groups. Methods The study will be conducted in two primary healthcare centres with 40 childbearing women (20 control group; 20 intervention group), with their partner/meaningful person and their respective healthcare professionals. Intervention group participants will receive the intervention: (a) in a breastfeeding workshop during their third trimester of pregnancy; and (b) via virtual breastfeeding support for six months postpartum. Health professionals will be trained to deliver the intervention. The control group will receive standard care in the outpatient clinic. The pilot will help determine the intervention's feasibility. Data collected pre-intervention, 10-days postpartum and two-, four-, and six-months postpartum will provide estimates of the intervention's preliminary effects on self-efficacy and main outcomes. Research Ethics Committee approval was obtained in April 2019. Discussion Breastfeeding support is a complex reality influenced by multiple factors. Therefore, approaches to breastfeeding are also, requiring interventions that address its multidimensional nature, including all actors involved. The proposed intervention will be applied by an interdisciplinary professional health team, allowing for its incorporation into standard practice and its perpetual maintenance. Impact The study will produce an original, comprehensive, complex intervention addressing contextual, and organizational factors to promote breastfeeding support using an interdisciplinary and family-based approach; breastfeeding self-efficacy is the core concept. The program evaluation and feasibility study will permit exploration of the integration of the intervention's novel aspects into the daily work of professionals and reveal how to better use existing resources in a full-scale clinical trial. Trial registration ClinicalTrials.gov ID: NCT03944642.
Revista:
ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN 1137-6627
Vol. 43
N° 3
Año 2020
Págs.429 - 434
Revista:
HEALTH PROMOTION INTERNATIONAL
ISSN 0957-4824
Vol. 35
N° 3
Año 2020
Págs.610 - 623
Revista:
HORIZONTE DE ENFERMERIA
ISSN 0716-8861
Vol. 30
N° 1
Año 2019
Págs.88 - 98
El número de personas migrantes a nivel internacional ha ascendido en todo el mundo, alcanzando actualmente los 244 millones de personas. Este dato representa un 3,3 % de la población mundial. Los estudios muestran mayores tasas de enfermedad, invalidez, muerte y una atención de menor calidad en las personas inmigrantes. El énfasis para mejorar la atención a la diversidad cultural ha estado normalmente en la capacitación de los profesiones, con menos protagonismo del estudio de las organizaciones en las que estos trabajan. Se llevó a cabo una revisión narrativa de la literatura con el objetivo de identificar tanto las características que deberían tener las organizaciones sanitarias para ser culturalmente competentes, como posibles acciones de mejora para proporcionar un cuidado de calidad atendiendo a la diversidad cultural. La literatura muestra que para ser culturalmente competentes las organizaciones deben incluir cinco aspectos: el compromiso organizacional con la diversidad, la existencia de gestores que promuevan acciones enfocadas a la diversidad cultural, el mantenimiento de registros de datos de la población a la que dan cobertura, la presencia de personal diverso trabajando en ellas y la garantía del mantenimiento de una comunicación culturalmente competente. Identificar estos componentes puede ayudar a las organizaciones a analizar sus estructuras y funcionamiento y así planificar acciones que ayuden a reducir las disparidades étnicas y mejorar la calidad.
Autores:
Lucchini Raies, Camila; Márquez Doren, Francisca (Autor de correspondencia); Garay, Nicole; et al.
Revista:
INVESTIGACION Y EDUCACION EN ENFERMERIA
ISSN 0120-5307
Vol. 37
N° 2
Año 2019
Objetivo: conocer las percepciones de madres y profesionales de salud en relación a los cuidados que se brindan y reciben durante el proceso de amamantamiento en el nivel primario de atención. Métodos: estudio cualitativo exploratorio con madres en proceso de lactancia (10) y profesionales de la salud (24). La recolección de datos se realizó a través de entrevistas en profundidad y grupos focales. El análisis de la información se obtuvo a través del análisis de contenido temático. El rigor de la investigación se cauteló por medio de los criterios de Guba y Lincoln. Los aspectos éticos se abordaron mediante el proceso de consentimiento informado, confidencialidad y rigor metodológico. Resultados: La experiencia de brindar y recibir apoyo durante el proceso de amamantamiento, se develó como un proceso de cuidado y apoyo dinámico, multidimensional, a través de tres temas centrales: 1. Influencia de las experiencias previas de cuidado y apoyo durante el proceso de amamantamiento; 2. Importancia del contexto en el que se enmarca el cuidado; y 3. Abordaje de las emociones para el establecimiento de la confianza entre profesionales y madres. Conclusión: Los resultados del estudio contribuyen a profundizar en la compresión de un fenómeno complejo como es el apoyo y cuidado a las madres/familias que amamantan, desde la vivencia de los actores involucrados, profundizando en las experiencias de ambos de manera integrada. Se relevan, además, las dimensiones relacionales, organizacionales
Revista:
HORIZONTE DE ENFERMERIA
ISSN 0716-8861
Vol. 30
N° 3
Año 2019
Págs.254 - 270
Revista:
JOURNAL OF ADVANCED NURSING
ISSN 0309-2402
Vol. 75
N° 8
Año 2019
Págs.1764 - 1781
Aim To show the results of an exploratory trial based on social and emotional learning to promote healthy lifestyles in 5-6 aged children. Design A randomized controlled trial. Method The study was conducted from 2015-2016. Thirty-seven children were allocated to the intervention group (N = 19) and control group (N = 18). A multi-method and multi-component evaluation approach was used to capture the preliminary efficacy, acceptability, and feasibility of the programme. Repeat measures ANOVA followed by an ANCOVA tests were applied for the inferential analysis and for qualitative data, a content analysis was used. Results Positive effects on emotional perception and resilience were found in children's intervention group. Children and families showed high programme's acceptability and a wide range of barriers and facilitators were identified during the implementation process. Conclusion Predicted mechanisms to improve healthy lifestyles in children throughout social and emotional competence seem to be supported by some of the study's results. However more research is needed to replicate such results and confirm these mechanisms. ClinicalTrials.gov Identifier: NCT02975544.
Revista:
JOURNAL OF ADVANCED NURSING
ISSN 0309-2402
Vol. 74
N° 1
Año 2018
Págs.211 - 222
Aim
To implement and evaluate a health education programme based on the development of social and emotional competence in young children.
Background
Children's social and emotional skills play a key role in the adoption and maintenance of their lifestyles. Currently, a more comprehensive perspective dealing with these aspects is needed to promote healthy habits in children and develop effective health education programmes.
Design
An exploratory randomized controlled trial.
Methods
A convenience sample of 30 children (5 and 6 years old) will be recruited from a public school in Spain, with 15 participants in the experimental group and 15 in the control group. Participants in the experimental group will receive the first unit of the programme, consisting of developing emotional knowledge skills around daily health habits (eating, hygiene, sleep and physical exercise) using different game-based dynamics and an emotional diary, while those in the control group will continue with their usual school routine. Outcome measures include emotional knowledge ability, basic social skills and children's health profile. The perceived impact of the intervention by parents, acceptability (by parents and children) and feasibility of the programme will be also assessed. Data will be collected at baseline, postintervention and at 7-month follow-up.
Discussion
This study offers an innovative intervention aimed at improving children's healthy lifestyles from a holistic perspective by addressi
Revista:
EUROPEAN JOURNAL OF PUBLIC HEALTH
ISSN 1101-1262
Vol. 28
N° Supl. 4
Año 2018
Págs.218
Background:
The Ottawa Charter identified five key action areas for Health Promotion, the first of which referred to building healthy public policies. However, several studies criticise that expenditure in public health is lower than it should be and the impact of existing wide inequities in health. While a number of reasons have been suggested, there is an urgent need to foster the implementation of health promotion in order to contribute to population¿s health. The aim of this study was to map out the key agents and ingredients for the implementation of health promotion.
Methods:
A literature review was conducted in Pubmed combining terms such as stakeholders, health promotion and intersectoral action.
Results:
Different levels at which key agents or stakeholders were operating were identified in relation to health promotion: macro, meso, and micro levels. There was some variation in stakeholders according to level. Several key concepts were identified that, while related, also suggested a transition between them. This was the case with intersectoral action, health governance, health in all policies and governance for health. Among the key ingredients identified were: health promoting integrated policies and programmes with government leadership, strong legislation, civil society participation and intersectoral decision making. Building community business models, and knowledge brokers appeared to be strategies that showed some promise.
Conclusions:
This review has mapped out health promotion stakeholders operating at different levels. Similarly, it has enabled to identify a number of key concepts and strategies as a first step to foster partnerships among the identified stakeholders.
Key messages:
It is vital to identify the stakeholders at different levels in the implementation of health promotion.
Strategies to foster partnerships among stakeholders are required for the implementation of health promotion.
Revista:
HORIZONTE DE ENFERMERIA
ISSN 0716-8861
Vol. 28
N° 3
Año 2017
Págs.5 - 21
La promoción y apoyo a la lactancia materna proporcionado por profesionales de la salud en diferentes entornos es una de las estrategias con evidencia de resultados exitosos. El propósito de este estudio es desarrollar una escala para conocer la autoeficacia percibida por los profesionales de salud acerca de su capacidad para procurar cuidados a las madres que amamantan. Metodología. El diseño de la escala se hizo utilizando la versión española de la escala BreastfeedingSelf-EfficacyScale-Short Form para madres. Las pruebas de validación se realizaron creando un grupo de expertos y pilotando la herramienta con profesionales que cuidaban a madres lactantes de dos centros asistenciales. Las propiedades psicométricas de la escala se examinaron analizando su validez, fiabilidad, sensibilidad y factibilidad.Resultados. La escala ¿Autoeficacia Profesional para los Cuidados en Lactancia¿ (APCLA)contiene 14 ítems conforme al dominio de interés, con opciones de respuesta de 1 a 5. Se elaboró en formato papel y electrónico. Tras la valoración del comité de expertos, se pilotó con 43 enfermeras y matronas. La escala muestra resultados prometedores con respecto asu validez, fiabilidad (Alpha de Cronbach 0,967), sensibilidad (p<0,05) y factibilidad. Conclusión. Aunque será necesario continuar con el proceso de validación en otras poblaciones y con mayor número de participantes, el instrumento ha mostrado buenos resultados para la medición de la autoeficacia profesional. La valoración de l
Revista:
GACETA SANITARIA
ISSN 0213-9111
Vol. 31
N° 3
Año 2017
Págs.269 - 272
The World Health Organization states that health promotion is a key strategy to improve health, and it is conceived as a global process of enabling people to increase control over, and to improve, their health. Health promotion does not focus solely on empowering individuals dealing with their knowledge, attitudes and skills, but it also takes political, social, economic and environmental aspects influencing health and wellbeing into account. The complexity of applying these concepts is reflected in the five paradoxes in health promotion; these arise in between the rhetoric in health promotion and implementation. The detected paradoxes which are described herein involve the patient versus the person, the individual versus the group, disease professionals versus health professionals, disease indicators versus health indicators, and health as an expense versus health as an investment. Making these contradictions explicit can help determine why it is so complex to put the concepts related to health promotion into practice. It can also help to put forward aspects that need further work if health promotion is to put into practice. (C) 2017 SESPAS: Published by Elsevier Espaila, S.L.U.
Revista:
JOURNAL OF ADVANCED NURSING
ISSN 0309-2402
Vol. 73
N° 11
Año 2017
Págs.2633 - 2641
Aim: To explore the views of current and ex¿smoker nurses on their role in supporting patients to stop smoking. Background: Long-term conditions are closely linked to harmful lifestyle behaviours, including smoking and overeating. Health professionals have an important role to play in promoting healthier lifestyles. It has been described that nurses¿ health behaviours may be a barrier to their health promotion practice. There is a need to gain further understanding on why nurses¿ health promotion activity is influenced by their own health behaviour.
Design: A secondary analysis of qualitative data gathered in 2010 in the context of a project that aimed to develop a smoking cessation intervention for nurses. Eleven transcripts of semi-structured interviews conducted with nurses (current and ex¿smokers) working in one university hospital in Spain. Data were analysed using framework analysis.
Findings: Nurses who smoked engaged in social justification in terms of social norms and work stress. Only nurses who had quit smoking were able to identify the negative feelings it generated and the effect that it had on their past health promotion practice. This was expressed by ex-smokers as an internal conflict that prevented them from supporting patients with their own habit.
Conclusion: nurses who smoke may be inhibited as health promoters without being aware of it. Interventions that focus on helping these professionals deal with the challenges associated with these encounters
Revista:
HORIZONTE DE ENFERMERIA
ISSN 0716-8861
Vol. 28
N° 3
Año 2017
Págs.33 - 49
El propósito de este estudio es aportar una síntesis de los resultados de revisiones sistemáticas (RS) disponibles en torno a la efectividad de intervenciones destinadas a promover la LM, a través de la realización de una revisión de revisiones (RR). Para ello, se realizó una búsqueda bibliográfica utilizando las palabras clave: ¿breastfeeding¿, ¿promotion¿, ¿intervention¿ y ¿systematic review¿, encontrándose nueve RS que cumplieron con los criterios de inclusión. Los resultados se presentan en relación a nueve dimensiones de análisis, que se aplicaron a cada una de las RS seleccionadas: objetivos, participantes, criterios de inclusión/exclusión, número y tipos de estudios incluidos, tipos de intervenciones realizadas, escenarios donde se desarrollaron las intervenciones, marco conceptual que sustentó la intervención, resultados evaluados e instrumentos de medida y conclusiones de cada una de las RS. Los resultados de esta RR no permiten extraer información concluyente en cuanto a la evidencia del impacto que tienen las intervenciones sobre la promoción, el inicio, la duración y la exclusividad de la LM. Lo anterior, debido a la diversidad de intervenciones realizadas, la multiplicidad de variables intervinientes y por falta de rigurosidad metodológica y sustento teórico de algunas de las RS analizadas.
Revista:
MEDICINA PALIATIVA
ISSN 1134-248X
Vol. 24
N° 4
Año 2017
Págs.219 - 226
La utilización de la investigación cualitativa (IC) en Cuidados Paliativos (CP) está en auge, quizás porque tienen muchos aspectos en común. Ambos se centran en la persona y su entorno y están especialmente interesados en la experiencia humana. El objetivo de este artículo es presentar algunos de los enfoques más frecuentemente utilizados en las ciencias de la salud, proporcionando ejemplos de estudios de CP. Esto con el fin de ayudar a quienes se están iniciando en la IC a explorar los posibles enfoques que podrían utilizar para realizar investigación en CP. A través del ejercicio ¿armchair walkthrough¿, se concretan los aspectos clave de un proyecto de investigación, considerando los distintos enfoques: la etnografía, la fenomenología, la narrativa y la teoría fundamentada. Familiarizarse con la metodología cualitativa y algunos de los enfoques ayudará a los profesionales de CP a plantear nuevas preguntas y retos con investigación rigurosa.
Palabras clave: Investigación cualitativa, etnografía, fenomenología, narrativa, teoría fundamentada.
Revista:
ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN 1137-6627
Vol. 37
N° 3
Año 2014
Págs.401 - 409
Revista:
PROCEDIA: SOCIAL & BEHAVIORAL SCIENCES
ISSN 1877-0428
Vol. 132
Año 2014
Págs.522 - 526
Objectives
To present the methodological challenges of an ethnographic study designed to gain better understanding of the cultural encounters (CE).
Methods
Participant observations of the CE in between families with children and nurses will be carried out, in the context of an ethnographic design.
Results
The challenges to be faced include: accessing to participants and obtaining the informed consents, the role to be adopted during data collection by the researcher, establishing a trusting relationship with the participants, the effect that feeling observed may have on participants¿ behaviors, and identifying the researcher's influence during the research process.
Conclusions
The observations of the CE present methodological challenges that need to be dealt with during the whole research process to ensure validity and relevance.
Revista:
ATENCION PRIMARIA
ISSN 0212-6567
Vol. 45
N° Supl. 2
Año 2013
Págs.103 - 104
Revista:
ATENCION PRIMARIA
ISSN 0212-6567
Vol. 45
N° Suppl 2
Año 2013
Págs.154
Revista:
ATENCION PRIMARIA
ISSN 0212-6567
Vol. 45(Esp.Congreso)
Año 2013
Págs.151
Revista:
CHILD CARE HEALTH AND DEVELOPMENT
ISSN 0305-1862
Vol. 39
N° 1
Año 2013
Págs.109-117
Background Behaviours regarding food and activity are learned during childhood and continue throughout life. Children can be very important agents in making decisions concerning their own well-being and care and their perspective is essential to understanding how they and/or others make choices for them to achieve a healthy lifestyle. However, their perspectives remain under-researched. This study provides an insight into school children's own perspectives, behaviours and contribution to food and activity choices. Methods The paper reports on the findings from an ethnographic study with 38 Spanish children aged 5-7 years. Information was obtained through participant observations, diaries kept by children and group interviews. Data were analysed using techniques of analytical induction and constant comparison. Results The children who took part in this study described choices about activities with enthusiasm. Children saw activity as a way of learning new things, mastering skills and socializing. They were willing to try and experience new activities and games. However, the activities performed depended on parents' agendas and security issues. In contrast, children reported less interest in and active involvement in food choices. They contributed to family food choices indirectly through the expression of their preferences, not wanting to eat what they disliked or tasting new foods. Conclusion Children had strong preferences and motivations, particularly about activities which could be harnessed in interventions to prevent obesity and promote healthy diet and activity. Parental involvement and commitment is also important both to encourage exercise according to children's interests and active informed food choices, including introduction to unfamiliar foods.
Revista:
EUROPEAN JOURNAL OF PUBLIC HEALTH
ISSN 1101-1262
Vol. 22 (suppl 2)
Año 2012
Págs.291
Revista:
ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN 1137-6627
Vol. 34
N° 3
Año 2011
Págs.409 - 418
Fundamento. La lactancia materna es importante para promover el desarrollo saludable del recién nacido. A pesar de sus beneficios, el abandono es masivo durante el primer trimestre de vida. El objetivo de esta investigación fue explorar cómo las madres primerizas percibían y experimentaban la lactancia materna para poder identificar así los aspectos que influyen en su instauración.
Material y métodos. Se llevó a cabo un estudio cualitativo con un enfoque fenomenológico descriptivo, en el que participaron 12 madres primíparas que fueron entrevistadas en profundidad en dos ocasiones, una los primeros días tras el parto y otra al mes de haber dado a luz. Los datos obtenidos se grabaron y transcribieron para analizarlos con el método de Giorgi.
Resultados. El significado esencial de la experiencia vivida por las madres que participaron en este estudio se puede resumir en los cinco temas que se detallan a continuación: la idealización de la lactancia; la incertidumbre ante las dificultades; el deseo de privacidad durante las tomas; la responsabilidad compartida con el niño para lograr el éxito; y finalmente, la desorganización en sus vidas y la modificación del rol de la mujer.
Conclusiones. Conocer las experiencias de las madres primíparas en la etapa de instauración de la lactancia, permitirá a los profesionales diseñar intervenciones específicas adaptadas a ellas. Los profesionales deberían tener en cuenta las expectativas de cada madre y cómo hace frente al nuevo rol[...]
Revista:
Index de Enfermería
ISSN 1132-1296
Vol. 19
N° 4
Año 2010
Págs.283 - 288
Revista:
Patient Education and Counseling
ISSN 0738-3991
Vol. 78
N° 1
Año 2010
Págs.117 - 123
OBJECTIVE:
To investigate parents' perceptions of, and contributions to, food and activity choices and maintenance of a healthy lifestyle in children.
METHODS:
Ethnographically informed qualitative study using in-depth semi-structured interviews with 47 parents (32 mothers and 15 fathers) of 5-7-year-old children.
RESULTS:
Parents were concerned about children's low intake of food, the development of eating disorders and children being 'too active'. Therefore, they promoted eating and were controlling of diet because they thought that children would not eat enough for healthy development. They did not promote, or even curbed, physical activity because they considered their children were already active. Their accounts suggested lack of awareness of the dangers of over-consumption and inactivity.
CONCLUSIONS:
Parents' perceptions affected the way they raised their children and the choices that they made for them. Parents' concerns about under-consumption of food and over-activity contrast with the public health priorities to reduce intake and promote exercise.
PRACTICE IMPLICATIONS:
Health professionals need to take into account parents' perspectives on diet and physical activity when attempting to promote children's health and prevent obesity.
