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    Olga Paloma Castro

    PURPOSE To estimate the worldwide pooled prevalence of inadequate work ability among hospital nursing personnel using the Work Ability Index (WAI). DESIGN Systematic review and meta-analysis. METHODS A systematic search was conducted on... more
    PURPOSE To estimate the worldwide pooled prevalence of inadequate work ability among hospital nursing personnel using the Work Ability Index (WAI). DESIGN Systematic review and meta-analysis. METHODS A systematic search was conducted on Medline/PubMed, Scopus, Web of Science, Scielo, PsychInfo, CINAHL, Nursing and Allied Health, LILACS, and Google Scholar from inception to July 2021 to identify observational studies on work ability among hospital nursing personnel using the WAI. Two researchers independently completed the study selection, quality assessments, and data extraction on the prevalence of inadequate work ability that was pooled using the random effects model. Finally, subgroup analyses were performed to explore sources of heterogeneity. FINDINGS A total of 42 studies were included, consisting of 24,728 subjects worldwide from 14 countries. Of these, 35 studies were included in the meta-analytical analyses. The worldwide pooled prevalence of inadequate work ability among hospital nursing personnel was 24.7% (95% CI = 20.2%-29.4%). High levels of heterogeneity were detected in all studies. Prevalence was higher in studies where samples were composed of nurses and nursing assistive personnel (26.8%; 95% CI = 22.4%-31.5%) than in those of nurses alone (22.2%; 95% CI = 13.1%-32.9%) and in studies where the sample was over 40 (28.1%; 95% CI = 19.5%-37.5%) than in those with a sample under that age (22.4%; 95% CI = 15.8%-29.7%). CONCLUSIONS Almost one in four members of hospital nursing staff in the world has inadequate work ability and therefore are at risk of several negative outcomes during their working life. These prevalence data correspond to the pre-pandemic period, so new studies should also be especially useful in quantifying the impact of the COVID-19 pandemic on work ability in the hospital nursing workforce. CLINICAL RELEVANCE The above findings justify the launch of initiatives that include annual assessment for the early identification of inadequate work ability, offering the possibility of anticipated corrective measures. Nursing workforce older than 40 years and those belonging to the professional category of nursing assistive personnel should be priority target groups for screening and intervention to improve work ability.
    BACKGROUND Patients with multimorbidity and complex health needs are defined as a priority by the World Health Organization (WHO) and the European Union. There is a need to develop appropriate strategies with effective measures to meet... more
    BACKGROUND Patients with multimorbidity and complex health needs are defined as a priority by the World Health Organization (WHO) and the European Union. There is a need to develop appropriate strategies with effective measures to meet the challenge of chronicity, reorienting national health systems. The increasing expansion of mobile health (mHealth) interventions in patient communication, the reduction of health inequalities, improved access to health care resources, adherence to treatment, and self-care of chronic diseases all point to an optimistic outlook. However, only few mobile apps demonstrate their effectiveness in these patients, which is diminished when they are not based on evidence, or when they are not designed by and for users with different levels of health literacy (HL). OBJECTIVE This study aims to evaluate the efficacy of an mHealth intervention relative to routine clinical practice in improving HL and self-management in patients with multimorbidity with heart fa...
    Background Patients with multimorbidity and complex health needs are defined as a priority by the World Health Organization (WHO) and the European Union. There is a need to develop appropriate strategies with effective measures to meet... more
    Background Patients with multimorbidity and complex health needs are defined as a priority by the World Health Organization (WHO) and the European Union. There is a need to develop appropriate strategies with effective measures to meet the challenge of chronicity, reorienting national health systems. The increasing expansion of mobile health (mHealth) interventions in patient communication, the reduction of health inequalities, improved access to health care resources, adherence to treatment, and self-care of chronic diseases all point to an optimistic outlook. However, only few mobile apps demonstrate their effectiveness in these patients, which is diminished when they are not based on evidence, or when they are not designed by and for users with different levels of health literacy (HL). Objective This study aims to evaluate the efficacy of an mHealth intervention relative to routine clinical practice in improving HL and self-management in patients with multimorbidity with heart fa...
    Blogging within the health profession has grown in the recent past. This article aims to perform an analysis of the theoretical aspects of blogging, the use by professional nurses and students, benefits for patients, and, finally, an... more
    Blogging within the health profession has grown in the recent past. This article aims to perform an analysis of the theoretical aspects of blogging, the use by professional nurses and students, benefits for patients, and, finally, an approach to the activities of Spanish nursing blogs. Blogs have great advantages as social communication tools. Immediacy in content update, closeness to information consumers, and compatibility with other Web 2.0 tools are points to be highlighted. Nurses use blogs for education and communication with other health professionals, students, and patients. For patients, therapeutic effects have been demonstrated in using blogging to share their health problems and express their experiential viewpoints. There are about 80 blogs written by Spanish nurses; most of them originated in the period between 2010 and 2012. These blogs are targeted to professionals (59%), patients (20%), or mixed (13%). There is a great heterogeneity in content: informative style (20%), opinion (28%), narrative (9%), experiential (2%), or humorous (2%). Nursing language is present in 15%, research and evidence-based practice in 13%, and protocols, guidelines, and procedures in 11% of them. We propose the need to plan institutional strategies for effective use of Web 2.0 resources as well as the need to unify criteria to provide quality content.
    La migración es una dimensión inherente a la conducta humana desde el comienzo de la humanidad. Sin embargo, los éxodos actuales de personas empobrecidas hacia las zonas más opulentas del planeta representan nuevos desafíos que necesitan... more
    La migración es una dimensión inherente a la conducta humana desde el comienzo de la humanidad. Sin embargo, los éxodos actuales de personas empobrecidas hacia las zonas más opulentas del planeta representan nuevos desafíos que necesitan ser explorados con nuevas perspectivas y aproximaciones. La psicología de la liberación puede ayudar a dar respuesta a estos desafíos. Por un lado, permite explicar el sufrimiento de personas desplazadas e inmigrantes en términos de experiencias opresivas de vida impuestas por grupos que pretenden perpetuar y aumentar sus privilegios. Por otro, permite conocer cómo los inmigrantes confrontan y superan condiciones de injusticia, destruyen su posición de oprimidos, fortalecen lazos con otros grupos y llevan a cabo acciones colectivas para asegurar cohesión social y cooperación en los contextos de recepción y logran equitativas relaciones multiculturales. Este artículo describe las iniciativas que ha llevado a cabo CESPYD (Coalición para el Estudio de ...
    Healthcare professionals often use multimedia patient education media, but not all have the same content quality. This study aimed to cross-culturally adapt the Educational Content Validation Instrument in Health to the Spanish setting... more
    Healthcare professionals often use multimedia patient education media, but not all have the same content quality. This study aimed to cross-culturally adapt the Educational Content Validation Instrument in Health to the Spanish setting and assess its psychometric properties. A methodological validation study was carried out between January and September 2020. Data collection took place from May to June 2020. A translation, back translation, committee review, and pre-testing was carried out. Subsequently, reliability (internal consistency), and validity (factorial and convergent) were assessed by requiring 210 Healthcare Professionals to complete the instrument based on video material. In addition, a refinement of the instrument was conducted based on the modification indexes. The instrument showed adequate internal consistency, although some redundancy in the items (α = .93). Exploratory factor analysis suggested a unifactorial structure that explained an adequate variance (47.37%)....
    Mental health nurses, together with psychiatrists, are the healthcare professionals who display the highest levels of empathy and the best attitudes towards patients with mental disorders. However, burnout is a common problem among these... more
    Mental health nurses, together with psychiatrists, are the healthcare professionals who display the highest levels of empathy and the best attitudes towards patients with mental disorders. However, burnout is a common problem among these professionals. The aim of our study is to describe the association between empathy, burnout, and attitudes towards patients with mental disorders among mental health nurses in Spain. A descriptive cross-sectional design was used involving a sample of 750 specialist nurses working in mental health facilities in Spain. An intentional, non-probability, non-discriminative, exponential snowball sampling method was used. The Jefferson Scale of Empathy, the Maslach Burnout Inventory, and the Community Attitudes towards Mental Illness Inventory were used to measure the study variables. A positive correlation was observed between empathy and all the study variables, with the exception of the personal accomplishment dimension of burnout and the social restric...
    PURPOSE To determine the psychometric properties of the CoNOCidiet-Diabetes, a new instrument based on nursing outcome "Knowledge: prescribed diet." METHODS Methodological design. The participant were 359 patients diagnosed with... more
    PURPOSE To determine the psychometric properties of the CoNOCidiet-Diabetes, a new instrument based on nursing outcome "Knowledge: prescribed diet." METHODS Methodological design. The participant were 359 patients diagnosed with diabetes visiting 27 primary healthcare centers in Spain. Reliability (internal consistency and test-retest), validity (convergent criterion validity, concurrent content validity and known-groups validity), and sensitivity to change was tested. FINDINGS CoNOCidiet-Diabetes has shown evidence of acceptable psychometric properties as instrument but some items should be revised. CONCLUSIONS This research provides a new instrument developed to specifically measure dietary knowledge in individuals with diabetes. IMPLICATIONS For nursing practice: The literalness of the CoNOCidiet-Diabetes with the nursing outcome "Knowledge: prescribed diet" facilitate its measurement using the patient's statements.
    Olga Paloma-Castro, MSc, RN, PhDc, is a Professor at the Nursing School of the University of Cádiz, Cádiz, Spain, José Manuel Romero-Sánchez, MScN, RN, PhDc, is a Research Nurse of the Research Group under the Andalusian Research,... more
    Olga Paloma-Castro, MSc, RN, PhDc, is a Professor at the Nursing School of the University of Cádiz, Cádiz, Spain, José Manuel Romero-Sánchez, MScN, RN, PhDc, is a Research Nurse of the Research Group under the Andalusian Research, Development, and Innovation Scheme CTS-391 of the University of Cádiz, Cádiz, Spain, Juan Carlos Paramio-Cuevas, MSc, RN, PhDc, is a Professor at the Nursing School “Salus Infirmorum” of the University of Cádiz, Cádiz, Spain, Sonia María Pastor-Montero, MScN, RN, PhDc, is a Hospital Nurse at Montilla Hospital, Córdoba, Spain, Cristina Castro-Yuste, MSc, RN, PhDc, is a Professor at the Nursing School of the University of Cádiz, Cádiz, Spain, Anna J Frandsen, MSc, RN, PhDc, is a Research Nurse of the Research Group under the Andalusian Research, Development, and Innovation Scheme CTS-391 of the University of Cádiz, Cádiz, Spain, María Jesús Albar-Marín, PhD, RN, Bpsych, is a Professor at the Nursing School of the University of Sevilla, Sevilla, Spain, Pilar ...
    Introduccion: La perdida perinatal es una realidad poco visible y reconocida. Pero estas perdidas, ya sean precoces o tardias, dejan un gran vacio en las personas que las sufren y necesitan que se acepte su sentimiento de perdida y se... more
    Introduccion: La perdida perinatal es una realidad poco visible y reconocida. Pero estas perdidas, ya sean precoces o tardias, dejan un gran vacio en las personas que las sufren y necesitan que se acepte su sentimiento de perdida y se permita expresar su dolor. La Enfermeria debe dar respuesta a esta necesidad de cuidados, facilitando a los padres y familiares la elaboracion de un duelo saludable. Esta respuesta debe estar basada en evidencia y consensuada por la comunidad cientifica. En este sentido, puede ser de utilidad el uso con rigor de una terminologia diagnostica que designe a la respuesta humana que presentan las personas que sufren un duelo perinatal. La taxonomia NANDA-I cuenta con el diagnostico enfermero Duelo que, a priori, podria aplicarse a estos casos. Sin embargo, la falta de investigacion sobre este diagnostico y sobre sus caracteristicas definitorias (manifestaciones) hace que el diagnostico se utilice con bajos niveles de evidencia. Objetivos: El objetivo genera...
    Sol‐201700083864‐tra Juan Jesús Fernández Alba et al 1 Título: Aprendizaje multiprofesional mediante simulación clínica Juan Jesús Fernández Alba*, Carmen González Macías**, Ángel Vilar Sánchez***, Cristina Castro Yuste+, Concepción... more
    Sol‐201700083864‐tra Juan Jesús Fernández Alba et al 1 Título: Aprendizaje multiprofesional mediante simulación clínica Juan Jesús Fernández Alba*, Carmen González Macías**, Ángel Vilar Sánchez***, Cristina Castro Yuste+, Concepción Carnicer Fuentes+, Juan Jesús Cobacho de Alba****, Ma Isabel Selma García****, Olga Paloma Castro+, Luis Javier Moreno Corral++ *Departamento de Materno‐Infantil y Radiología, Facultad de Medicina, Profesor Asociado de Ciencias de la Salud de Obstetricia y Ginecología. Jefe de Servicio de Obstetricia y Ginecología. Hospital Universitario Puerto Real. Coordinador del Proyecto ** Departamento de Materno‐Infantil y Radiología, Facultad de Medicina, Profesora Asociada de Ciencias de la Salud de Obstetricia y Ginecología. Facultativo Especialista de Área de Obstetricia y Ginecología. Hospital Universitario Puerto Real *** Facultativo Especialista de Área de Obstetricia y Ginecología. Tutor Clínico. Hospital Universitario Puerto Real **** Departamento de Enfer...
    The benefits of breastfeeding are very well known. However, the prevalence and duration of breastfeeding in Europe does not meet the recommendations of major health organizations. The role of health professionals in initiating and... more
    The benefits of breastfeeding are very well known. However, the prevalence and duration of breastfeeding in Europe does not meet the recommendations of major health organizations. The role of health professionals in initiating and sustaining breastfeeding is critical. In order to be able to support and promote breastfeeding adequately, it is necessary to have appropriate and up-to-date knowledge. The present article sets out the main concepts and recommendations for effective breastfeeding.
    PURPOSE To develop a preliminary clinical validation the NANDA-I nursing diagnosis "Grieving" in cases of perinatal loss. METHODS Descriptive cross-sectional study using the Fehring model. FINDINGS The overall clinical validity... more
    PURPOSE To develop a preliminary clinical validation the NANDA-I nursing diagnosis "Grieving" in cases of perinatal loss. METHODS Descriptive cross-sectional study using the Fehring model. FINDINGS The overall clinical validity index for the diagnosis was 0.15. Only four defining characteristics and five manifestations identified in the literature were validated. CONCLUSIONS The variability of manifestations identified in the study participants is considered to be detrimental to the overall clinical validity index. IMPLICATIONS FOR NURSING PRACTICE The clinical validity of the diagnosis could not be substantiated by the preliminary results of this study and, therefore, additional research is necessary to determine the ability of the diagnosis to adapt to perinatal loss situations in real contexts. Some manifestations have been proposed to NANDA-I for inclusion as defining characteristics in the nursing diagnosis of grieving. OBJETIVO Validar clínicamente de forma preliminar el diagnóstico enfermero NANDA-I duelo en caso de pérdida perinatal. MÉTODOS: Estudio descriptivo transversal usando el modelo de Fehring. RESULTADOS El índice de validez clínica global del diagnóstico fue de 0.15. Se validaron únicamente cuatro características definitorias y cinco manifestaciones identificadas en la literatura. CONCLUSIONES Se considera que la variabilidad de las manifestaciones presentadas por los participantes actuó en detrimento del índice de validación clínica global. IMPLICACIONES PARA LA PRÁCTICA ENFERMERA: La validez clínica del diagnóstico no pudo ser corroborada por los resultados preliminares de este estudio y, por tanto, se necesita investigación adicional para terminar la capacidad de este diagnóstico para adaptarse a las situaciones de pérdidas perinatales en contexto reales. Se han propuesto a NANDA-I algunas manifestaciones para que sean incluidas como Características Definitorias del diagnóstico enfermero Duelo.
    BACKGROUND Empathy has been reported to produce a positive effect on improving patient health outcomes, becoming a fundamental skill in any health personnel-patient relationship. OBJECTIVE To evaluate the effectiveness of an intervention... more
    BACKGROUND Empathy has been reported to produce a positive effect on improving patient health outcomes, becoming a fundamental skill in any health personnel-patient relationship. OBJECTIVE To evaluate the effectiveness of an intervention designed to improve the nursing students´ empathy, the learning perception, the improvement of the perception in the understanding of the content, and in the degree of difficulty as well as the acquisition of skills. DESIGN Multicentre randomised controlled trial. SETTING This research was conducted at two schools of nursing at a public university in the Southwest of Spain. PARTICIPANTS 116 nursing students were randomly assigned to an experimental or a control group (delayed intervention group once the post-training analysis was completed) during the second semester of the 2015/2016 academic year. METHODS Pre-test, post-test, and follow-up data were obtained for each group using a simulated clinical interview. Empathy was the primary outcome (The Consultation and Relational Empathy Measure, Jefferson Scale of Empathy student version, Reynolds Empathy Scale, and Carkhuff Scale). The students' perceived knowledge, the learning perception, the self-esteem (Rosenberg Self-Esteem Scale) and the understanding of the content and acquisition of skills (ad-hoc questions) were also analysed. RESULTS The results were improved in all the measures conducted in the experimental groups at the different centres after the intervention. The mean post-test simulation scores were higher than the pre-test with statistically significant differences. The results were maintained in the follow-up. The student's perception of learning and the perception of understanding of the content and the acquisition of skills were improved as well. CONCLUSION The study support that training in empathic competence is effective.
    PURPOSE To construct a questionnaire for measuring knowledge of a diabetic diet and validate its contents. METHODS This study was carried out in three stages: (a) generation of items, (b) apparent and content validation, (c) cognitive... more
    PURPOSE To construct a questionnaire for measuring knowledge of a diabetic diet and validate its contents. METHODS This study was carried out in three stages: (a) generation of items, (b) apparent and content validation, (c) cognitive pilot test. FINDINGS An 88-item questionnaire was obtained with a content validity index and a representativeness index of 0.87. The experts modified the items that did not reach the preset values. The cognitive test was shown to be feasible, with good exploratory values of reliability and concurrent validity. CONCLUSIONS The CoNOCidiet-Diabetes questionnaire was obtained from the NOC outcome "Knowledge: Prescribed Diet" and its contents were validated. IMPLICATIONS FOR NURSING PRACTICE This research shows the usefulness of the NOC for generating tools to measure health outcomes sensitive to nursing interventions.
    PURPOSE To validate the content of the NANDA-I diagnosis "death anxiety" (00147). METHODS Descriptive study using the Fehring model with 202 Spanish nurses who were expert in end-of-life care to explore the adequacy of the... more
    PURPOSE To validate the content of the NANDA-I diagnosis "death anxiety" (00147). METHODS Descriptive study using the Fehring model with 202 Spanish nurses who were expert in end-of-life care to explore the adequacy of the components of the NANDA-I diagnosis "death anxiety" (00147) in the Spanish edition. FINDINGS None of the diagnosis definitions were considered as representative. Furthermore, 5 of the 56 defining characteristics and 5 of the 26 related factors were validated as major. CONCLUSIONS In general, the components of the diagnosis "death anxiety" (00147) in the Spanish edition are not representative according to experts. IMPLICATIONS FOR NURSING PRACTICE The results support the need to either exclude the diagnosis from the taxonomy or adjust its content.
    The evaluation of the level of clinical competence acquired by the student is a complex process that must meet various requirements to ensure its quality. The psychometric analysis of the data collected by the assessment tools used is a... more
    The evaluation of the level of clinical competence acquired by the student is a complex process that must meet various requirements to ensure its quality. The psychometric analysis of the data collected by the assessment tools used is a fundamental aspect to guarantee the student's competence level. To conduct a psychometric analysis of an instrument which assesses clinical competence in nursing students at simulation stations with standardized patients in OSCE-format tests. The construct of clinical competence was operationalized as a set of observable and measurable behaviors, measured by the newly-created Student Assessment Tool for Standardized Patient Simulations (SAT-SPS), which was comprised of 27 items. The categories assigned to the items were 'incorrect or not performed' (0), 'acceptable' (1), and 'correct' (2). 499 nursing students. Data were collected by two independent observers during the assessment of the students' performance at a four...
    To: (1)identify clusters of nurses in relation to their beliefs about nursing diagnosis among two populations (Italian and Spanish); (2) to investigate differences among clusters of nurses in each population considering the nurses'... more
    To: (1)identify clusters of nurses in relation to their beliefs about nursing diagnosis among two populations (Italian and Spanish); (2) to investigate differences among clusters of nurses in each population considering the nurses' sociodemographic data, attitudes towards nursing diagnosis, intentions to make nursing diagnosis and actual behaviors in making nursing diagnosis. Nurses' beliefs concerning nursing diagnosis can influence its use in practice but this is still unclear. A cross-sectional design. A convenience sample of nurses in Italy and Spain was enrolled. Data were collected between 2014-2015 using tools, that is, a socio-demographic questionnaire and behavioral, normative and control beliefs, attitudes, intentions and behaviors scales. The sample included 499 nurses (272 Italians and 227 Spanish). Of these, 66.5% of the Italian and 90.7% of the Spanish sample were female. The mean age was 36.5 and 45.2 years old in the Italian and Spanish sample, respectively. ...
    To develop and psychometrically evaluate a questionnaire based on the outcome "Knowledge: Breast-feeding" of... more
    To develop and psychometrically evaluate a questionnaire based on the outcome "Knowledge: Breast-feeding" of the Nursing Outcomes Classification (NOC) to determine the knowledge of parents on breast-feeding. The NOC outcome "Knowledge: Breast-feeding" allows for nurses/midwives to assess the efficacy of interventions aimed to improve the knowledge on breast-feeding in parents thought the clinical interview/observation. However, the use of self-administered questionnaires by patients could facilitate its evaluation. Two-phased study: (1) Development of the questionnaire based on experts' opinions; (2) Methodological design to assess its psychometric properties. The availability of tools that enable the determination of the knowledge of patients would facilitate nurses/midwives to set objectives, individualize interventions, and measure their effectiveness.
    ABSTRACT Disponible en <http://www.index-f.com/memoria/9/9500.php>
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    To validate the content of the NANDA-I nursing diagnosis of grieving in situations of perinatal loss. Using the Fehring's model, 208 Spanish experts were asked to assess the... more
    To validate the content of the NANDA-I nursing diagnosis of grieving in situations of perinatal loss. Using the Fehring's model, 208 Spanish experts were asked to assess the adequacy of the defining characteristics and other manifestations identified in the literature for cases of perinatal loss. The content validity index was 0.867. Twelve of the 18 defining characteristics were validated, seven as major and five as minor. From the manifestations proposed, "empty inside" was considered as major. The nursing diagnosis of grieving fits in content to the cases of perinatal loss according to experts. The results have provided evidence to support the use of the diagnosis in care plans for said clinical situation.
    The Social Policy Statement by the American Nurses Association (2003) defined nursing as the diagnosis and treatment of human responses to health and illness. This definition underlines the importance of nurses’ accountability of the... more
    The Social Policy Statement by the American Nurses Association (2003) defined nursing as the diagnosis and treatment of human responses to health and illness. This definition underlines the importance of nurses’ accountability of the identification of patient problems as the basis for planning, implementing and evaluating nursing care (Axelsson et al. 2006). Lately, the consideration of ND as a standard of practise has supported and encouraged its use. However, underuse has been described in many countries. This makes further research necessary to provide new data on factors that may influence its utilisation and to help explain the irregular dissemination and consolidation of nursing diagnostic activity worldwide. People’s attitudes about concepts have an important role in the implementation of behaviours related to them. Therefore, the nurses’ attitude towards ND is an important consideration in its utilisation. However, there are few studies aimed at its assessment (Junttila et al. 2005). The evaluation of differential characteristics between nurses who have different attitude profiles would be useful to determine whether a relationship is established between them, raising the possibility to analyse how to change the attitudes to achieve a greater use of nursing diagnostic activity.
    To report the adaptation into Spanish and psychometric testing of the Position on Nursing Diagnosis scale. The Position on Nursing Diagnosis is a scale that uses the semantic differential technique to measure... more
    To report the adaptation into Spanish and psychometric testing of the Position on Nursing Diagnosis scale. The Position on Nursing Diagnosis is a scale that uses the semantic differential technique to measure nurses' attitudes towards the nursing diagnosis concept. Methodological design. The scale was cross-culturally adapted through a process including translation, comparison with versions in other languages, back-translation, review, and pre-testing. An opportunistic sample of 621 Spanish registered nurses was recruited from August-December 2011. Reliability was evaluated through internal consistency and test-retest reliability. Construct validity, using both exploratory factor analysis and the known-group technique, and concurrent validity were assessed. The Position on Nursing Diagnosis-Spanish Version was obtained from the cross-cultural adaptation process. High internal consistency and satisfactory test-retest reliability over a two week period (n = 240) were found. In the principal component analysis, all items loaded strongly on a single-factor which accounted for adequate variance, supporting the unidimensionality of the scale. A statistically significant difference was found comparing the scores of nurses who were members of the Spanish Association of Nomenclature, Taxonomy and Nursing Diagnosis and those who were not. Concurrent validity was supported by the significant correlation found between the scores and the degree of nursing diagnosis utilization and attendance to training sessions. The findings support the validity and reliability of the Position on Nursing Diagnosis-Spanish Version for its use among Spanish registered nurses as a measurement of their attitude towards the nursing diagnosis concept.
      The aim of this study was to promote changes to improve the care provided to parents who have experienced a perinatal loss through participatory action research.   The birth of a child is a joyful event for most families, however,... more
      The aim of this study was to promote changes to improve the care provided to parents who have experienced a perinatal loss through participatory action research.   The birth of a child is a joyful event for most families, however, unfortunately some pregnancies end in loss. Perinatal loss creates a heavy emotional impact not only on parents but also on health professionals, where in most cases there is an evident lack of skills, strategies and resources to cope with these kinds of situations.   Participatory action research is the methodology proposed to achieve the purpose of this study.   Participatory action research consists of five stages: outreach and awareness, induction, interaction, implementation and systematization. The working group will include professionals from the Mother and Child Unit for patients at a tertiary level public hospital in Spain. The duration of the study will be 3 years since the approval of the protocol in January 2011. The qualitative techniques used will include group dynamics such as the SWOT analysis the nominal group technique, focus groups and brainstorming, among others that will be recorded and transcribed, generating reports throughout the evolution of the group sessions and about the consensus reached. Content analysis will be conducted on the field diaries kept by the participants and researchers. This project has been funded by the Andalusian Regional Ministry of Health.   Participatory action research is a methodological strategy that allows changes in clinical practice to conduct a comprehensive transformative action in the care process for perinatal loss.
    Page 27. AULA VIRTUAL COMO APOYO A LA DOCENCIA DE ENFERMERÍA MATERNO-INFANTIL II Concepción Carnicer Fuentes; Olga Paloma Castro; Inmaculada Segura Gómez; Cristina Castro Yuste y Luis J. Moreno Corral Diplomatura en Enfermería. ...