Determinants of Knowledge of Pain among Nurses in a Tertiary Hospital in Spain.

BACKGROUND: Poorly controlled pain in patients is related to several complications, such as increased nosocomial infections and mortality, where nurses play a crucial role. AIMS: To analyze determinants of pain as well as nurses' knowledge and attitudes towards pain in the inpatient services of a tertiary center in the Spanish public health network. METHODS: The Knowledge and Attitudes Survey Regarding Pain questionnaire was administered to all nurses in the center from January to March 2019. Additional sociodemographic variables, such as gender, age, employment status, work experience, professional group, and academic degree, were collected and analyzed. Item Response Theory was used for discriminant analysis of each question and its relationship with the final score. RESULTS: A total of 282 questionnaires were collected from those distributed among nurses working in medical, surgical, oncological, and intensive care services. The average score obtained on pain-related knowledge and attitudes was 58.89%. We found significant differences (p < .001) between the KASRP score and the professional group score. There were no differences in final score based on academic level or age. Questions related to pharmacology resulted in low scores and did not discriminate between levels of knowledge, being considered difficult. We did not find items that allowed discriminating between levels of knowledge. CONCLUSIONS: A knowledge gap exists regarding nurses' pharmacological and assessment concepts, and there are differences in knowledge depending on professional group. The KASRP allows for a good discrimination of low levels of knowledge.

Spanish Version of the Knowledge and Attitudes Survey Regarding Pain.

A variety of valid tools are available to assess staff knowledge and attitudes regarding pain, among which is the Knowledge and Attitudes Survey Regarding Pain. Although this instrument has been widely and successfully used, a valid and adapted Spanish version is yet to be developed. The purpose of this study was to validate the Spanish version of the Knowledge and Attitudes Survey Regarding Pain. After translating and back-translating this tool, we conducted a cross-cultural adaptation and construct validation with 102 participants, including nursing professionals (in palliative care, oncology, and intensive care) from five health centers and final-year nursing students. All participants were recruited in the Principality of Asturias, Spain. We also evaluated the internal consistency and test-retest correlations. Cronbach's α was .781, and Pearson's r and the intraclass correlation coefficient between the test and retest scores were .881 and .883, respectively. The mean questionnaire scores in the test and retest phases were 65.8% and 67.6%, respectively. Palliative care nurses had the highest score, 70.8%, which differed significantly from the rest of the groups. The Spanish version of the Knowledge and Attitudes Survey Regarding Pain can effectively differentiate nursing staff in terms of their pain expertise. The results indicate that Spanish nurses have a gap in pharmacologic knowledge that is comparable to that found in other countries, but their foundation in general pain concepts was solid.

Actitud del personal sanitario frente a la vacunación antigripal en el hospital de referencia del Principado de Asturias / Health professionals' attitudes against influenza vaccination in a spanish terciary hospital

OBJETIVO: El personal sanitario está incluido entre los grupos de riesgo para los que se recomienda la vacunación antigripal anual. El objetivo del estudio fue conocer la actitud de los profesionales sanitarios del centro de referencia en el Principado de Asturias frente a la vacunación antigripal durante la campaña 2017-2018. MÉTODOS: Se realizó un estudio descriptivo transversal entre septiembre de 2017 y mayo de 2018 mediante cuestionario. Se estudiaron variables sociodemográficas y referidas a las razones de vacunación antigripal. Para el análisis descriptivo se utilizaron la media, la desviación típica, el rango, las frecuencias y el porcentaje. La comparación entre vacunados y no vacunados se realizó mediante Chi Cuadrado, Saphiro-Wilk y U Mann-Whitney. RESULTADOS: Participaron 518 profesionales, que presentaron una tasa de vacunación del 29,53%. La razón principal para vacunarse fue su eficacia (media en la escala Likert de 4,11 sobre 5), mientras que para no hacerlo fue la falta de interés (media de 3,41 sobre 5). Existió relación con el tipo de contrato y la categoría profesional, presentando menores cifras de vacunación el personal temporal (p = 0,003) y las enfermeras (p < 0,001). Se encontró también asociación con los profesionales que siempre se vacunaban en la campaña a estudio (p < 0,001) y con los profesionales que se vacunaron en su centro de trabajo (p = 0,002). Además, la profesión (p = 0,014) y la familia (p < 0,001) resultaron influyentes en su decisión. CONCLUSIONES: La tasa de vacunación de los profesionales sanitarios es similar a la de otros centros en España, pero sigue estando por debajo de la meta planteada por la Organización Mundial de la Salud. Un entorno laboral positivo hacia la vacuna antigripal y el fomento de la información sobre la misma desde los servicios de salud laboral podrían resultar factores favorecedores en la decisión de vacunarse por parte del personal sanitario

OBJECTIVE: Healthcare professionals is one of the risk groups to which influenza vaccination is recommended. The main objective was to know the attitudes of healthcare professionals about influenza vaccination in the Principality of Asturias' reference centre during the campaign 2017-2018. METHODS: We carried out a cross-sectional study between September 2017 and May 2018, using a questionnaire. Sociodemographic variables and reasons for accepting or refuse the influenza vaccination were studied. For descriptive analysis we used the mean, mode, standard deviation, range, frequencies and percentages. The comparison between vaccinated and unvaccinated was made by the Chi square test, Saphiro-Wilk test and U Mann-Whitney test. RESULTS: The sample was formed by 518 participants, finally resulted a 29.53% vaccination rate. The principal reason for accepting the vaccine was its efficacy (average on the Likert scale of 4.11 out of 5), while the main reason for not vaccination was the lack of interest (mean=3.41 out of 5). It confirmed relationship between the type of contract and the professional category, the lower vaccination was in the temporary staff (p = 0.003) and the nursing profession (p < 0.001). We also found association between professionals that used to receive the vaccine in all the campaigns (p < 0.001) and those who received the immunization in their workplace (p = 0.002). Finally, the profession (p = 0.014) and the family (p < 0.001) also were influential in the decision of the immunized. CONCLUSIONS: The vaccination rate of the professionals who work in the Asturias' reference hospital is similar to that of other health centres in Spain, but it is below the objective set by the World Health Organization. The previous contact with the influenza immunization, a positive working environment respecting the vaccine and the promotion of information, could be favourable factors in the vaccinal decision of the health workers

Quality of life as assessed by adults with cerebral palsy.

AIM: We explored the quality of life of adults with cerebral palsy without an intellectual disability and the predictors of quality of life. BACKGROUND: Because cerebral palsy is a disease that manifests in childhood, much of the research into quality of life for those dealing with it focuses on children; there are few studies that evaluate the quality of life of adults with cerebral palsy. Therefore, it is important to consider their perceptions in order to improve their general wellbeing and self-determination. DESIGN: This was a descriptive, cross-sectional study. METHOD: Quality of life was measured using the GENCAT Quality of Life Scale. Demographic and personal variables were also collected and examined. Participants comprised 75 adults (58.7 percent men, mean age = 40.84 years) with cerebral palsy who were members of the National Cerebral Palsy Association of Spain between 2014 and 2015. A linear multivariate model was examined as well. RESULTS: The overall mean score indicator of participants' quality of life was 103.29, which corresponds to the 56.6th percentile on the GENCAT scale. Examining the level of qualification, we found significant differences in the factors "personal development" and "self-determination," and those with a university education obtained higher scores than their less-educated counterparts. Having a partner was related to higher quality of life standard scores. After constructing a linear model, it was observed that maintaining sexual relationships was another factor that increased participants' quality of life. CONCLUSION: This study highlights the importance of social and romantic relationships to achieve a better quality of life in adults with cerebral palsy who do not have an intellectual disability. Social integration and sexuality education programs should be developed to improve their quality of life.

Presentismo en profesionales sanitarios de los servicios de urgencias y emergencias / Presenteeism among emergency health care staff

Objetivo. Conocer la prevalencia de presentismo en las diferentes categorías profesionales del personal asistencial sanitario de los servicios de urgencias (SU) hospitalarios y extrahospitalarios del Servicio de Salud del Principado de Asturias, así como definir las características sociodemográficas y los factores laborales que se asocian con el mismo en las diferentes categorías profesionales. Método. Estudio descriptivo transversal llevado a cabo durante el último semestre del año 2014 y primero del 2015. Mediante cuestionario anónimo y voluntario se recogieron variables sociodemográficas y relacionadas con el trabajo, la percepción del trabajo como estresante y, de forma autoaplicada, la escala de presentismo Standford Presenteeism Scale-6 adaptada a población española. Resultados. Sobre 323 profesionales se observó una prevalencia de presentismo del 52,9%. Se comprobó la existencia de relación entre estrés y presentismo (p < 0,01), el presentismo en función del centro de trabajo (p = 0,004) y el hecho de tener personas dependientes al cargo (p = 0,034). También se encontró asociación con el estrés en personal médico (p = 0,049) y personal de enfermería con personas dependientes a su cargo (p = 0,016). Conclusiones. Existe una elevada prevalencia de presentismo en el personal sanitario de los SU del Principado de Asturias, hallándose relaciones estadísticamente significativas con múltiples variables (AU)

Objectives. To estimate the prevalence of presenteeism among different categories of hospital and pre-hospital emergency health care professionals in the Principality of Asturias, Spain, and to define the sociodemographic characteristics and workplace factors associated with presenteeism in all categories. Methods. Cross-sectional descriptive study carried out during the last half of 2014 and first half of 2015. A self-administered questionnaire was used to collecta data on sociodemographic and work-related variables and perception of work as stressful. The respondents, who answered voluntarily and anonymously, assessed themselves on the Stanford Presenteeism Scale-6 adapted for use in Spain. Results. The prevalence of presenteeism was 52.9% among the 323 respondents. Presenteeism was associated with stress (P<01), place of work (P=.004), and bearing responsibility for dependent persons (P=.034) in the group overall. The association between stress and presenteeism was clearly present in emergency physicians (P=.049) and in nurses with dependents under their care (P=.016). Conclusions. The prevalence of presenteeism is high among emergency staff in the Principality of Asturias. Presenteeism is associated with diverse factors (AU)

Abdomen agudo secundario a pica / Acute abdomen due to pica

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Influencia de la depresión puerperal durante la hospitalización posparto en la lactancia materna / The influence of depression during postpartum hospitalization in maternal lactation

Se realiza un estudio observacional descriptivo de corte transversal en 100 mujeres puérperas. Se valora el comportamiento durante la lactancia en relación con la depresión puerperal durante la hospitalización por parto. La prevalencia de trastornos depresivos fue del 15,8 por ciento. Las mujeres deprimidas presentaron una mayor media de edad (p = 0,05) y una media menor de peso de sus recién nacidos (p = 0,02); las mujeres solteras tuvieron mayor presencia de depresión (p = 0,01); en cuanto al cuestionario de comportamiento durante la lactancia, únicamente se encontraron diferencias en el ítem "Cuando hay gente a mi alrededor, dificulta la tarea de lactar", al que las mujeres del grupo con depresión contestaron afirmativamente en mayor número (p = 0,03).Se realizan diversas consideraciones para mejorar la planificación de los cuidados de la lactancia (AU)