Lack of autonomy and professional recognition as major factors for burnout in midwives: A systematic mixed-method review.

AIM: The aim of this study was to review the existing evidence on burnout levels in midwives and the main related factors. DESIGN: Mixed studies systematic review. DATA SOURCES: PubMed, Scopus and Web of Science were sourced from 2018 and 2023. REVIEW METHODS: Inclusion criteria: quantitative cross-sectional or qualitative articles published in English within the last 5 years. EXCLUSION CRITERIA: studies with undergraduate or trainee midwives, studies examining the factors in a pandemic setting and those not answering the research question. Potential risk of bias was assessed using the Mixed Methods Assessment Tool (MMAT). A convergent synthesis design was followed through a thematic synthesis using Thomas and Harden's three-step method: inductive coding of the text, development of descriptive themes and generation of analytical themes. Qualitative approaches adopted exploratory descriptive studies and participatory action research. RESULTS: Thirty-six studies were included, with a total of 17,364 participants. There were higher levels of burnout in midwives who were single, under 35-40 years of age, with less than 10 years of experience and those with young children. Stress, anxiety and depression, as well as the emotional impact of traumatic events, have been described as related psychological factors. CONCLUSION: Although extrinsic work factors such as shifts, workload, pay and interpersonal relationships increase burnout, intrinsic factors such as lack of autonomy and recognition are the main factors related to it. IMPACT: What problem did the study address? Burnout among healthcare workers has been recognized as a global crisis requiring urgent attention, specifically in midwives. What were the main findings? There is a persistent shortage of midwives that is attributed in part to chronic retention difficulties related to job burnout expressed by these professionals. Where and on whom will the research have an impact? We seek to address the paucity of research on burnout in midwives in the current crisis in the profession. Work factors such as lack of autonomy or recognition in the profession carry an associated risk of burnout and job attrition. Understanding the factors that contribute to burnout will enable healthcare organizations to reduce the current problem. REPORTING METHOD: PREFERRED: Reporting items for systematic review and meta-analyses (PRISMA). PATIENT OF PUBLIC CONTRIBUTION: No patient or public contribution.

Percepciones y deseos sobre el parto en gestantes a término en Zamora / Perceptions and wishes about delivery of full-term pregnant women in Zamora

OBJETIVO: Describir las percepciones y deseos sobre el parto en un grupo de gestantes a término de Zamora. MÉTODO: Estudio cualitativo de carácter fenomenológico. Participantes y ámbito de estudio: embarazadas de 37-38 semanas, centros de salud Zamora Sur y Santa Elena (Zamora). Recogida de datos: entrevistas semiestructuradas, hasta llegar a saturación de datos (16 entrevistas). Análisis de datos: análisis de contenido temático. RESULTADOS: Los sentimientos maternos variaron desde la alegría hasta el miedo o el estrés. Las entrevistadas manifestaron no sentirse capaces de soportar el dolor del parto. Las necesidades que sintieron como más importantes fueron contar con apoyo y acompañamiento en el parto (sobre todo de su pareja) y recibir buen trato de los sanitarios. CONCLUSIONES: La importancia y la repercusión del parto para la mujer no solo atiende al ámbito biológico, sino en gran medida también al mental, al emocional y al social. En él intervienen múltiples factores que lo condicionan: los sentimientos maternos, su capacidad de afrontar el dolor del parto, sus necesidades, sus cambios realizados, el apoyo con el que cuentan y los profesionales sanitarios que atienden a la mujer

OBJECTIVE: To describe perceptions and wishes regarding childbirth in a group of full-term pregnant women in Zamora. METHOD: Qualitative study of phenomenological character. Participants and scope of study: pregnant women (37-38 weeks), Zamora Sur and Santa Elena health centres (Zamora, Spain). Data collection: semi-structured interviews, until data saturation (16 interviews). Data analysis: analysis of thematic content. RESULTS: The maternal feelings varied from joy to fear or stress. The interviewees said they did not feel capable of enduring the pain of childbirth. The needs that they felt most important were having support and accompaniment during delivery (especially of their partner) and receiving good treatment from the healthcare workers. CONCLUSIONS: The importance and repercussion of childbirth for women are not only biological, but also largely mental, emotional and social. It is conditioned by multiple factors: maternal feelings, their ability to deal with the pain of childbirth, their needs, the changes they have made, the support they have and the health professionals who care for them

Intervenciones educativas sobre nutrición y actividad física en niños de Educación Primaria: una revisión sistemática / Educational interventions on nutrition and physical activity in Primary Education children: a systematic review

INTRODUCCIÓN: Las intervenciones educativas en el entorno escolar, parecen la forma más efectiva de actuar contra la obesidad infantil. Los objetivos de esta revisión sistemática fueron, describir las intervenciones educativas sobre alimentación y/o actividad física llevadas a cabo en alumnos de Educación Primaria con el fin de disminuir o prevenir la obesidad infantil y analizar la eficacia de dichas intervenciones. METODOLOGÍA: Se realizó una búsqueda bibliográfica en las bases de datos WOS y SCOPUS. Los criterios de elegibilidad fueron esTablecidos en base al acrónimo PICOS: (P) niños de educación primaria (6-12 años), (I) estudios que llevaran a cabo intervenciones de nutrición y/o actividad física en el ámbito escolar, (C) no recibir ninguna intervención, (O) evaluar el efecto de los programas educacionales sobre la obesidad infantil, (S) estudios experimentales, publicados entre 2013 y 2017. RESULTADOS Y DISCUSIÓN: Se identificaron 571 artículos, y finalmente se incluyeron 22 estudios. Se encontró que las intervenciones más prometedoras fueron las combinadas. La duración, la participación de los padres, el sexo y nivel socioeconómico pueden influir en la efectividad de las intervenciones. Se observó una escasez de intervenciones teóricamente fundamentadas. CONCLUSIONES: Las intervenciones con mejores resultados son las combinadas, con actividades incluidas en el currículo y la participación de los padres. Las intervenciones a largo plazo parecen tener mejores resultados. Estos programas ayudan a la adquisición de hábitos saludables y existe cierta evidencia de que son útiles en la disminución del Índice de Masa Corporal (IMC) o en la prevención de la obesidad infantil

INTRODUCTION: Educational interventions in the school environment seem the most effective way to act against childhood obesity. The objectives of this systematic review were to describe the educational interventions on nutrition and / or physical activity carried out in primary school students in order to reduce or prevent childhood obesity and analyze the effectiveness of these interventions. METHODOLOGY: A bibliographic search was carried out in the WOS and SCOPUS databases. Eligibility criteria were established based on the acronym PICOS: (P) primary school children (6-12 years), (I) studies that will carry out nutrition and / or physical activity interventions in the school setting, (C) not receive any intervention, (O) evaluate the effect of educational programs on childhood obesity, (S) experimental studies, published between 2013 and 2017. RESULTS AND DISCUSSION: 571 articles were identified, and finally 22 studies were included. It was found that the most promising interventions were the combined ones. Duration, parental involvement, gender and socioeconomic status can influence the effectiveness of interventions. A shortage of theoretically based interventions was observed. CONCLUSIONS: The interventions with the best results are the combined ones, with activities included in the curriculum and the participation of the parents. Long-term interventions seem to have better results. These programs help the acquisition of healthy habits and there is some evidence that they are useful in decreasing the Body Mass Index (BMI) or in the prevention of childhood obesity

Perceptions and wishes about delivery of full-term pregnant women in Zamora. / Percepciones y deseos sobre el parto en gestantes a término en Zamora.

OBJECTIVE: To describe perceptions and wishes regarding childbirth in a group of full-term pregnant women in Zamora. METHOD: Qualitative study of phenomenological character. Participants and scope of study: pregnant women (37-38 weeks), Zamora Sur and Santa Elena health centres (Zamora, Spain). DATA COLLECTION: semi-structured interviews, until data saturation (16 interviews). DATA ANALYSIS: analysis of thematic content. RESULTS: The maternal feelings varied from joy to fear or stress. The interviewees said they did not feel capable of enduring the pain of childbirth. The needs that they felt most important were having support and accompaniment during delivery (especially of their partner) and receiving good treatment from the healthcare workers. CONCLUSIONS: The importance and repercussion of childbirth for women are not only biological, but also largely mental, emotional and social. It is conditioned by multiple factors: maternal feelings, their ability to deal with the pain of childbirth, their needs, the changes they have made, the support they have and the health professionals who care for them.

Apego en el postparto precoz: comparación entre madres de neonatos ingresados en el Servicio de Obstetricia y en la Unidad de Cuidados Intensivos Neonatales / Attachment in early postpartum: comparison between mothers of infants admitted to the Obstetric Service and the Neonatal Intensive Care Unit

Introducción: el apego materno es el conjunto de conductas y vínculos que la madre establece en torno al recién nacido. El ingreso en la Unidad de Cuidados Intensivos Neonatales supone una barrera en el establecimiento de estos primeros lazos. Objetivo: el principal objetivo del presente estudio es comparar el grado de apego valorando dicha separación, así como identificar aquellas variables que podrían influir en su establecimiento. Material y métodos: un total de 82 madres, divididas en dos grupos (O-U), participaron en este estudio ex postfacto comparativo causal mediante la cumplimentación del cuestionario Maternal Attachment Inventory, la entrevista y la revisión de la historia clínica. Resultados: se encontraron diferencias estadísticamente significativas en la puntuación MAI entre madres del Grupo Obstetricia (99’67) y del Grupo UCIN (91’64), del mismo modo se señaló la edad gestacional y la alimentación como factores influyentes. Discusión y conclusión: la separación tras el ingreso en la Unidad de Cuidados Intensivos Neonatales dificulta el establecimiento de los primeros vínculos maternos. Es necesario valorar los diferentes factores que influyen en esta situación y realizar futuras intervenciones para mejorar la relación materno-filial (AU)

Introduction: Maternal attachment is the set of behaviors and links established around to the mother and the newborn. Admission to the Neonatal Intensive Care Unit (NICU) is a barrier in establishing these early ties. Objective: The main objective of this study is compare the degree of maternal attachment in the Neonatal Intensive Care Unit, and it identify the variables that could influence on his establishment. Material and methods: 82 mothers, divided into two groups, participated in this causal comparative study by carry out the questionnaire Maternal Attachment Inventory (MAI), the interview and review of medical history. Results: There are significant differences in MAI scores between mothers of Obstetrics Group (99'67) and NICU Group (91'64). Gestational age and feeding are influential factors. Discussion and conclusion: Separation hinders the establishment of the first maternal ties. It is necessary to assess the factors that influence in this situation and it plan future interventions to improve maternal-child relationship (AU)

Exploring the Use of information and communication technologies and social networks among university nursing faculty staff. An opinion survey.

OBJECTIVE: This work sought to analyze the use of Information and Communication Technologies (ICTs) and social networks among the university nursing faculty staff in Spain. METHODOLOGY: This was a descriptive, cross-sectional study using a questionnaire on ICT skills designed to comply with the research objective, which was evaluated by experts and which was subjected to exploratory analysis of principal components; the reliability of this instrument measured with Cronbach's alpha was 0.85. The information technology tool used to publish the questionnaire on line was Limesurvey. The sample comprised 165 professors from 25 Nursing Faculties and Schools from universities in Spain. RESULTS: Seventy one percent of the total surveyed used internet services to look for information, 63% used the internet as a means for formation and learning, and 72% used it as a communication platform (e-mail and virtual platforms like Sakai and Moodle). Although 51% of the teaching staff surveyed had more than 120 students registered in their courses, hypothesis testing revealed that the number of students in class is not a determining factor for the teaching staff to have greater interest to update its knowledge in ICTs. Younger professors use new technologies more profusely and the most-valued advantage of using ICTs was quick access to information. Professors perceive that after the Bologna Declaration, which requires modifying their teaching-learning processes through the new teaching methodologies, a drop has been produced in their performance and that of their peers in their area of knowledge. CONCLUSION: The nursing teaching staff is making strong efforts to confront the new challenges posed by ICTs to train the professionals of the 21st century. It is fundamental to pay special attention to improving the university teaching staff's skills in managing ICTs, promoting the implementation of the knowledge acquired.

Uso de las Tecnologías de la información y la comunicación y las redes sociales entre el profesorado universitario de enfermería / Explorando o uso das Tecnologias da informação e a comunicação e as redes sociais entre o professorado universitário de enfermagem. Uma enquete de opinião / Exploring the Use of information and communication technologies and social networks among university nursing faculty staff. An opinion survey

Objetivo. Analizar el uso de las Tecnologías de la información y la comunicación –TIC- y las redes sociales entre el profesorado universitario de enfermería en España. Metodología. Estudio descriptivo de corte transversal en el que se empleó un cuestionario sobre competencias TIC diseñado para cumplir con el objetivo de investigación, el cual fue evaluado por expertos. Posteriormente, se le hizo análisis exploratorio de componentes principales. La confiabilidad de este instrumento fue 0.85, medida con el alfa de Cronbach. La herramienta informática utilizada para publicar en línea el cuestionario fue Limesurvey. La muestra estuvo compuesta por 165 profesores de 25 Facultades y Escuelas de Enfermería de las Universidades de España. Resultados. El 71% del total de encuestados utilizaba los servicios de Internet para buscar información, el 63% hacía uso de Internet como vía de formación y aprendizaje y un 72% lo empleaba como plataforma de comunicación (correo electrónico y plataformas virtuales como Sakai y Moodle). A pesar de que el 51% del profesorado encuestado tenía más de 120 alumnos matriculados en sus cursos, un contraste de hipótesis reveló que el número de alumnos en clase no es un factor determinante para que el profesorado tenga mayor interés por actualizar sus conocimientos en TIC. Los profesores más jóvenes utilizan con mayor profusión las nuevas tecnologías y la ventaja más valorada del uso de las TIC fue el acceso rápido a la información. Los profesores perciben que tras la Declaración de Bolonia, que exige modificar sus procesos de enseñanza-aprendizaje mediante las nuevas metodologías docentes, se ha producido un descenso en el rendimiento propio y en el de sus compañeros de área de conocimiento. Conclusión. El profesorado de enfermería está afrontando con esfuerzo los nuevos retos que las TIC plantean para formar a los profesionales del siglo XXI. Es fundamental prestar especial atención al mejoramiento de las competencias en manejo de TIC...

Objective. This work sought to analyze the use of Information and Communication Technologies (ICTs) and social networks among the university nursing faculty staff in Spain. Methodology. This was a descriptive, cross-sectional study using a questionnaire on ICT skills designed to comply with the research objective, which was evaluated by experts and which was subjected to exploratory analysis of principal components; the reliability of this instrument measured with Cronbach’s alpha was 0.85. The information technology tool used to publish the questionnaire on line was Limesurvey. The sample comprised 165 professors from 25 Nursing Faculties and Schools from universities in Spain. Results. Seventy one percent of the total surveyed used internet services to look for information, 63% used the internet as a means for formation and learning, and 72% used it as a communication platform (e-mail and virtual platforms like Sakai and Moodle). Although 51% of the teaching staff surveyed had more than 120 students registered in their courses, hypothesis testing revealed that the number of students in class is not a determining factor for the teaching staff to have greater interest to update its knowledge in ICTs. Younger professors use new technologies more profusely and the most-valued advantage of using ICTs was quick access to information. Professors perceive that after the Bologna Declaration, which requires modifying their teaching-learning processes through the new teaching methodologies, a drop has been produced in their performance and that of their peers in their area of knowledge. Conclusion. The nursing teaching staff is making strong efforts to confront the new challenges posed by ICTs to train the professionals of the 21st century. It is fundamental to pay special attention to improving the university teaching staff’s skills in managing ICTs, promoting the implementation of the knowledge acquired...

Objetivo. Analisar o uso das Tecnologias da informação e a comunicação –TICs- e as redes sociais entre o professorado universitário de enfermagem na Espanha. Metodologia. Estudo descritivo de corte transversal no que se empregou um questionário sobre concorrências TICs desenhado para cumprir com o objetivo de investigação, o qual foi avaliado por experientes e ao que posteriormente se lhe fez análise exploratório de componentes principais; a confiabilidade deste instrumento medida com o alfa de Cronbach foi 0.85. A ferramenta informática utilizada para publicar na linha o questionário foi Limesurvey. A amostra esteve composta por 165 professores de 25 Faculdades e Escolas de Enfermagem das Universidades da Espanha. Resultados. 71% do total de interrogados utilizava os serviços de Internet para procurar informação, 63% fazia uso de internet como via de formação e aprendizagem e um 72% o empregava como plataforma de comunicação (correio eletrônico e plataformas virtuais como Sakai e Moodle). Apesar de que 51% do professorado interrogado tinha mais de 120 alunos matriculados em seus cursos, um contraste de hipótese revelou que o número de alunos em classe não é um fator determinante para que o professorado tenha maior interesse por atualizar seus conhecimentos em TICs. Os professores mais jovens utilizam com maior profusão as novas tecnologias e a vantagem mais valorizada do uso das TICs foi o acesso rápido à informação. Os professores percebem que depois da Declaração de Bologna, que exige modificar seus processos de ensino-aprendizagem mediante as novas metodologias docentes, produziu-se um descenso no rendimento próprio e no de seus colegas da área de conhecimento. Conclusão. O professorado de enfermagem está enfrentado com esforço os novos reptos que as TICs propõem para formar aos profissionais do século XXI. É fundamental prestar especial atendimento ao melhoramento as concorrências em manejo de TICs do professorado universitário...