Standardizing nursing degree curriculum structure in Spain: A mixed-methods study.

BACKGROUND: Legislation regulating Spanish and European academic curricula prescribes a certain level of knowledge and skills any student must master. Spanish universities freely decide the number of credits assigned to each subject and in which year the subject will be taught. We hypothesize that this flexibility may give way to excessively heterogeneous training across universities in nursing degrees. Such curricula heterogeneity hinders inter-university transfers and weakens educational excellence. OBJECTIVES: 1) To review the existing differences in nursing degrees in Spanish universities; 2) to compare our results against current legislation; 3) to propose changes in the legislation, if necessary. DESIGN: Mixed-methods approach. SETTING: Spain. METHODS: We reviewed nursing degree curricula of all 60 Spanish universities. Inter-university differences were analyzed and checked against current legislation. A focus group proposed legislative changes accordingly. RESULTS: Several differences between public and private universities were statistically significant. During the first cycle, public universities´ course loads include more theoretical teachings, more credits in core subjects during the first year, and more compulsory subjects in second year. Private universities are more likely to offer external internships during the first cycle whereas the public ones are more likely to offer them during the second cycle. Public universities offer more credits under the following curricular blocks than private ones: "Nutrition/Dietetics," "Psychiatry," "Public and Community Health," and "Geriatrics." In turn, private universities offer more credits in the areas of "Theory/Methodology," "Ethics/Legislation," "English," and "Theology." Academic curricula meet most of the criteria established by the Spanish and European legislation. The proposed legislative changes aim at standardizing curricula by associating specific credits and their timeline to the teaching blocks. CONCLUSIONS: Nursing degree curricula among Spanish universities are highly heterogeneous. Legislative changes to homogenize teaching blocks would facilitate credit validations and student mobility across universities, in addition to increasing nursing degrees´ standardization and excellence.

Revisión narrativa de la técnica de los lavados nasales en pediatría / Literature review of nasal lavage technique in paediatrics

Introducción: Las infecciones de vías respiratorias altas y la bronquiolitis son de las patologías más comunes en la infancia. Dentro de los cuidados del paciente pediátrico la técnica de los lavados nasales es muy utilizada a nivel mundial ya que está recomendada en varias patologías sinusales. Objetivos: Sintetizar la evidencia disponible sobre la técnica de los lavados nasales en el paciente pediátrico. Métodos: Búsqueda bibliográfica en bases de datos MEDLINE, EMBASE, CINAHL y COCHRANE PLUS, utilizando los descriptores: pediatrics, respiratory tract infection, bronchiolitis, nasal lavage. Resultados: Se seleccionaron 11 artículos por su pertinencia y especificidad. En los documentos las recomendaciones se estructuran en cinco epígrafes respecto a la técnica de lavados nasales. Conclusiones: Podemos recomendar según la evidencia científica el uso de suero salino isotónico estéril, la presión positiva baja con volúmenes amplios mediante jeringa desechable. En el futuro, se debería profundizar en el volumen de solución a irrigar, el material para realizar el lavado y la posición del paciente.(AU)

Introduction: Upper respiratory infections and bronchiolitis are among the most common pathologies in childhood. In paediatric patient care, the nasal lavage technique is widely used as it is recommended in various sinus pathologies. Objective. To synthesize the available evidence on nasal lavage technique in paediatric patients. Methods: Literature search in MEDLINE, EMBASE, CINAHL and COCHRANE PLUS databases, using the descriptors: paediatrics, respiratory tract infection, bronchiolitis, nasal lavage. Results: 11 articles were selected due to relevance and specificity. In the documents, the recommendations are structured in five sections regarding the LN technique. Conclusions: We can recommend, based on scientific evidence, the use of sterile isotonic saline, low positive pressure with wide volumes using a disposable syringe. In the future, the aspects of volume to be used, material and position of the patient regarding the technique should be studied in depth.(AU)

Literature review of nasal lavage technique in paediatrics. / Revisión narrativa de la técnica de los lavados nasales en pediatría.

INTRODUCTION: Upper respiratory infections and bronchiolitis are among the most common pathologies in childhood. In paediatric patient care, the nasal lavage technique is widely used as it is recommended in various sinus pathologies. OBJECTIVE: To synthesize the available evidence on nasal lavage technique in paediatric patients. METHODS: Literature search in MEDLINE, EMBASE, CINAHL and COCHRANE PLUS databases, using the descriptors: paediatrics, respiratory tract infection, bronchiolitis, nasal lavage. RESULTS: 11 articles were selected due to relevance and specificity. In the documents, the recommendations are structured in five sections regarding the LN technique. CONCLUSIONS: We can recommend, based on scientific evidence, the use of sterile isotonic saline, low positive pressure with wide volumes using a disposable syringe. In the future, the aspects of volume to be used, material and position of the patient regarding the technique should be studied in depth.