ABSTRACT
AIM(S): To understand the experiences of advanced practice nurses working in cancer care. DESIGN: Phenomenological qualitative study. METHODS: Three focus groups were held to collect qualitative data. Participants were recruited through theoretical non-probabilistic sampling of maximum variation, based on 12 profiles. Data saturation was achieved with a final sample of 21 oncology advanced practice nurses who were performing advanced clinical practice roles in the four centers from December 2021 to March 2022. An interpretative phenomenological analysis was performed following Guba and Lincoln's criteria of trustworthiness. The centers' ethics committee approved the study, and all participants gave written informed consent. Data analysis was undertaken with NVivo 12 software. RESULTS: Three broad themes emerged from the data analysis: the role performed, facilitators and barriers in the development of the role and nurses' lived experience of the role. CONCLUSION: Advanced practice nurses are aware that they do not perform their role to its full potential, and they describe different facilitators and barriers. Despite the difficulties, they present a positive attitude as well as a capacity for leadership, which has allowed them to consolidate the advanced practice nursing role in unfavourable environments. IMPLICATIONS FOR THE PROFESSION: These results will enable institutions to establish strategies at different levels in the implementation and development of advanced practice nursing roles. REPORTING METHOD: Reporting complied with COREQ criteria for qualitative research. PATIENT OR PUBLIC CONTRIBUTIONS: No patient or public contribution.
ABSTRACT
Fundamentos: Todavía son poco conocidas las especificidades que la organización alternada de turnos de trabajo puede representar para la salud y en particular para la alimentación y nutrición. El objetivo de este trabajo fue analizar los hábitos alimenticios y nutricionales en profesionales con turno rotatorios. Métodos: Se enrolaron 15 mujeres, personal sanitario, voluntarias sanas con normopeso. Rellenaron un recordatorio de 24 h y un cuestionario de frecuencias autocompletadas diariamente, de forma exhaustiva, con los alimentos consumidos durante 7 días. El análisis dietético y nutricional fue llevado a cabo mediante: Programa DIAL. Resultados: La ingesta de energía fue superior a la recomendada (2209,13±16,4 Kcal), así como proteínas (96,15±6,88 g), y lípidos (108,29±8,61 g), con un alto consumo de raciones diarias de aceites y grasas), lácteos y carnes y pescados. La ingesta de hidratos de carbono fue menor (192±14,37 g) de la recomendada, con un mejor consumo en raciones de cereales y azucares. La ingesta de las vitaminas niacina, B12, C y K, así como sales minerales, especialmente sodio y fosforo, fueron superiores al doble de las CDR. Se detectaron deficiencias nutricionales en su dieta diaria para zinc, hierro, iodo, magnesio y ácido fólico, e ingestas muy por debajo del CDR para flúor, potasio, calcio y vitamina D. Conclusión: El colectivo estudiado sometido a turnos rotatorios mantuvo una dieta no equilibrada que debería balancearse hacia los hidratos de carbono, además de corregir el consumo diario deficiente en calcio y excesivo en sodio, factores de riesgo para la osteoporosis e HTA respectivamente (AU)
Foundations: There is limited knowledge about the impact of alternated shift work for health and nutrition. Our aim was to analyze the food and nutritional habits in health professionals with shift work rotation. Methods: Some 15 voluntary healthy women, health personnel, with normal weight were recruited. They completed a 24-hour dietary recall and a daily Food Frequency Questionnaire for 7 days. Nutrient analysis was performed with DIAL software. Results: The study group had energy intakes above recommendations (2209.13±16.4 Kcal), as well as proteins (96.15±6.88 g) and lipids (108.29±8.61 g), with high consumption for oils and fats), dairies and meats and fish, and intakes below recommendations for carbohydrate (192±14.37 g), with lower consumption for cereals and sweets. Regarding macro and micronutrients, intakes for vitamins niacin, B12, C and K as well as for sodium and phosphorus were above twofold of the RDA. Intakes for zinc, iron, iodine, magnesium and folic acid, as well as for fluoride, potassium, calcium and vitamin D were far below RDA. Conclusion: The study group under rotating shift work had an unbalanced diet, which should turn into higher carbohydrate intake and adequate intakes for calcium, now deficient, and excessive sodium intake, risk factors for osteoporosis and high blood pressure, respectively (AU)
