ABSTRACT
BACKGROUND: Nurses play an essential role in the care of emergency hospital patients, being the ones who have the most contact with the patient and the first to be able to detect their imminent deterioration. However, the literature shows the impact that this can have in terms of stress and insecurity among new nurses, with the consequent risk of resignation in the institution and in their learning process. AIMS: To explore the process of incorporation of new nurses in the emergency room, as well as to identify and understand their emotions, difficulties, needs and proposals for improvement. METHODS: Qualitative research aimed at emergency room nurses in a tertiary level university hospital in Catalonia, between April 2022 and March 2023. Twelve semi-structured interviews were conducted with content analysis. RESULTS: Four categories emerged: identification of deficiencies, emotional dimension, competencies of the expert nursing professional, and needs and proposals for improvement, as main themes. CONCLUSIONS: Insufficient training and deficit of interdisciplinary communication skills appear as main stressors. The analysis of the results suggests the need to create an intervention program that protects the mental and emotional health of new nurses and ensures the integrity of their patients. Innovative and multimodal training adapted to generational change is called for, with virtual, immersive, and contextualized simulation scenarios, together with the implementation of tools such as debriefing and nursing clinical sessions.
ABSTRACT
OBJETIVO: Analizar la evidencia científica actual respecto a la influencia de la actividad física en gestantes de bajo riesgo sobre el tipo de parto (eutócico, distócico o cesárea) y sobre la duración de las fases del parto. METODOLOGÍA: Se realizó una búsqueda bibliográfica en las bases de datos PubMed, CINAHL, Cuiden Plus y Cuidatge, en catalán, castellano e inglés, y con un rango de publicación de los últimos 10 años. RESULTADOS: Se seleccionaron 20 referencias bibliográficas. Algunos estudios sugieren que la realización de actividad física en embarazos de bajo riesgo se puede relacionar con una mayor probabilidad de parto eutócico y una disminución de partos distócicos y cesáreas. Otros estudios sugieren la posibilidad de una reducción en la duración de la primera y la segunda fase de parto (dilatación y expulsivo). CONCLUSIONES: La realización de actividad física durante la gestación en embarazadas de bajo riesgo es segura para las madres y los recién nacidos y ofrece mejores resultados obstétricos
OBJECTIVE: To analyse the current scientific evidence on the influence of physical activity in low risk pregnant women on the type of delivery (eutocic, dystocic or caesarean) and on the duration of the phases of delivery. METHODOLOGY: A research was conducted using the databases PubMed, CINAHL, Cuiden Plus and Cuidatge, in Catalan, Spanish and English and published in the last 10 years. RESULTS: 20 literature alerts were selected. Some studies suggest that performing physical activity in low-risk pregnancies may be related to an increased probability of eutocic delivery and a decrease in dystocic and cesarean delivery. Some studies raise the possibility of a reduction in the duration of the first and second phase of labor (dilation and expulsion). CONCLUSIONS: Performing physical activity during pregnancy in pregnant women at risk is safe for mothers and new-borns and offers better obstetric outcomes
