Psychometric evaluation of a Spanish translation of the moral injury symptom scale for healthcare professionals.

BACKGROUND: Moral injury is prevalent among health care professionals, especially nurses. It can have negative personal consequences for clinicians, and indirectly impact the quality of patient care. Although nurses around the world experienced moral injury during the pandemic, it will continue to be a professional challenge. Thus, this study aimed to determine the psychometric properties of a scale measuring moral injury translated into Spanish. METHODS: A methodological study with a cross-sectional approach was conducted. After translating the Moral Injury Symptom Scale for Healthcare Professionals (MISS-HP) into Peruvian Spanish (MISS-HP-S) using International Test Commission methods, data were collected using online survey methods from a sample of 720 Peruvian nurses. Analytical methods included exploratory and confirmatory factor analysis, and invariance by age were examined. The corrected homogeneity index, ordinal alpha, and McDonald's omega allowed the evaluation of internal reliability. RESULTS: Findings from this sample of nurses who were mostly female (92%), from coastal Peru (57%), and averaged 39 (± 11) years of age, provided support for the validity and reliability of the MISS-HP-S. Structural validity was endorsed by findings indicating consistent factorial structure and adequate invariance among different age groups. In this study, three factors were observed: guilt/shame, condemnation, and spiritual strength. Internal consistency values included an ordinal alpha of 0.795 and McDonald's omega of 0.835. CONCLUSION: These findings differ from those reported from previous studies in other cultural contexts, suggesting the influence of cultural and sample-specific factors in the perception of moral injury among Peruvian nurses. Because this evidence supports the validity of the MISS-HP-S, it can be used in professional practice and in future research to identify and address situations that contribute to nurse moral injury.

Mental health impacts of nurses caring for patients with COVID-19 in Peru: Fear of contagion, generalized anxiety, and physical-cognitive fatigue.

The health crisis caused by COVID-19 has resulted in the physical and emotional deterioration of health personnel, especially nurses, whose emotional state is affected by the high risk of contagion, the high demands of health services, and the exhausting working hours. The objective of this research was to determine the relationship between fear, anxiety, and fatigue of nurses caring for patients with COVID-19 in a second level public hospital in Peru. This study presents a quantitative approach and correlational level, cross-sectional, and non-experimental design. The sample consisted of 145 nurses who attended patients with COVID-19 in health care areas. The results show a significant relationship between fear of contagion and physical-cognitive fatigue (p < 0.001; r = 317) and a significant relationship between generalized anxiety and physical-cognitive fatigue (p < 0.001; r = 480). It is concluded that in this context, both fear of contagion and generalized anxiety are related to physical-cognitive fatigue.

Mental Health Projects for University Students: A Systematic Review of the Scientific Literature Available in Portuguese, English, and Spanish.

The mental health of college students has been the source of research, projects, and public policies involving education, health, and psychology professionals. Having as its axis the study of mental health and the phenomenon of psychological illness, this systematic review aims to characterize mental health programs directed to college students, as well as the forms of interventions offered to reduce the incidence of psychological disorders. From the proposal, a survey was conducted in the databases Scopus, Lilacs, and the repository Alicia, in the period between 2010 and 2021, choosing the search phrase "Programas de saúde mental para universitários" in Portuguese, "Mental health projects for university students" in English, and "Proyectos en salud mental para estudiantes universitarios" in Spanish. The research areas spanned humanities and social sciences, with peer-reviewed and open access articles. The questions that instigated the study were as follows: What are the mental health problems affecting college students? What type of strategy has been adopted to map the demands of university students in relation to mental illness? How can the university space reorganize itself to work on interventional-preventive aspects, according to the studies? Initially, 740 203 articles were obtained, and after sifting through 13 productions, using the PRISMA systematization. Despite several research interrelating mental health and university space, most were dedicated to data collection, using questionnaires, inventories, and scales, standardized and non-standardized. Only three studies described intervention projects and programs to reduce the problems of psychological distress in college students. Unanimously, the investigations emphasize the need for monitoring the higher education population regarding mental health and, in parallel, the implementation of institutional public policies to meet the students' demands and reduce the rates of problems in the educational field.

Humanized Care From the Nurse-Patient Perspective in a Hospital Setting: A Systematic Review of Experiences Disclosed in Spanish and Portuguese Scientific Articles.

Nowadays, humanized care is an essential component in the field of health because the professional work of nursing seeks to provide quality services to patients who are suffering and fear illness or the dying process. Nurses recognize the need to incorporate humanized care into their daily work, as supported by Jean Watson, who states that caring entails establishing an adequate nurse-patient therapeutic relationship, where health education is a tool that promotes self-care in the patient, family, and community. The main objective of this work was to find scientific evidence on humanized care from the perspectives of nurses and hospitalized patients. To meet those research objectives, an exploratory systematic review of articles published in high-quality scientific journals from 2016 to 2020 using the PRISMA methodology in the Scopus and Scielo databases was conducted, yielding 26 studies that were analyzed. The findings show that nurses and patients perceive the need to remove the barriers that limit the advancement of humanized care in hospital institutions because they urgently demand that health professionals in all settings, especially critical ones, strengthen their humanizing role by sharing cordial, empathetic health experiences, and respecting their customs and beliefs during the hospitalization process. As a conclusion of the findings, the nurse-patient professionals agree that health personnel training is critical to providing humanized attention with quality in the hospital context, emphasizing that professional training should develop in practice soft skills, communication, safety environment, and human values.

[A cross-sectional study on the environmental culture and occupational health of informal waste pickers in Lima, Peru]. / Estudio transversal de la cultura ambiental y la salud ocupacional de recicladores informales de Lima, Perú.

PURPOSE: To determine the level of environmental culture of the informal sector waste pickers and compliance with occupational health standards of informal waste pickers. Specific objectives: to explore the relationship between the level of environmental culture and compliance with occupational health standards: exposure to physical, chemical, biological, and ergonomic agents in informal waste pickers in 2019. METHODS: Quantitative, correlational, cross-sectional, and non-experimental study. A sample of 400 informal waste pickers participated. Two questionnaires were applied: environmental culture and occupational health standards. RESULTS: There is a medium positive and weak positive relationship between the environmental culture variable and the different agents (physical, chemical, biological, and ergonomic). There is a significant positive correlation between environmental culture and occupational health. Likewise, there is a weak positive significant correlation between environmental culture and agents (physical, chemical, biological, and ergonomic), and a significant positive correlation between environmental culture and the social responsibility agent. CONCLUSIONS: Informal waste pickers do not have their basic needs and rights met. A lack of occupational health safety characterizes informal recycling, so it is necessary to create formal and safe work environments with health promotion and prevention practices.

OBJETIVOS: Determinar el nivel de cultura ambiental de los recicladores del sector informal y el cumplimiento de los estándares de salud ocupacional de los recicladores informales. Objetivos específicos: conocer la relación entre el nivel de cultura ambiental y cumplimiento de los estándares de salud ocupacional: exposición a los agentes físicos, químicos, biológicos y ergonómicos en los recicladores informales en 2019. METODOLOGÍA: Estudio cuantitativo, correlacional, corte transversal y no experimental. Participó una muestra de 400 recicladores informales. Se aplicaron dos cuestionarios: cultura ambiental y estándares de salud ocupacional. RESULTADOS: Existe relación entre positiva media y positiva débil entre la variable cultura ambiental y los diferentes agentes (físico, químico, biológico y ergonómico). Existe correlación significativa positiva media, entre la cultura ambiental y la salud ocupacional. Igualmente, existe correlación significativa positiva débil entre la cultura ambiental y los agentes (físico, químico, biológico y ergonómico), y correlación significativa positiva entre cultura ambiental y el agente responsabilidad social. CONCLUSIONES: Los recicladores informales no satisfacen sus necesidades básicas y derechos. El reciclaje informal se caracteriza por inseguridad en su salud ocupacional, por lo que es necesario crear entornos laborales formales y seguros, con prácticas de promoción y prevención sanitaria.

Estudio transversal de la cultura ambiental y la salud ocupacional de recicladores informales de Lima, Perú / A cross-sectional study on the environmental culture and occupational health of informal waste pickers in Lima, Peru

OBJETIVOS: Determinar el nivel de cultura ambiental de los recicladores del sector informal y el cumplimiento de los estándares de salud ocupacional de los recicladores informales. OBJETIVOS ESPECÍFICOS: conocer la relación entre el nivel de cultura ambiental y cumplimiento de los estándares de salud ocupacional: exposición a los agentes físicos, químicos, biológicos y ergonómicos en los recicladores informales en 2019. METODOLOGÍA: Estudio cuantitativo, correlacional, corte transversal y no experimental. Participó una muestra de 400 recicladores informales. Se aplicaron dos cuestionarios: cultura ambiental y estándares de salud ocupacional. RESULTADOS: Existe relación entre positiva media y positiva débil entre la variable cultura ambiental y los diferentes agentes (físico, químico, biológico y ergonómico). Existe correlación significativa positiva media, entre la cultura ambiental y la salud ocupacional. Igualmente, existe correlación significativa positiva débil entre la cultura ambiental y los agentes (físico, químico, biológico y ergonómico), y correlación significativa positiva entre cultura ambiental y el agente responsabilidad social. CONCLUSIONES: Los recicladores informales no satisfacen sus necesidades básicas y derechos. El reciclaje informal se caracteriza por inseguridad en su salud ocupacional, por lo que es necesario crear entornos laborales formales y seguros, con prácticas de promoción y prevención sanitaria.

PURPOSE: To determine the level of environmental culture of the informal sector waste pickers and compliance with occupational health standards of informal waste pickers. SPECIFIC OBJETIVES: to explore the relationship between the level of environmental culture and compliance with occupational health standards: exposure to physical, chemical, biological, and ergonomic agents in informal waste pickers in 2019. METHODS: Quantitative, correlational, cross-sectional, and non-experimental study. A sample of 400 informal waste pickers participated. Two questionnaires were applied: environmental culture and occupational health standards. RESULTS: There is a medium positive and weak positive relationship between the environmental culture variable and the different agents (physical, chemical, biological, and ergonomic). There is a significant positive correlation between environmental culture and occupational health. Likewise, there is a weak positive significant correlation between environmental culture and agents (physical, chemical, biological, and ergonomic), and a significant positive correlation between environmental culture and the social responsibility agent. CONCLUSIONS: Informal waste pickers do not have their basic needs and rights met. A lack of occupational health safety characterizes informal recycling, so it is necessary to create formal and safe work environments with health promotion and prevention practices.