Auxilio sanitario en tiempos de pandemia. Impacto sobre los estudiantes de enfermería / Health aid in pandemic time. Impact on nursing students

Introducción: La crisis sanitaria de la COVID-19 y la falta de enfermeras precipitó la contratación e incorporación de estudiantes de enfermería como auxilio sanitario. Objetivo: analizar el impacto de la pandemia en los estudiantes de cuarto curso de enfermería, con tratados como auxilio sanitario. Metodología: Estudio observacional, descriptivo y retrospectivo de los estudiantes de último año del grado de enfermería de la EUI-Sant Pau de Barcelona contratados en concepto de auxilio sanitario durante los meses de marzo a mayo de 2020. Se evaluó el impacto de la pandemia mediante el uso de un cuestionario de elaboración propia. Variables analizadas: edad, género, impacto sobre la actividad académica y satisfacción con la colaboración durante el auxilio sanitario. Resultados: De los 90 estudiantes de cuarto matriculados, 53 se incorporaron como auxilio sanitario de los cuales 38 (71,7%) respondieron al cuestionario. El 63,1% de los estudiantes vivían con la familia y de estos un 57,9% se separaron de esta para evitar contagios. El 73,7% no tenían experiencia laboral. La mitad de los estudiantes fueron ubicados en la UCI del hospital universitario. El 85% recibieron una formación exprés sobre el manejo del paciente crítico y el 60,6% manifestó que la incorporación afectó negativamente al rendimiento académico. El 95% de los estudiantes manifestó un grado de satisfacción de 4/4. Conclusiones: La pandemia de la COVID-19 precipitó la incorporación de más de la mitad de los estudiantes de cuarto al mundo laboral. Si bien más de la mitad de los estudiantes consideraron que su incorporación como auxilio supuso un detrimento en su formación, el grado de satisfacción fue muy elevado. (AU)

Introduction: The COVID-19 and the shortage of nurses in Spain precipitated the hiring and incorporation of nursing students as health aid. Aim: to analyze the impact of the pandemic on fourth-year nursing students hired as health aid. Methods: Observational, descriptive and retrospective study of last year nursing degree students at School of Nursing EUI-Sant Pau de Barcelona hired as health aid from March to May 2020. The impact of the pandemic was evaluated through the use of a self-prepared questionnaire. Variables analyzed: age, gender, impact on academic activity and satisfaction with the collaboration during the health aid. Results: Of the 90 fourth-year students enrolled, 53 volunteered as health aid, of which 38 (71.7%) responded to the questionnaire. Of the students living with their family (63,1%), 57.9% separated from them to avoid contagion and 73.7% had no work experience. Half of the students were assigned to the ICU of the university hospital. In our school, 85% of the students received express training on critical patient management and 60.6% stated that the incorporation negatively affected academic performance. The degree of satisfaction expressed by the students was 4/4 on a Likert scale in 99% of the cases. Conclusions: The COVID-19 pandemic precipitated the incorporation of more than half of fourth-year students into the world of work. Although more than half of the students consider that their incorporation as a health aid harmed their training, the degree of satisfaction was very high. (AU)

The Good Life: From Birth to Death.

Nurses are almost always present at birth and at death. The aim was to describe the similarities in nursing care between birthing and end-of-life patients under a humanistic and holistic caring perspective, focusing on pain management, anxiety and stress reduction, self-care and empowerment, and emotional and family support.

El sentido de un final de estudios: El proceso de aprendizaje durante el grado de enfermería a partir del cuaderno de progresión transversal / Giving sense to finishing studies: nursing degree learning process and the transversal progress notebook

Introducción: El objetivo de este estudio es comprender la percepción de los estudiantes sobre su proceso de aprendizaje durante el grado de Enfermería, al final de la promoción 2011-15, mediante la utilización del Cuaderno de Progresión Transversal (CPT) como herramienta metodológica. Metodología: Estudio cualitativo interpretativo desde un enfoque biográfico-narrativo del CPT de la promoción 2011-15. Sesenta y un narrativas se codificaron y se analizaron a partir de un análisis de contenido interpretativo. Resultados: El análisis interpretativo permitió identificar cinco temas del proceso reductivo de las narrativas que ayudaron a comprender la percepción del estudiante sobre su proceso de aprendizaje; estos fueron: estudios de enfermería, Escola Universitària d’Infermeria de Sant Pau, profesorado, proceso de aprendizaje y balance personal. Conclusion: Los estudiantes, al terminar sus estudios, percibieron haber adquirido un aprendizaje complejo basado en competencias y dieron sentido al trayecto realizado y a nuevos horizontes a través de la reflexión; encontraron coherencia entre sus estudios, la visión humanista y la práctica; consolidaron su identidad y valores profesionales, así como su pericia reflexiva crítica. Finalmente, percibieron nuevas transiciones hacia los ámbitos laboral y formativo con sentimientos ambivalentes

Introduction: The aim of this study is to understand students’ learning process perception at the end of their Nursing Bachelor studies at the Nursing University EUI-Sant Pau. The group studied were senior students from the 2011-15 year, using the Transversal Progress Notebook (TNB) as a methodological tool. Methodology: Qualitative interpretive study from a biographical-narrative approach of the 2011-15 year’s TNB. The sixty-one narratives were codified and analyzed using interpretative content analysis. Results: The interpretative analysis identified five topics from the narrative reductive process that helped understand the students’ perception of their learning process. These were: Nursing Studies, Sant Pau Nursing School, Teaching Staff, Learning Process, and Personal Assessment. Conclusion: When finishing their studies, students perceive that they have acquired a complex learning process based on competencies. They give meaning to their journey as students and to new upcoming horizons through reflection and self-knowledge. They perceive coherence between their studies, the humanistic vision, and fieldwork. They also perceive the strengthening of identity and professional values as well as the ability for critical reflection and finally, perceive how their learning process changes as they make a new transition towards the working and training environment, having contradictory feelings of joy and uncertainty

Ocean acidification: Linking science to management solutions using the Great Barrier Reef as a case study.

Coral reefs are one of the most vulnerable ecosystems to ocean acidification. While our understanding of the potential impacts of ocean acidification on coral reef ecosystems is growing, gaps remain that limit our ability to translate scientific knowledge into management action. To guide solution-based research, we review the current knowledge of ocean acidification impacts on coral reefs alongside management needs and priorities. We use the world's largest continuous reef system, Australia's Great Barrier Reef (GBR), as a case study. We integrate scientific knowledge gained from a variety of approaches (e.g., laboratory studies, field observations, and ecosystem modelling) and scales (e.g., cell, organism, ecosystem) that underpin a systems-level understanding of how ocean acidification is likely to impact the GBR and associated goods and services. We then discuss local and regional management options that may be effective to help mitigate the effects of ocean acidification on the GBR, with likely application to other coral reef systems. We develop a research framework for linking solution-based ocean acidification research to practical management options. The framework assists in identifying effective and cost-efficient options for supporting ecosystem resilience. The framework enables on-the-ground OA management to be the focus, while not losing sight of CO2 mitigation as the ultimate solution.

Ocean urea fertilization for carbon credits poses high ecological risks.

The proposed plan for enrichment of the Sulu Sea, Philippines, a region of rich marine biodiversity, with thousands of tonnes of urea in order to stimulate algal blooms and sequester carbon is flawed for multiple reasons. Urea is preferentially used as a nitrogen source by some cyanobacteria and dinoflagellates, many of which are neutrally or positively buoyant. Biological pumps to the deep sea are classically leaky, and the inefficient burial of new biomass makes the estimation of a net loss of carbon from the atmosphere questionable at best. The potential for growth of toxic dinoflagellates is also high, as many grow well on urea and some even increase their toxicity when grown on urea. Many toxic dinoflagellates form cysts which can settle to the sediment and germinate in subsequent years, forming new blooms even without further fertilization. If large-scale blooms do occur, it is likely that they will contribute to hypoxia in the bottom waters upon decomposition. Lastly, urea production requires fossil fuel usage, further limiting the potential for net carbon sequestration. The environmental and economic impacts are potentially great and need to be rigorously assessed.

Guía de cuidados para pacientes con cirrosis hepática y sus familiares

Contiene: qué es la cirrosis y cómo me puede afectar, ejes fundamentales para el cuidado, cuidados del estado emocional de los pacientes/familia con cirrosis hepática: estrategias de afrontamiento eficaz, cuándo debe acudir al hospital.