Exploring How Evidence-Based Practice, Communication, and Clinical Simulation Outcomes Interact in Nursing Education: A Cross-Sectional Study.

(1) Background: Clinical simulation is an educational approach that aims to replicate real-life scenarios. Its primary goal is to help nursing students acquire the necessary knowledge and skills to perform effectively in clinical settings. This study focuses on the relationship between communication skills, evidence-based practice (EBP), and clinical simulation. We aimed to assess how communication skills and EBP competencies affect nursing students' performance in simulated clinical scenarios. (2) Methods: We conducted an observational, cross-sectional study with 180 third-year nursing students at the University of Murcia. We used validated instruments to evaluate the students' EBP competencies, communication skills, non-technical skills, and nursing interventions in simulated scenarios. (3) Results: The results showed that the students had varying competencies in EBP and communication skills. However, there was a positive and statistically significant correlation (p < 0.001) between these variables, non-technical skills, and the simulated clinical scenario nursing interventions. Our regression models revealed that communication skills and EBP competence significantly influenced the performance of the student nurses regarding their clinical and non-technical skills in the simulated scenarios. (4) Conclusions: Communication skills and EBP competencies predict performance in simulated scenarios for nursing students.

High-power motorcycle accidents in Spain: a descriptive study.

PURPOSE: In modern societies, motorcycle accidents have become a great problem for health systems worldwide. In Spain, the size and the power of the engine of 2-wheel vehicles determine the type of driving license and the age at which these vehicles can be used (mopeds and motorcycles, which at the same time can have a small or large engine capacity). The objective of the present study was to analyze and characterize low- and high-power motorcycle accidents in Spain, between 2014 and 2020, both included and compared these categories with each other. METHODS: Retrospective, descriptive, and observational study of motorcycle and moped accidents in Spain between 2014 and 2020, both included. RESULTS: The mortality of motorcycle accident riders in Spain is associated with males aged between 30 and 40 years old, with a high-power motorcycle, and an A or A1 driver's license, who is 6.7 times more likely to die in crossings and highways than a moped, while wearing a helmet, and if not, this increases to 4.89 times. During the COVID-19 pandemic, an increase in death at 24 h after a high-power motorcycle accident was observed, as compared with a large reduction in the total medical assistance provided in 2019-2020. CONCLUSIONS: High-power motorcycles had higher scores in mortality and morbity rates than low-power ones, with a significant increase in mortality during the pandemic, even though number of accidents and medical assistance provided were drastically reduced.

Impact of COVID-19 Restrictions in Childbirth and Puerperium: A Cross-Sectional Study.

Introduction (1): The COVID-19 pandemic led to changes in healthcare during pregnancy, childbirth and puerperium. The objective of this study was to know the impact of visit restrictions, PCR performance and use of masks on delivery and puerperium care. Methods (2): A descriptive cross-sectional study was carried out. A survey was used to assess the impact of COVID-19-related measures on women who had given birth in hospitals in the Region of Murcia, Spain, between March 2020 and February 2022. Results (3): The final sample size was 434 women. The average scores were 4.27 for dimension 1 (Visit restrictions), 4.15 for dimension 2 (PCR testing) and 3.98 for dimension 3 (Mask use). More specifically, we found that the restriction of visits was considered a positive measure for the establishment of the mother-newborn bond (mean score 4.37) and that the use of masks at the time of delivery should have been made more flexible (mean score 4.7). Conclusions (4): The policy of restricting hospital visits during the pandemic caused by COVID-19 has been considered beneficial by mothers, who expressed that they did not feel lonely during their hospital stay.

El contexto del nacimiento en los años cuarenta en una zona rural del sur de España / Birth context in the forties in a rural area of southern Spain / Contexto do nascimento em quarenta anos em uma área rural do sul da Espanha

En este estudio nos planteamos como objetivos conocer el contexto del nacimiento en un pueblo rural de España en un período de posguerra, 1945-1950; determinar cómo influyeron los roles de género en la vivencia de estos acontecimientos; identificar qué valores y creencias influyeron en el proceso del nacimiento de sus hijos y descubrir qué actitudes promovieron cambios. Desde el enfoque cualitativo hemos escogido el método etnográfico. La información se obtuvo a través de historias de vida y entrevistas semiestructuradas durante 2009. El estudio se llevó a cabo en un pueblo rural del sureste de España (Abarán-Murcia). Se realizaron 11 historias de vida a mujeres que fueron madres entre 1945 y 1950 y 5 entrevistas semiestructuradas para la triangulación y ampliación de la información. Tras la trascripción y fragmentación de las entrevistas y mediante análisis temático del contenido surgieron tres categorías: trabajo/economía doméstica, matrimonio/familia y nacimiento. Los roles de género se han impuesto en la vida de los hombres y las mujeres. El modelo social relaciona a la mujer con las actividades dentro del hogar, sin embargo, la mujer trabajaba duro fuera de casa en labores agrícolas. Las creencias transmitidas provocaban que las mujeres no conocieran su propio cuerpo incluso en el momento del parto, la matrona es el personal de referencia para este acontecimiento

In this study we set objectives to define the birth context of a rural town in Spain in the post-war period 1945-1950; to define what influence gender roles had on experience of these events; to identify what values and beliefs had influence on the childbirth process and to investigate which attitudes promoted change. Taking a qualitative approach, we chose an ethnographic method. The information was obtained through life story reports and semi-structured interviews during 2009. The study was carried out in a rural town in southern Spain: Abarán, in the Region of Murcia. Eleven life stories were collected from women who became mothers between 1945 and 1950 and five semi-structured interviews were also carried out to enable triangulation and information expansion.After transcription of the interviews, the information was fragmented and, after thematic analysis of the content, three categories were defined: household work/ economy, marriage/family and childbirth. Despite the way that gender roles defined the lives of men and women. Even though the social model of the time links women to activities at home, these women also worked hard at agricultural labour outside the home. The prevailing beliefs meant that many of the women were ignorant of their own bodies, even up until the moment of giving birth. Midwives were the reference professionals for this event

Este estudo tem como objectivos conhecer o contexto do nascimento numa vila rural de Espanha no período de pós-guerra, 1945- 1950; determinar como o papel de género influiu na vivência desses eventos; identificar quais valores e crenças influíram no processo do nascimento dos filhos e descobrir quais actitudes promoveram as mudanças. A partir da abordagem qualitativa foi escolhido o método etnográfico. As informações foram obtidas através das histórias de vida e entrevistas semi-estruturadas ao longo de 2009. O estudo desenvolveu-se numa vila rural no sudeste da Espanha (Abarán, Murcia). Foram realizadas onze histórias de vida a mulheres que foram mães entre 1945 e 1950, e cinco entrevistas semi-estruturadas para a triangulação e ampliação da informação. Após a transcrição e fragmentação das entrevistas e da análise temática do conteúdo, surgiram três categorias: trabalho/economia doméstica, casamento/ família e nascimento. O papel do género tem-se imposto na vida dos homens e das mulheres. O modelo social relaciona à mulher com as actividades dentro de casa, no entanto, a mulher trabalhava duramente fora de casa na agricultura. As crenças transmitidas fizeram com que as mulheres não conhecessem o seu próprio corpo, mesmo no momento do parto, sendo a parteira a pessoa de referência para este acontecimento

Estudio exploratorio de satisfacción laboral de los profesionales de enfermería generalistas y especialistas (matrona) / Estudo exploratório da satisfação no trabalho dos enfermeiros generalistas e especialistas em obstetrícia e ginecologia (parteiras) / Exploratory study on the general and specialist nursing professionals (midwife) laboral satisfaction

Partimos de la importancia de la satisfacción laboral y su repercusión en el desarrollo de la actividad de los Profesionales Sanitarios así como su impacto en la calidad de los servicios que prestan. El objetivo es conocer, analizar y describir las expectativas, necesidades, valores y percepciones de los profesionales de enfermería generalistas y especialistas (matrona) de tres Hospitales Universitarios en relación a la satisfacción de la salud laboral como factor influyente en su calidad de vida. El diseño se plantea desde un enfoque cualitativo bajo la orientación teórico-metodológica de la antropología social, utilizando un muestreo teórico hasta alcanzar la saturación de los datos. Se usarán como técnicas de recogida de datos cualitativos los grupos de discusión con profesionales de enfermería generalistas y especialistas. Los resultados de un estudio cuantitativo sobre la satisfacción de la vida laboral en un Hospital Universitario y los distintos aspectos que producen la misma en los profesionales, nos hacen plantearnos el inicio de este estudio. Como conclusión, un estudio de estas características, nos permitiría indagar en los porqués de la satisfacción e insatisfacción de los profesionales de enfermería, ya que la calidad de salud laboral de los mismos influye directamente en la calidad del servicio prestado (AU)

Starting from the importance of the laboral satisfaction and its repercussion in the development of the Health Professional activity as well as its impact in the quality of the services rendered.The aim of this study is to know, analyze and describe the expectations, needs, values and perceptions of the general and specialist nursing professionals (midwife) of three University Hospitals in relation to the satisfactionof safety at work as an influential factor in their life quality.The design is considered from a qualitative perspective under the theoretical and methodological guidance of the social anthropology, using a theoretical sampling until reach the data saturation. The discussion groups with general and specialist nursing professionals will be used as data collection techniques. The results of a quantitative study on the working life satisfaction at an University Hospital and the different aspects which produce the same in professionals, raise the issue of the start of the study. As a conclusion, this kind of study will allow us to investigate reasons for the satisfaction or dissatisfaction of the nursing professionals, inasmuch as the quality of their laboral health affects directly the quality of the services rendered (AU)

Assumimos a importância da satisfação no trabalho e o seu impacto sobre o desenvolvimento da actividade dos Profissionais da Saúde, bem como seu impacto sobre a qualidade dos serviços prestados.O objetivo é compreender, analisar e descrever as expectativas, necessidades, valores e percepções dos Profissionais de Enfermagem generalistas e especialistas (parteiras) de três Hospitais Universitários em relação a satisfação da saúde ocupacional como um fator que influencia a sua qualidade de vida. O designsurge a partir de uma abordagem qualitativa, sob a orientação teórico-metodológica da Antropologia Social, utilizando uma amostragem teórica até a saturação de dados. Serám usados como técnicas de recolha de dados qualitativos os Grupos de Discusso com Profissionais de Enfermagem generalistas e especialistas. Os resultados de um estudo quantitativo sobre a satisfação da vida de trabalho em um Hospital Universitário e os vários aspectos que produze a mesma nos profissionais, faz-nos pensar sobre o início deste estudo. Em conclusão, um estudo desta natureza, nós permitiria investigar os porquês da satisfação e insatisfação dos Profissionais de Enfermagem, uma vez que a qualidade da saúde ocupacional deles tem uma influência directa sobre a qualidade do serviço prestado (AU)