Activity, triage levels and impact of the pandemic on hospital emergency departments: A multicentre cross-sectional study.

AIM: Describe the activity of hospital emergency departments (EDs) and the sociodemographic profile of patients in the eight public hospitals in Spain, according to the different triage levels, and to analyse the impact of the SARS-CoV-2 pandemic on patient flow. DESIGN: An observational, descriptive, cross-sectional and retrospective study was carried out. METHODS: Three high-tech public hospitals and five low-tech hospitals consecutively included 2,332,654 adult patients seen in hospital EDs from January 2018 to December 2021. Hospitals belonging to the Catalan Institute of Health. The main variable was triage level, classified according to a standard for the Spanish structured triage system known as Sistema Español de Triaje. For each of the five triage levels, a negative binomial regression model adjusted for year and hospital was performed. The analysis was performed with the R 4.2.2 software. RESULTS: The mean age was 55.4 years. 51.4% were women. The distribution of patients according to the five triage levels was: level 1, 0.41% (n = 9565); level 2, 6.10% (n = 142,187); level 3, 40.2% (n = 938,203); level 4, 42.6% (n = 994,281); level 5, 10.6% (n = 248,418). The sociodemographic profile was similar in terms of gender and age: as the level of severity decreased, the number of women, mostly young, increased. In the period 2020-2021, the emergency rate increased for levels 1, 2 and 3, but levels 4 and 5 remained stable. CONCLUSION: More than half of the patients attended in high-technology hospital EDs were of low severity. The profile of these patients was that of a young, middle-aged population, mostly female. The SARS-CoV2 pandemic did not change this pattern, but an increase in the level of severity was observed. IMPACT: What problem did the study address? There is overcrowding in hospital EDs. What were the main findings? This study found that more than half of the patients attended in high-technology hospital EDs in Spain have low or very low levels of severity. Young, middle-aged women were more likely to visit EDs with low levels of severity. The SARS-CoV2 pandemic did not change this pattern, but an increase in severity was observed. Where and on whom will the research have an impact? The research will have an impact on the functioning of hospital EDs and their staff. PATIENT OR PUBLIC CONTRIBUTION: Not applicable.

La maternidad subrogada a través de tres películas / Surrogate maternity through three commercial films

La maternidad subrogada, la gestación por sustitución o los vientres de alquiler, entre otros, son algunos de los términos empleados en debates de creciente actualidad y cuyo primer caso documentado tuvo lugar en Michigan (EEUU) en 1976. En el presente artículo se parte de diferentes conceptos asociados a la maternidad subrogada (MS), se analizan desde diferentes perspectivas las películas Femmes ou maîtresses (2001) de J.M. Pallardy, Como los demás (2008) de V. Garent y Melody (2014) de B. Bellefroid y, finalmente, se considera la relación entre la maternidad subrogada y la pobreza femenina

Surrogate motherhood, pregnancy by substitution or the surrogacy, among others, are some of the terms used in discussions of this topic and which first documented case took place in Michigan (USA) in 1976. This article is based on different concepts related to surrogate motherhood (SM), three films are analyzed from different point of view, Femmes ou maitresses (2001) by J.M. Pallardy, Comme les autres (2008) by V. Garent and Melody (2014), by B. Bellefroid, and eventually, the relationship between female poverty and surrogate motherhood is considered

Literature review: Use of commercial films as a teaching resource for health sciences students.

PURPOSE: Analyze some of the characteristics of the publications focused on commercial cinema as a learning tool for university students engaged in health sciences degrees. DESIGN AND METHODS: The review was based on the search of information in three electronic databases: MEDLINE, CINAHL and ERIC. FINDINGS: 54 papers were selected and analyzed. CONCLUSION: Cinema is a commonly used resource; however there is still a lack of studies demonstrating its usefulness and validity. This review is limited on its analysis by the fact that a large number of experiences are described as having a loose design.

Características de las publicaciones enfermeras en revistas con factor de impacto / Characteristics of nursing publications in journals with impact factor

Objetivos Identificar las características bibliométricas de las revistas de Enfermería con Factor de Impacto (FI) y analizar características metodológicas y de autoría de los estudios originales publicados en revistas con FI. Método Estudio descriptivo retrospectivo. Se ha realizado una revisión bibliográfica de las publicaciones de Enfermería incluidas en el Journal Citation Reports (JCR) durante los años 2009 y 2010, con el análisis de una muestra de los artículos originales publicados. Los datos se analizaron con estadísticos descriptivos. Resultados En el año 2009 había 74 revistas de Enfermería con FI y en el año 2010 constan 91. En el 2010, el 93,5% de estas revistas estaban editadas en inglés, predominando las publicaciones bimensuales (43%) y por especialidades, Materno-Infantil es el área de conocimiento con más revistas (25%). El 72,8% de los artículos originales fueron estudios cuantitativos, realizados de forma más frecuente en el hospital (42%) y con muestras de pacientes (34,6%). Los temas estudiados con mayor frecuencia fueron: «cuidados basados en evidencia» (23,5%), «medición de calidad en cuidados» (18,52%) y «eficacia de intervenciones enfermeras» (14,81%). Los autores procedían de Europa y EE. UU. y su lugar de trabajo más frecuente era la universidad. Conclusiones Las revistas de Enfermería con FI están aumentando, especialmente en áreas de especialización enfermera. Las publicaciones de Enfermería con FI en español son aún incipientes. La investigación cuantitativa sigue predominando dominando. Se estudian principalmente temas de efectividad, evidencia y calidad de los cuidados y los investigadores proceden en su mayoría del ámbito docente (AU)

The aims of this study were to identify publishing characteristics of nursing journals with impact factor (IF) and to discuss methodological characteristics and authorship of original papers with IF. Methods: A retrospective descriptive study. A literature review was performed between 2009 and 2010 including all nursing publications indexed in the Journal Citation Reports (JCR) and analysis of selected original papers. The information was analyzed using descriptive statistics. Results: In 2009, there were 74 nursing journals with an IF and in 2010 increased up to 91. In 2010, 93.5% were published in English, bimonthly journals predominated (43%) and for specialities, maternity and paediatrics were the most frequent (25%). Almost three-quarters (72.8%) of the original articles were quantitative studies performed mostly in hospitals (42%) and with patient samples (34.6%). The most frequently studied topics were "evidence-based care" (23.5%), "measuring quality care" (18.52%) and "effectiveness of nursing interventions" (14.81%). Authors came mostly from Europe and United States and the most common workplace was a university. Conclusions: Nursing Journals’ Impact Factor has increased, particularly in areas of nurse specialization. Nursing publications in the Spanish language with IF are still incipient. Quantitative research continues to dominate. The main topics are effectiveness, evidence, and quality care, and researchers come mostly from academic areas (AU)

[Characteristics of nursing publications in journals with impact factor]. / Características de las publicaciones enfermeras en revistas con factor de impacto.

UNLABELLED: The aims of this study were to identify publishing characteristics of nursing journals with impact factor (IF) and to discuss methodological characteristics and authorship of original papers with IF. METHODS: A retrospective descriptive study. A literature review was performed between 2009 and 2010 including all nursing publications indexed in the Journal Citation Reports (JCR) and analysis of selected original papers. The information was analyzed using descriptive statistics. RESULTS: In 2009, there were 74 nursing journals with an IF and in 2010 increased upto 91. In 2010, 93.5% were published in English, bimonthly journals predominated (43%) and for specialties, maternity and paediatrics were the most frequent (25%). Almost three-quarters (72.8%) of the original articles were quantitative studies performed mostly in hospitals (42%) and with patient samples (34.6%). The most frequently studied topics were "evidence-based care" (23.5%), "measuring quality care" (18.52%) and "effectiveness of nursing interventions" (14.81%). Authors came mostly from Europe and United States and the most common workplace was a university. CONCLUSIONS: Nursing Journals' Impact Factor has increased, particularly in areas of nurse specialization. Nursing publications in the Spanish language with IF are still incipient. Quantitative research continues to dominate. The main topics are effectiveness, evidence, and quality care, and researchers come mostly from academic areas.