[Sense of coherence in breastfeeding women: A scoping review].

BACKGROUND: The establishment of breastfeeding may sometimes be stressful. We aimed to analyze the sense of coherence in lactating women to determine the general resistance resources during lactation and the professional interventions that promote a high sense of coherence. METHODS: A search of studies in English, Spanish, or Portuguese on lactating women's sense of coherence was carried out in PubMed, PsycINFO, ScienceDirect, and CINAH databases published between May and November 2022. Study quality and risk of bias were examined according to ICROMS and STROBE criteria. RESULTS: We identified 316 studies, of which eight -all of adequate quality- were included, three qualitative and five quantitative. A high level of maternal sense of coherence was related to longer duration, self-efficacy, attachment, and enjoyment of the breastfeeding experience. The main general resistance resources were to receive social support, particularly from partners, mothers, and health professionals. The interventions that favored the sense of coherence were mainly those related to a close, empathic, personalized, comprehensive, and family-centered professional support. CONCLUSIONS: The detection of the level of sense of coherence in lactating mothers may help identify women with a higher risk of weaning and establish professional intervention strategies that improve the breastfeeding experience.

Sentido de coherencia en mujeres lactantes: una revisión de alcance / Sense of coherence in breastfeeding women: A scoping review

Fundamento. El establecimiento de la lactancia materna puede resultar una situación potencialmente estresante. El objetivo del estudio es analizar el sentido de coherencia en mujeres lactantes, establecer los recursos generales de resistencia que lo modulan, y determinar las intervenciones profesionales que lo promueven. Metodología. Se incluyeron estudios en inglés, español o portugués, que evaluaran el sentido de coherencia de las mujeres lactantes, localizados en las bases de datos PubMed, PsycINFO, ScienceDirect y CINAHL entre marzo y mayo de 2023. La calidad de los estudios y el riesgo de sesgo se evaluaron siguiendo los criterios ICROMS y STROBE. Resultados. Se identificaron 316 registros, de los que se incluyeron un total de ocho estudios, tres cualitativos y cinco cuantitativos, todos con calidad suficiente. Un alto nivel de sentido de coherencia materno se relacionó con mayor duración, autoeficacia y disfrute de la experiencia de lactancia, y mayor apego. Los principales recursos generales de resistencia fueron percibir apoyo social, especialmente de parejas, madres y personal sanitario, además de experiencia previa positiva y una actitud positiva. Las intervenciones que favorecieron el sentido de coherencia fueron las relacionadas con un apoyo profesional estrecho, empático, personalizado, integral y centrado en la familia. Conclusiones. La determinación del nivel de sentido de coherencia en madres lactantes puede ayudar a identificar a mujeres con mayor riesgo de destete temprano, y a establecer estrategias de intervención profesional que mejoren la experiencia de lactancia materna. (AU)

Background. The establishment of breastfeeding may sometimes be stressful. We aimed to analyze the sense of coherence in lactating women to determine the general resistance resources during lactation and the professional interventions that promote a high sense of coherence. Methods. A search of studies in English, Spanish, or Portuguese on lactating women's sense of coherence was carried out in PubMed, PsycINFO, ScienceDirect, and CINAH databases published between May and November 2022. Study quality and risk of bias were examined according to ICROMS and STROBE criteria. Results. We identified 316 studies, of which eight -all of adequate quality- were included, three qualitative and five quantitative. A high level of maternal sense of coherence was related to longer duration, self-efficacy, attachment, and enjoyment of the breastfeeding experience. The main general resistance resources were to receive social support, particularly from partners, mothers, and health professionals. The interventions that favored the sense of coherence were mainly those related to a close, empathic, personalized, comprehensive, and family-centered professional support. Conclusions. The detection of the level of sense of coherence in lactating mothers may help identify women with a higher risk of weaning and establish professional intervention strategies that improve the breastfeeding experience. (AU)

Violencia obstétrica como factor de riesgo de adopción del rol maternal: una revisión bajo la teoría de Mercer / Obstetric violence as a risk factor for adoption of the maternal role: a review under Mercer's theory

Objetivo: Explorar la influencia de la exposición a violencia obstétrica en la adopción del rol materno bajo la teoría de Ramona Mercer. Metodología: Revisión bibliográfica. Se llevaron a cabo búsquedas en las bases de datos MEDLINE/PubMed, PsycINFO, BVS/LILACS, ScienceDirect, WOS y Scielo entre enero y julio de 2023. Se incluyeron estudios en inglés y español; publicados en los últimos diez años, y que estudiaran la relación entre violencia obstétrica y la adopción del rol materno. Resultados: Se incluyeron un total de 14 estudios. Se evidenció que los procedimientos relacionados con violencia obstétrica se asocian con una interrupción del vínculo madre-bebé; mayor dificultad e inseguridad para la instauración del cuidado materno; menor establecimiento de la lactancia materna precoz; trastorno de estrés postraumático y depresión posparto. Estos hallazgos se ajustan a la teoría de adopción del rol materno de Mercer. Conclusiones: El sufrimiento de violencia obstétrica supone un factor de riesgo para la instauración del rol materno, repercutiendo en el binomio madre-bebé. El hecho de facilitar una experiencia de parto positiva podría mejorar dicho proceso y se traduciría en una inversión que contribuiría al bienestar del desarrollo infantil. (AU)

Objective: Explore the influence of exposure to obstetric violence on the adoption of the maternal role under Ramona Mercer's theory. Methodology: Literature review. Searches were carried out in the MEDLINE/PubMed, PsycINFO, BVS/LILACS, ScienceDirect, WOS and Scielo databases between January and July 2023. Studies were included in English, Spanish; published in the last ten years; to study the relationship between obstetric violence and the adoption of the maternal role. Results: A total of 14 studies were included. It was evidenced that procedures related to obstetric violence are associated with an interruption of the mother-baby bond; greater difficulty and insecurity in establishing maternal care; less establishment of early breastfeeding; post-traumatic stress disorder and postpartum depression. These findings fit Mercer's Maternal Role Adoption Theory. Conclusions: Suffering from obstetric violence is a risk factor for the establishment of the maternal role, impacting the mother-baby binomial. Facilitating a positive birth experience could improve this process and would translate into an investment that would contribute to the well-being of child development. (AU)

Effect of pelvic floor muscle training on female sexual function: A systematic review protocol and meta-analysis.

AIM: To recognize, appraise and summarize the research evidence that has explored the results of pelvic floor muscle training on female sexual function. DESIGN: Systematic review and possible meta-analysis. METHODOLOGY: Between September and October 2022, the Cochrane Library, CINAHL, MEDLINE, EMBASE, PsycINFO and Scopus electronic databases will be searched. We will include RCT's in English, Spanish and Portuguese that investigate the results of pelvic floor muscle training on female sexual function. The data will be extracted by two researchers independently. Risk of bias will be measured from the Cochrane Risk of Bias Tool. The meta-analysis of the results will be performed using Comprehensive Meta-Analysis Version 2. RESULTS: This systematic review and possible meta-analysis will contribute significantly to the promotion of pelvic floor health and women's sexual function and to strengthen clinical practice and define other areas of study.

Modulating Elements of Nurse Resilience in Population Care during the COVID-19 Pandemic.

COVID-19 has significantly affected the work environment of nurses. In the face of the challenges posed by stressors in clinical practice, some nurses adapt and prove to be resilient. In the face of the COVID-19 pandemic, the nature of care itself and the new ways of working are potentially very stressful. We aim to analyze the resilience of care nurses to the psychological impact of the COVID-19 pandemic. This study is a systematic review of nurse caregiver resilience to the COVID-19 pandemic in 2021. Our search was conducted in the WOS, Medline/PubMed, Cochrane, BVS/LILACS, and Cuiden databases. The inclusion criteria were: studies published in Spanish or English; carried out from March 2020 to May 2021 on nurses caring for patients with COVID-19; and investigating the factors influencing the psychological impact, resilience, strategies to develop it, and interventions to promote it during this pandemic and others, such as SARS, MERS, or ebola. The quality of the studies and the risk of bias were evaluated following ICROMS, STROBE and AMSTAR-2 criteria. Twenty-two studies were selected. Most of the studies highlighted the presence of stressors in nurses, emphasizing those of the environment, which converged in dysfunctional responses that hurt their resilience. The most persuasive factors were social and organizational support. Coping strategies developed by nurses and especially interventions by organizations were detected as instruments to foster resilience, but have not been well researched. Resilience has a key moderating role in mitigating the psychological impact of nurses in the face of the COVID-19 pandemic.

SÍNDROME DE ULISES: un desafío para las enfermeras ante el que estar preparadas / ULYSSES SYNDROME: a challenge for nurses to be prepared for

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