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- Navigating perceived stress: experiences of nursing students completing internships during the COVID-19 Pandemic in SpainPublication . Merino-Godoy, María-Ángeles; Aceijas, Zaida Montero; Martín, María Cano; Gago-Valiente, Francisco-Javier; Abengozar, lberto Vega; Padilla, Juan María Pérez; da Costa, EmiliaUniversity students often experience psychological strains such as academic stress, particularly as they approach the transition into the workforce. This stress may have been heightened for nursing students who completed internships during the COVID-19 pandemic. This study aims to analyze the impact of the COVID-19 pandemic on the perceived stress levels of undergraduate nursing students. Methodology: A cross-sectional descriptive observational study was conducted using the Spanish version of the PSS-10 scale, a validated reduction of the English version PSS-14, to evaluate perceived stress. The responses are Likert-type with a total score range of 0 to 40. Questionnaires were distributed electronically to nursing students across all academic years who were engaged in clinical practice. Participation was voluntary. Results: The study included 487 students, the majority of whom were women (78.4%) with an average age of 23.51 years. Most participants were in their third and fourth years (67%). The mean perceived stress score was 20.65 (SD = 5.62) out of a possible 40, indicating moderate stress levels. Statistically significant differences in perceived stress were found between genders, with women reporting higher stress levels than men (Mann-Whitney U = 15,380.000; p < 0.001). Additionally, a significant correlation was observed between the overall perceived stress score and gender, as well as between specific items on the PSS-10 scale and gender, highlighting the importance of gender-specific stress management interventions. Conclusions: Nursing students reported moderate levels of perceived stress, with women experiencing higher stress levels than men. These findings highlight the need for targeted stress management interventions for nursing students, especially during health crises. Addressing gender-specific stressors and fostering a supportive educational environment will enhance students' well-being, academic success, and professional preparedness.
- Medication adherence in adults with chronic diseases in primary healthcare: a quality improvement projectPublication . Oliveira, Claúdia Jorge; José, Helena Maria Guerreiro; da Costa, EmiliaMedication adherence is influenced by a variety of intricate factors, presenting hurdles for nurses working to improve it among adults with chronic conditions. Pinpointing the reasons for non-adherence is crucial for customizing interventions. The objective of this quality improvement project was to improve medication adherence among adults with chronic diseases in primary healthcare by promoting evidence-based practices, identifying barriers and facilitators to compliance, and developing strategies to ensure optimal adherence through engaging the nursing team, enhancing knowledge, and evaluating the effectiveness of the implemented strategies. (2) Methods: This study was a quality improvement project that utilized the JBI Evidence Implementation framework, the Practical Application of Clinical Evidence System, and the Getting Research into Practice audit tool across three phases: (i) forming a project team and conducting a baseline audit, (ii) offering feedback via the GRiP tool, and (iii) conducting a follow-up audit to assess best practice outcomes. The study was conducted between September 2021 and March 2022 in the community care unit of Algarve Regional Health Administration, targeting adults with chronic illnesses. (3) Results: A total of 148 individuals were audited, including 8 nurses, 70 baseline patients, and 70 post-implementation patients. Initial compliance with key best practices was low, with several criteria at 0% compliance at baseline. Post-intervention, we observed significant improvements; compliance with key best practices improved dramatically, with many reaching 100%. Notable improvements included enhanced patient education on medication management, regular medication adherence assessments, and increased engagement of healthcare professionals in adherence activities. (4) Conclusions: This quality improvement project demonstrated that structured, evidence-based interventions could significantly enhance medication adherence among adults with chronic diseases. The success of the project highlights the potential of similar strategies to be applied broadly in primary healthcare settings to improve health outcomes.
- The impact of the Covid-19 pandemic on non-medical workers constantly interacting with patientsPublication . Gago-Valiente, Francisco-Javier; Mariscal-Pérez, Laura; Campo-Jiménez, Angela del; Merino-Godoy, María-de-los-Ángeles; Mendoza-Sierra, María-Isabel; da Costa, Emilia; Moreno-Sánchez, EmiliaAs medical staff, orderlies are at danger of showing negative signs of psychological health. They are exposed to many stresses that may have a negative impact on their personal lives, and they have also been subjected to the difficult condition of COVID-19 in their workplace. However, since they are not considered to be medical professionals, very few studies and interventions are focused on them. The aim of the present research was to detect the interactions among the work and family environments, as well as to analyze self-perceived mental health and burnout in people who worked as orderlies during the pandemic in public healthcare centers in Huelva (Spain), considering a set of sociodemographic variables. The field work was conducted between April and June 2020. Systematic random sampling was carried out. Information from 84 contributors was gathered through the SWING, MBI-HSS, and GHQ-12 forms. Univariate and bivariate analyzes and correlation tests were carried out. The data were analyzed and correlations were established. The majority of the participants obtained a negative interaction result of work over family. Those who had had contact with SARS-CoV-2 situations presented greater proportions of positive outcome in GHQ-12, bad work-family interaction, burnout, emotional exhaustion, and depersonalization. The men presented a worse general mental health state than the women. Orderlies of Huelva who have had contact with COVID-19 in their workplace present worse indicators of psychological health and greater negative interaction of work over family than those who have not had any contact with these circumstances.
- Challenges in clinical training for nursing students during COVID‐19: Examining its effects on nurses’ job satisfactionPublication . Merino-Godoy, María-de-los-Ángeles; da Costa, Emilia; Gómez Salas, Marianela; Pavón Lara, Alba; Carretero Bernal, Nicolás; Macías Domínguez, Beatriz; Gago-Valiente, Francisco-Javier; Verónica V. Márquez-HernándezIntroduction. Nursing education involves a robust blend of theory and hands-on practice, crucial for cultivating the intricateabilities required to safely progress from being a student to becoming a profcient nursing professional. Tis training process wasdisrupted by the COVID-19 pandemic when the imposition of lockdowns compelled the transition of classes from in-person toonline formats. Aim. Tis study aimed to assess the challenges in clinical training for nursing students during the COVID-19pandemic, specifcally examining how reductions in hands-on clinical practice have impacted their job satisfaction upon enteringthe workforce. Methods. It was an exploratory, descriptive, and cross-sectional study, using the Font Roja Questionnaire on jobsatisfaction as an instrument for data collection. Te population was made up of Spanish nurses who graduated in 2020, 2021, and2022. Results. Te sample consisted of 390 nurses, 81.5% female, averaging 24.35 years old, with 76% having missed at least onemonth of clinical practice during their training. We found signifcant levels of dissatisfaction with job pressure and professionalcompetence (52.3% and 40.8%, respectively). Statistically signifcant diferences were found between gender, job pressure, year ofgraduation, and professional competence. Conclusion. Te loss of clinical practice periods, a vital element in nursing education,has infuenced the early careers of these nurses, particularly afecting certain aspects of their job satisfaction such as job pressureand professional competence.
- Exploring physiotherapy students’ competencies in clinical setting around the world: a scoping reviewPublication . Magni, Eleonora; da Costa, Emilia; Oliveira, Isabel De Jesus; Cáceres-Matos, Rocío; Guerra-Martín, María DoloresClinical education is a fundamental component of physiotherapy entry-level education programs, with practice education being a core element. The aim of this scoping review is to identify and define the competencies of physiotherapy students in clinical settings. This review followed the five steps of the Arksey and O'Malley framework, employing a search strategy that utilized Mesh terms. Searches were performed in PubMed, CINAHL, Scopus, ERIC, WOS, and PsycINFO, with additional exploration of the grey literature. The inclusion criteria were defined using Peter's concept: (population) physiotherapy students; (concept) competencies aligned with the WCPT educational framework; (context) clinical environment. A total of 1798 sources were identified, and 86 studies were finally selected. Studies originated from 14 countries, with the United States, Australia, and Canada being the most represented. Of the selected studies, 62 used specific tools to identify competencies. The "Clinical Performance Instrument" and the "Assessment of Physiotherapy Practice" were the most frequently used instruments and covered all of the World Physiotherapy competencies' domains. "Clinical Competence" emerged as the most widely recognized and utilized term across countries. Among the WCPT domains, "Physiotherapy Assessment and Intervention", "Ethical and Professional Practice", and "Communication" were the most represented, whereas "Evidence-Based Practice" and "Quality Improvement" were the least mentioned.