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The identification of research priorities in line with current health needs and nursing competencies is a priority. Nevertheless, barriers and facilitators perceived by nurses to performing nursing research have scarcely been investigated. The main aim of this study was to explore the situation in nursing research in Spain, as perceived by Spanish experts. A Delphi study technique in two phases was applied using an online survey tool. A panel of 20 nursing experts in nursing, teaching and management positions participated. The strengths highlighted were the possibility of reaching the PhD level, the possibility of receiving continuous training in research methodology, and access to scientific knowledge through the Internet. The weaknesses identified were the lack of Spanish nursing journals in which to publish the research results, the lack of funding in nursing care research, and the lack of connection between the healthcare institutions and the university. According to the experts, elements that could enhance leadership in research are the creation of nursing research units in hospitals, the economic recognition of nurses with PhDs, and considering research work as part of their daily tasks in clinical settings. The idea of being subordinated to physicians still remains in nurses&rsquo, ways of thinking.

Nurses who are capable of developing their competencies appropriately in the field of management are considered fundamental to the sustainability and improvement of health outcomes. These core competencies are the critical competencies to be developed in specific areas. There are different core competencies for nurse managers, but none in the Spanish health system. The objective of this research is to identify the core competencies needed for nurse managers in the Spanish health system. The research was carried out using the Delphi method to reach a consensus on the core competencies and a Principal Component Analysis (PCA) to determine construct validity, reducing the dimensionality of a dataset by finding the causes of variability in the set and organizing them by importance. A panel of 50 experts in management and healthcare engaged in a four-round Delphi study with Likert scored surveys. We identified eight core competencies from an initial list of 51: decision making, relationship management, communication skills, listening, Leadership, conflict management, ethical principles, collaboration and team management skills. PCA indicated the structural validity of the core competencies by saturation into three components (&alpha, Cronbach &gt, 0.613): communication, leadership and decision making. The research shows that eight competencies must be developed by the nursing managers in the Spanish health system. Nurse managers can use these core competencies as criteria to develop and plan their professional career. These core competencies can serve as a guideline for the design of nurse managers&rsquo, development programs in Spain.

The aim of this study was to estimate the relationship between the adherence to the Mediterranean diet (MD) and health-related quality of life (HRQoL) in university students and to assess whether this relationship is mediated or moderated by cardiorespiratory fitness (CRF) and handgrip strength. A cross-sectional study was performed involving 310 first-year Spanish university students. Adherence to the MD was evaluated with the 14-item Mediterranean Diet Adherence Screener (MEDAS), and the HRQoL was evaluated with the Short Form-12 (SF-12) questionnaire. CRF was assessed by the 20 m shuttle run test, and the handgrip strength was determined by dynamometry. ANCOVA models showed that participants with higher CRF and handgrip strength levels had significantly higher scores in the physical component summary (PCS) and mental component summary (MCS) of the SF-12 and in the MEDAS questionnaire than those with medium and low scores (p < 0.050). Additionally, the ANCOVA models showed that students with good adherence to theMDshowed higher scores in the MCS of HRQoL than those with low adherence (p = 0.044, ES = 0.013), but these results did not appear for the PCS of HRQoL (p = 0.728, ES = 0.001). In the mediation analysis, it was found that CRF and handgrip strength acted as full mediators of the relationship between adherence to the MD and the MCS of HRQoL. In the moderation analysis, it was evidenced that CRF and handgrip strength did not act as moderators in the relationship between adherence to the MD and the MCS of HRQoL. In conclusion, adherence to the MD does not seem to have a direct e ect on the MCS of HRQoL because this association seems to be fully mediated by CRF and handgrip strength., European Union (EU) DOCM 26/02/20, University of Castilla-La Mancha 2018-CPUCLM-7813

A primary care physician (PCP) not only accompanies the patient in the process of an illness, but throughout his or her life. The confidence we have in these health professionals is fundamental, and their favorable attitude toward organ donation and transplantation (ODT) has a significant influence on the population. Objective To analyze trust in PCPs among Spanish medical and nursing students, the relationship with their attitude toward ODT, and the factors that condition it. Methods and Design A sociologic, multicenter, and observational study. Population: medical and nursing students in Spanish universities. Database: Collaborative International Donor Project, stratified by geographic area and academic course. A validated questionnaire (PCID-DTO-RIOS) was self-administered and completed anonymously. A sample of 9598 medical and 10,566 nursing students (99% confidence and precision of ±1%), stratified by geographic area and year of study. Results Completion rate: 90%. With respect to students’ trust in their physician, 18% (n = 3267) of them totally trust (completely), 45% (n = 8101) trust enough, 30% (n = 5478) of them have not enough trust, and 7% not at all. Comparing groups, medical students totally trust more in PCPs than nursing students (55% vs 45%; P < .000), however, nursing students have less than enough trust in their PCP than medical students (53% vs 47%; P < .000). Students that totally trust in their PCP were more in favor toward ODT than students with not enough trust (83% vs 77%; P < .000). Conclusion Only 18% of Spanish medical and nursing students totally trust in their PCP. Attitude toward ODT is related to a higher level of trust in PCPs among these students. Sin financiación 1.066 JCR (2020) Q4, 160/162 Immunology 0.373 SJR (2020) Q3, 260/456 Surgery No data IDR 2020 UEM

The knowledge acquired during university education about organ donation and transplantation (ODT) decisively influences the information future health professionals transmit. This is important in ODT where the participation of the general public is essential to obtain organs. Objective To determine notions of Spanish medicine and nursing students on ODT and its relationship with attitude toward ODT. Methods and Design and design. We conducted a sociologic, multicenter, and observational study. The population for our study consisted of medical and nursing students in Spanish universities. Our database was the Collaborative International Donor Project, stratified by geographic area and academic course. A validated questionnaire (PCID-DTO-RIOS) was self-administered and completed anonymously. Our sample consisted of 9598 medical and 10,566 nursing students (99% confidence interval; precision of ±1%), stratified by geographic area and year of study. Results The completion rate for our study was 90%. Only 20% (n=3640) of students thought their notions on ODT were good; 41% (n=7531) thought their notions were normal; 36% (n=6550) thought their notions were scarce. Comparing groups, there were differences between those who believed that their notions on ODT were good (44% nursing vs 56% medical students; P < .000), and those who believed it scarce (54% nursing vs 46% medical students; P < .000). Notions on ODT were related with attitude toward the donation of one's own organs: those who considered their notions were good were more in favor then those who considered it scarce (88% vs 72%; P < .000). Conclusion Only 20% of Spanish medical and nursing students thought their notions on ODT were good. Having good knowledge is related to a favorable attitude towards ODT. Receiving specific information on the subject could improve their knowledge about ODT during their training. Sin financiación 1.066 JCR (2020) Q4, 160/162 Inmunology 0.373 SJR (2020) Q3, 260/456 Surgery No data IDR 2020 UEM

High blood pressure levels are among the most important cardiovascular disease risk factors and are influenced by physical fitness and body composition. However, the degree to which obesity may attenuate or modify the beneficial effects of physical fitness on blood pressure levels in young adults is uncertain. Thus, the aim of this study was to analyze whether body composition is a mediator between cardiorespiratory fitness (CRF) and blood pressure levels in young adults. This work was a cross-sectional study involving first-year college students (n=386) at the University Campus of Cuenca (Spain). We measured weight, height, waist circumference, fat mass percentage (by densitometry), systolic and diastolic blood pressure and CRF levels (by a 20 m shuttle run test). Partial correlation coefficients were estimated to examine the relationships among adiposity variables, CRF and blood pressure variables, controlling for age and sex. ANCOVA models were conducted to explore differences in blood pressure levels across adiposity and CRF categories. Hayes’s PROCESS macro was used for the simple mediation analysis. The indirect effect and Sobel test were significant (P

Este artículo se encuentra disponible en la siguiente URL: https://www.sciencedirect.com/science/article/abs/pii/S0041134519311832?via%3Dihub En este artículo de investigación también participan: Carmen Bárcena-Calvo, Catalina Perelló-Campaner, Juan Manuel Arribas-Marin, Silvia García-Mayor, Maria Nelia Soto-Ruíz, Juan Carlos Navalón, Carme Bertran-Noguer, Maria Pilar Peña-Amaro, Maria Francisca Jiménez-Herrera, Rafaela Blanco-Sánchez, Maria Dolores Calvo-Sánchez, María Carmen Prado-Laguna, Alberto González-García, Adelina Martínez-Rodríguez, Pilar Bas-Sarmiento, Francisco Faus-Gabandé, Alicia Muiños-Alvarez, Loreto Peyró-Gregori, Hernández-Martínez Helena, Aida Saez, Álvaro Sánchez, Ana López-Navas, Pablo Ramírez y Pascual Parrilla. This is the pre-peer reviewed version of the following article: Martínez-Alarcón, L., Ríos, A., Santainés-Borredá, E., Agras-Suarez, M. C., Cañadas-De la Fuente, G. A., Hurtado-Pardos, B. et al. (2019). Nursing students' knowledge about organ donation and transplantation: a Spanish multicenter study. Transplantation Proceedings, vol. 51, i. 9 (nov.), pp. 3008?3011, which has been published in final form at https://doi.org/10.1016/j.transproceed.2019.08.019. Este es el pre-print del siguiente artículo: Martínez-Alarcón, L., Ríos, A., Santainés-Borredá, E., Agras-Suarez, M. C., Cañadas-De la Fuente, G. A., Hurtado-Pardos, B. et al. (2019). Nursing students' knowledge about organ donation and transplantation: a Spanish multicenter study. Transplantation Proceedings, vol. 51, i. 9 (nov.), pp. 3008?3011, que se ha publicado de forma definitiva en https://doi.org/10.1016/j.transproceed.2019.08.019 Healthcare professionals and the information that they provide to the public on organ donation and transplantation (ODT) influence attitudes toward this option. Objective: to analyze the knowledge of university nursing students at Spanish universities toward ODT and the factors affecting it. METHODS AND DESIGN: A multicenter, sociological and observational study including university nursing diploma students in a complete academic year. PARTICIPANTS: A sample of 10,566 students was selected stratified by geographical area and year. Instrument: a validated questionnaire of knowledge toward ODT (PCDI-DTO RIOS), self-administered and completed anonymously. RESULTS: Questionnaire completion rate: 85% (n=9001). Only 18% (n=1580) believed that their knowledge about ODT was good, 40% (n=3578) believed that the information they had was normal and 39% that their knowledge was sparse. Of the students, 96% believed that organ needs are not covered and 79% that one might need a transplant in the future. Only 39% (n=3493) had attended a talk about ODT. Furthermore, 83% (n=7435) believed that attending a talk, would it be interesting. The following variables were associated with having a more adequate knowledge: gender (62% men vs. 57% women; P

Las matronas constituyen un ejemplo de mujeres en las profesiones sanitarias que lucharon por su visibilidad en un universo biomédico androcéntrico que tendió a ignorarlas u ocultarlas. Por ello, el objetivo general de este artículo es analizar el proceso de incorporación de las matronas a las instituciones de Beneficencia Municipal de Cuenca (España) para poner de manifiesto cómo estuvieron relegadas a un segundo plano. La metodología incluye el análisis del proceso desde el punto de vista de las relaciones de género. Se ha consultado el Archivo Municipal de Cuenca, el Archivo Histórico Provincial y se han analizado los principales periódicos locales de la época. Los datos epidemiológicos provienen del Instituto Nacional de Estadística. Mientras que los médicos y los practicantes contaron con un ámbito profesional específico dentro del ayuntamiento, las matronas no lo consiguieron hasta 1915. Las matronas en Cuenca ejercieron sus funciones en una plaza específica y no en la Casa de Socorro, que era de dominio exclusivo de médicos y practicantes. También se dedicaron al ejercicio libre de la profesión. Es muy probable que la asistencia a los partos se llevara también a cabo por madres y vecinas sin titulación. Midwives are an example of women in health professions who strove for their visibility in a biomedical androcentric universe that has tended to ignore or hide them. The objective of this article is to analyze the incorporation process of midwives in the Municipal Charity institution of Cuenca (Spain) to demonstrate how they were relegated to the background. The methodology includes the analysis of the process by using the gender perspective. The Municipal Archive of Cuenca and the Provincial Archive have been consulted; the main local newspapers of that time were analyzed; and epidemiological data were abstracted from the National Statistics Institute. While physicians and practitioners counted with a specific professional area within the municipality, midwives did not succeed that until 1915. Midwives in Cuenca exercised their functions in a specific place and not in the Casa de Socorro (assistance house), which was of exclusive domain of physicians and practitioners. They also dedicated to private assistance. It is very likely that attendance at childbirth was also carried out by mothers and women neighbors without qualification.

Durante la epidemia de gripe de 1918-1919 los médicos españoles se encontraban en pleno proceso de renovación profesional, fruto del convencimiento de que sus condiciones laborales habían mermado notablemente. El objetivo es analizar las demandas de los profesionales de la medicina de Cuenca para determinar si guardaban relación con las que estaban teniendo lugar en la capital de España. Para ello se toman como referencia las noticias de la revista La Información Médica, publicación del Colegio de Médicos de la provincia. La metodología utilizada es el análisis del contenido discursivo del boletín, sobre la premisa de que el estudio del contexto se hace relevante. La élite médica conquense no estuvo supeditada a los intereses de los profesionales médicos de la capital del país pese a la estructura centralizada del Estado y la proximidad geográfica de ambas ciudades. Las demandas obedecieron a las características propias de la provincia y estuvieron condicionadas por el caciquismo existente. Estas reivindicaciones se produjeron en un contexto de crítica social contra la medicina oficial. During the 1918-1919 influenza epidemic, Spanish physicians were in a professional renewal based on the belief that their working conditions had significantly diminished. The aim of this paper is to analyze the demands of Cuenca physicians in order to assess if their claims were similar to those which were taking place in the capital of the country. For this purpose, news appeared in La Información Médica journal, the bulletin of the Medical College of Cuenca (Spain), were selected. The methodology used is the bulletin’s discursive content analysis on the premise that the study of the context was relevant. Cuenca medical elite was not influenced by the Madrid medical interests despite the centralized state structure and geographical proximity. The demands in Cuenca depended on the social, economic and health situation in the province, and were conditioned by the cacique’s influence. A strong social criticism of conventional medicine was taking place at that moment.

both, weight excess and thinness, are related with several health disorders that could continue into adulthood. The objectives of this study were to estimate the prevalence of thinness, overweight and obesity in 4-to-6-year-old schoolchildren in the provinces of Cuenca and Ciudad Real (Spain), using both the International Obesity Task Force and the World Health Organization criteria; and to compare this prevalence with those provided for other European studies.a cross-sectional study was performed in 1 585 schoolchildren in September 2013. Weight and height measurements were performed by previously trained nurses with standardized procedures. Weight status was defined according to the International Obesity Task Force and the World Health Organization criteria.when the International Obesity Task Force criteria were used prevalence of thinness, overweight and obesity was 20.51%, 11.84% and 8.58%, respectively; and 3.97%, 13.92% and 10.79% when the World Health Organization criteria were utilized. No statistically significant differences by sex or province in any category of weight status were found. The prevalence of thinness decreased as age increases. Conversely, thinness prevalence decreased and overweight/obesity prevalence was significantly higher in older schoolchildren. The prevalence of overweight in this study is similar to other Mediterranean countries.the prevalence of overweight seems to level off, although it remains a public health priority. The increase in the prevalence of thinness has become an emergent problem that could claim for public health interventions.Introducción y objetivos: tanto el exceso de peso como la delgadez se relacionan con diversos problemas de salud que pueden continuar hasta la edad adulta. Los objetivos de este estudio fueron estimar la prevalencia de delgadez, sobrepeso y obesidad en escolares de 4-6 años de las provincias de Cuenca y Ciudad Real (España), mediante criterios del Grupo Internacional de Trabajo sobre Obesidad y de la Organización Mundial de la Salud, y comparar estas cifras con otros estudios europeos. Métodos: estudio observacional-transversal que incluyó a 1.585 escolares realizado en septiembre de 2013. Las mediciones de peso y talla fueron realizadas por enfermeras entrenadas y mediante procedimientos estandarizados. El estatus ponderal se definió según los criterios del Grupo Internacional de Trabajo sobre Obesidad y la Organización Mundial de la Salud. Resultados: según criterios del Grupo Internacional de Trabajo sobre Obesidad, la prevalencia de delgadez, sobrepeso y obesidad fue del 20,51%, 11,84% y 8,58%, respectivamente; y del 3,97%, 13,92% y 10,79% cuando se utilizaron los criterios de la Organización Mundial de la Salud. No se encontraron diferencias estadísticamente significativas por sexo ni provincia para ninguna categoría de estatus ponderal. Para ambos criterios, la prevalencia de delgadez fue menor a medida que aumentaba la edad, mientras que la prevalencia de sobrepeso/obesidad fue mayor. Conclusiones: la prevalencia de exceso de peso podría haber tocado techo en España, aunque continúa siendo un importante problema de salud pública. El aumento de la prevalencia de bajo peso debería ocupar un lugar relevante en las intervenciones de salud pública.

Sleep seems to have a significant influence on the metabolic syndrome (MetS). However, results in this association are still inconsistent in children. The aim of this study was to examine the influence of sleep characteristics in the MetS (index and factors) in Spanish children. Cross-sectional study including a sample of 210 children aged 8-to-11-years belonging to 20 schools from the province of Cuenca, Spain was conducted. Cardiometabolic risk and actigraphy sleep patterns were determined and analysed using correlation coefficients, ANCOVA models and a propensity score derivation model. Overall, children in the lower time in bed category and those who went to bed later (> 23:15h) showed worse values in the cardiometabolic profile and risk index. Differences were observed when the total time in bed was below 9h 15mins. Our study shows that short sleep duration could be a risk factor for cardiometabolic risk in children, and bedtime may independently influence this risk. In addition, our data suggests that children's sleep hygiene should be incorporated in parenting educational programs.

Background Childhood obesity has become an alarming worldwide increasing public health problem. The earlier adiposity rebound occurs, the greater the risk of becoming obese during puberty and adolescence. It has been speculated about the potential influence of vigorous physical activity on modifying the age of onset of adiposity rebound. Moreover, studies aimed to evaluate the effectiveness of physical activity interventions programs on reducing adiposity and other cardiovascular risk factors in children younger than 6 years are scarce. This paper describes the rationale and methods of a study aimed to test the effectiveness of a two-years multidimensional pre-school intervention on preventing obesity and improving physical fitness during the adiposity rebound period. Methods/Design Twenty-one schools from the provinces of Cuenca and Ciudad Real, Spain, were randomised to an intervention and a control arm. In the first academic year, children in third grade of pre-school and first grade of primary school in the intervention group received the physical activity intervention (MOVI-KIDS). After an academic year schools were crossed over to the alternative arm. According to the socio-ecological model, the intervention included children, their parents and teachers, and the school environment where MOVI-KIDS was conducted. MOVI-KIDS consisted of: i) three-h/week sessions of recreational non-competitive physical activity in after-school time; ii) educational materials to parents and teachers about physical activity benefits and sedentary lifestyle risks; and iii) modifications in the playground to promote physical activity during recess. Baseline and post-intervention outcomes are going to be measured in both arms three times, at the beginning and at the end of first academic year, and at the end of the second academic year. Primary outcomes included body mass index, waist circumference, triceps skinfold thickness, percentage of both body fat and fat-free mass, and blood pressure. Secondary end points were physical activity, fitness, and carotid intima-media thickness. Discussion This paper reports the design of a randomised cross-over cluster trial aimed at assessing the effectiveness of the multidimensional physical activity intervention (MOVI-KIDS) during two years in pre-school children. Trial registration Clinical trials.gov: NCT01971840. (Date of registration: Initial Release: 10/07/2013; Record Verification: 23/10/2013).