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Pérez-Ortega S, Parellada-Vendrell M, Querol E, Prats J, Venturas M, Zabalegui A. Gender perspective in the implementation of hygiene in cardiology intensive care. ENFERMERIA INTENSIVA 2024:S2529-9840(24)00015-6. [PMID: 38493071 DOI: 10.1016/j.enfie.2023.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 12/05/2023] [Indexed: 03/18/2024]
Abstract
INTRODUCTION Hygiene in critical patients is an essential daily care, provided under safe conditions, to promote comfort and maintain the integrity of skin and mucous membranes, however, it can generate feelings of dependence and vulnerability in patients. The aim of this post hoc study is to know the differences in satisfaction and lived experience regarding bed hygiene in an intensive care unit according to biological sex and gender perspective. METHODS Observational, descriptive and prospective study in which an ad hoc questionnaire was administered to 148 conscious and oriented patients of legal age. The questionnaire was completed 24-48 hours after admission to the unit, once the initial bed hygiene had been performed. RESULTS Males experienced conformism (51%), embarrassment (31%) and relief (9%); Women felt conformism (35.4%), embarrassment (18.8%) and relief (29.2%) (p < 0.05). Women experienced a feeling of cleanliness in 89.1% compared to 56.1% of men (p < 0.05). Men were offered to wash their genitals in 72.9% compared to 35.7% of women (p < 0.05). 34.3% of men would prefer a family member to assist them during hygiene (62.9% by their wives), compared to 27.1% of women who would prefer a family member (84.6% by their daughters). CONCLUSION Women tolerate bed hygiene better than men and appreciate more the feeling of cleanliness. Women are identified as caregivers, both professionally and in the family, and patients prefer them to collaborate in the performance of hygiene, being wives preferred by men and daughters preferred by women.
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Affiliation(s)
- S Pérez-Ortega
- Unidad Cuidados Cardiológicos Agudos, Hospital Clínic Barcelona, Barcelona, Spain; Facultad de Enfermería, Universidad de Barcelona, Barcelona, Spain.
| | - M Parellada-Vendrell
- Unidad Cuidados Cardiológicos Agudos, Hospital Clínic Barcelona, Barcelona, Spain
| | - E Querol
- Instituto Clínico Cardiovascular, Hospital Clínic Barcelona, Barcelona, Spain
| | - J Prats
- Instituto Clínico Cardiovascular, Hospital Clínic Barcelona, Barcelona, Spain
| | - M Venturas
- Facultad de Enfermería, Universidad de Barcelona, Barcelona, Spain; Instituto Clínico Cardiovascular, Hospital Clínic Barcelona, Barcelona, Spain
| | - A Zabalegui
- Facultad de Enfermería, Universidad de Barcelona, Barcelona, Spain; Dirección Enfermería, Hospital Clínic Barcelona, Barcelona, Spain
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Mateos-Arroyo JA, Zaragoza-García I, Sánchez-Gómez R, Posada-Moreno P, García-Almazán S, Ortuño-Soriano I. Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study. Healthcare (Basel) 2024; 12:531. [PMID: 38470641 PMCID: PMC10931307 DOI: 10.3390/healthcare12050531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 02/10/2024] [Accepted: 02/20/2024] [Indexed: 03/14/2024] Open
Abstract
There is evidence that healthcare can be executed differentially depending on the gender of patients, researchers, and clinicians. The aim was to analyze the possible existence of nursing gender differences in pain management produced by arterial puncture for blood gas analysis. A cross-sectional, multicenter study designed was conducted in Castilla-la Mancha (Spain). Variables of interest were collected from nurses in the public health system of a European region through a questionnaire. Data were collected for four months; the primary outcome was the use of any intervention to reduce pain and the explanatory variable was the nurse's gender. Bivariate analysis was carried out to assess associations between gender and pain-reducing interventions and a multivariate model was created with those factors that were relevant using logistic regression. A significantly higher proportion of men reported using some form of intervention (45% vs. 30%) and had more specific training (45.9% vs. 32.4%). The adjusted probability of using pain-reducing interventions by men was 71% higher than women. Thus, we found gender differences in the management of pain caused by arterial punctures performed by nurses as the main healthcare providers.
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Affiliation(s)
| | - Ignacio Zaragoza-García
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podology, University Complutense of Madrid, 28040 Madrid, Spain; (R.S.-G.); (P.P.-M.); (I.O.-S.)
- Instituto de Investigación Sanitaria Hospital 12 de Octubre (Imas12), InveCuid Group, 28041 Madrid, Spain
| | - Rubén Sánchez-Gómez
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podology, University Complutense of Madrid, 28040 Madrid, Spain; (R.S.-G.); (P.P.-M.); (I.O.-S.)
- Fundación para la Investigación Biomédica del Hospital Clínico San Carlos (FIBHCSC), Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
| | - Paloma Posada-Moreno
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podology, University Complutense of Madrid, 28040 Madrid, Spain; (R.S.-G.); (P.P.-M.); (I.O.-S.)
- Fundación para la Investigación Biomédica del Hospital Clínico San Carlos (FIBHCSC), Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
| | - Sara García-Almazán
- Intensive Care Unit, Hospital General Nuestra Señora del Prado, 45600 Talavera de la Reina, Spain;
| | - Ismael Ortuño-Soriano
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podology, University Complutense of Madrid, 28040 Madrid, Spain; (R.S.-G.); (P.P.-M.); (I.O.-S.)
- Fundación para la Investigación Biomédica del Hospital Clínico San Carlos (FIBHCSC), Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
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González-García M, Lana A, Zurrón-Madera P, Valcárcel-Álvarez Y, Fernández-Feito A. Nursing Students' Experiences of Clinical Practices in Emergency and Intensive Care Units. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17165686. [PMID: 32781646 PMCID: PMC7459869 DOI: 10.3390/ijerph17165686] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 07/31/2020] [Accepted: 08/03/2020] [Indexed: 12/20/2022]
Abstract
Clinical practices are key environments for skill acquisition during the education of nursing students, where it is important to encourage reflective learning. This study sought to explore the experience of final year nursing students during their clinical placement in emergency and intensive care units and to identify whether differences exist between female and male students. Using qualitative methodology, a documentary analysis of 28 reflective learning journals was carried out at a public university in Northern Spain. Four themes were identified: "an intense emotional experience", "the importance of attitudes over and above techniques", "identifying with nurses who dominate their environment and are close to the patient in complex and dehumanized units" and "how to improve care in critically ill patients and how to support their families". The female students displayed a more emotional and reflective experience, with a strong focus on patient care, whereas male students identified more with individual aspects of learning and the organization and quality of the units. Both male and female students experienced intense emotions, improved their learning in complex environments and acquired attitudes linked to the humanization of care. However, the experience of these clinical rotations was different between female and male students.
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Affiliation(s)
- María González-García
- Health Care Service of Asturias, Central University Hospital of Asturias, Avda. Roma, s/n, 33011 Oviedo, Spain; (M.G.-G.); (Y.V.-Á.)
- Department of Medicine, School of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería, s/n, 33006 Oviedo, Spain; (P.Z.-M.); (A.F.-F.)
- Healthcare Research Area, Health Research Institute of Asturias (ISPA), Avda. Roma, s/n, 33011 Oviedo, Spain
| | - Alberto Lana
- Department of Medicine, School of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería, s/n, 33006 Oviedo, Spain; (P.Z.-M.); (A.F.-F.)
- Healthcare Research Area, Health Research Institute of Asturias (ISPA), Avda. Roma, s/n, 33011 Oviedo, Spain
- Correspondence:
| | - Paula Zurrón-Madera
- Department of Medicine, School of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería, s/n, 33006 Oviedo, Spain; (P.Z.-M.); (A.F.-F.)
- Healthcare Research Area, Health Research Institute of Asturias (ISPA), Avda. Roma, s/n, 33011 Oviedo, Spain
- Mental Health Center of La Corredoria, Health Care Service of Asturias (Spain), C. Alfredo Blanco, s/n, 33011 Oviedo, Spain
| | - Yolanda Valcárcel-Álvarez
- Health Care Service of Asturias, Central University Hospital of Asturias, Avda. Roma, s/n, 33011 Oviedo, Spain; (M.G.-G.); (Y.V.-Á.)
- Department of Medicine, School of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería, s/n, 33006 Oviedo, Spain; (P.Z.-M.); (A.F.-F.)
- Healthcare Research Area, Health Research Institute of Asturias (ISPA), Avda. Roma, s/n, 33011 Oviedo, Spain
| | - Ana Fernández-Feito
- Department of Medicine, School of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería, s/n, 33006 Oviedo, Spain; (P.Z.-M.); (A.F.-F.)
- Healthcare Research Area, Health Research Institute of Asturias (ISPA), Avda. Roma, s/n, 33011 Oviedo, Spain
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Ceballos-Vásquez P, Rolo-González G, Hérnandez-Fernaud E, Díaz-Cabrera D, Paravic-Klijn T, Burgos-Moreno M. Psychosocial factors and mental work load: a reality perceived by nurses in intensive care units. Rev Lat Am Enfermagem 2017; 23:315-22. [PMID: 26039303 PMCID: PMC4459006 DOI: 10.1590/0104-1169.0044.2557] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Accepted: 12/04/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE: To analyse the perception of psychosocial factors and mental workload of nurses
who work in intensive care units. It is hypothesised that nurses in these units
could perceive psychosocial risks, manifesting in a high mental work load. The
psychosocial dimension related to the position's cognitive demands is hypothesised
to mostly explain mental work load. METHOD: Quantitative study, with a descriptive, cross-sectional, and comparative design.
A total of 91% of the intensive care unit populations of three Chilean hospitals
was surveyed, corresponding to 111 nurses. The instruments utilised included (A) a
biosociodemographic history questionnaire; (b) the SUSESO-ISTAS 21 questionnaire;
and (c) the Mental Work Load Subjective Scale (ESCAM, in Spanish). RESULTS: In total, 64% and 57% of participants perceived high levels of exposure to the
psychosocial risks Psychosocial demands and Double shift, respectively. In
addition, a medium-high level of overall mental load was observed. Positive and
significant correlations between some of the SUSESO-ISTAS 21 and ESCAM dimensions
were obtained. Using a regression analysis, it was determined that three
dimensions of the psychosocial risk questionnaire helped to explain 38% of the
overall mental load. CONCLUSION: Intensive care unit nurses felt that inadequate psychosocial factors and mental
work overload existed in several of the tested dimensions.
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Affiliation(s)
| | - Gladys Rolo-González
- Departamento de Psicología Cognitiva, Social y Organizacional, Universidad de la Laguna, Tenerife, Spain
| | | | - Dolores Díaz-Cabrera
- Departamento de Psicología Cognitiva, Social y Organizacional, Universidad de la Laguna, Tenerife, Spain
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