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Llorens-Ortega R, Bertran-Noguer C, Juvinyà-Canals D, Garre-Olmo J, Bosch-Farré C. Influence of Social Determinants of Health on the Quality of Life of Older Adults in Europe: A Sex Analysis. Res Sq 2023:rs.3.rs-3401316. [PMID: 37886480 PMCID: PMC10602104 DOI: 10.21203/rs.3.rs-3401316/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Abstract
Introduction The global aging population poses challenges for society such as health inequalities among older persons and between genders. Objectives To determine how Social Determinants of Health (SDH) influence the quality of life (QoL) of individuals over 50 years old in various European countries, taking a gender perspective in a longitudinal study. Materials and methods Sample of 11,493 individuals from 13 European countries from Waves 5 (2013), 6 (2015), and 7 (2017) of the SHARE study. Instruments: CASP-12 (QoL), EURO-D (depression), SDH: gender, age, educational level, socioeconomic status, ethnicity, place of residence, and European region. Sociodemographic and clinical variables. Statistical analysis: Bivariate and multivariate mixed linear models. Results The bivariate analysis showed higher economic hardship and lower education in women compared to men. The CASP-12 score was higher in men than in women. In the multivariate analysis, the variables associated with lower QoL scores among men and women from Wave 5 to Wave 7 were: (β:-0.196, 95% CI: -0.345; -0.047) vs (β:0.038, 95% CI: -0.122; 0.197); economic hardship; and the European region between South and North (β: 2.709, 95% CI: 2.403; 3.015) vs men (β: 2.224, 95% CI: 1.896; 2.551). Conclusions The main SDH associated with poorer QoL were female gender, advanced age, economic hardship, educational level, and geographic location within Europe. Depression in women and in Southern Europe were associated with a decrease in QoL scores.
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Robles-Sanchez MA, Moharra M, Bosch-Farré C, Hernández-Leal MJ, Montalban X, Sastre-Garriga J, Ramió-Torrentà L, Bertran-Noguer C. Views of Multiple Sclerosis Patients About Key Elements for a Decision Aid: A Qualitative Study. J Neurosci Nurs 2023; 55:164-170. [PMID: 37527935 DOI: 10.1097/jnn.0000000000000721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
Abstract
ABSTRACT BACKGROUND: Patients with multiple sclerosis (MS) may experience decisional conflict during treatment choice. Shared decision making (SDM), whereby patients and health professionals, primarily nurses, collaborate in making decisions, reduces this decisional conflict. It requires understanding large amounts of information and may be complex, especially when decisions affect patients' autonomy and quality and prolongation of life. Patient decision aids are tools in facilitating SDM. This study aimed to identify the key elements from the perspective of patients with relapsing-remitting MS to create a patient decision aid in the Spanish sociocultural context. METHODS: This is a qualitative study using focus groups led by a clinical nurse specialist. Semistructured interviews included healthcare needs and demands, the SDM process, and general characteristics of a peer support program. After the transcription of interview recordings, data were analyzed by thematic analysis and a constructivist naturalistic approach. RESULTS: Patients with MS (27) from Spain participated in 4 focus groups of 90 to 120 minutes each. Three overarching themes were identified: information access to sufficient high-quality data; knowledge of available treatment options, including efficacy, adverse effects, frequency, administration route, and the impact on daily life; decision-making role, engaged versus nonengaged patients. The former require support in facilitating their active involvement in decisions, whereas the latter prefer more passive health models. CONCLUSION: The needs identified by patients with relapsing-remitting MS regarding treatment choice in the Spanish setting align with those reported by other studies. The identified themes provide valuable information to design and develop a virtual patient decision aid jointly by clinical MS nurses and patients according to the International Patient Decision Aid Standards Collaboration criteria. This aid will help improve understanding between nurses and patients during SDM and facilitate the process.
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Robles-Sanchez MA, Amil-Bujan P, Bosch-Farré C, Coll-Martínez C, Arévalo MJ, Anglada E, Menéndez R, Montalban X, Sastre-Garriga J, Ramió-Torrentà L, Bertran-Noguer C. An expert patient program to improve the empowerment and quality of life of people with multiple sclerosis: protocol for a multicenter pre-post intervention study. Front Neurol 2023; 14:1172640. [PMID: 37273703 PMCID: PMC10232994 DOI: 10.3389/fneur.2023.1172640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 04/21/2023] [Indexed: 06/06/2023] Open
Abstract
Introduction Multiple sclerosis (MS) causes a progressive disability, which substantially impacts the quality of life (QoL). Health interventions that meet the needs and demands of people with MS are essential to minimize QoL impairment. Expert patient programs (EPPs) facilitate health-related empowerment through peer learning. Based on a previous focus group study, we designed an EPP for MS coordinated by nursing professionals for implementation in the different MS reference units of Catalonia (Southwestern Europe). This study aims to evaluate the effects on quality of life, disease-related knowledge, and self-management related to the health process of the participants of the Expert Patient Program Catalonia™ for people with multiple sclerosis (EPPC-MS). Methods Pre-post intervention multicenter clinical study involving 12 groups of 12 participants: six groups including relapsing and six groups including progressive MS patients, with 144 participants from 7 MS reference units from all over Catalonia, organized in six teams. The intervention will consist of nine telematic learning peer-led sessions (one weekly session). The expert patient (EP) leading the sessions will be an individual with MS with disease-related knowledge, who will be further trained by nurses to lead the sessions. Study variables will be measured before and immediately after the intervention and 6 and 12 months after the end of the sessions and will include: QoL, emotional impact, activation of the person, MS-related knowledge, fatigue, habits and lifestyles, health services use, and program-related experience. Baseline characteristics considered will be sociodemographic data, date of MS diagnosis and type, family history, and treatment characteristics. Variables related to disease follow-up will be new relapses and characteristics and changes in the ongoing treatment. The number of sessions attended will also be collected. Study variables will be analyzed using a pre-post comparison. Discussion Peer-led learning programs led by EP help empower people with chronic conditions and offer them tools to improve their autonomy and QoL. This study's intervention will be performed remotely, offering advantages both for people with chronic conditions and the healthcare system regarding the facilitation of family and work conciliation, saving time, simplifying attendance to meetings, lowering costs, and using fewer material resources. Trial registration NCT04988880 on September 22, 2021.
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Affiliation(s)
- Miguel Angel Robles-Sanchez
- Grup de recerca Salut i Atenció Sanitaria, University of Girona, Girona, Spain
- Department of Neurology, Centre d’Esclerosi Múltiple de Catalunya (Cemcat), Hospital Universitari Vall d’Hebron, Barcelona, Spain
- Grup d’Investigació Multidisciplinari d’Infermeria, Vall d’Hebron Institut de Recerca (VHIR), Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - Paloma Amil-Bujan
- Expert Patient Program Catalonia, General Directorate of Health Planning and Research, Department of Health, Generalitat de Catalunya, Barcelona, Spain
| | | | - Clàudia Coll-Martínez
- Neurodegeneration and Neuroinflammation Research Group, Girona Biomedical Research Institute (IDIBGI), Salt, Spain
- Girona Multiple Sclerosis and Neuroimmunology Unit. Neurology Department, Dr. Josep Trueta University Hospital and Santa Caterina Hospital, Girona-Salt, Spain
| | - Maria Jesús Arévalo
- Department of Neurology, Centre d’Esclerosi Múltiple de Catalunya (Cemcat), Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - Elisenda Anglada
- Department of Neurology, Centre d’Esclerosi Múltiple de Catalunya (Cemcat), Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - Rebeca Menéndez
- Department of Neurology, Centre d’Esclerosi Múltiple de Catalunya (Cemcat), Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - Xavier Montalban
- Department of Neurology, Centre d’Esclerosi Múltiple de Catalunya (Cemcat), Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - Jaume Sastre-Garriga
- Department of Neurology, Centre d’Esclerosi Múltiple de Catalunya (Cemcat), Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - Lluís Ramió-Torrentà
- Neurodegeneration and Neuroinflammation Research Group, Girona Biomedical Research Institute (IDIBGI), Salt, Spain
- Girona Multiple Sclerosis and Neuroimmunology Unit. Neurology Department, Dr. Josep Trueta University Hospital and Santa Caterina Hospital, Girona-Salt, Spain
- Department of Medical Sciences, University of Girona, Girona, Spain
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Reig-Garcia G, Bonmatí-Tomàs A, Suñer-Soler R, Malagón-Aguilera MC, Gelabert-Vilella S, Bosch-Farré C, Mantas-Jimenez S, Juvinyà-Canal D. Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain. BMC Health Serv Res 2022; 22:710. [PMID: 35643517 PMCID: PMC9145205 DOI: 10.1186/s12913-022-08109-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 05/09/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Purpose
The exchange of information between different healthcare settings through a nursing discharge plan is essential for safe care. However, the factors contributing to achieving the most efficient exchange have not been well studied. This study aimed to evaluate and explore the perceptions of a nursing discharge plan from the perspective of nurses in different healthcare settings.
Methods
A mixed methods approach comprising a specifically designed ad hoc questionnaire (n = 437) and a focus group session (n = 8).
Findings
Overall, 66.1% out of 437 nurses, and especially those working in nursing homes, were satisfied with the nursing discharge plan.
Lack of time to complete the report and poor information about both nursing diagnoses and patients’ social assessment were identified as problem areas. Some proposals emerged from the focus group: providing sufficient time for its completion, giving the nursing discharge plan a more flexible structure permitting more open-ended responses, requiring more information to be provided about the social and psychological situation of the patients, training nurses to use standardized language to avoid possible misinterpretations, and getting nurses from the different health care settings to work together in designing continuity of care plans. Elderly and low-income patients are found to need greater attention when filling out nursing discharge plans.
Conclusions
The study has revealed key aspects that need to be improved and some recommendations in implementing the nursing discharge plan in our health area. These include that there should be more time provided to complete the NDP, and also specific details regarding the format, structure, content of the information that is communicated, and the prioritization of the patient profile.
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Malagón-Aguilera MC, Suñer-Soler R, Bonmatí-Tomas A, Bosch-Farré C, Gelabert-Viella S, Fontova-Almató A, Grau-Martín A, Juvinyà-Canal D. Dispositional Optimism, Burnout and Their Relationship with Self-Reported Health Status among Nurses Working in Long-Term Healthcare Centers. Int J Environ Res Public Health 2020; 17:ijerph17144918. [PMID: 32650418 PMCID: PMC7399977 DOI: 10.3390/ijerph17144918] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 07/03/2020] [Accepted: 07/05/2020] [Indexed: 11/18/2022]
Abstract
The mental health of nurses working in long-term healthcare centers is affected by the care they provide to older people with major chronic diseases and comorbidity and this in turn affects the quality of that care. The aim of the study was to investigate dispositional optimism, burnout and self-reported health among nurses working in long-term healthcare centers. A descriptive, cross-sectional survey design was used. Survey questionnaires were distributed in 11 long-term health care centers (n = 156) in Catalonia (Spain). The instruments used were LOT-R (dispositional optimism), MBI (burnout) and EuroQol EQ-5D (self-reported health). Bivariate analyses and multivariate linear regression models were used. Self-reported health correlated directly with dispositional optimism and inversely with emotional exhaustion and cynicism. Better perceived health was independently associated with greater dispositional optimism and social support, lower levels of emotional exhaustion level and the absence of burnout. Dispositional optimism in nurses is associated with a greater perception of health and low levels of emotional exhaustion.
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Affiliation(s)
- Maria Carmen Malagón-Aguilera
- Department of Nursing, University of Girona, Health and Healthcare Research Group, 17003 Girona, Spain; (M.C.M.-A.); (A.B.-T.); (C.B.-F.); (A.F.-A.); (D.J.-C.)
| | - Rosa Suñer-Soler
- Department of Nursing, University of Girona, Health and Healthcare Research Group, 17003 Girona, Spain; (M.C.M.-A.); (A.B.-T.); (C.B.-F.); (A.F.-A.); (D.J.-C.)
- Correspondence:
| | - Anna Bonmatí-Tomas
- Department of Nursing, University of Girona, Health and Healthcare Research Group, 17003 Girona, Spain; (M.C.M.-A.); (A.B.-T.); (C.B.-F.); (A.F.-A.); (D.J.-C.)
| | - Cristina Bosch-Farré
- Department of Nursing, University of Girona, Health and Healthcare Research Group, 17003 Girona, Spain; (M.C.M.-A.); (A.B.-T.); (C.B.-F.); (A.F.-A.); (D.J.-C.)
| | | | - Aurora Fontova-Almató
- Department of Nursing, University of Girona, Health and Healthcare Research Group, 17003 Girona, Spain; (M.C.M.-A.); (A.B.-T.); (C.B.-F.); (A.F.-A.); (D.J.-C.)
| | | | - Dolors Juvinyà-Canal
- Department of Nursing, University of Girona, Health and Healthcare Research Group, 17003 Girona, Spain; (M.C.M.-A.); (A.B.-T.); (C.B.-F.); (A.F.-A.); (D.J.-C.)
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Malagon-Aguilera MC, Suñer-Soler R, Bonmatí-Tomas A, Bosch-Farré C, Gelabert-Vilella S, Juvinyà-Canal D. Relationship between sense of coherence, health and work engagement among nurses. J Nurs Manag 2019; 27:1620-1630. [PMID: 31444895 DOI: 10.1111/jonm.12848] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 07/13/2019] [Accepted: 08/20/2019] [Indexed: 11/28/2022]
Abstract
AIM To examine the sense of coherence among registered nurses and its relationship with health and work engagement. BACKGROUND Sense of coherence is a global orientation to view life as structured, manageable and meaningful and have the capacity to cope with stressful situations. A high sense of coherence score indicates that an individual can understand, manage and attribute meaning to events in his or her life as well as in the work environment. Registered nurses face many workplace stressors that may be easier to manage with a strong sense of coherence; however, the effect of this score on their self-reported health status and work engagement remains unknown. METHODS In a cross-sectional study, 109 registered nurses working in a long-term care setting responded to a self-administered questionnaire. Social support, work-related family conflicts, sense of coherence, self-reported health status and work engagement variables were analysed using multiple linear regression models. RESULTS Nurses with a high sense of coherence score reported no work-related family conflicts (mean difference -6.91; 95% CI -10.65 to -3.18; p = .000), better health (r = .408) and greater work engagement (r = .223), compared to their peers with lower sense of coherence. The association between sense of coherence and self-reported health was confirmed by linear regression modelling (β = .276, p = .003). CONCLUSIONS Nurses with a higher sense of coherence had better health and greater work engagement. The work engagement variable showing the highest association with sense of coherence was dedication. IMPLICATIONS FOR NURSING MANAGEMENT Implementing interventions that increase sense of coherence among nurses can increase commitment to their work, to the institution and to building more engaged teams.
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Affiliation(s)
- Maria Carmen Malagon-Aguilera
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Rosa Suñer-Soler
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Anna Bonmatí-Tomas
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Cristina Bosch-Farré
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Sandra Gelabert-Vilella
- Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
| | - Dolors Juvinyà-Canal
- Nursing Department, Faculty of Nursing, University of Girona, Girona, Spain.,Nursing Department, Health and Health Care Research Group, University of Girona, Girona, Spain
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Bonmatí-Tomas A, Malagón-Aguilera MC, Gelabert-Vilella S, Bosch-Farré C, Vaandrager L, García-Gil MM, Juvinyà-Canal D. Salutogenic health promotion program for migrant women at risk of social exclusion. Int J Equity Health 2019; 18:139. [PMID: 31481094 PMCID: PMC6724247 DOI: 10.1186/s12939-019-1032-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2018] [Accepted: 08/13/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Migrant women at risk of social exclusion often experience health inequities based on gender, country of origin or socioeconomic status. Traditional health promotion programs designed for this population have focused on covering their basic needs or modifying lifestyle behaviors. The salutogenic model of health could offer a new perspective enabling health promotion programs to reduce the impact of health inequities. This study evaluated the effectiveness of a salutogenic health promotion program focused on the empowerment of migrant women at risk of social exclusion. METHODS A four-session salutogenic health promotion program was conducted over a period of 6 months. In a quasi-experimental pre-test post-test design, an ad hoc questionnaire was administered to 26 women to collect sociodemographic data, together with 5 validated instruments: Antonovsky's Sense of Coherence (SOC-13), Duke-UNC-11 (perceived social support), Quality of Life Short Form-36 (SF-36), Rosenberg's Self-Esteem Scale, and the Cohen et al. Perceived Stress Scale (PSS-10). Descriptive analysis and multiple linear regression models were performed. Statistical tests were considered significant with a two-tailed p value < 0.05. RESULTS Participants had a low initial SOC-13 score (60.36; SD 8.16), which did not show significant change after the health promotion program. Perceived social support (37.07; SD 6.28) and mental quality of life also remained unchanged, while physical quality of life increased from 50.84 (SD 4.60) to 53.08 (SD 5.31) (p = 0.049). Self-esteem showed an increasing trend from 30.14 (SD 4.21) to 31.92 (SD 4.38) (p = 0.120). Perceived stress decreased from 20.57 (SD 2.91) to 18.38 (SD 3.78) (p = 0.016). A greater effect was observed at the end of the program in women with lower initial scores for SOC-13 and quality of life and higher initial scores of perceived stress. CONCLUSIONS The health promotion program reduced perceived stress, increased physical quality of life and showed a trend toward increased self-esteem, especially among migrant women with multiple vulnerability factors. The salutogenic model of health should be considered as a good practice to apply in health promotion programs and to be included in national policies to reduce health inequity in migrant populations.
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Affiliation(s)
- A Bonmatí-Tomas
- Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071, Girona, Spain. .,Health and Health Care Research Group, University of Girona, Emili Grahit, 77, 17071, Girona, Spain. .,European Training Consortium-Public Health and Health Promotion, Emili Grahit, 77, 17071, Girona, Spain.
| | - M C Malagón-Aguilera
- Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071, Girona, Spain.,Health and Health Care Research Group, University of Girona, Emili Grahit, 77, 17071, Girona, Spain
| | - S Gelabert-Vilella
- Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071, Girona, Spain
| | - C Bosch-Farré
- Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071, Girona, Spain.,Health and Health Care Research Group, University of Girona, Emili Grahit, 77, 17071, Girona, Spain
| | - L Vaandrager
- European Training Consortium-Public Health and Health Promotion, Emili Grahit, 77, 17071, Girona, Spain.,Department of Social Sciences, Heath and Society, Wageningen University & Research, Hollandseweg 1, Wageningen, KN, 6706, The Netherlands
| | - M M García-Gil
- Vascular Health Research Group, Unitat de Suport a la Recerca Girona, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Girona, Spain.,Information System for Research in Primary Care (SIDIAP), Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Barcelona, Spain
| | - D Juvinyà-Canal
- Health and Health Care Research Group, University of Girona, Emili Grahit, 77, 17071, Girona, Spain.,Chair of Health Promotion, University of Girona, Emili Grahit, 77, 17071, Girona, Spain
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Bosch-Farré C, Garre-Olmo J, Bonmatí-Tomàs A, Malagón-Aguilera MC, Gelabert-Vilella S, Fuentes-Pumarola C, Juvinyà-Canal D. Prevalence and related factors of Active and Healthy Ageing in Europe according to two models: Results from the Survey of Health, Ageing and Retirement in Europe (SHARE). PLoS One 2018; 13:e0206353. [PMID: 30372472 PMCID: PMC6205806 DOI: 10.1371/journal.pone.0206353] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 10/11/2018] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Active and Healthy Ageing (AHA) is the process of optimizing opportunities related to health, participation, and safety in order to improve quality of life. The approach most often used to measure AHA is Rowe and Kahn's Satisfactory Ageing model. Nonetheless, this model has limitations. One of the strategic objectives of the WHO Global Strategy and Action Plan (2016) is to improve Healthy Ageing measurement. Our objectives were to compare two models of assessing AHA and further compare the results by country and sociodemographic variables. METHODS This was a cross-sectional, observational analysis of a representative sample of the general population aged 50 years and older in Europe. The data analysed were obtained by the Study of Health, Ageing and Retirement in Europe (SHARE). The dependent variable was AHA and its dimensions, measured using the Rowe and Kahn AHA model (AHA-B) and the authors' model based on the WHO definition (AHA-BPS). A descriptive analysis and multivariate models of binary logistical regression were developed. RESULTS The sample consisted of 52,641 participants (mean age 65.24 years [SD = 10.18; Range = 50-104], 53.2% women). Healthy Ageing prevalence in the AHA-B model was 23.5% (95%CI = 23.1%-23.9%). In the AHA-BPS model, this prevalence was 38.9%. In both models, significant variations were observed between countries, and were distributed along a north-western to south-eastern gradient. The sociodemographic variables associated with the absence of AHA were advanced age, female sex, death of spouse, low educational level, lack of employment, and low financial status. Comparing the two models, the strength of association between absence of AHA and advanced age (85 years and older) was four times greater in the AHA-B model. CONCLUSIONS Our results showing differences between these two models provide evidence that the AHA-BPS model does not penalize older age and is more likely to characterize AHA from a health promotion perspective.
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Affiliation(s)
- Cristina Bosch-Farré
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
| | - Josep Garre-Olmo
- Girona Biomedical Research Institute (IDIBGI), Salt, Catalonia, Spain
- Healthcare Institute (IAS), Salt, Catalonia, Spain
- Department of Medical Sciences, University of Girona, Girona, Catalonia, Spain
| | | | - Maria Carme Malagón-Aguilera
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
| | | | - Concepció Fuentes-Pumarola
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
| | - Dolors Juvinyà-Canal
- Health and Healthcare Research Group, University of Girona, Girona, Catalonia, Spain
- Nursing Department, University of Girona, Girona, Catalonia, Spain
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Fuentes-Pumarola C, Ballester-Ferrando D, Gelabert-Vilella S, Bosch-Farré C, Malagón-Aguilera MC, Rascón-Hernán C, Bonmatí-Tomàs A, Fernandez-Peña R. Nursing student and professor perceptions and assessments of the achievement of practicum competencies: A mixed method approach. Nurse Educ Today 2016; 45:199-205. [PMID: 27552714 DOI: 10.1016/j.nedt.2016.08.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Revised: 07/14/2016] [Accepted: 08/05/2016] [Indexed: 06/06/2023]
Abstract
Within the context of the European Higher Education Area's requirement of competency-based assessments, the objective of the present study was to evaluate the Nursing Degree Practicum experience at the University of Girona (Spain) and ascertain student and faculty perceptions of the degree of competency achieved as a result of the practicum. This cross-sectional, descriptive, study combined quantitative analysis of a questionnaire and qualitative analysis of focus group comments. In the quantitative part of the study, 163 fourth-year nursing students completed the questionnaire; the qualitative analysis was derived from a focus group of 5 students and 5 professors. On the questionnaire, overall practicum evaluation was 8.39 on a 10-point Likert scale; scores evaluating the nurse mentor/instructor and nursing professor were 8.43 and 7.98, respectively. The geriatrics practicum experience received the lowest overall score (7.81), while the surgical practicum received the lowest score on the adequacy of knowledge acquired in the classroom in previous courses (5.54). The best scores were earned by the mental health and intensive/emergency care practicum experiences (a mean of 9.05 and 8.70, respectively). Students and professors in the focus group agreed that the practicum met the Nursing degree program's competency goals, highlighting practical activity as the best methodology to evaluate competencies. Participants highlighted the importance of reflective practice and the role of the nurse mentor/instructor in student learning, and indicated that it is essential for the university and the health care centers where students take practicum courses to maintain a strong relationship and good communication. Finally, feedback from the nurse mentor/instructor and Nursing professor was very important to students, both to motivate them and to help them learn.
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Affiliation(s)
| | | | | | - Cristina Bosch-Farré
- Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain.
| | | | | | - Anna Bonmatí-Tomàs
- Faculty of Nursing, University of Girona, Emili Grahit, 77, 17071 Girona, Spain.
| | - Rosario Fernandez-Peña
- School of Nursing, University of Cantabria, Avda. Valdecilla s/n., 39008 Santander, Spain.
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Fernández-Peña R, Fuentes-Pumarola C, Malagón-Aguilera MC, Bonmatí-Tomàs A, Bosch-Farré C, Ballester-Ferrando D. The evaluation of reflective learning from the nursing student's point of view: A mixed method approach. Nurse Educ Today 2016; 44:59-65. [PMID: 27429330 DOI: 10.1016/j.nedt.2016.05.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Revised: 04/24/2016] [Accepted: 05/12/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Adapting university programmes to European Higher Education Area criteria has required substantial changes in curricula and teaching methodologies. Reflective learning (RL) has attracted growing interest and occupies an important place in the scientific literature on theoretical and methodological aspects of university instruction. However, fewer studies have focused on evaluating the RL methodology from the point of view of nursing students. OBJECTIVES To assess nursing students' perceptions of the usefulness and challenges of RL methodology. DESIGN Mixed method design, using a cross-sectional questionnaire and focus group discussion. METHODS The research was conducted via self-reported reflective learning questionnaire complemented by focus group discussion. RESULTS Students provided a positive overall evaluation of RL, highlighting the method's capacity to help them better understand themselves, engage in self-reflection about the learning process, optimize their strengths and discover additional training needs, along with searching for continuous improvement. Nonetheless, RL does not help them as much to plan their learning or identify areas of weakness or needed improvement in knowledge, skills and attitudes. Among the difficulties or challenges, students reported low motivation and lack of familiarity with this type of learning, along with concerns about the privacy of their reflective journals and about the grading criteria. CONCLUSIONS In general, students evaluated RL positively. The results suggest areas of needed improvement related to unfamiliarity with the methodology, ethical aspects of developing a reflective journal and the need for clear evaluation criteria.
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Affiliation(s)
- Rosario Fernández-Peña
- School of Nursing, University of Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain.
| | | | | | - Anna Bonmatí-Tomàs
- Faculty of Nursing, University of Girona, Emili Grahit, 77,17003 Girona, Spain..
| | - Cristina Bosch-Farré
- Faculty of Nursing, University of Girona, Emili Grahit, 77,17003 Girona, Spain..
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Bonmatí-Tomás A, Malagón-Aguilera MDC, Bosch-Farré C, Gelabert-Vilella S, Juvinyà-Canal D, Garcia Gil MDM. Reducing health inequities affecting immigrant women: a qualitative study of their available assets. Global Health 2016; 12:37. [PMID: 27388538 PMCID: PMC4936252 DOI: 10.1186/s12992-016-0174-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Accepted: 06/18/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Immigrant women often experience health inequities, whether for reasons of gender, country of origin, or socioeconomic status. The view of immigrant women has always focussed on their needs, without taking into account their available assets. A salutogenic approach incorporating an assets analysis could provide a new perspective on the design of health promotion interventions to reduce health inequities. The study objective was to identify the assets of this group of women as a necessary first step in changing the paradigm used in such health promotion interventions. METHODS This qualitative study combined focus groups, in-depth interviews, and a photovoice session. The aim was to describe the assets of this group, based on Antonovsky's salutogenic approach and assets model. Qualitative results were interpreted with a phenomenological focus, identifying each individual's internal, community, and institutional assets. RESULTS The self awareness of skills was linked to a person's description of herself as being optimistic, having religious beliefs, and having motivations and objectives in life, for herself, her family or her children. Being motivated helped the women to persist in doing or learning things that could be useful in confronting difficult situations. Another selfawareness skill was feeling useful to others, whether this was due to religious beliefs about their role in life or to the importance of the mutual support of interpersonal relationships. CONCLUSIONS High optimism, strong capacity for struggle and self-initiative, the importance of religious beliefs, social support, and concern for their children's future were described as assets of immigrant women. Identification of these assets allows us to develop more in-depth knowledge and better tools for health promotion programs and policies intended to reduce health inequities in this population of immigrant women.
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Affiliation(s)
- Anna Bonmatí-Tomás
- />Nursing Department, Faculty of Nursing, University of Girona, Emili Grahit, 77, 17003 Girona, Catalonia Spain
| | - Maria del Carmen Malagón-Aguilera
- />Nursing Department, Faculty of Nursing, University of Girona, Emili Grahit, 77, 17003 Girona, Catalonia Spain
- />Health and Health Care Research Group, University of Girona, Girona, Catalonia Spain
| | - Cristina Bosch-Farré
- />Nursing Department, Faculty of Nursing, University of Girona, Emili Grahit, 77, 17003 Girona, Catalonia Spain
| | - Sandra Gelabert-Vilella
- />Nursing Department, Faculty of Nursing, University of Girona, Emili Grahit, 77, 17003 Girona, Catalonia Spain
| | - Dolors Juvinyà-Canal
- />Nursing Department, Faculty of Nursing, University of Girona, Emili Grahit, 77, 17003 Girona, Catalonia Spain
- />Health and Health Care Research Group, University of Girona, Girona, Catalonia Spain
- />Director of Health Promotion Chair, University of Girona, Pic de la Peguera 15. Parc Científic i Tecnològic, 17003 Girona, Catalonia Spain
| | - Maria del Mar Garcia Gil
- />Research Unit of Family Medicine Girona (Vascular Health Group), Primary Care Research Institute Jordi Gol, Girona, Spain
- />TransLab Research Group, Department of Medical Sciences, School of Medicine, University of Girona, Maluquer Salvador, núm. 11, 17002 Girona, Catalonia Spain
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Malagón-Aguilera MC, Fuentes-Pumarola C, Suñer-Soler R, Bonmatí-Tomàs A, Fernández-Peña R, Bosch-Farré C. El sentido de coherencia en el colectivo enfermero. Enfermería Clínica 2012; 22:214-8. [PMID: 22840432 DOI: 10.1016/j.enfcli.2012.06.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2012] [Revised: 04/26/2012] [Accepted: 06/22/2012] [Indexed: 11/16/2022]
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