Impact of Work-Life Balance on the Quality of Life of Spanish Nurses during the Sixth Wave of the COVID-19 Pandemic: A Cross-Sectional Study.

This study addresses the health-related quality of life (HRQoL) of Spanish nurses during the sixth wave of the COVID-19 pandemic, assessed through the EQ-5D and EQ-VAS indices. METHODS: This cross-sectional 334 study used online surveys, recruiting 305 Spanish nurses. RESULTS: Nurses generally perceived a good HRQoL. "Negative work-family interaction" is adversely associated with the EQ-VAS (ß = -0.337, 95% CI [-1.733, -0.723]) and EQ-5D (ß = -0.399, 95% CI [-0.021, -0.01]) indices, while "positive work-family interaction" shows a positive relationship with the EQ-VAS (ß = 0.218, 95% CI [0.381, 1.759]). The presence of a "paid supportive caregiver" is positively associated with the EQ-VAS (ß = 0.18, 95% CI [1.47, 12.3]) and EQ-5D (ß = 0.149, 95% CI [0.004, 0.117]) indices, but a higher "number of children" is negatively linked with the EQ-5D index (ß = -0.146, 95% CI [-0.061, -0.002]). In addition, living with a partner (EQ-VAS ß = 0.16, 95% CI [1.094, 14.67] and EQ-5D index ß = 0.174, 95% CI [0.018, 0.163]) and working a "rotating shift" (EQ-5D index ß = 0.158, 95% CI [0.005, 0.098]) are positively associated. CONCLUSIONS: These findings highlight the need to comprehensively address nurses' well-being, considering both their working conditions and their home environment, especially in crisis contexts such as the current pandemic.

[Outpatient breech birth attendance.] / Atención al parto en presentación podálica en el medio extrahospitalario.

Nowadays, care for a breech delivery in the out-of-hospital environment through the vaginal route can be a frequent process caused by the change in the scientific literature favoring the free evolution of the delivery of a breech presentation compared to the previous literature where the Caesarean section scheduled at week 37 of gestation, avoiding its free evolution. Furthermore, among the statistical data consulted at the INE (Instituto Nacional de Estadística), there is an increase in preterm deliveries outside the hospital, which increases the presentation of buttocks more frequently, between 25-32 weeks, around 42%. Therefore, the objective of this manuscript was to instruct the health professionals of the out-of-hospital emergency services in the event of imminent delivery in breech presentation. This type of training would consist of maintaining an expectant attitude during the expulsion period until the lower angle of the newborn's scapula is visible, followed by manual assistance by detaching the shoulders while gently and slowly removing the fetal head.

Hoy en día la atención a un parto de nalgas en el medio extrahospitalario por vía vaginal puede ser un proceso frecuente ocasionado por el cambio en la literatura científica, que favorece la libre evolución del parto de una presentación podálica frente a la literatura anterior donde se llevaba a cabo la cesárea programada en la semana 37 de gestación, evitando la libre evolución del mismo. Además, entre los datos estadísticos consultados en el INE (Instituto Nacional de Estadística) existe un incremento de partos prematuros fuera del hospital que aumenta que la presentación de nalgas sea más frecuente, entre las 25-32 semanas entorno a un 42%. Por lo tanto, el objetivo de este manuscrito fue instruir a los profesionales sanitarios de los servicios de urgencias extrahospitalaria ante una situación de parto inminente en presentación podálica. Este tipo de formación consistiría en mantener una actitud expectante durante el periodo expulsivo hasta que el ángulo inferior de la escápula del recién nacido sea visible, seguido de la ayuda manual desprendiendo los hombros mientras se extrae con suavidad y lentitud la cabeza fetal.