Effectiveness of "Escape Room" Educational Technology in Nurses' Education: A Systematic Review.

Escape room games are educational gamification technologies that consist of introducing a team of players into a physical or digital space in search of clues to answer puzzles, riddles or enigmas and solve a mystery or problem. This study aims to determine the effectiveness of escape room games on the training of nursing students in an international context. A systematic review was carried out in MEDLINE, WOS, SCOPUS, CINAHL and LILACS databases using the MeSH terms "Education, Nursing" and "Educational Technology", and the free term "Escape room", combined with Boolean operators AND/OR. Intervention studies in Spanish, English and Portuguese were included, without limitation for the year of publication. Selection and critical appraisal were conducted by two independent reviewers. A total of n = 13 interventional studies were included (n = 2 Randomized Clinical Trials and n = 11 quasi-experimental design). Escape rooms are a recent and growing educational methodology, increasingly used in academia and in the training of nurses and nursing students. However, it is necessary to expand their use and the quality of the studies in a greater number of contexts. Furthermore, it is necessary to homogenize and standardize validated instruments to evaluate the effectiveness of escape rooms in the nursing education area.

Las experiencias de las matronas en el acompañamiento intraparto de mujeres con miedo al parto / The experiences of midwives in the intrapartum monitoring of women with fear of childbirth

Objetivo: El objetivo general del estudio fue describir las experiencias de las matronas en el acompañamiento a mujeres con miedo al parto (MAP). Método: Se planteó un estudio observacional, descriptivo, de corte transversal, donde la población a estudio fueron las matronas de la Unidad de Paritorio del Hospital Materno Infantil de Gran Canaria. Los datos se obtuvieron mediante un cuestionario estructurado ad hoc que incluía variables sobre la experiencia profesional en el acompañamiento intraparto de mujeres con MAP. Resultados: Participaron un total de 83 matronas, que identificaron como factores más frecuentes relacionados con el MAP en la práctica clínica el miedo a las complicaciones del recién nacido (90,4 %), la solicitud de cesárea (77,1 %) y la solicitud precoz de analgesia epidural (88,0 %). Con el objetivo de disminuir la ansiedad o la posibilidad de experiencia traumática, todas las matronas (n= 84) intervienen conscientemente creando un espacio de paz y escucha activa. Las mujeres con MAP producen mayormente sentimientos de empatía (80,7 %) y compasión (41 %). El 64 % de las matronas se mostró totalmente de acuerdo con la afirmación «Guiar a mujeres con miedo al parto es un desafío interesante». Conclusiones: Los resultados de este estudio evidencian que las matronas que acompañan a las mujeres intraparto son sensibles a esta problemática y se muestran motivadas para su abordaje, detectando de manera subjetiva indicadores que las alertan de que la mujer pueda tener miedo, y que este MAP puede estar asociado a consecuencias adversas. Aunque en ciertas situaciones preguntan a la mujer por su MAP, los factores que las inducen a ello presentan mucha variabilidad. (AU)

Objective: The general objective of the study was to describe the experiences of midwives in accompanying women with fear of childbirth (FOC). Method: An observational, descriptive, cross-sectional study was proposed, where the study population was the midwives of the delivery unit of the Maternal and Child Hospital of Gran Canaria. The data was obtained through a structured “ad hoc” questionnaire that included variables on professional experience in intrapartum monitoring of women with APM. Results: A total of 83 midwives participated, identifying fear of newborn complications (90.4%), request for cesarean section (77.1%), and early request for epidural analgesia (88.0%). In order to reduce anxiety or the possibility of a traumatic experience, all midwives (n=84) consciously intervene by creating a space for peace and active listening. Women with FOC produce more feelings of empathy (80.7%) and compassion (41%). 64% of midwives fully agreed with the statement “Guiding women with fear of childbirth is an interesting challenge”. Conclusions: The results of this study show that midwives who accompany intrapartum women are sensitive to this problem and are motivated to address it, subjectively detecting indicators that alert them that the woman may be afraid, and that this FOC may be associated with adverse consequences. Although in certain situations they ask the woman about her FOC, the factors that lead them to do so are highly variable. (AU)

Analgesia epidural: actitud y calidad percibida por las puérperas en el Hospital Universitario Materno Infantil de Canarias / Epidural analgesia: attitude and quality perceived by puerperal women at the Hospital Universitario Materno Infantil de Canarias

Objetivo: Identificar las actitudes y la calidad subjetiva percibida por las mujeres después del uso de analgesia epidural en el parto. Metodología: Estudio transversal, observacional, descriptivo y analítico realizado en el Hospital Universitario Materno Infantil de Gran Canaria, donde la población de estudio fueron las puérperas que recibieron analgesia epidural durante el parto entre agosto y octubre de 2019. Se utilizaron un muestreo consecutivo no probabilístico y un cuestionario autoadministrado. Se realizaron un análisis descriptivo de las variables y un análisis inferencial para explorar la asociación entre diferentes variables. Resultados: La muestra final estuvo constituida por 354 mujeres. Las mujeres consideraron que la información recibida por las matronas era la más importante (57,6%), y el 20,3% percibió un retraso en la administración de analgesia epidural después de su solicitud. Se obtuvo una puntuación media respecto a la satisfacción global materna de 24,45 (desviación estándar= 4,97; máxima 28; mínima 0). Se encontró una relación estadísticamente significativa entre la satisfacción global y el nivel educativo (p= 0,019*), y entre la lectura y el entendimiento previo del consentimiento informado y la satisfacción global materna (p <0,001*). La percepción de demora en la administración influye de forma negativa en la satisfacción (p= 0,003*). Conclusiones: Un número elevado de mujeres que inicialmente no se planteaban la analgesia epidural en el parto acabó optando por ella, con un nivel alto de satisfacción y calidad percibida después de su uso. (AU)

Objective: To identify labouring women’s attitudes and subjective quality after the use of epidural analgesia. Methodology: Observational, descriptive analytical cross-sectional study at the Mother and Children’s University Hospital of Gran Canaria, with a study population of postnatal women who received epidural analgesia during delivery between August and October 2019. A non-probabilistic consecutive sample and a self-administered questionnaire were used. A descriptive analysis of the collected variables and an inferential analysis was performed to explore the association between different variables. Results: From a sample of 354 women. Women considered the information received by midwives more important (57.6%) and 20.3% perceived a delay in the administration of epidural analgesia after their request. An average score of 24,45 regarding maternal global satisfaction was obtained (SD= 4.97; maximum 28; minimum 0). A statistically significant relationship was found between global satisfaction and educational level (p= 0.019*) and between reading and prior understanding of informed consent and overall maternal satisfaction (p <0.001*). Delay perception in the administration of the epidural negatively influenced satisfaction (p= 0.003*). Conclusions: A high number of women who initially did not consider epidural analgesia in childbirth end up opting for it, the level of satisfaction and quality perceived after its use being high. (AU)