Teaching Competencies in Nursing Professors: Visions of Students and Academics / Competencias docentes en profesores de Enfermería: visión de alumnos y académicos

Objective. This work sought to know the view of Nursing professors and students about the competencies the faculty staff must have to deploy their educational function with maximum quality and efficiency. Methods. Descriptive qualitative study through focus groups conducted with professors, students and recent Nursing career graduates from universities in Spain. Results. The importance of the proposed teaching competencies was delved into, highlighting the importance of professors knowing the context in which they teach, having the ability to self-evaluate their activity, and having adequate interpersonal communication skills, and deploy the teaching-learning process by performing proper planning, using new technologies, and knowing how to engage in teamwork. Moreover, a small discrepancy was detected in relation to disciplinary competence, which students felt was of importance, but which academics indicated is taken for granted in nursing professors; competencies directly related to the act of teaching must be enhanced. Conclusion.Practical unanimity was found between academics and students in affirming that the competencies investigated are important for adequate development of the teaching activity in nursing professors. In all cases, the urgent need was highlighted for nursing professors to have adequate teaching training to provide their students with formation of the highest quality.

Objetivo. Conocer la visión de profesores y alumnos de Enfermería acerca de las competencias que deben presentar los docentes para desplegar su función educativa con la máxima calidad y eficacia. Métodos. Estudio descriptivo cualitativo a través de grupos focales realizados con profesores, alumnos y recién egresados del Grado en Enfermería de universidades de España. Resultados. Se profundizó en la importancia de las competencias docentes propuestas, destacando la relevancia de que los profesores conozcan el contexto en el que desarrollan la docencia, tengan la habilidad de autoevaluar su actividad, dispongan de unas adecuadas habilidades de comunicación interpersonal, y desplieguen el proceso de enseñanza-aprendizaje realizando una correcta planificación, empleando las nuevas tecnologías y sabiendo trabajar en equipo. Por otro lado, se detectó una pequeña discrepancia con relación a la competencia disciplinar, a la que los estudiantes brindaron una gran importancia, pero que los académicos indicaron que se da por supuesta en los profesores enfermeros, debiendo ser potenciadas las competencias directamente relacionadas con el acto docente. Conclusión. Se ha hallado una práctica unanimidad entre académicos y estudiantes en afirmar que las competencias investigadas son importantes para un adecuado desarrollo de la actividad docente en los profesores de Enfermería. En todos los casos, se destacó la imperiosa necesidad de que los profesores de Enfermería dispongan de una adecuada capacitación docente para poder brindar a sus estudiantes una formación de la máxima calidad.

Teaching Competencies in Nursing Professors: Visions of Students and Academics.

Objective: This work sought to know the view of Nursing professors and students about the competencies the faculty staff must have to deploy their educational function with maximum quality and efficiency. Methods: Descriptive qualitative study through focus groups conducted with professors, students and recent Nursing career graduates from universities in Spain. Results: The importance of the proposed teaching competencies was delved into, highlighting the importance of professors knowing the context in which they teach, having the ability to self-evaluate their activity, and having adequate interpersonal communication skills, and deploy the teaching-learning process by performing proper planning, using new technologies, and knowing how to engage in teamwork. Moreover, a small discrepancy was detected in relation to disciplinary competence, which students felt was of importance, but which academics indicated is taken for granted in nursing professors; competencies directly related to the act of teaching must be enhanced. Conclusion: . Practical unanimity was found between academics and students in affirming that the competencies investigated are important for adequate development of the teaching activity in nursing professors. In all cases, the urgent need was highlighted for nursing professors to have adequate teaching training to provide their students with formation of the highest quality.

Felicidad en enfermeras durante su actividad profesional / Happiness in nurses during their professional activity

Objetivo: conocer la visión de enfermeras de la Comunidad de Madrid sobre la vivencia de la profesión y el impacto que esta tiene en su felicidad. Método: estudio cualitativo fenomenológico realizado en enfermeras de la Comunidad de Madrid, las cuales fueron seleccionadas de manera intencional, buscando profesionales en activo de las principales áreas de ejercicio profesional. La recogida de la información se efectuó a través de entrevista semiestructurada. Tras la transcripción literal se procedió al análisis (codificación y generación de categorías y subcategorías). Fueron utilizados los criterios de credibilidad, transferencia, consistencia y confirmabilidad de Lincoln para garantizar la calidad del estudio. Resultados: los y las enfermeras participantes manifestaron que iniciaron sus estudios por vocación, siendo el acto de cuidar a los demás el motor de su felicidad laboral. Por otra parte, uno de los factores que impactan de manera directa en desarrollar sentimientos de frustración, insatisfacción e infelicidad en el trabajo es la falta de tiempo suficiente para brindar unos cuidados de calidad a sus pacientes, ya sea por falta de personal o por exceso de carga de trabajo. Conclusión: si bien en el ámbito individual, los y las profesionales de Enfermería son felices en el cuidado íntimo y cercano a los pacientes y sus familiares, en el ámbito colectivo, la profesión parece estar viviendo un momento de desafección e infelicidad, principalmente motivadas por aspectos externos a la propia prestación de estos cuidados, como son la gestión que se efectúa de su ejercicio diario y la imagen que existe sobre la profesión.(AU)

Objective: to understand the point of view of nurses in the Community of Madrid about their professional experience and its impact on their happiness. Method: a qualitative phenomenological study conducted in nurses from the Community of Madrid, who were purposively selected, looking for professionals currently working in the main areas of professional activity. Data collection was conducted through semistructured interviews. After verbatim transcription, there was subsequent analysis (coding and generation of categories and subcategories). Lincoln’s credibility, transferability, dependability, and confirmability criteria were used to guarantee the quality of the study. Results: the participating nurses claimed that they started studying by vocation, and the act of caring for others was the driver for their happiness at work. On the other hand, one of the factors with direct impact on the development of feelings of frustration, dissatisfaction and unhappiness at work was the lack of enough time to offer quality care to their patients, either due to lack of staff or excessive workload. Conclusion: although nursing professionals in their individual setting are happy in terms of personal and close care for patients and relatives, the profession seems to be going through a moment of disaffection and unhappiness in the collective setting, and this is mainly caused by aspects external to this provision of care, such as the management of their daily practice and the existing image of the profession.(AU)

Las enfermeras de la Juventud Femenina de la Acción Católica en la GuerraCivil Española y la Constitución de Salus Infirmorum / As enfermeiras da Juventude Feminina da Ação Católica na Guerra Civil Espanhola e aConstituição da Salus Infirmorum / The nurses of the Feminine Youth of the Catholic Action in the Spanish Civil War and the Constitution of Salus Infirmorum

The health requirements brought about by the Spanish Civil War (1936-1939) led to the urgentorganisation of health services. Nurses played a crucial role and generously took care of the civil andmilitary populations. Objetive: we want to highlight the work carried out by nurses of the women’sbranch of the Catholic Action Youth, led by their president María de Madariaga, who was appointedDeputy Inspector of women’s hospital services; and justify the creation of the Sisterhood of Nurses SalusInfirmorum. Method: It is study historical-desccriptive, based on primary and secundary sources from thearchives of Catholic Action Youth and Salus Infirmorum. Results: Over 4,500 nurses of the Women'sCatholic Action Youth provided care and assistance in hospitals, pharmacies, and garment workshops forcombatants, visited hospitals and trained nurses. This work led to the subsequent creation of the SalusInfirmorum Sisterhood in 1942 founded by María de Madariaga as a group of Catholicnurses.Conclusion: The young women of JFAC actively participated in the national camp. Finished thewar, it is created and and developed the Salus Infirmorum Sisterhood as a result leadership by María deMadariaga in the JFAC. (AU)

Las necesidades sanitarias que trajo consigo la Guerra Civil española (1936-1939), provocó laurgente organización de los servicios sanitarios. Las enfermeras participaron de manera decisiva ygenerosa en los cuidados de la población civil y militar, en cada uno de los bandos enfrentados. Objetivo:destacar la labor de las enfermeras de la rama femenina de las jóvenes de Acción Católica (JFAC),lideradas por su presidenta María de Madariaga; y justificar la creación de la Hermandad de EnfermerasSalus Infirmorum. Metodología: estudio histórico descriptivo mediante fuentes primarias y secundariasdel archivo de la Juventud Femenina de la Acción Católica y de Salus Infirmorum. Resultados: Más de4.500 enfermeras de la JFAC prestaron atención y ayuda en hospitales, farmacias, talleres de confecciónde prendas para combatientes, visitando hospitales o realizando cursillos de formación para enfermeras.Esta labor derivó en la posterior creación de la Hermandad de Enfermeras Salus Infirmorum en 1942,fundada por María de Madariaga como una agrupación de enfermeras católicas. Conclusión: Las jóvenesde la JFAC participaron activamente en el bando nacional. Finalizada la guerra, se crea y desarrolla lahermandad de enfermeras Salus Infirmorum, fruto del liderazgo de María de Madariaga en la JFAC. (AU)

As necessidades de saúde decorrente da Guerra Civil Espanhola (1936-1939), levaram à urgenteorganização dos serviços de saúde. Os enfermeiros participaram de forma decisiva e generosa no cuidadoda população civil e militar, em cada um dos lados que se enfrentavam. Objetivo: destacar o trabalho dasjovens enfermeiras da Ação Católica (J, lideradas por sua presidente María de Madariaga; e justificar acriação da Irmandade de Enfermeiras Salus Infirmorum. Método: Estudio histórico descritivo, com fontesprimárias e secundárias, do arquivo da Juventude Feminina da Ação Católica e Salus Infirmorum.Resultados: Mais de 4.500 enfermeiras da Juventude Feminina da Ação Católica prestaram atendimento eajuda em hospitais, farmácias, ateliê de roupas para combatentes, visitando hospitales ou realizandocursos de formação para enfermeiras. Este trabalho levou à criação posterior da Irmandade deEnfermeiras Salus Infirmorum em 1942, fundada por María de Madariaga como um grupo de enfermeirascatólicas. Conclusões: As jovens do JFAC participaram ativamente do acampamento nacional. Após aguerra, a irmandade de enfermeiras Salus Infirmorum foi criada e desenvolvida, como resultado daliderança de María de Madariaga no JFAC. (AU)

Student nurses at Spanish universities and their attitude toward xenotransplantation.

INTRODUCTION: Recent immunological and transgenic advances are a promising alternative using limited materials of human origin for transplantation. However, it is essential to achieve social acceptance of this therapy. OBJECTIVE: To analyze the attitude of nursing students from Spanish universities toward organ xenotransplantation (XTx) and to determine the factors affecting their attitude. MATERIALS AND METHODS: Type of study: A sociological, multicentre, and observational study. STUDY POPULATION: Nursing students enrolled in Spain (n = 28,000). SAMPLE SIZE: A sample of 10 566 students estimating a proportion of 76% (99% confidence and precision of ±1%), stratified by geographical area and year of study. Instrument of measurement: A validated questionnaire (PCID-XenoTx-RIOS) was handed out to every student in a compulsory session. This survey was self-administered and self-completed voluntarily and anonymously by each student in a period of 5-10 min. STATISTICAL ANALYSIS: descriptive analysis, Student's t test, the chi-square test, and a logistic regression analysis. RESULTS: A completion rate: 84% (n = 8913) was obtained. If the results of XTx were as good as in human donation, 74% (n = 6564) would be in favor and 22% (n = 1946) would have doubts. The following variables affected this attitude: age (P < 0.001); sex (P < 0.001); geographical location (P < 0.001); academic year of study (P < 0.001); attitude toward organ donation (P < 0.001); belief in the possibility of needing a transplant (P < 0.001); discussion of transplantation with one's family (P < 0.001) and friends (P < 0.001); and the opinion of one's partner (P < 0.001). The following variables persisted in the multivariate analysis: being a male (OR = 1.436; P < 0.001); geographical location (OR = 1.937; P < 0.001); an attitude in favor of donation (OR = 1.519; P < 0.001); belief in the possibility of needing a transplant (OR = 1.497; P = 0.036); and having spoken about the issue with family (OR = 1.351; P < 0.001) or friends (OR = 1.240; P = 0.001). CONCLUSIONS: The attitude of nursing students toward organ XTx is favorable and is associated with factors of general knowledge about organ donation and transplantation and social interaction.

Visión de la felicidad de profesionales de Enfermería en el desarrollo de su práctica profesional / View of happiness among nurses in the development of their professional practice

Objetivo: explorar la vivencia de la profesión enfermera y el impacto que esta tiene en la felicidad. Método: estudio cualitativo desarrollado a través de un grupo de discusión. Se realizó un muestreo intencional buscando perfiles representativos de la realidad enfermera en función del ámbito profesional, género, edad y años de experiencia, estableciendo como criterios de inclusión que los participantes fueran trabajadores en activo y desempeñaran su actividad profesional en la Comunidad de Madrid. Resultados: se encontraron cuatro categorías: definición de felicidad, felicidad con la profesión, factores relacionados con la felicidad en la profesión enfermera y perspectivas de futuro. Los participantes describen que lo que hace felices a las enfermeras es el cuidado del otro, el trato cercano y directo con los pacientes, sin influir el ámbito de trabajo o servicio donde desarrollan su labor, siempre que haya sido elegido por ellas. Finalmente, destacan que en el ámbito colectivo hay una situación de desafección profesional, principalmente motivada por la estructura donde trabajan y la gestión que se realiza de su trabajo. Conclusión: en el ámbito individual, el acto de cuidar a otro se ve como el factor fundamental que genera felicidad en las enfermeras, no presentando influencia el ámbito donde se desarrolla, siempre y cuando sean estas las que tengan el control de su vida profesional y el ambiente sea el adecuado. Sin embargo, desde un punto de vista colectivo, la profesión enfermera parece estar viviendo un momento de infelicidad, principalmente motivado por aspectos estructurales y de gestión de su actividad laboral

Objective: to explore the experience of the Nursing profession and its impact on happiness. Method: a qualitative study conducted through a discussion group. Intentional sampling was conducted, looking for profiles representative of the Nursing reality, based on their professional setting, gender, age, and years of experience. The inclusion criteria established were: participants should be currently working, and conducting their professional activity in the Community of Madrid. Results: four categories were found: definition of happiness, happiness with the profession, factors associated with happiness in the Nursing profession, and future prospects. The participants described that what makes nurses happy is caring for others, the close and direct contact with patients, without any influence by the setting of work or unit where they conducted their work, as long as it had been chosen by them. Finally, they pointed out that in the collective setting there is a situation of professional disaffection, mainly motivated by the structure where they work and the management of their work. Conclusion: in the individual setting, the act of caring for others is seen as the essential factor that generates happiness in nurses, without any influence by the setting where this is conducted, as long as nurses have control over their professional life and the environment is adequate. However, from a collective point of view, the nursing profession seems to be going through a moment of unhappiness, mainly motivated by structural and management aspects regarding their work activity

60 años de la aprobación del título de fisioterapia y de la primera escuela de fisioterapia reconocida, la de Salus Infirmorum en el centro infantil "Casa del Niño" de Madrid / 60 years since approval of the physiotherapy degree and the first recognized physiotherapy school, Salus Infirmorum ubicated in the children's center "Casa del Niño" in Madrid

Se acaban de cumplir 60 años de la aprobación de la especialidad de Fisioterapia para los Ayudantes Técnicos Sanitarios, así como la creación de las primeras escuelas de Fisioterapia. El presente artículo justificará cómo el conjunto de brotes epidémicos de poliomielitis en España, influyeron de forma decisiva en el nacimiento de profesiones sanitarias como la Fisioterapia. Por otro lado, se reconstruirá el proceso de institucionalización, nacimiento y desarrollo en sus primeros años de la Escuela de Fisioterapia Salus Infirmorum, la primera en ser aprobada por el Ministerio de Educación. Salus Infirmorum, con la creación del centro infantil "Casa del Niño" consiguió aunar la formación de fisioterapeutas y el tratamiento de niños con problemas motóricos como consecuencia de la poliomielitis. En el centro se atendió a más de 680 niños y se formaron en ella 373 enfermeras fisioterapeutas, siendo reconocido como Obra de interés social, por la Comisaría de Asistencia Social del Ministerio de Educación Nacional, en orden 6 de junio de 1958

Sixty years have passed since approval of the Physiotherapy specialty for licensed practical nurses, as well as the establishment of the first Physiotherapy Schools. This paper will explain how the set of epidemic outbreaks of poliomyelitis in Spain, had a decisive influence on the birth of health professions such as Physiotherapy. On the other hand, throughout it, the process of institutionalization of Salus Infirmorum, the first Physiotherapy College recognized by the Ministry of Education, its birth and its first year’s early development will be reconstructed. Salus Infirmorum, with the creation of the children’s center "Casa del Niño" managed to combine the physiotherapists training with the treatment of children with motor disorders as a result of poliomyelitis. In the healthcare center, more than 680 children were attended and 373 physiotherapist-nurses were trained, being recognized as a Social Interest Group, by the Social Assistance Commission of the Ministry of National Education, in order June 6, 1958

Nursing care in postwar Madrid / Atención enfermera en el Madrid de la posguerra / Atenção enfermeira em Madrid da pós-guerra

Objective.To describe the work of the Salus Infirmorum Sisterhood in caring for the most underprivileged individuals from the postwar outskirts of Madrid, through the voluntary service of the nurses who were part of that Institution. Methods. A historical study based on the analysis of primary sources from the Sisterhood's archives. Results. Salus Infirmorum once relied on more than 100 volunteer nurses who treated over 425-thousand people in 21 parish dispensaries located within the neediest neighborhoods of Madrid, providing both preventative and curative medical care. Nurses were offered adequate training in exchange for the care provided. Conclusion. Salus Infirmorum took healthcare to the streets of Madrid, treating patients in improvised medical clinics set up in parishes or in the patient's own home, as the situation required, in addition to training women who otherwise would not have had access to it.

Objetivo.Describir la labor realizada por la Hermandad Salus Infirmorum en la atención a los más desfavorecidos de los suburbios de la posguerra madrileña, por intermedio del voluntariado de las enfermeras de dicha institución. Metodología. Estudio histórico en el que se han analizado fuentes primarias del archivo de la entidad. Resultados. Salus Infirmorum llegó a contar con más de cien enfermeras quienes atendieron a más de 425 mil personas de forma altruista, en 21 dispensarios parroquiales de los barrios más necesitados de Madrid. En este contexto, llevaron a cabo una asistencia sanitaria de tipo preventivo y curativo a las que, además, se les ofertaba una formación adecuada para esta atención. Conclusión. Salus Infirmorum llevó el cuidado a las calles, mediante improvisados centros asistenciales en las parroquias o en el propio domicilio si la situación del enfermo lo requería; además se preocupó de preparó a mujeres que de otra manera no hubieran podido acceder a una formación académica.

Objetivo.Descrever o trabalho realizada pela Irmandade Salus Infirmorum na atenção aos mais desfavorecidos dos subúrbios da pós-guerra madrilena, através do voluntariado das enfermeiras que integravam dita instituição. Metodologia. Estudo histórico no qual se analisou fontes primárias do arquivo da entidade. Resultados. Salus Infirmorum chegou a contar com mais de cem enfermeiras que atenderam a mais de 425 mil pessoas de forma altruísta, em 21 dispensários paroquiais dos bairros mais necessitados de Madrid, levando a cabo uma assistência sanitária, de tipo preventiva e curativa, às que, ademais, se lhes ofertava uma formação adequada para esta atenção. Conclusão. Salus Infirmorum levou o cuidado às ruas, através de improvisados centros assistenciais nas paroquias ou no próprio domicílio se a situação do doente o requeresse, ademais de formar a mulheres que de outra maneira não houvesse podido acessar.

Nursing care in postwar Madrid.

OBJECTIVE: To describe the work of the Salus Infirmorum Sisterhood in caring for the most underprivileged individuals from the postwar outskirts of Madrid, through the voluntary service of the nurses who were part of that Institution. METHODS: A historical study based on the analysis of primary sources from the Sisterhood's archives. RESULTS: Salus Infirmorum once relied on more than 100 volunteer nurses who treated over 425-thousand people in 21 parish dispensaries located within the neediest neighborhoods of Madrid, providing both preventative and curative medical care. Nurses were offered adequate training in exchange for the care provided. CONCLUSION: Salus Infirmorum took healthcare to the streets of Madrid, treating patients in improvised medical clinics set up in parishes or in the patient's own home, as the situation required, in addition to training women who otherwise would not have had access to it.

Concordancia entre alumnos y profesores en las puntuaciones de exámenes teóricos / Concordance between students and academic staff regarding the scoring of theory exams

Objetivo: explorar la habilidad en autovaloración de su proceso de aprendizaje de estudiantes universitarios de Enfermería y Fisioterapia. Sujetos y método: estudio descriptivo. La población objeto de estudio fueron los estudiantes de Enfermería y de Fisioterapia de la Escuela Universitaria “Salus Infirmorum” de Madrid. La recogida de datos se realizó al concluir cada prueba teórica, cuando se suministraba a cada estudiante una hoja de autocalificación. Otras variables: sexo, asignatura y tipo de convocatoria. Se consideró falta de concordancia significativa entre las 2 puntuaciones (la del estudiante y la adjudicada por el profesor) una diferencia entre ambas e1. Para medir concordancia entre 2 variables cualitativas que guardan ordinalidad se ha utilizado el estadístico tau-b de Kendall. Los datos cuantitativos se correlacionaron entre sí mediante el coeficiente de Rho-Spearman. Resultados: hubo concordancia el 59% de los casos, infracalificación de los alumnos en 18,5% de los cuestionarios y supracalificación en 22,5%. Si bien el porcentaje de concordancia fue similar en varones y mujeres, es superior la proporción de hombres que se supracalificaron (34% vs 19,8%). Los alumnos que obtuvieron notas más bajas, obtuvieron nivel de concordancia bajo (41%), alta proporción de supracalificaciones (56%) y baja tasa de infracalificaciones (2%). Para los alumnos de alto rendimiento académico se observó el fenómeno contrario: supracalifiación de 0,7% e infracalificación del 77%. Conclusiones: los estudiantes son razonablemente exactos en su puntuación. Si bien con escasa diferencia, los varones presentaron mayor tendencia a supracalificarse y las alumnas a infracalificarse. Los alumnos que han mostrado mayor nivel de rendimiento académico, incurren en mayor proporción de infracalificaciones y los de inferior nivel, mayor porcentaje de supracalificaciones

Objective: to explore the ability of nursing and phisiotherapy university students to self-assess their learning process. Subjects and methods: descriptive study. The study population was composed of nursing and phisiotherapy students from the “Salus Infirmorum” university nursing school in Madrid. Data were collected at the end of each theory test, after completion of a self-assesment sheet by each student. Other variables were: sex, subject, and type of call. A difference between the teacher and the student score of e1 was found to be significant. The Kendall tau-b technique was used to measure concordance between 2 qualitative variables that keep ordinality. Quantitative data were correlated among themselves by using the Rho-Spearman coefficient. Results: there was concordance in 59% of cases, underscoring of the students in 18.5% of the respondents and overscoring in 22,5% of respondents. Even though the percentage of concordance was similar between men and women, the proportion of men that overscored themselves was higher (34% vs 19,8%). Students who obained the lowest scores, obtained a low concordance level (41%), a high proportion of overscoring (56%) and a low rate of underscoring (2%). For students with the highest academmic performance, the opposite effect was observed: overscoring in 0,7% and underscoring in 77%. Conclusions: students were reasonably accurate in their scoring. Although with scarce difference, male students presented a greater tendency so overscore themselves and female students to underscore themselves. The students that showed the highest academic performance, incurred in a higher proportion of underscoring and those with a lower academic performance, a greater percentage of overscoring