Uses of Andersen health services utilization framework to determine healthcare utilization for mental health among migrants-a scoping review.

Background: Migration is a worldwide occurrence that carries significant implications for healthcare systems, and it entails challenges to mental healthcare. The Andersen Behavioral Model is widely used by researchers to determine healthcare service utilization among many populations, including migrants. Our study aimed to explore the ways of using the Andersen Health System Utilization Framework in the literature to discover the utilization of mental healthcare by migrants. Methods: This scoping review was based on Arksey and O'Malley's framework. A comprehensive search was performed across five electronic databases. Results: A total of 12 articles from January 1992 to July 2023 identified various versions of the Andersen Behavioral Model to provide an overview of mental health services utilization among migrants. The analysis identified four significant trends in the literature. First, there is a predominant focus on individual characteristics over contextual factors. Second, researchers tend to integrate multiple versions of the Andersen Behavioral Model, and the most is the version from 1995. Third, additional factors specific to migrant populations are incorporated into the model, but the categorization is sometimes unclear. Finally, the majority of studies have used a quantitative approach and are based in North America, suggesting a focus on the significance of mental health in migrant communities in that context. Conclusion: In summary, our scoping review calls for further research using the Andersen Behavioral Model to study mental healthcare utilization among migrants. Notable findings include the adaptation of the model to migrant populations, a focus on individual characteristics, a need for more diverse research methods, and the proposal of a new conceptual model to guide research and policy development in this field.

Gobernanza en Enfermería durante la pandemia de COVID-19 / Nursing Governance during the COVID-19 Pandemic

Introducción: La gobernanza en Enfermería consiste en la toma de decisiones de acuerdo con el liderazgo del profesional de Enfermería en la organización, y responde a las necesidades de los grupos de interés. El gremio de enfermería tiene una participación clave en la gestión de los servicios y cuidados proporcionados en el plan de emergencia de la pandemia COVID-19. Sin embargo, hasta estos momentos no se tiene una idea clara sobre su gobernanza y el desarrollo profesional durante este período de crisis. Objetivo: Describir la gobernanza del profesional de enfermería y su relación con la gerencia durante la pandemia de COVID-19. Métodos: Revisión integradora, desarrollada en el período de mayo a julio del 2022, con una construcción de artículos científicos completos disponibles en los idiomas español, inglés y portugués, publicados entre los años del 2018 al 2022, procedentes de las bases de datos PubMed, CINAHL, Scopus, Cuiden, SciELO, Lilacs y Latindex, y con un adecuado rigor metodológico de acuerdo con el diseño del estudio. La búsqueda inicial arrojó un total de 4267 referencias bibliográficas; tras la revisión se filtraron y analizaron 20 artículos que respondían a los criterios de inclusión, para su posterior categorización. Conclusiones: Ante la pandemia de COVID-19, Enfermería persistirá y desafiará su capacidad para pensar, aprender, adaptar y actuar como fuerza laboral sanitaria, y el éxito dependerá del empoderamiento de gobernanza en el equipo de salud. Los modelos de Enfermería no solo deben ir orientados a la formación y preparación de enfermeras de atención directa, se debe potenciar la confianza, autoeficacia y habilidades en gestión y liderazgo en Enfermería(AU)

Introduction: Governance in nursing consists in decision making in accordance with the nursing professional's leadership regarding the organization, as well as it responds to the needs of the stakeholders. The nursing profession has a key role in the management of the services and care provided as part of the emergency plan during the COVID-19 pandemic. However, until now, there is no clear picture of their governance or professional development during this crisis period. Objective: To describe the nursing professional's governance and their relationship with management during the COVID-19 pandemic. Methods: This integrative review was developed in the period from May to July 2022, with a compilation of full scientific articles available in Spanish, English and Portuguese and published between 2018 and 2022. The scientific articles came from the PubMed, CINAHL, Scopus, Cuiden, SciELO, Lilacs and Latindex databases and their adequate methodological rigor was in accordance with the study design. The initial search yielded a total of 4267 bibliographic references. After the review, 20 articles that met the inclusion criteria were filtered and analyzed for subsequent categorization. Conclusions: In the face of the COVID-19 pandemic, nursing will boldly persist with its ability for thinking, learning, adaptation and action as a healthcare workforce, and success will depend on empowering governance in the healthcare team. Nursing models should not only be oriented to the training and preparation of direct care nurses. In this respect, confidence, self-efficacy and skills in nursing management and leadership should be enhanced(AU)

Gerencia de Enfermería durante la pandemia de COVID-19 en un hospital público de Honduras / Nursing Management at a Honduran Public Hospital during the COVID-19 Pandemic

Introducción: El modelo de gestión hospitalaria es el conjunto de políticas y procesos que permiten tomar decisiones asertivas. Durante la pandemia de COVID-19, los sistemas de salud a nivel global necesitaron reorganización para responder a las necesidades presentadas. Sin embargo, no se tiene registro de dicho proceso en Honduras. Objetivo: Explorar las experiencias de profesionales de Enfermería relacionadas con la gerencia de servicios del Hospital "Mario Catarino Rivas" durante la pandemia de COVID-19. Métodos: Se realizó un estudio fenomenológico interpretativo sobre las experiencias de profesionales de Enfermería relacionadas con la gerencia de servicios del Hospital "Mario Catarino Rivas", durante la pandemia de COVID-19. La colecta de datos fue mediante entrevistas semiestructuradas a 20 profesionales de Enfermería en cargos de jefatura, como resultado de un muestreo deliberado. Los datos se analizaron con el método temático, con agrupación de las narraciones, se siguieron los siete pasos de la perspectiva de Colaizzi. Resultados: Se hallaron tres temas, siete subtemas y 30 conceptos, se encontró la calidad total el modelo gerencial utilizado para dar respuestas a las dificultades presentadas durante la pandemia COVID-19. Dentro de los principales desafíos se encontró "falta de recursos humanos" para dar respuesta a la demanda de pacientes. Conclusiones: Durante la COVID-19, se evidencia el importante rol del profesional de Enfermería en cargos gerenciales para mitigar el impacto económico en el sistema de salud hondureño, y garantizar la calidad de vida de los pacientes. Es necesario la apertura de espacios con mayor responsabilidad, con respaldo legal que fortalezca la práctica avanzada(AU)

Introduction: A hospital management model is the set of policies and processes that allow assertive decision making. During the COVID-19 pandemic, health systems worldwide required reorganization to respond to the emerging needs. However, there is no record of such process in Honduras. Objective: To explore the experiences of nursing professionals concerning the management of services at Hospital Mario Catarino Rivas during the COVID-19 pandemic. Methods: An interpretative phenomenological study was conducted on the experiences of nursing professionals concerning the management of services at Hospital Mario Catarino Rivas during the COVID-19 pandemic. The data were collected using semistructured interviews with 20 nursing professionals in head positions, as a result of a deliberate sampling. The data were analyzed using the thematic method, with clustering of narratives and following the seven steps of Colaizzi's perspective. Results: Three themes, 7 subthemes and 30 concepts were found. In addition, the overall quality of the management model used to respond to the difficulties presented during the COVID-19 pandemic was found. Among the main challenges, "lack of human resources" to respond to patient demand was found. Conclusions: During COVID-19, the important role of the nursing professional in managerial positions to mitigate the economic impact on the Honduran health system and to guarantee the quality of life of patients is evident. It is necessary to open spaces with greater responsibility, with legal support to strengthen advanced practice(AU)