Análisis del impacto psicoemocional de la pandemia del COVID-19 entre los profesionales de enfermería / Analysis of the psycho-emotional impact of the COVID-19 pandemic among nursing professionals

Introducción: La enfermedad por el nuevo coronavirus 2019 se diagnosticó en diciembre de 2019 en Wuhan (China), declarándose en marzo pandemia mundial. Las epidemias generan miedo, ansiedad y angustia en la población general, y entre el personal sanitario (especialmente en enfermería), la pandemia del COVID-19 no ha sido una excepción. Objetivo: El objetivo del estudio fue analizar el impacto psicoemocional del COVID-19 entre los enfermeros de la provincia de Huesca. Métodos: Estudio descriptivo transversal, aprobado por el Comité Ético. Previo consentimiento informado, anónima y voluntariamente, los participantes diligenciaron un cuestionario sobre síntomas psicológicos, sirviéndose de la escala DASS-21©, del ISI©, del MBI© y de la FCV 19S©, recopilando además variables sociodemográficas, profesionales y asociadas al COVID-19. Resultados: La muestra se conformó por 196 enfermeros. El 16,8% presentaron depresión, el 46,4% ansiedad, el 22,4% estrés y el 77,6% insomnio, con mayores niveles entre los enfermeros de más edad, fijos, con mayor experiencia, comorbilidades de riesgo, menos ocio y más horas de trabajo. Se detectó burnout en el 50,5% y miedo al coronavirus-19 en el 46,9%, variables como tener el puesto en una unidad COVID-19, más experiencia, ser Enfermero de Atención Especializada y no convivir con familiares, desencadenaron mayor sintomatología. Los análisis de regresión mostraron que la infección por COVID-19 constituyó un factor de riesgo común. Conclusiones: La crisis sanitaria del SARS CoV-2 ha generado un relevante impacto psicológico entre enfermería. Por ello, se les debería ofrecer apoyo psicológico para reducirlo y así asegurar su salud mental y los valiosos cuidados que otorgan. (AU)

Introduction: The 2019 new coronavirus disease was diagnosed in December 2019 in Wuhan (China), declaring a global pandemic in March. Epidemics generate fear, anxiety and anguish amongst the general population, and amongst health personnel (especially in nursing), the COVID-19 pandemic has been no exception. The objective of the study was to analyze the psycho-emotional impact of COVID-19 among nurses in the province of Huesca. Methods: Descriptive cross-sectional study, approved by the Ethics Committee. With prior informed consent, anonymously and voluntarily, the participants filled out a questionnaire on psychological symptoms, using the DASS-21© scale, the ISI©, the MBI© and the FCV 19S© scales, also collecting sociodemographic, professional and COVID-19 associated variables. Results: The sample consisted of 196 nurses. 16,8% presented depression, 46,4% anxiety, 22,4% stress and 77,6% insomnia, with higher levels amongst the eldest, permanently employed, more experienced nurses, risk comorbidities, less leisure and more hours of work. Psychological Exhaustion (Burnout Syndrome) was detected in 50,5% and fear of coronavirus-19 in 46,9%, variables such as having a position in a COVID-19 unit, more experienced, being a Specialized Care Nurse and not living with family members, triggered greater symptomatology. Regression analyzes showed that the COVID-19 infection was a common risk factor.Conclusions: The SARS CoV-2 health crisis has generated a relevant psychological impact among nursing staff. Therefore, they should be offered psychological support to reduce it and thus ensure their mental health and the valuable care they provide (AU)

Perception and Experience of Transcultural Care of Stakeholders and Health Service Users with a Migrant Background: A Qualitative Study.

INTRODUCTION: While European health policies do frequently take into consideration the ideas and experiences of their users, the voices of minority and marginalized communities are not often heard. European healthcare services must address this issue as the number of healthcare users with an MM background increases. AIM: To explore the perspectives of key stakeholders and healthcare users with an MM background on transcultural care in four European countries. DESIGN: Qualitative phenomenological study. METHODS: Semi-structured, individual interviews were conducted with stakeholders and MM users. Interviews were translated and transcribed verbatim and were carried out from February to May 2021. Descriptive statistics was used to describe the characteristics of the sample; qualitative data were analyzed thematically following Braun and Clarke's phases, resulting in 6 themes and 18 subthemes. RESULTS: For stakeholders and MM users with long-established residence in their respective countries, cultural differences involve different family and community norms, religious beliefs, lifestyles, and habits. These components are perceived as in tension with healthcare norms and values, and they mediate in two key and related aspects of the relationship between MM users and healthcare providers: accessibility and communication. CONCLUSIONS: Communication and access to healthcare are key to MM health service users, and they are the most frequent sources of misunderstanding and conflict between them and healthcare professionals. IMPACT: It is important to extend the investigation of cultural issues in healthcare to stakeholders and MM users. There is no doubt that healthcare professionals should be trained in cultural competence; however, cultural competence training is not the only area for improvement. There should be a change in paradigm in healthcare services across Europe: from individual to organizational integration of culture and diversity.

Populations comparison and assessment of Gaya-Sancho regression formulas for sex estimation based on sacrum / Comparación de poblaciones y evaluación de las fórmulas de regresión de Gaya-Sancho para la estimación del sexo en base al sacro

Introduction: The effectiveness that some methodologies offer is analysed when they are applied to estimate sex in individuals from a geographical environment other than the population from which the formulas were obtained. Objective: To assess the method of Gaya-Sancho applying their regression formulas and comparing modern skeletal collections of the same chronological context. Materials and methods: By means of some metrical variables of the sacrum, the degree of sexual dimorphism of a modern series from Granada is compared with another modern series from Granada and a modern series from Canada. Results: Despite the similarities between the series, the results range from 56.25% to 59.52% in males and from 77.27% to 91.67% in females from Órgiva and from 83.78% to 89.19% in males and from 64.29% to 69.23% in females from Grant. Discussion: These results showed that the difference in series could be influenced by many factors as some authors stated despite the similar geographical context. Conclusions: These results suggest that the regression formulas can be an acceptable method to estimate sex and the existence of differences between the analysed series. (AU)

Introducción: La efectividad de algunos métodos de estimación del sexo se evalúa cuando dichas metodologías se aplican en muestras de distinto contexto geográfico del que es la muestra que origina el método. Objetivo: Evaluar el método de fórmulas de regresión de Gaya-Sancho para la estimación del sexo aplicando dicho método y comparando dos series del mimo contexto temporal. Materiales y métodos: Mediante las medias de algunas variables métricas del sacro, se evaluó el grado de dimorfismo sexual de una colección osteológica contemporánea de Granada comparándola con otras series contemporáneas: una del mismo contexto geográfico (Granada) y otra perteneciente a la colección de Grant (Canadá). Resultados: A pesar de las similitudes encontradas entre las colecciones, los resultados aportan un rango de 56,26 a 59,52% en hombre y de un 77,27 a un 91,67% en mujeres para la serie de Órgiva (Granada); y de un 83,78 al 89,19% en hombre y del 64,29 al 69,23% en mujeres pertenecientes a la colección de Grant (Canadá). Discusión: Estos resultados muestran que la diferencia entre series podría verse afectada por diversos factores como muestran algunos autores pese a la similitud de contexto geográfico. Conclusión: Estos resultados sugieren que las fórmulas de regresión podrían ser utilizadas como un método aceptable para la estimación del sexo además de mostrar existencia de diferencias entre las colecciones analizadas. (AU)

Sex determination in a Spanish population based on sacrum.

Sex determination is one of the essential steps when it comes to establishing an individual's biological profile. It is important in both archaeology and forensic studies. The sacrum is not generally conserved, but in cases where it is, it can be used for determination of the sex of skeletal remains. Furthermore, the sacrum is not a commonly studied bone and has not been studied in a Spanish population. For this study, measurements of 170 sacra of individuals from the contemporary osteological collection of San José from Granada including only the adults were taken. Measurements based on the anatomical regions of the sacra were established in order to obtain some regression formulas to determine sex. Our results show that the Superior Transverse Line and Right Lateral Sacral Crest are the most dimorphic structures, achieving a 74% rate of correct classification of sex in a univariate analysis. In multivariate analysis, when the mentioned variables were combined, an 81.41% rate of correct classification was achieved. Our results show that our method can be applied with other methods at the same time to determine the sex of individuals in forensic and archaeological contexts.