RESUMEN

AIMS AND OBJECTIVES: To study the effects of virtual reality (VR) on pain perception among a paediatric population while being vaccinated. We will also investigate the effects of VR on the fear experienced by children during the vaccination procedure, as well as parental satisfaction levels. BACKGROUND: Many studies, for example, in the fields of oncology, dermatology or plastic surgery, have described the benefits of using VR to reduce the perception of pain among paediatric populations. These results are encouraging, but their main limitations were the small sample sizes they included or their methodological design. DESIGN: This will be a randomised clinical trial. METHODS: SPIRIT guidelines were followed to report this protocol, and we will use the CONSORT and CONSORT-EHEALTH guidelines to report the randomised clinical trial. The sample will comprise 148 children aged 3-14 years who will come for vaccination at the Tres Forques Health Center. The participants will be randomly allocated into intervention group (VR; n = 74) or (the control group standard-of-care; n = 74) at a 1:1 ratio. The intervention group will view experiences with a VR headset as a distraction measure. The study variables will be the level of pain and fear perceived by the child during vaccination, parental satisfaction with the vaccination procedure, and sociodemographic and vaccination variables. RESULTS: The start of the study is planned for September 2020, and the results will be expected in September 2021. CONCLUSIONS: This study aims to identify what measures reduce pain and fear in children during vaccination, which in turn, can help to improve the degree of parental satisfaction with these procedures. RELEVANCE TO CLINICAL PRACTICE: Vaccination is an independent function of the nursing profession. Identifying which distraction measures reduce the perception of pain and fear in the paediatric population will not only improve children's experiences but will also improve the satisfaction of both parents and children, thus increasing the degree of compliance with the vaccination schedule.

RESUMEN

AIMS AND OBJECTIVES: To determine the effect of immersive virtual reality (VR) on perceived pain and fear in children during vaccination and parental satisfaction with the procedure. BACKGROUND: Virtual reality can reduce the perception of pain by children but only three studies have analysed its use during vaccination to date; these had small sample sizes and imperfect methodological designs. DESIGN: A randomised controlled clinical trial. METHODS: One hundred and sixty participants from the Tres Forques Health Center were randomly assigned to the intervention group (IG) (n = 82) in which distraction with immersive VR was used during the vaccination, while standard distraction techniques were used for the control group (n = 80). The primary outcome was pain (Wong-Baker FACES). Secondary outcomes included (Children's Fear Scale) and parental satisfaction with the vaccination procedure. Chi-squared tests were used for qualitative variables, relationships between quantitative variables were tested with Spearman correlations, and Mann-Whitney U- or Student t-tests were employed to assess the relationship between quantitative and qualitative variables. RESULTS: Compared to the controls, the children in the IG reported significantly less pain and fear, while parental satisfaction was significantly higher. Reported pain and fear did not differ according to the sex of the patient. Child age was not linked to fear but was related to pain: the younger the patient, the greater the pain they described. CONCLUSIONS: Immersive VR effectively controlled pain and fear in children during vaccination and increased parent satisfaction with the vaccination process. Patient sex did not influence the level of pain and fear but age did. RELEVANCE TO CLINICAL PRACTICE: Improving vaccination experiences can reduce perceived pain and fear in children and increase parent satisfaction, thereby enhancing vaccination schedule adherence and improving group immunity. REPORTING METHOD: The CONSORT Statement for non-pharmacological randomised clinical trials were followed.

RESUMEN

BACKGROUND: The self-administered foot evaluation questionnaire is a comprehensive measure for assessing the perception of patients regarding their foot-related problems. However, it is currently only available in English and Japanesse. Therefore, this study aimed to cross-culturally adapt the questionnaire to Spanish and assess its psychometric properties. METHODS: The methodology recommended by the International Society for Pharmaco Economics and Outcomes Research for translating and validating patient-reported outcome measures was followed for the Spanish translation. After a pilot study with 10 patients and 10 controls, an observational study was carried out between March and December 2021. The Spanish version of the questionnaire was filled by 100 patients with unilateral foot disorders, and the time spent to complete each questionnaire was recorded. Cronbach's alpha was calculated to analyze the internal consistency of the scale and Pearson's correlation coefficients for the degree of inter-subscale associations. RESULTS: The maximum correlation coefficient for the Physical Functioning, Daily Living, and Social Functioning subscales was 0.768. The inter-subscale correlation coefficients were significant (p < 0.001). Additionally, the value of Cronbach's alpha for the whole scale was 0.894 (95% confidence interval, 0.858-0.924). The values of Cronbach's alpha varied between 0.863 and 0.889 when the value of one of the five subscales was suppressed, which can be considered a measure of good internal consistency. CONCLUSION: The Spanish version of the questionnaire is valid and reliable. The method followed for its transcultural adaptation ensured its conceptual equivalence with the original questionnaire. Health practitioners can use the self-administered foot evaluation questionnaire as a complementary method to assess the interventions performed for ankle and foot disorders among native Spanish speakers; however, further research is necessary to assess its consistency for use by populations from other Spanish-speaking countries.

Asunto(s)

RESUMEN

Minimally invasive surgery (MIS) is currently used to correct hallux valgus deformities. Most studies reporting on MIS techniques to correct hallux valgus deformities included patients with postoperative complications. These reported complications, with an average rate of 23%, had significant negative effects on the clinical outcomes in this patient population. In the present study, a cohort of 63 women who underwent MIS hallux valgus correction was assessed preoperatively and at a mean follow-up of 1.0, 4.7, and 6.5 years using the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the Manchester Oxford Foot Questionnaire (MOXFQ). The main criterion for inclusion in this cohort was a lack of complications during the entire follow-up period. The results showed significant improvements in both AOFAS and MOXFQ scores between the preoperative and 1-year follow-up assessments. By contrast, clinically small and nonsignificant changes were observed among postoperative follow-up values. The number of enrolled patients needs to be increased in future studies, with different surgeons and techniques included. Nevertheless, our study findings will inform patients about the outcomes they can expect over the years if no complications occur.

RESUMEN

BACKGROUND: Virtual reality (VR) is used as a distraction measure during painful clinical procedures associated with the use of needles. These procedures include vaccinations, blood draws, or the administration of medications, which can cause children to feel increased levels of pain and fear. OBJECTIVE: The objective of this study was to collect and analyze the current evidence regarding the effectiveness of VR as a tool to distract children from pain and fear during needle procedures as compared to that of standard techniques. METHODS: A systematic review and meta-analysis was performed. We included randomized clinical trials (RCTs) or quasi-RCTs with participants younger than 21 years who underwent needle procedures in which the main distraction measure used was VR and where the main outcome measure was pain. The databases searched included the PubMed, Web of Science, Scopus, PsycINFO, CINAHL, and Cochrane libraries. In this systematic review, the studies were analyzed by applying the Critical Appraisal Skills Program guide in Spanish and the Jadad scale. In the meta-analysis, the effect size of the studies was analyzed based on the results for pain and fear in children. RESULTS: From 665 unique search results, 21 studies were included in this systematic review, most of which reported low methodological quality. The study sample cohorts ranged from a minimum of 15 participants to a maximum of 220 participants. Ten studies were included in the meta-analysis. The global effect of using VR as a distraction measure was a significant reduction in pain (inverse variance [IV] -2.37, 95% CI -3.20 to -1.54; Z=5.58; P<.001) and fear (IV -1.26, 95% CI -1.89 to -0.63; Z=3.92; P<.001) in children in the experimental groups. CONCLUSIONS: The quality of the studies was mostly low. The main limitations were the impossibility of blinding the participants and health care personnel to the VR intervention. Nonetheless, the use of VR as a distraction measure was effective in reducing pain and fear in children during procedures involving needles.

RESUMEN

Abstract: Objective: To evaluate the effect on the satisfaction of nursing students and the participants of Service-Learning methodology in the development of Health Education workshops. Materials and methods: Service-Learning project was designed in four stages: 1) students training in knowledge about Community Nursing and Health Education; 2) development of healthy workshops for its implementation in associations; 3) implementation of the workshops; 4) reflection on Service-Learning impact. An ad hoc questionnaire was developed to assess students' satisfaction. It was also evaluated the workshops' participant's satisfaction. Results: students reported having a very high level of satisfaction by increasing their scores after improving Service-Learning methodology in the subject. In addition, participants who received health promotion workshops developed by nursing students reported a positive impact on their health. Conclusion: development of Service-Learning methodology associated with health education implies high level of satisfaction in nursing students and a social impact for the community.

Resumen: Objetivo: Evaluar la satisfacción de los estudiantes de enfermería y los participantes, con la metodología Aprendizaje Servicio en el desarrollo de talleres de Educación para la Salud. Materiales y Método: El proyecto de Aprendizaje-Servicio se diseñó en cuatro etapas: 1) Formación de estudiantes en conocimientos sobre Enfermería Comunitaria y Educación para la Salud; 2) Desarrollo de talleres saludables para su implementación en asociaciones; 3) Implementación de los talleres; 4) Reflexión sobre el impacto del Aprendizaje-Servicio. Se desarrolló un cuestionario ad hoc para evaluar la satisfacción de los estudiantes. También se evaluó la satisfacción de los participantes de los talleres. Resultados: Los estudiantes informaron tener un nivel de satisfacción muy alto, al aumentar sus puntajes luego de mejorar la metodología de Aprendizaje-Servicio en la asignatura. Además, los participantes que recibieron talleres de promoción de la salud, desarrollados por estudiantes de enfermería, reportaron un impacto positivo en su salud. Conclusión: El desarrollo de la metodología de Aprendizaje-Servicio asociado a la educación en salud, implica un alto nivel de satisfacción en los estudiantes de enfermería y un impacto social para la comunidad.

RESUMEN

The present study aimed to investigate the perceived changes in lifestyle behaviors among Spanish university students during COVID-19-related confinement. An observational, descriptive, and cross-sectional survey study was conducted during April 2020. Sociodemographic and anthropometric data were then obtained. The FANTASTIC questionnaire was used to assess the lifestyles of the 488 participants who took part in the study. Of the participants, 76.3% were female. Overall, the lifestyles of university students significantly deteriorated during the period of confinement caused by the COVID-19 pandemic in Spain. University female students were especially affected compared to their male fellows (p = 0.010). For women, social and family relationships (p < 0.001), personality (p < 0.001), interior (p < 0.001), and career (p < 0.001) were the aspects that worsened during confinement. For men, lack of physical exercise (p < 0.001), social and family relationships (p < 0.001), and career (p = 0.002) were affected to a greater extent. In both cases, confinement was a protective factor against the consumption of tobacco, toxins (p < 0.001), and alcohol (p < 0.001). Gender (p = 0.008) and obesity (p = 0.044) were the two factors that most affected the change in the score of the FANTASTIC questionnaire. Spanish university students' lifestyles worsened during the lockdown caused by the COVID-19 pandemic, especially those of women, who were the most affected. Some aspects, such as those related to social and emotional behaviors, were deeply affected, while confinement could be a protective factor against previous toxic habits.

RESUMEN

The movement restrictions put in place as a result of the COVID-19 pandemic required modification of the population's usual routines, including those of the most vulnerable groups such as patients with schizophrenia. This was a retrospective observational study. We used an online survey to collect information on patient adherence to the Mediterranean diet (Mediterranean Diet Adherence Screener questionnaire), physical exercise (International Physical Activity Questionnaire Short Form), and tobacco consumption and levels of anxiety and depression (Hospital Anxiety and Depression Scale) before and during the movement restrictions. A total of 102 people with schizophrenia participated in this study. During the COVID-19 pandemic lockdown the participants significantly increased the number of minutes spent sitting per day (z = -6.73; p < 0.001), decreased the time they spent walking (z = -6.32; p < 0.001), and increased their tobacco consumption (X2 = 156.90; p < 0.001). These results were also accompanied by a significant increase in their reported levels of anxiety (z = -7.45; p < 0.001) and depression (z = -7.03, p < 0.001). No significant differences in patient diets during the pandemic compared to before the movement restrictions were reported. These results suggest the need to implement specific programs to improve lifestyle and reduce anxiety and depression during possible future pandemic situations.

RESUMEN

The purpose of this study was to compare the effects of three different physical exercise programs on the symptomatology, body composition, physical activity, physical fitness, and quality of life of individuals with schizophrenia. A total of 432 patients were assessed for eligibility and 86 were randomized into the aerobic (n = 28), strength (n = 29) or mixed (n = 29) groups. Positive, negative, and general symptoms of psychosis, body mass index (BMI), physical activity (IPAQ-SF), physical fitness (6-min walk test [6MWT] and hand-grip strength [HGS]), and quality of life (WHOQUOL-BREF) were assessed at baseline, post-intervention (16 weeks), and at 10-months. Our results at 16 weeks showed significant improvements in all three groups in the negative, general, and total symptoms with moderate to large effect sizes (P < 0.01, ηp2 > 0.11), no change in the BMI, 6MWT or IPAQ-SF, and a significant improvement in the HGS test in the strength and mixed groups (P ≤ 0.05, ηp2 > 0.08). Nonetheless, all the improvements had disappeared at 10 months. We concluded that 3 weekly sessions of a moderate to vigorous progressive exercise program for 16 weeks improved the symptomatology of individuals with schizophrenia in all three groups, with no differences between them. However, the effects had declined to baseline levels by the 10-month follow-up, suggesting that exercise interventions should be maintained over time.

Asunto(s)

RESUMEN

INTRODUCTION: Numerous studies support the practice of different physical exercise modalities as an effective treatment to address the problems associated with schizophrenia, reporting that they result in improvements in patient symptoms and quality of life. Given the lack of studies comparing different types of training in controlled environments, the aim of this proposed study will be to compare the effects of three physical exercise programmes (strength, aerobic and mixed) on the symptoms, body composition, level of physical activity and health-related quality of life of patients with schizophrenia. METHODS AND ANALYSIS: A multicentre, single-blinded (evaluator), randomised, wait-list controlled (ratio 2:2:2:1) trial will be conducted with 105 patients recruited from different psychosocial care centres. The participants will be randomised into three 16-week training groups comprising 48 sessions lasting 1 hour each, or to the wait-list control group. The training groups will complete aerobic, strength or mixed (aerobic+strength) training. The participants will be assessed before, immediately after and 6 months after the end of the intervention. The patients in the wait-list control group (n=15) will receive one of the three trainings immediately after the intervention. The study variables will include positive, negative and general symptomology (Positive and Negative Syndrome Scale) as the primary outcome; as secondary outcome: body composition (by assessing body mass index, body fat mass and waist circumference), physical activity levels (International Physical Activity Questionnaire-Short Form) and quality of life (abbreviated WHO Quality of Life questionnaire). ETHICS AND DISSEMINATION: This study was approved by the ethics committees for Biomedical Research at the CEU Cardenal Herrera University of Valencia, Spain (CEI18/215). Participants will be fully informed of the purpose and procedures of the study, and written informed consent will be obtained. The results from this study will be published in peer-reviewed journals and presented in scientific conferences. TRIAL REGISTRATION NUMBER: NCT04987151.

Asunto(s)

RESUMEN

If healthcare professionals wish to provide healthcare that protects patients' values and preferences, it is necessary to find a way to systematically implement the Advance-Care Planning process. The purpose of this article is to review the literature and present a theoretical model of Advance-Care Planning implementation through the Nursing Process.

Asunto(s)

RESUMEN

Las enfermeras se enfrentan diariamente a desafíos éticos y a dilemas morales. Su labor seencuentra identificada con los más altos valores morales y sociales: la vida humana, la dignidadde la persona y la libertad, lo que convierte a la enfermería en una auténtica práctica moral. Estacondición exige que sus profesionales deban desarrollar tanto la competencia técnica, como lacapacidad moral, inspirada en la dimensión solidaria que aparece ante la vulnerabilidad del serhumano y que obliga al profesional a perseguir la excelencia moral a través de la instrucción en elconocimiento de las leyes y los principios morales, y a adquirir y poner en práctica las virtudesque permitan alcanzar el bien interno de la profesión. El objetivo de este estudio es identificar ydescribir las virtudes que las enfermeras deben adquirir para desarrollar su labor de formaexcelente. Así pues, la enfermera que adquiera las virtudes de humildad, prudencia, confianza,fidelidad, diligencia, veracidad, discreción, empatía, sensibilidad, respeto, compasión, altruismo yresponsabilidad será capaz de lograr la excelencia en el cuidado.(AU)

On a daily basis, nurses face ethical challenges and moral dilemmas. Their work isidentified with the highest moral and social values: human life, the dignity of the person andfreedom. All this makes nursing an authentic moral practice. This condition requires that itsprofessionals must develop both technical competence and moral capacity, inspired by thesolidarity dimension that appears in the face of human vulnerability. Circumstance that obliges theprofessional to pursue moral excellence through instruction in the knowledge of laws and moralprinciples, and to acquire and put into practice the virtues that allow achieving the internal goodof the profession. The objective of this study is to identify and describe the virtues that nurses mustacquire to carry out their work in an excellent way. Thus, the nurse who acquires the virtues ofhumility, prudence, trust, fidelity, diligence, truthfulness, discretion, empathy, sensitivity, respect,compassion, altruism and responsibility will be able to achieve excellence in care.(AU)

Os enfermeiros enfrentam desafios éticos e dilemas morais diários. Sua obra se identificacom os mais elevados valores morais e sociais: a vida humana, a dignidade da pessoa e a liberdade,o que faz da enfermagem uma autêntica prática moral. Esta condição exige que os seusprofissionais desenvolvam simultaneamente a competência técnica e a capacidade moral,inspiradas na dimensão solidária que surge perante a vulnerabilidade humana e que obriga oprofissional a perseguir a excelência moral através da formação no conhecimento da leis eprincípios morais, e adquirir e colocar em prática as virtudes que nos permitem alcançar o beminterno da profissão. O objetivo deste estudo é identificar e descrever as virtudes que o enfermeirodeve adquirir para desenvolver seu trabalho de forma excelente. Assim, o enfermeiro que adquireas virtudes de humildade, prudência, confiança, fidelidade, diligência, veracidade, discrição,empatia, sensibilidade, respeito, compaixão, altruísmo e responsabilidade poderá alcançar aexcelência no cuidado.(AU)

Asunto(s)

RESUMEN

OBJETIVO: analizar la relación entre las variables sociodemográficas y clínicas en pacientes con deterioro cognitivo en función del lugar de residencia (domicilio familiar frente a instituciones), comparándola con la autopercepción del estado de salud de ambos grupos. MATERIAL Y MÉTODOS: estudio comparativo observacional transversal. La muestra estuvo formada por 71 sujetos, de los cuales 44 recibían cuidado informal en su domicilio y asistían a un centro de día (Valencia, España), y 27 que residían en un centro sociosanitario (Teruel, Valencia), ambos situados en zona rural. Los participantes fueron evaluados mediante el índice de comorbilidad de Charlson, Mini-Mental Test de Folstein (MMSE), test de fluidez verbal, autopercepción del estado de salud mediante escala visual analógica del Euro-Qol y variables sociodemográficas que incluyeron: sexo, edad, nivel de estudios, estado civil y número de hijos. RESULTADOS: los principales resultados apuntan a que pese a que los pacientes que residen en sus hogares tienen un peor estado cognitivo en relación con el MMSE (diferencia de 3,09 puntos; p = 0,003) y la fluidez verbal (diferencia de 3,05 puntos 5,32; p = 0,000), su autopercepción del estado de salud es superior frente a aquellos que viven en un centro sociosanitario (diferencia de 21,22 puntos; p = 0,000). CONCLUSIONES: los sujetos que residen en el domicilio presentan una autopercepción de su estado de salud mejor que aquellos que residen en el centro sociosanitario, pese a que su estado cognitivo muestra peores resultados. Este aspecto contribuye a la mejora de la utilización de los recursos necesarios hacia los ámbitos donde los cuidados sean más eficaces

OBJECTIVE: analyze the relationship between sociodemographic and clinical variables in patients with cognitive impairment regarding to the place of residence (family home versus institutions), compare their self-perception of health status. MATERIAL AND METHOD: observational comparative study. The sample was formed by 71 participants; 44 of them were living in their homes and attended to a day center and 27 of them resided in a Social Health Center. Participants were evaluated using the Charlson comorbidity index, Folstein Mini Mental Test (MMSE), verbal fluency test, self-perception of health status using Euro-Qol visual analogue scale and sociodemographic variables included: sex, age, level of studies, marital status and number of children. RESULTS: the main results suggest that patients residing in their homes have a worse cognitive state compared to those who lived in Social Health Centers in relation to the MMSE (difference of 3,09 points, p = 0,003) and verbal fluency (difference of 3,05 points 5,32, p = 0,000). However, their self-perception of health status was higher (difference of 21,22 points, p = 0,000). CONCLUSIONS: patients with cognitive dysfunction who reside in their homes have a better self-perception of their health status compared to those who reside in the Social Health Center. This aspect is of relevance to the improvement of the development of cost-effective strategies that encourage the health of patients with cognitive diseases

Asunto(s)

RESUMEN

Background: Malnutrition at admission of paediatric hospitalization is a risk factor for negative evolution and is associated with increased morbidity and mortality. The main objective was to learn about the frequency of malnutrition and undernourishment as well as the nutritional risk at hospital admission, through a sample of paediatric patients. Material and Methods: A descriptive cross-sectional was taken, chosen from long term patients in Hospital Dr. Humberto Notti. A nutritional screening (Strong Kids) was applied, assessing nutritional risk within 48 hours. of hospital admission and nutritional diagnosis was obtained with the corresponding anthropometric data. For the statistical analysis, Fisher Test and Student test were used. Results: 134 patients were admitted (59% women), 4 years of age, (1 to 9 years) (medium sized and IQR), and hospitalization lasted 4 days (3 to 7 days). At the ingress, 17% presented acute malnutrition, and 60% presented moderate nutritional risk. Those who suffered from high nutritional risk, went through more frequent pain, change of weight, less eating, diarrhea, and signs of undernourishment, than those who suffered from moderated nutritional risk. (Fisher < 0, 0001). Conclusion: Malnutrition or undernourishment at hospital admission affects about the 20% of patients and more than half presents moderated nutritional risk. These two observations justify the systematic carrying out of an evaluation of the nutritional status

Introducción: La desnutrición al ingreso de la internación pediátrica es un factor de riesgo de mala evolución y está asociado a mayor morbimortalidad. El principal objetivo fue conocer la frecuencia de desnutrición y riesgo nutricional al inicio de la hospitalización en una muestra de pacientes pediátricos. Población y métodos: Diseño descriptivo, transversal. Se incluyeron pacientes de 1 mes a 14 años internados entre marzo y julio de 2016, en el Hospital Dr. Humberto Notti. Se aplicó un tamizaje nutricional (Strong Kids) valorando riesgo nutricional dentro de las 48hs. de ingreso hospitalario y se obtuvo diagnóstico nutricional con los datos antropométricos correspondientes. Para el análisis estadístico se utilizó Test de Fisher y t de Student. Resultados: Ingresaron 134 pacientes, edad 4 (1 a 9) años (mediana e IQR) y la duración de la internación fue de 4 (3 a 7) días. Al momento del ingreso el 17% presentaba desnutrición aguda y el 60% un riesgo nutricional moderado. Los pacientes con alto riesgo nutricional al ingreso tuvieron más frecuentemente dolor, cambio de peso, menor ingesta, diarrea y signos de desnutrición que los que tuvieron un riesgo nutricional moderado (Fisher < 0,0001). Conclusión: La desnutrición al ingreso de la hospitalización afecta a casi la quinta parte de los pacientes y más de la mitad presenta riesgo nutricional moderado lo que justifica la realización sistemática de la evaluación del riesgo nutricional. Conclusión: La desnutrición al ingreso de la hospitalización afecta a casi la quinta parte de los pacientes y más de la mitad presenta riesgo nutricional moderado lo que justifica la realización sistemática de la evaluación del riesgo nutricional.

Asunto(s)

RESUMEN

Objetivo: conocer el grado de satisfacción del alumnado de Enfermería y las dificultades encontradas con la metodología de aprendizaje-servicio en el desarrollo de la competencia de promoción de la salud, dentro de la asignatura de Salud Pública y Enfermería Comunitaria I. Método: el proyecto de aprendizaje-servicio fue llevado a cabo en tres fases: 1) formación del alumnado en conocimientos acerca de la Enfermería Comunitaria y Educación para la Salud; 2) contacto con las asociaciones cercanas a la universidad, y diseño de los talleres de salud y materiales que iban a ofrecer a las asociaciones (en grupos de 10 estudiantes); 3) implementación de los talleres por parte de alumnado. Se diseñó un cuestionario ad hoc para medir la satisfacción con el proyecto de aprendizaje-servicio. Para el análisis bivariante de la satisfacción con el sexo y la edad se utilizó la prueba de U de Mann-Whitney y el coeficiente de correlación de Spearman. Resultados: el alumnado tuvo un nivel de satisfacción muy alto (media: 8,07), con independencia del sexo y la edad. Se encontraron dificultades a la hora de poner en marcha esta metodología como la incompatibilidad de horarios entre el alumnado y las asociaciones, o la escasa asistencia de personas a las sesiones. Conclusiones: el desarrollo de actividades de aprendizaje-servicio para que el alumnado de Enfermería adquiera competencias en la promoción para la salud es una metodología con alto grado de satisfacción. No obstante, fueron encontradas barreras en su implementación como la dificultad en el cronograma entre alumnado y asociaciones

Objective: to understand the level of satisfaction among Nursing students and the difficulties found regarding the Service-Learning methodology in the development of Health Promotion skills, within the subject Public Health and Community Nursing I. Method: the Service-Learning Project was conducted in three stages: 1) training students in knowledge about Community Nursing and Health Education; 2) contact with those associations near the university, and design of Health Workshops and materials that would be offered to the associations (in 10-student groups); 3) implementation of workshops by the students. An ad hoc questionnaire was designed in order to measure the satisfaction with the Service-Learning project. The Mann-Whitney U Test and the Spearman Correlation Coefficient were used for the bivariate analysis of satisfaction with gender and age. Results: students had a very high satisfaction level (mean: 8.07), regardless of gender and age. Difficulties were found at the time of implementing this methodology, such as the incompatibility of schedules between students and the association, or the low attendance of people to the sessions. Conclusions: the development of Service-Learning activities for the Nursing students to acquire skills in Health Promotion is a methodology with a high level of satisfaction. However, barriers were found in its implementation, such as difficulties with the timetables of the students and the associations

Asunto(s)