by Esther Ortega-Martin, Javier Alvarez-Galvez
ObjectiveTo characterize the heterogeneity of Long COVID (LC) by identifying distinct patient profiles based on symptoms and quality of life (QoL), and to examine the sociodemographic and clinical predictors associated with these profiles.
Study designA cross-sectional observational study was conducted.
MethodsWe recruited 363 patients with LC in Spain via an online survey. Symptom patterns were identified through latent class analysis of 15 binary symptoms. QoL was assessed with the patient-derived LC-6D-QoL across six dimensions, and cluster analysis defined QoL subgroups. Logistic regression was applied to examine clinical and sociodemographic predictors of QoL profiles.
ResultsTwo symptom profiles emerged: a low-burden profile, dominated by fatigue and cognitive problems, and a high-burden profile with multisystem involvement. QoL clustered into three profiles—high, middle, and low QoL—with more than half of participants in the low QoL group. Symptom burden and employment status were the strongest predictors of poor QoL, whereas age, sex, education, and income showed limited associations. Social support was more frequently reported among participants with low QoL.
ConclusionsLC is characterized by distinct clinical and QoL profiles, with strong interactions between multisystem symptom burden and social determinants. Identifying patients at greatest risk of poor QoL can inform stratified interventions and integrated policies that combine medical care, psychosocial support, and workplace reintegration.
Surgical site infection (SSI) following transmetatarsal amputation (TMA) is common and associated with significant morbidity. However, there is limited evidence to guide perioperative strategies for SSI prevention in this population. A prospective, cross-sectional survey was conducted among vascular specialists. The questionnaire assessed current practice in SSI prevention for TMA, perceptions of evidence gaps, and willingness to participate in future research. Responses were analysed descriptively. Eighty-four valid responses were analysed, with 64.3% from consultant vascular surgeons and 84.5% from UK centres. Most respondents (84.5%) considered SSI after TMA to be a significant issue. The majority preferred primary closure in clean wounds (78.6%) and commonly used short-course antibiotics and interrupted sutures. Over 70% agreed no clear best practice exists, and 65.5% felt high-quality randomised trials are needed. Ninety-three percent expressed willingness to engage in future studies. Equipoise existed regarding interventions including antibiotic duration, wound adjuncts, and closure techniques. Opinion varied regarding whether TMA and major lower limb amputation should be pooled when undertaking research into SSI prevention. Current practice in SSI prevention for TMA is highly variable. This survey demonstrates broad support for rigorous trials to establish effective strategies and highlights the feasibility of future research in this area.
To explore the experiences of nurses transitioning from a clinical ward to a newly established respiratory intermediate care unit (IMCU).
A qualitative descriptive approach was adopted to capture the lived experiences of redeployed nurses. This design was selected to address the research question: What are the initial experiences of nurses transitioning from general ward settings to a newly established IMCU for respiratory patients?
Two focus groups were conducted in June 2024, involving 14 purposefully selected registered nurses. Data were analysed using Braun and Clarke's thematic analysis framework, with the study reported in line with the Standards for Reporting Qualitative Research.
The analysis revealed two interconnected themes reflecting the complexity of the redeployment experience. The first theme, ‘The introspection of waiting amidst change and readiness’, captures the emotional ambivalence nurses felt, characterised by anticipation, uncertainty and a perceived lack of preparedness. This phase was marked by concerns over clinical competence, fear of errors and the weight of new legal and ethical responsibilities. The second theme, ‘The road to organizational change with both driving forces and obstacles’, highlights nurses' concerns about physician readiness, feeling undervalued and limited involvement in planning. At the same time, nurses emphasised the importance of teamwork, structured preparation, experiential training and having the right equipment.
The study underscores the complexity of role transitions for nurses moving into semi-critical care settings like IMCUs. It reveals the need for targeted support strategies to reduce uncertainty and enhance role readiness.
To improve the redeployment experience and patient outcomes, healthcare organisations should prioritise structured training, tailored preceptorship programmes and inclusive decision-making processes. These measures can strengthen nurses' resilience, support workforce sustainability and ensure the delivery of high-quality, patient-centred care in intermediate care environments.
This study highlights the significant impact of inadequate preparation and communication on redeployed nurses' experiences in respiratory IMCUs, emphasising the need for structured training and supportive team dynamics. These findings can guide healthcare leaders, nurse managers and policymakers in developing evidence-based redeployment strategies that reduce anxiety, strengthen team cohesion and ultimately improve nurse adaptation and patient care in semi-critical settings.
We used the SRQR guidelines for reporting qualitative studies.
No patient or public contribution.
La Estrategia Española de Salud Global 2025-2030 y la Enfermería Familiar y Comunitaria comparten un objetivo común: garantizar una atención sanitaria integral, equitativa y sostenible. Desde la promoción de la salud hasta la respuesta ante emergencias sanitarias, la enfermería comunitaria es un pilar fundamental en la transformación del sistema de salud en España y en la consolidación de un modelo de atención centrado en la persona y la comunidad.
La inversión en enfermería comunitaria no solo fortalece los sistemas sanitarios, sino que contribuye a una sociedad más justa, saludable y resiliente ante los desafíos globales.
Objetivo. Evaluar si existe asociación entre depresión y ansiedad con el rendimiento académico en estudiantes de enfermería de la Universidad Villasunción, Aguascalientes, México. Metodología. Estudio cuantitativo, observacional, descriptivo-correlacional y de corte transversal. La población estuvo conformada por 273 estudiantes de la Licenciatura en Enfermería. Se seleccionó una muestra de 161 participantes mediante muestreo estratificado. Para evaluar la depresión se utilizó el Inventario de Depresión de Beck II (BDI-II) y para ansiedad el Inventario de Ansiedad de Beck (BAI). El rendimiento académico se obtuvo a partir del promedio general acumulado. Los datos se analizaron mediante estadística descriptiva y prueba de chi-cuadrado de Pearson utilizando SPSS versión 27, con un nivel de significancia de p ≤ 0.05. Resultados. El 54.7% de los estudiantes presentó niveles mínimos de depresión, mientras que el 16.1% reportó niveles graves. En cuanto a la ansiedad, el 30.4% mostró niveles mínimos y el 20.5% niveles graves. El rendimiento académico predominante fue “Bueno” (59%). Mediante la prueba de chi-cuadrado de Pearson se identificó una asociación estadísticamente significativa entre depresión y rendimiento académico (p= 0.030). En contraste, la ansiedad no mostró una asociación significativa con el rendimiento académico (p= 0.506). Discusión. La depresión se asocia significativamente con el rendimiento académico en estudiantes de enfermería, lo que evidencia la importancia de considerar la salud mental como un factor relevante en el desempeño académico universitario.
ABSTRACT
Objective. To evaluate whether there is an association between depression and anxiety and academic performance among nursing students at Universidad Villasunción in Aguascalientes, Mexico. Methodology. A quantitative, observational, descriptive-correlational, cross-sectional study was conducted. The population consisted of 273 undergraduate nursing students. A sample of 161 participants was selected using stratified sampling. Depression was assessed using the Beck Depression Inventory II (BDI-II), and anxiety was measured using the Beck Anxiety Inventory (BAI). Academic performance was obtained from the students’ cumulative grade point average. Data were analyzed using descriptive statistics and Pearson’s chi-square test with SPSS version 27, considering a significance level of p ≤ 0.05. Results. A total of 54.7% of students presented minimal levels of depression, while 16.1% reported severe levels. Regarding anxiety, 30.4% showed minimal levels and 20.5% severe levels. The predominant academic performance category was “Good” (59%). Pearson’s chi-square test identified a statistically significant association between depression and academic performance (p = 0.030). In contrast, anxiety did not show a significant association with academic performance (p = 0.506). Discussion. Depression is significantly associated with academic performance among nursing students, highlighting the importance of considering mental health as a relevant factor in university academic outcomes.
by Eva Artigues-Barberà, Ester García-Martínez, José María Palacín Peruga, Marta Ortega-Bravo
IntroductionChronic musculoskeletal pain is one of the leading causes of disability worldwide, affecting 11–50% of the population. In Spain, it accounts for up to 50% of the chronic pain consultations conducted in primary care settings. The most common disorders are carpal tunnel and subacromial impingement syndromes, with treatments, including surgical and nonsurgical approaches, notably the use of ultrasound-guided injections to improve symptoms.
MethodsA qualitative, phenomenological, and inductive study was conducted on patients diagnosed with carpal tunnel syndrome or subacromial impingement syndrome at primary care centers in Lleida to identify patient‑reported domains relevant to the routine follow-up of CTS and SAIS in primary healthcare, and to examine barriers and facilitators of treatments to inform patient‑centered follow-up protocols. Purposive sampling was used, and five focus groups were organised, selecting participants aged >18 years with or without prior surgical treatment. Data were collected between December 2022 and February 2023 using a semi-structured guide. The focus groups were recorded and thematically analysed using Atlas.ti.
ResultsTwenty-one patients aged between 44–75 years, predominantly women, participated in the study. The results were organised into six themes and 12 subthemes. The barriers identified were delays in diagnostic testing, overload of healthcare personnel, lack of coordination between care levels, and brevity of consultations. Effective communication, empathy of primary care professionals, and prompt management of treatments, such as injections, were highlighted as facilitators.
ConclusionThis study highlighted the complexity of managing chronic musculoskeletal pain and the need for a multidimensional approach. The identified barriers, along with facilitators, such as effective communication and empathy of professionals, emphasize the relevance of strengthening problem-solving capacity in primary care and fostering better coordination between care levels. These findings suggest that addressing these aspects may support more tailored follow-up and contribute to improving patients’ experiences of care.
A lo largo de la historia, el feminismo ha sido clave para el desarrollo de los derechos de las mujeres hacia la igualdad. A principios del siglo XX, las mujeres obtuvieron el derecho al voto en muchos países, un hito significativo en la reivindicación por la igualdad política. Además, lograron la promoción educativa y el derecho a ejercer profesiones liberales, accediendo a la educación en igualdad de condiciones que los hombres, lo que les permitió desarrollar sus capacidades y aspirar a mejores oportunidades laborales. Las mujeres también han luchado por el reconocimiento de sus derechos sexuales y reproductivos, incluyendo el acceso a métodos anticonceptivos y la libertad de decidir sobre su propio cuerpo. Este articulo hace un recorido por las demandas claves que las enfermeras deben plantear en el Día Internacional de las Mujeres y las Niñas, enfocándose en educación de calidad, empoderamiento económico, erradicación de la violencia de género, promoción de la igualdad de género y participación global en sostenibilidad. Estas acciones son esenciales para avanzar hacia una sociedad más justa e igualitaria.
by Laura Sánchez-Bermejo, Pedro Jesús Milla-Ortega, José Manuel Pérez-Mármol
ObjectiveTo cross-cultural adapt the ADL Observation Scale and evaluate its psychometric properties in a sample of Spanish-speaking patients with stroke.
MethodsA validation study that included cross-cultural adaptation, structural validity assessment, reliability, and diagnostic accuracy analysis. The study followed COSMIN and STARD criteria. Translation and cross-cultural adaptation of the ADL Observation Scale followed a backward translation process. Structural validity was assessed with confirmatory factor analysis, and internal consistency was analyzed using Cronbach’s alpha and McDonald’s omega coefficient. Cut-off points were estimated using ROC analysis, and diagnostic accuracy was evaluated using sensitivity, specificity, and positive and negative predictive values. Internal consistency, cut-off points, and diagnostic accuracy were calculated for two different age groups (≥65 years; > 65 years).
ResultsThe Spanish version of the ADL Observation Scale was obtained after cross-cultural adaptation. The psychometric properties were tested in a sample of 180 patients with stroke. Structural validity showed a four-factor structure of the scale (RMSEA = 0.078; CFI = 0.952; TLI = 0.934). Internal consistency for each factor indicated Omega values between 0.641, 95% CI [0.495, 0.753], and 0.915, 95% CI [0.882, 0.936]. Cut-off points, also calculated for each factor, ranged from ≥1 to ≥4 points. Sensitivity, specificity, and positive and negative predictive values showed high values, indicating the scale’s discriminatory capacity for correctly classifying patients with praxis deficits.
ConclusionThe ADL Observation Scale has a four-factor structure, and it is a reliable instrument for evaluating the levels of praxis function in daily living among Spanish-speaking patients with stroke. The scale also has adequate diagnostic accuracy in detecting patients with praxis deficits.
El presente estudio fundamenta la construcción de un modelo de cuidado holístico e intercultural de las mujeres indígenas del Pueblo de los Pasto en el ciclo del embarazo, parto y puerperio; consta de cuatro elementos claves, la relación-tensión entre el conocimiento en salud y saber indígena, los actores que diversifican las formas de cuidado institucional y cultural, los escenarios de cuidado más allá de las instituciones de salud con implicación del saber étnico, la reivindicación de las percepciones, vivencias y experiencias de las mujeres y de las parteras reclamando un cuidado integral bajo la sinergia entre el saber científico y el étnico. La fundamentación fue resultado de un proceso hermenéutico en cuádruple vía- encuentro con ideas fuerza resultado de la revisión bibliográfica, priorización de marcos normativos exigentes de una atención humanizada y diferencial, el diálogo con mujeres gestantes y el reconocimiento invaluable de las parteras del pueblo de los Pastos. En ese sentido, la investigación se guio por el análisis e interpretación en doble vía, primero, interpretación bibliográfica de textos científicos, académicos y marcos normativos afines al estudio, y segundo, relatos y argumentos culturales obtenidos a través de entrevista, grupos focales y diálogos de saberes con mujeres y parteras.
Atrial Fibrillation (AF) is the most common arrhythmia worldwide affecting an estimated 5% of people over the age of 65 and is a leading cause of stroke and heart failure. Identification of patients at risk allows preventative measures and treatment before these complications occur. Conventional risk prediction models are static, do not have flexibility to incorporate dynamic risk factors and possess only modest predictive value. Artificial intelligence and machine learning-powered health virtual twin technology offer transformative methods for risk prediction and guiding clinical decisions.
In this prospective observational study, 1200 patients will be recruited in two tertiary centres. Patients hospitalised with acute illnesses (sepsis, heart failure, respiratory failure, stroke or critical illness) and patients having undergone high-risk surgery (major vascular surgery, upper gastrointestinal surgery and emergency surgery) will be monitored with a patch-based remote wireless monitoring system for up to 14 days. Clinical and electrocardiographic data will be used for modelling the risk of new-onset AF. The primary outcome is episodes of AF >30 s and will be described as ratio of episodes/patient and as percentage of patients having episodes of AF. Secondary outcomes include 30-day and 90-day readmission rates and complications of AF.
The aim of this study is to generate data for the development and validation of health virtual twins predicting onset of AF in an at-risk population. The intelligent monitoring to predict atrial fibrillation (NOTE-AF) study is part of the TARGET project, a Horizon Europe funded programme which includes risk prediction, diagnosis and management of AF-related stroke (https://target-horizon.eu/).
The study has received approval by the Health Research Authority and the National Research Ethics Service (REC reference 24/NW/0170, IRAS project ID: 342528) in the UK and has been registered on clinicaltrials.gov (NCT06600620). Results will be disseminated as outlined in the TARGET protocol to communicate project ideas, activities and results to diverse audiences.
Atrial fibrillation (AF) is the leading cause of cardioembolic stroke and is associated with increased stroke severity and fatality. Early identification of AF is essential for adequate secondary prevention but remains challenging due to its often asymptomatic or paroxysmal occurrence. Artificial intelligence (AI) offers new possibilities by integrating biomarkers, clinical phenotypes, established risk factors and imaging features to define a personalised ‘digital twin’ model. The TAILOR study aims to (1) examine prospective detection of AF using monitoring devices, (2) investigate novel prognostic MRI markers in patients with an AF-related stroke (AFRS) and (3) validate AI-based models for outcome prediction in AFRS.
This prospective multicentre observational cohort study includes patients aged 40 years and above, with neuroimaging-confirmed diagnosis of ischaemic stroke, recruited from two sites: Hospital del Mar Barcelona (Spain) and Radboud University Medical Centre (The Netherlands). For the first sub-study (n=300), patients will undergo clinical assessment at baseline, 3 months and 12 months, and patch-based or Holter cardiac monitoring. The second sub-study (n=200) involves repeated brain MRI and cognitive examination after AFRS. Finally, AI-driven ‘digital twin’ models developed on retrospective TARGET datasets will be prospectively evaluated in TAILOR using temporal and centre-stratified analyses for advanced predictive tools for AF and AFRS outcomes.
The TAILOR study was approved by local ethics boards in Barcelona (CPMP/ICH/135/95) and Medical Research Ethics Committee Oost-Nederland (NL86346.091.24). Patients will be included after providing informed consent. Study results will be presented in peer-reviewed journals and at global conferences.
Phasix mesh is a fully resorbable synthetic mesh for use in clean and contaminated ventral incisional hernia repairs. Long-term absorbable Phasix mesh appears to be a safe and promising device in incisional hernia repair, with low recurrence rates; however, data on long-term complications after surgery, particularly after the resorption period of the mesh, are scarce.
This protocol describes a study of several European registries on the use of a Phasix mesh in incisional hernia repair. The primary endpoint of the study is long-term complications at 2–5 year follow-up after mesh implantation, with secondary endpoints including hernia recurrence and complications during short-term follow-up.
Ethical approval was not required for this protocol as the study is based on anonymised registry data collected with prior patient consent in each registry. Each participating registry has its own ethical approval process, and this study will adhere to those regulations. The results will be disseminated through peer-reviewed publications and conference presentations.
Knee osteoarthritis (OA) is a leading cause of disability in older adults, with health and economic impacts. Despite pharmacological advances, exercise continues to be a fundamental pillar in the management of OA, with lower limb strength training showing significant benefits. Virtual reality (VR)-based interventions have emerged as innovative tools, providing immersive environments to facilitate functional movement exercises. VR offers pain relief, improved functionality and reduced fall risks, although its efficacy in OA management requires further exploration. The main aim of the study is to assess whether a VR-based intervention provides superior improvements in pain, stiffness, physical function and movement biomechanics compared with conventional therapeutic exercise in adults aged 60 years and older with knee OA.
This is a protocol for a randomised controlled trial comparing the effects of immersive VR interventions with conventional therapeutic exercises in individuals aged 60 years and older with knee OA. Participants are allocated 1:1 to experimental (VR) and control groups. The VR intervention involves 18 supervised sessions over 8 weeks, using Meta Quest 3 goggles to perform functional movements in virtual environments. The control group follows standard therapeutic exercise protocols per Osteoarthritis Research Society International guidelines. Outcomes include OA-related symptoms, kinematic performance, pain intensity, kinesiophobia and fall risk. Secondary measures assess cybersickness, depressive symptoms, medication use and comorbidities. Assessments occur at baseline, ninth week, sixth and 12th months. Data analysis employs intention-to-treat principles, leveraging descriptive statistics, t-tests and multiple imputations for missing data.
This study was approved by the A Coruña-Ferrol Research Ethics Committee (reference: 2023/557), under the Galician Health Service. All participants will be required to provide written informed consent prior to their inclusion in the study. Participant data will be pseudonymised and securely stored. Additionally, anonymised datasets will be deposited in open-access repositories (Zenodo).
El abordaje de la violencia de género en el ámbito sanitario, especialmente en Atención Primaria durante periodos como el embarazo, tiene un impacto emocional significativo en los y las profesionales, particularmente en enfermería. La exposición continua a relatos y situaciones traumáticas, sumada a factores organizacionales como la carga de trabajo y la falta de apoyo institucional y entre pares, puede derivar en desgaste profesional (burnout), estrés traumático secundario y fatiga por compasión. La confrontación con las propias vivencias y prejuicios, influenciados por la socialización en una cultura patriarcal, puede dificultar una valoración objetiva y generar respuestas emocionales disfuncionales como la sobre involucración o la evitación, perjudicando tanto el bienestar del profesional como la efectividad de la intervención.
Los principales conflictos en la atención primaria relacionados con la aplicación del Protocolo Actuación Sanitaria ante la Violencia de Género son la complejidad en el abordaje de la violencia psicológica, la confrontación con los hombres, la falta de tiempo y la falta de intimidad y confidencialidad en las consultas. Además, se enfrentan a la falta de registro adecuado, ya que algunos profesionales no están sensibilizados sobre cómo registrar los casos, lo que puede llevar a una atención insuficiente, y a la baja adherencia de las mujeres, quienes suelen resistirse a denunciar por miedo, amenazas y falta de soporte familiar, lo que complica el seguimiento de los casos. La ausencia de responsables específicos y la falta de formación continua son también barreras importantes.
El abordaje de la violencia de género en el ámbito sanitario, especialmente en Atención Primaria durante periodos como el embarazo, tiene un impacto emocional significativo en los y las profesionales, particularmente en enfermería. La exposición continua a relatos y situaciones traumáticas, sumada a factores organizacionales como la carga de trabajo y la falta de apoyo institucional y entre pares, puede derivar en desgaste profesional (burnout), estrés traumático secundario y fatiga por compasión. La confrontación con las propias vivencias y prejuicios, influenciados por la socialización en una cultura patriarcal, puede dificultar una valoración objetiva y generar respuestas emocionales disfuncionales como la sobre involucración o la evitación, perjudicando tanto el bienestar del profesional como la efectividad de la intervención.
Los principales conflictos en la atención primaria relacionados con la aplicación del Protocolo Actuación Sanitaria ante la Violencia de Género son la complejidad en el abordaje de la violencia psicológica, la confrontación con los hombres, la falta de tiempo y la falta de intimidad y confidencialidad en las consultas. Además, se enfrentan a la falta de registro adecuado, ya que algunos profesionales no están sensibilizados sobre cómo registrar los casos, lo que puede llevar a una atención insuficiente, y a la baja adherencia de las mujeres, quienes suelen resistirse a denunciar por miedo, amenazas y falta de soporte familiar, lo que complica el seguimiento de los casos. La ausencia de responsables específicos y la falta de formación continua son también barreras importantes.
Pelvic organ prolapse (POP) is the descent of one or more pelvic organs through the vaginal canal, including the vagina, uterus, rectum, bladder, cervix, posthysterectomy vaginal cuff, and small or large bowel, which compromises a woman’s physical, mental and social well-being.
This study aimed to explore how women with POP experience their living and its impact on their quality of life (QoL).
This was a qualitative study using interpretive phenomenological analysis, following in-depth structured interviews. Analysis was undertaken to identify superordinate themes relating to how women are living with POP.
3 public hospitals and 3 woredas in Gurage zone, Central Regional State, Ethiopia.
A purposive sample of 12 women who were diagnosed with POP was recruited.
Five core themes with subthemes were identified; general health judgement, POP symptom, life situation related to POP, feeling about POP and limitation in daily life/activity. The majority of respondents expressed concern that the prolapse had negatively impacted their general health and voiced hope that pelvic floor reconstruction would improve their general well-being. The majority of the informants stated that disclosing to others might significantly lower their QoL and that having the condition was extremely embarrassing. The women were most affected by the actual physical symptoms of prolapse (bulge, back pain, heaviness, bowel problems, urinary incontinence) as well as by the impact prolapse has on their sexual function.
Women with POP should be offered psychosocial support, early care and counselling because they have physical, personal, emotional, social and sleep/energy problems. Healthcare providers should take the initiative in educating women regarding prolapse and to make them aware that it is a treatable condition which can improve their QoL.
It is unclear how mis- and disinformation regarding healthcare policy changes propagate throughout Latino communities via social media. This may lead to chilling effects that dissuade eligible individuals from enrolling in critical safety net programmes such as Medicaid. This study will examine pathways and mechanisms by which sentiment in response to mis- and disinformation regarding healthcare policies on social media differentially impact health disparity populations, thus supporting the design of tailored social media interventions to mitigate this.
We will search social media from X/Twitter, Facebook/Instagram and Reddit for keywords relating to health benefit programmes. Demographic, geographical location and other characteristics of users will be used to stratify social media data. Posts will be classified as fake-news-related or fact-related based on curated lists of fake-news-related websites. The number, temporal dissemination and positive or negative sentiment in reacting to posts and threads will be examined using the Python-based Valence Aware Dictionary and sEntiment Reasoner (VADER). Using a crowd-sourcing methodology, a novel Spanish-language VADER (S-VADER) will be created to rate sentiment to social media among Spanish-speaking Latinos. With the proposed approach, we will explore reactions to the dissemination of fake-news- or fact-related social media tweets and posts and their sources. Analyses of social media posts in response to healthcare-related policies will provide insights into fears faced by Latinos and Spanish speakers, as well as positive or negative perceptions relating to the policy over time among social media users.
Our study protocol was approved by the University of California, Los Angeles IRB (IRB#23–0 01 123). Results from this study will be disseminated in peer-reviewed journals and conference presentations, and S-VADER will be disseminated to public repositories such as GitHub.
Para conseguir una sociedad sin violencia, elemento primordial de las relaciones humanas, debemos alcanzar la igualdad efectiva entre mujeres y hombres. La Declaración Universal de los Derechos Humanos es un documento que sirve de plan de acción global para la libertad y la igualdad y pone de manifiesto que todas las personas nacen libres e iguales y todas tiene los mismos derechos. La igualdad es un pilar necesario para lograr un mundo más sostenible, pacífico, próspero, saludable, eliminando las inequidades injustas y evitables relacionadas con el género.
Tenemos que hacer visibles las desigualdades de género y las violencias contra las mujeres, el primer paso es reconocerlo con formación, ponerle nombre y a partir de ahí comenzar todas las acciones para su erradicación porque lo que está claro es que aquello que no vemos no existe y si algo no existe pues no tengo ninguna responsabilidad sobre su cambio y a estas alturas ningún profesional de la salud debería decir que la igualdad, los derechos humanos, y la violencia contra las mujeres no es un tema de su responsabilidad. Lo que no veo no existe… “síndrome de desatención ciega”.
Objetivo principal: Analizar los factores relacionados con las notificaciones vacunales en un departamento de salud de atención primaria del Sistema Nacional de Salud de España durante la pandemia Covid-19. Metodología: Estudio fue transversal, descriptivo realizado en el Departamento de salud 21 de Orihuela (Alicante-España) desde el 27 de diciembre 2020 hasta 25 de enero del 2022. El ámbito de estudio fue la atención primaria. Se utilizó el portal de Sistema de Información Vacunal. Resultados principales: Participaron un total de 66 enfermeras. La edad media fue de 37,34 (DE 12,66). El 63% las notificaciones fueron realizadas por mujeres. El volumen de vacunas contra SARS-CoV-2 en cualquiera de sus dosis es muy elevado, y las notificaciones obtenidas muy escasas. Predominan los errores de registro como la principal causa de errores relacionados con el proceso vacunal. Conclusión principal: Consideramos de especial interés nuestras contribuciones con respecto a la infra notificación, la dotación de personal, la formación o la comunicación; como estrategias para la seguridad del paciente y la calidad asistencial.