New technologies and nursing: use and perception of primary healthcare nurses about electronic health record in Catalonia, Spain

This study was aimed to analyze and assess the use and perception of electronic health records (EHRs) by nurses. The study sample included 113 nurses from different shifts of primary health facilities in Catalonia, Spain, devoted to adult as well as pediatric outpatients using EHRs throughout the year 2010. A majority of the sample (87.5%) were women and 12.5% were men. The average age was 44.27 years and the average time working in primary healthcare was 47.15 months. A majority (80.4%) received specific training on the use of the EHR and 19.6% did not. The use of the application required side technical support (mean: 3.42) and it is considered necessary to learn more about the performance of the application (mean: 3.50). The relationship between the average ratings that nurses have about the EHR and age shows that there is no statistically significant linear relationship (r = - 0.002, p-value = 0.984). As to how long they have used the EHRs, there are significant differences (r= -0.304, p-value = 0.00), so the more time the nurse takes using the EHR, the greater degree of satisfaction is shown. In addition, there are significant differences between nurses" perceptions regarding the EHR and gender (t = - 0.421, p-value = 0.675). Nurses assessed as positive the contribution of the EHRs in their nursing care day work (average score: 2.55/5). Considering that the usability of the EHR device is assessed as satisfactory, the results of the perception of nurses show that we must also take into account the training and emphasize the need for a side technical support in the implementation process of the EHR. Doing so, the positive perception that nurses have in regard to information and communication technology in general and with respect to the EHR in particular may be increased.

New technologies and nursing: use and perception of primary healthcare nurses about electronic health record in Catalonia, Spain

This study was aimed to analyze and assess the use and perception of electronic health records (EHRs) by nurses. The study sample included 113 nurses from different shifts of primary health facilities in Catalonia, Spain, devoted to adult as well as pediatric outpatients using EHRs throughout the year 2010. A majority of the sample (87.5%) were women and 12.5% were men. The average age was 44.27 years and the average time working in primary healthcare was 47.15 months. A majority (80.4%) received specific training on the use of the EHR and 19.6% did not. The use of the application required side technical support (mean: 3.42) and it is considered necessary to learn more about the performance of the application (mean: 3.50). The relationship between the average ratings that nurses have about the EHR and age shows that there is no statistically significant linear relationship (r = - 0.002, p-value = 0.984). As to how long they have used the EHRs, there are significant differences (r= -0.304, p-value = 0.00), so the more time the nurse takes using the EHR, the greater degree of satisfaction is shown. In addition, there are significant differences between nurses" perceptions regarding the EHR and gender (t = - 0.421, p-value = 0.675). Nurses assessed as positive the contribution of the EHRs in their nursing care day work (average score: 2.55/5). Considering that the usability of the EHR device is assessed as satisfactory, the results of the perception of nurses show that we must also take into account the training and emphasize the need for a side technical support in the implementation process of the EHR. Doing so, the positive perception that nurses have in regard to information and communication technology in general and with respect to the EHR in particular may be increased.

Plan de sistemas de información

Plan integral de sistemas de información con una visión integradora entre el sistema de información propuesto y las estrategias de la organización. La propuesta se enmarca en un entorno sanitario donde el proceso asistencial y la gestión clínica, centrada en el paciente y profesionales, son los elementos diferenciadores y específicos del propio sistema.

The relationships of stress, health and wellbeing among workers

The precise relationship between the positive psychological state of work (i.e. engagement ) and the negative psychological state (i.e. burnout) has recently received research attention. Some view these as opposite states on the same similar continuum, while others take the position that they represent different biobehavioral spheres. This study expands our knowledge of the phenomenta engagement and burnout by analyzing their separate and joint manifestations. Using a sample of 2094 nurses, respondents were analyzed to determine the configuration of antecedents leading to separate and joint states of engagement and burnout, the configuration of engagement and burnout leading to mental, physical and organizational outcomes, and the relationship between engagement, bornout, and risk of metabolic syndrome. The study found that while both work engagement and burnout are highly correlated to health and organizational outcomes, the relative statistical power of burnout has a greater direct effect on health. It is important for workers and managers to adress the sources of burnout before addressing the positive psychological aspects of worker engagement.

The Cornella Health Interview Survey Follow-Up (CHIS.FU) Study: design, methods, and response rate

Background: The aim of this report is to describe the main characteristics of the design, including response rates, of the Cornella Health Interview Survey Follow-up Study. Methods: The original cohort consisted of 2,500 subjects (1,263 women and 1,237 men) interviewed as part of the 1994 Cornella Health Interview Study. A record linkage to update the address and vital status of the cohort members was carried out using, first a deterministic method, and secondly a probabilistic one, based on each subject's first name and surnames. Subsequently, we attempted to locate the cohort members to conduct the phone follow-up interviews. A pilot study was carried out to test the overall feasibility and to modify some procedures before the field work began. Results: After record linkage, 2,468 (98.7%) subjects were successfully traced. Of these, 91 (3.6%) were deceased, 259 (10.3%) had moved to other towns, and 50 (2.0%) had neither renewed their last municipal census documents nor declared having moved. After using different strategies to track and to retain cohort members, we traced 92% of the CHIS participants. From them, 1,605 subjects answered the follow-up questionnaire. Conclusion: The computerized record linkage maximized the success of the follow-up that was carried out 7 years after the baseline interview. The pilot study was useful to increase the efficiency in tracing and interviewing the respondents.

Manual de la técnica de rejilla mediante el programa RECORD ver. 2.0: Capítulos I (introducció), II (Etapa de diseño) y III (Fase de administración)

La técnica de rejilla es un instrumento de evaluación de las dimensiones y estructura del significado personal que se deriva de la teoría de los constructos personales. Tanto en la versión original de G. A. Kelly (1955) como en sus continuas actualizaciones, esta técnica pretende captar la forma en que una persona da sentido a su experiencia en sus propios términos. No se trata, por tanto, de un test convencional, sino de una forma de entrevista estructurada orientada a explicitar y analizar los constructos con los que la persona organiza su mundo. De la entrevista se genera una matriz de datos que se somete a varios análisis para revelar su estructura implícita. El programa RECORD ofrece los resultados de una forma clara y proporciona además una serie de gráficos de fácil interpretación. Todo ello permite dibujar la estructura del mapa cognitivo del sujeto desde su propia semántica, culminando así, con rigor metodológico, una vieja aspiración fenomenológica. Se trata de un instrumento muy 'flexible que puede adaptarse a diversas áreas de aplicación: evaluación individual, grupal, familiar y de pareja, intervención psicoeducativa, asesoramiento vocacional, investigación de mercados, asesoramiento empresarial, investigación terapéutica, estudio de la estructura cognitiva de la personalidad, etc.

Manual de la técnica de rejilla mediante el programa RECORD ver. 2.0: Capítulos I (introducció), II (Etapa de diseño) y III (Fase de administración)

La técnica de rejilla es un instrumento de evaluación de las dimensiones y estructura del significado personal que se deriva de la teoría de los constructos personales. Tanto en la versión original de G. A. Kelly (1955) como en sus continuas actualizaciones, esta técnica pretende captar la forma en que una persona da sentido a su experiencia en sus propios términos. No se trata, por tanto, de un test convencional, sino de una forma de entrevista estructurada orientada a explicitar y analizar los constructos con los que la persona organiza su mundo. De la entrevista se genera una matriz de datos que se somete a varios análisis para revelar su estructura implícita. El programa RECORD ofrece los resultados de una forma clara y proporciona además una serie de gráficos de fácil interpretación. Todo ello permite dibujar la estructura del mapa cognitivo del sujeto desde su propia semántica, culminando así, con rigor metodológico, una vieja aspiración fenomenológica. Se trata de un instrumento muy 'flexible que puede adaptarse a diversas áreas de aplicación: evaluación individual, grupal, familiar y de pareja, intervención psicoeducativa, asesoramiento vocacional, investigación de mercados, asesoramiento empresarial, investigación terapéutica, estudio de la estructura cognitiva de la personalidad, etc.

Disparities in work, risk and health between immigrants and native-born Spaniards

We analyse the impact of working and contractual conditions, particularly exposure to job risks, on the probability of acquiring a permanent disability, controlling for other personal and firm characteristics. We postulate a model in which this impact is mediated by the choice of occupation, with a level of risk associated with it. We assume this choice is endogenous, and that it depends on preferences and opportunities in the labour market, both of which may differ between immigrants and natives. To test this hypothesis we apply a bivariate probit model to data for 2006 from the Continuous Sample of Working Lives provided by the Spanish Social Security system, containing records for over a million workers. We find that risk exposure increases the probability of permanent disability arising from any cause - by almost 5%.

Manual de la técnica de rejilla mediante el programa RECORD ver. 2.0: Capítulos I (introducció), II (Etapa de diseño) y III (Fase de administración)

La técnica de rejilla es un instrumento de evaluación de las dimensiones y estructura del significado personal que se deriva de la teoría de los constructos personales. Tanto en la versión original de G. A. Kelly (1955) como en sus continuas actualizaciones, esta técnica pretende captar la forma en que una persona da sentido a su experiencia en sus propios términos. No se trata, por tanto, de un test convencional, sino de una forma de entrevista estructurada orientada a explicitar y analizar los constructos con los que la persona organiza su mundo. De la entrevista se genera una matriz de datos que se somete a varios análisis para revelar su estructura implícita. El programa RECORD ofrece los resultados de una forma clara y proporciona además una serie de gráficos de fácil interpretación. Todo ello permite dibujar la estructura del mapa cognitivo del sujeto desde su propia semántica, culminando así, con rigor metodológico, una vieja aspiración fenomenológica. Se trata de un instrumento muy 'flexible que puede adaptarse a diversas áreas de aplicación: evaluación individual, grupal, familiar y de pareja, intervención psicoeducativa, asesoramiento vocacional, investigación de mercados, asesoramiento empresarial, investigación terapéutica, estudio de la estructura cognitiva de la personalidad, etc.

Manual de la técnica de rejilla mediante el programa RECORD ver. 2.0: Capítulos I (introducció), II (Etapa de diseño) y III (Fase de administración)

La técnica de rejilla es un instrumento de evaluación de las dimensiones y estructura del significado personal que se deriva de la teoría de los constructos personales. Tanto en la versión original de G. A. Kelly (1955) como en sus continuas actualizaciones, esta técnica pretende captar la forma en que una persona da sentido a su experiencia en sus propios términos. No se trata, por tanto, de un test convencional, sino de una forma de entrevista estructurada orientada a explicitar y analizar los constructos con los que la persona organiza su mundo. De la entrevista se genera una matriz de datos que se somete a varios análisis para revelar su estructura implícita. El programa RECORD ofrece los resultados de una forma clara y proporciona además una serie de gráficos de fácil interpretación. Todo ello permite dibujar la estructura del mapa cognitivo del sujeto desde su propia semántica, culminando así, con rigor metodológico, una vieja aspiración fenomenológica. Se trata de un instrumento muy 'flexible que puede adaptarse a diversas áreas de aplicación: evaluación individual, grupal, familiar y de pareja, intervención psicoeducativa, asesoramiento vocacional, investigación de mercados, asesoramiento empresarial, investigación terapéutica, estudio de la estructura cognitiva de la personalidad, etc.

Assessing positive mental health in people with chronic physical health problems: correlations with socio-demographic variables and physical health status

Background: A holistic perspective on health implies giving careful consideration to the relationship between physical and mental health. In this regard the present study sought to determine the level of Positive Mental Health (PMH) among people with chronic physical health problems, and to examine the relationship between the observed levels of PMH and both physical health status and socio-demographic variables. Methods: The study was based on the Multifactor Model of Positive Mental Health (Lluch, 1999), which comprises six factors: Personal Satisfaction (F1), Prosocial Attitude (F2), Self-control (F3), Autonomy (F4), Problem-solving and Self-actualization (F5), and Interpersonal Relationship Skills (F6). The sample comprised 259 adults with chronic physical health problems who were recruited through a primary care center in the province of Barcelona (Spain). Positive mental health was assessed by means of the Positive Mental Health Questionnaire (Lluch, 1999). Results: Levels of PMH differed, either on the global scale or on specific factors, in relation to the following variables: age: global PMH scores decreased with age (r=-0.129; p=0.038); b) gender: men scored higher on F1 (t=2.203; p=0.028) and F4 (t=3.182; p=0.002), while women scored higher on F2 (t -3.086; p=0.002) and F6 (t=-2.744; p=0.007); c) number of health conditions: the fewer the number of health problems the higher the PMH score on F5 (r=-0.146; p=0.019); d) daily medication: polymedication patients had lower PMH scores, both globally and on various factors; e) use of analgesics: occasional use of painkillers was associated with higher PMH scores on F1 (t=-2.811; p=0.006). There were no significant differences in global PMH scores according to the type of chronic health condition. The only significant difference in the analysis by factors was that patients with hypertension obtained lower PMH scores on the factor Autonomy (t=2.165; p=0.032). Conclusions: Most people with chronic physical health problems have medium or high levels of PMH. The variables that adversely affect PMH are old age, polypharmacy and frequent consumption of analgesics. The type of health problem does not influence the levels of PMH. Much more extensive studies with samples without chronic pathology are now required in order to be able to draw more robust conclusions.

Stress, coping and personal strengths and difficulties in internationally adopted children in spain

This study analyses the types of coping strategies used by internationally adopted children, and explores the relation between these strategies and personal strengths and difficulties. The Kidcope checklist (Spirito, Stark, & Williams, 1998) and the Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997) were administered to a sample of 35 Spanish adoptees (25.7% boys and 74.3% girls, aged 8-12 years) and their parents. Self-reported problems were categorised and their relation with coping strategies and psychological adjustment was explored. Results indicated that adopted children report problems of interpersonal nature. The content of the problems mainly refers to relationships and health, illness, or accidents. Parents reported that children were generally well-adjusted and they had no problems outside the normal range. International adoptees used mainly control-oriented coping strategies. Escape-oriented coping was linked to parents' ratings of total difficulties, with self-criticism accounting for the highest percentage of the variance.

Características de la conducta de fumar en función de la fase de abandono en una muestra de personal de la Universidad de Girona

Objetivos: Determinar la prevalencia y las características de la conductade fumar y la distribución por estadios de abandono del tabaquismoentre el personal de la Universidad de Girona.Pacientes y método: Se diseñó un estudio descriptivo transversal.Para ello se realizó una entrevista sobre la conducta de fumar a una muestrarepresentativa de los 941 miembros del personal de la Universidadde Girona en el segundo semestre de 1999.Resultados: De los 281 participantes en el estudio, 77 (27,4%) eranfumadores, 67 (23,9%) exfumadores y 137 (48,7%) no fumadores. PorFacultades, la mayor prevalencia de fumadores se encontró en: Letras:38,9%; Ciencias de la Educación: 31% y Enfermería: 28,3%. La distribuciónde los sujetos por etapas de abandono fue la siguiente: precontemplación:36,8%; contemplación: 13,2%; preparación: 3,5%; acción:3,5% y mantenimiento: 43%. El consumo de tabaco light fue del49,1% en precontemplación, 47,1% en contemplación y 33,3% en preparación.Respondieron haber recibido consejo médico para dejar de fumar:precontemplación: 35,8%; contemplación: 52,6%, preparación:60%, acción: 20% y mantenimiento: 24,2%.Conclusiones: 1. Las Facultades relacionadas con el ámbito de lasalud, Ciencias de la Educación y Enfermería son, junto con las de Letraslas que presentan mayor consumo de tabaco. 2. Los fumadores en precontemplación,en comparación con los sujetos en contemplación y preparación,informan con mayor frecuencia de consumir tabaco bajo ennicotina y de no haber recibido consejo médico