How do primary health care teams learn to integrate intimate partner violence (IPV) management? A realist evaluation protocol

Background: Despite the existence of ample literature dealing, on the one hand, with the integration of innovations within health systems and team learning, and, on the other hand, with different aspects of the detection and management of intimate partner violence (IPV) within healthcare facilities, research that explores how health innovations that go beyond biomedical issues—such as IPV management—get integrated into health systems, and that focuses on healthcare teams’ learning processes is, to the best of our knowledge, very scarce if not absent. This realist evaluation protocol aims to ascertain: why, how, and under what circumstances primary healthcare teams engage (if at all) in a learning process to integrate IPV management in their practices; and why, how, and under what circumstances team learning processes lead to the development of organizational culture and values regarding IPV management, and the delivery of IPV management services. Methods: This study will be conducted in Spain using a multiple-case study design. Data will be collected from selected cases (primary healthcare teams) through different methods: individual and group interviews, routinely collected statistical data, documentary review, and observation. Cases will be purposively selected in order to enable testing the initial middle-range theory (MRT). After in-depth exploration of a limited number of cases, additional cases will be chosen for their ability to contribute to refining the emerging MRT to explain how primary healthcare learn to integrate intimate partner violence management. Discussion: Evaluations of health sector responses to IPV are scarce, and even fewer focus on why, how, and when the healthcare services integrate IPV management. There is a consensus that healthcare professionals and healthcare teams play a key role in this integration, and that training is important in order to realize changes. However, little is known about team learning of IPV management, both in terms of how to trigger such learning and how team learning is connected with changes in organizational culture and values, and in service delivery. This realist evaluation protocol aims to contribute to this knowledge by conducting this project in a country, Spain, where great endeavours have been made towards the integration of IPV management within the health system.

Red de seguimiento del grado en Geología (Facultad de Ciencias, UA)

Con el comienzo del cuarto y último curso del grado en Geología en el año académico 2013-14 y en el marco del programa de Redes de Investigación en Docencia Universitaria de la Universidad de Alicante, en la Facultad de Ciencias se ha constituido una red de trabajo formada por los profesores coordinadores de semestre del Grado en Geología, que tiene como principal objetivo favorecer, tanto el buen funcionamiento del título, como la gestión interna del seguimiento del mismo. Se persigue pues detectar posibles deficiencias en la implementación del título, proponiendo recomendaciones y sugerencias de mejora, así como evidenciar los progresos del título en el desarrollo del Sistema de Garantía Interno de Calidad (SGIC), tanto en lo relativo a la revisión de la aplicación del plan de estudios, como a la propuesta de acciones para mejorar su diseño e implantación. El método de trabajo se ha basado en reuniones en las que los miembros de la red han planteado y debatido los parámetros e indicadores de seguimiento de la red.

Diseño de la asignatura Trabajo Fin de Grado en Geología (Facultad de Ciencias, UA)

Con la implantación en el año académico 2013-14 del cuarto y último curso del grado en Geología en la Universidad de Alicante, se ha implementado la asignatura obligatoria de Trabajo Fin de Grado en Geología (TFGG) con el objetivo de que el estudiante demuestre las competencias adquiridas durante sus estudios de geología, tanto las específicas de la titulación, como las competencias generales o transversales, tal como son las ligadas a la búsqueda y organización de documentación, a la redacción clara y concisa de una memoria escrita que recoja un trabajo original del alumno y a la presentación en público de su trabajo de manera clara y adecuada. Siguiendo las directrices que se establecen, tanto en la Facultad de Ciencias, como en la Universidad de Alicante se ha diseñado una asignatura Trabajo Fin de Grado con varias modalidades o líneas de actividad docente. Se ha constituido una Comisión de Trabajo de Fin de Grado en Geología (CTFGG) con el propósito principal de organizar y supervisar la asignación, seguimiento y evaluación de los trabajos.

Shear wave velocity estimation in the metropolitan area of Málaga (S Spain)

We carry out a seismic noise study based on array measurements at three sites in the Málaga basin, South Spain, for the further estimation of shear wave velocity profiles. For this purpose, we use both the H/V method and the f–k technique in order to characterize the different materials present in the zone, i.e., Quaternary sediments and Pliocene sedimentary rocks above the bedrock. The H/V analysis shows frequency peaks going from 1 Hz, in areas close to the border of the basin, to 0.3 Hz in places located toward the center of the formation. The f–k analysis allows obtaining the dispersion curves associated with each site and subsequently, estimating the Vs profiles by inversion of the respective group velocities. In this way, the basin basement can be characterized by S-wave velocities greater than 2000 m/s. Regarding the basin fill, it is divided into three layers defined by different wave velocity intervals. The shallowest one is featured by velocities ranging from 150 to 400 m/s and comprises the Quaternary sediments, while velocities going from 550–700 to1200–1600 m/s characterize the two underlying layers composed by Pliocene sediments. Finally, the information provided by the three Vs profiles is integrated in a 2D cross-section of the basin to have a spatial view of its sedimentary structure. The results obtained here, in addition to providing useful information about the infill of the basin near the metropolitan area of Málaga, will be very helpful for future seismic zonation studies in the region.

Historia geológica del valle de la Vega Baja del Segura

La Vega Baja tiene un significado geológico y geomorfológico muy distinto al que fue utilizado en su día para establecer los límites de su comarca. La Vega Baja “geológica” ocupa tan sólo un tercio de la comarca limitándose al cauce del río Segura, es decir, a su canal principal y a su llanura de inundación. La Vega Baja tiene una historia geológica muy interesante ligada a la evolución del río Segura, a las bajadas y subidas del nivel del mar Mediterráneo a lo largo del Cuaternario y a la actividad de varias fallas activas. En este capítulo explicamos esta historia geológica que comienza en el Mioceno Superior (hace aproximadamente 8 millones de años), cuando el Mediterráneo inundaba casi toda la comarca. Durante este tiempo la región se ha levantado progresivamente debido a la actividad tectónica, y todavía continúa haciéndolo en la actualidad, como lo atestigua su destacada actividad sísmica. Una de las singularidades del valle fluvial del río Segura es que existe una capa superficial de varias decenas de metros de espesor de sedimentos muy poco consolidados, horizontales, y que le confieren a la Vega Baja su topografía tan suave, prácticamente llana, con pendientes de menos de un grado, que disminuyen suavemente de altitud desde los escasos 20 m cerca de Orihuela hasta la desembocadura en Guardamar del Segura. En esta historia geológica no hay que olvidar el papel destacado que han representado las subidas y bajadas del nivel del mar durante al Cuaternario ligadas a la alternancia de periodos glaciares e interglaciares, que modificaron la posición de la línea de costa. El último de estos ascensos del nivel del mar hizo que la Vega Baja estuviese ocupada por el llamado Sinus Ilicitanus. Además de la evolución geológica que describe cómo se formó el actual valle fluvial del río Segura y su cauce, este capítulo incluye dos apartados finales sobre los terremotos y las aguas subterráneas.

Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study

Background: Despite the progress made on policies and programmes to strengthen primary health care teams’ response to Intimate Partner Violence, the literature shows that encounters between women exposed to IPV and health-care providers are not always satisfactory, and a number of barriers that prevent individual health-care providers from responding to IPV have been identified. We carried out a realist case study, for which we developed and tested a programme theory that seeks to explain how, why and under which circumstances a primary health care team in Spain learned to respond to IPV. Methods: A realist case study design was chosen to allow for an in-depth exploration of the linkages between context, intervention, mechanisms and outcomes as they happen in their natural setting. The first author collected data at the primary health care center La Virgen (pseudonym) through the review of documents, observation and interviews with health systems’ managers, team members, women patients, and members of external services. The quality of the IPV case management was assessed with the PREMIS tool. Results: This study found that the health care team at La Virgen has managed 1) to engage a number of staff members in actively responding to IPV, 2) to establish good coordination, mutual support and continuous learning processes related to IPV, 3) to establish adequate internal referrals within La Virgen, and 4) to establish good coordination and referral systems with other services. Team and individual level factors have triggered the capacity and interest in creating spaces for team leaning, team work and therapeutic responses to IPV in La Virgen, although individual motivation strongly affected this mechanism. Regional interventions did not trigger individual and/ or team responses but legitimated the workings of motivated professionals. Conclusions: The primary health care team of La Virgen is involved in a continuous learning process, even as participation in the process varies between professionals. This process has been supported, but not caused, by a favourable policy for integration of a health care response to IPV. Specific contextual factors of La Virgen facilitated the uptake of the policy. To some extent, the performance of La Virgen has the potential to shape the IPV learning processes of other primary health care teams in Murcia.

Grado en Geología de la Universidad de Alicante (2010-2014). Red de seguimiento

Con el comienzo del cuarto y último curso del grado en Geología en 2013-14, en la Facultad de Ciencias de la Universidad de Alicante se constituyó una red de seguimiento formada por todos los profesores coordinadores de semestre del citado grado. Esta red se enmarca en el programa de Redes de Investigación en Docencia Universitaria que la Universidad de Alicante ha implementado desde la implantación de los títulos de grado. El objetivo principal de esta red docente se ha centrado en realizar un seguimiento de la titulación en el marco de Sistema de Garantía Interno de Calidad (SGIC) y en desarrollar herramientas que favorezcan, tanto el buen funcionamiento del título, como la gestión interna del seguimiento del mismo. El método de trabajo se ha basado en reuniones en las que los miembros de la red han planteado y debatido los parámetros e indicadores de seguimiento de la red. Esta red ha trabajado conjuntamente con otras comisiones de la titulación como la Comisión del Grado en Geología (CGG), la Comisión de Trabajo de Fin de Grado en Geología (CTFGG) o la Comisión de Garantía de Calidad de la Facultad de Ciencias (CGCFC).

Seismically-induced landslides by a low-magnitude earthquake: The Mw 4.7 Ossa De Montiel event (central Spain)

The Ossa de Montiel (2015/02/23, Mw 4.7) earthquake struck the central part of Spain and was felt far from the epicenter (> 300 km). Even though ground shaking was slight (Imax = V, EMS-98 scale), the earthquake triggered many small rock falls, most at distances of 20–30 km from the epicenter, greater than previously recorded in S Spain (16 km) for earthquakes of similar magnitudes. The comparative analysis of available data for this event with records from other quakes of the Betic cordillera (S and SE Spain) seems to indicate a slower pattern of ground-motion attenuation in central Spain. This could explain why slope instabilities occurred at larger distances. Instability was more frequent, and occurred at larger distances, in road cuts than in natural slopes, implying that such slope types are highly susceptible to seismically induced landslides.

Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches

Background. Health care professionals, especially those working in primary health-care services, can play a key role in preventing and responding to intimate partner violence. However, there are huge variations in the way health care professionals and primary health care teams respond to intimate partner violence. In this study we tested a previously developed programme theory on 15 primary health care center teams located in four different Spanish regions: Murcia, C Valenciana, Castilla-León and Cantabria. The aim was to identify the key combinations of contextual factors and mechanisms that trigger a good primary health care center team response to intimate partner violence. Methods. A multiple case-study design was used. Qualitative and quantitative information was collected from each of the 15 centers (cases). In order to handle the large amount of information without losing familiarity with each case, qualitative comparative analysis was undertaken. Conditions (context and mechanisms) and outcomes, were identified and assessed for each of the 15 cases, and solution formulae were calculated using qualitative comparative analysis software. Results. The emerging programme theory highlighted the importance of the combination of each team’s self-efficacy, perceived preparation and women-centredness in generating a good team response to intimate partner violence. The use of the protocol and accumulated experience in primary health care were the most relevant contextual/intervention conditions to trigger a good response. However in order to achieve this, they must be combined with other conditions, such as an enabling team climate, having a champion social worker and having staff with training in intimate partner violence. Conclusions. Interventions to improve primary health care teams’ response to intimate partner violence should focus on strengthening team’s self-efficacy, perceived preparation and the implementation of a woman-centred approach. The use of the protocol combined with a large working experience in primary health care, and other factors such as training, a good team climate, and having a champion social worker on the team, also played a key role. Measures to sustain such interventions and promote these contextual factors should be encouraged.

Seguimiento del Grado en Geología (Facultad de Ciencias, Universidad de Alicante, curso 2015-16)

La Facultad de Ciencias de la Universidad de Alicante ha constituido una red de trabajo formada por los profesores coordinadores de semestre del Grado en Geología, así como por los coordinadores responsables de la titulación. Los objetivos de esta red son: Asegurar la ejecución efectiva de las enseñanzas conforme al contenido del plan de estudios del título verificado; detectar posibles deficiencias en su implementación, proponiendo recomendaciones y sugerencias de mejora; y evidenciar los progresos en el desarrollo del Sistema de Garantía Interno de Calidad (SGIC) tanto en lo relativo a la revisión de la aplicación del plan de estudios como a la propuesta de acciones para mejorar su diseño en la implantación. El método de trabajo se basa en reuniones en las que los miembros de la red plantearán y debatirán los parámetros e indicadores de seguimiento de la red. Cada coordinador llevará a cabo una investigación individualizada del semestre del que es responsable en coordinación con los miembros de su comisión. Asimismo, se participará en la elaboración de los informes de autoevaluación del título.

Using realist evaluation to assess primary healthcare teams’ responses to intimate partner violence in Spain

Objective: Few evaluations have assessed the factors triggering an adequate health care response to intimate partner violence. This article aimed to: 1) describe a realist evaluation carried out in Spain to ascertain why, how and under what circumstances primary health care teams respond to intimate partner violence, and 2) discuss the strengths and challenges of its application. Methods: We carried out a series of case studies in four steps. First, we developed an initial programme theory (PT1), based on interviews with managers. Second, we refined PT1 into PT2 by testing it in a primary healthcare team that was actively responding to violence. Third, we tested the refined PT2 by incorporating three other cases located in the same region. Qualitative and quantitative data were collected and thick descriptions were produced and analysed using a retroduction approach. Fourth, we analysed a total of 15 cases, and identified combinations of contextual factors and mechanisms that triggered an adequate response to violence by using qualitative comparative analysis. Results: There were several key mechanisms —the teams’ self-efficacy, perceived preparation, women-centred care—, and contextual factors —an enabling team environment and managerial style, the presence of motivated professionals, the use of the protocol and accumulated experience in primary health care—that should be considered to develop adequate primary health-care responses to violence. Conclusion: The full application of this realist evaluation was demanding, but also well suited to explore a complex intervention reflecting the situation in natural settings.

Seguimiento del Grado en Geología (Facultad de Ciencias, UA)

La red de trabajo formada por los profesores coordinadores de semestre y de titulación del Grado en Geología (Facultad de Ciencias, Universidad de Alicante) ha tenido como objetivos principales: afianzar la implementación de las enseñanzas conforme al contenido del plan de estudios del título verificado; elaborar planes de mejora para solventar las posibles deficiencias detectadas y colaborar con los instrumentos del Sistema de Garantía Interno de Calidad (SGIC) del centro en la elaboración de los informes de autoevaluación del título. El método de trabajo se basa en reuniones en las que los miembros de la red plantearán y debatirán los parámetros e indicadores de seguimiento de la red, en la que cada investigador (coordinador) aporta una investigación individualizada del semestre del que es responsable. Ante la inminente acreditación del título el próximo curso, buena parte de las tareas se han enfocado a colaborar en los informes de auto-evaluación del título y en los planes de mejora.

Environmental Degradation, Climate Change and Migration: from Research to Policy-Making. IES Policy Brief Issue 2013/08/September 2013

Summary. In recent months, the migratory impacts of environmental degradation and climate change have gained increased worldwide attention. In response to the publication of the EC Staff Working Document on Climate Change, Environmental Degradation and Migration, this policy brief critically outlines current themes and issues that surround this global phenomenon, specifically the findings of current international research which frame the discussions on terminology and current legal, political and institutional conceptual debates. Several proposals were put forward during a Policy Forum in January 2013. Firstly, there is a need for tailored and actionable research outputs that take into account political pressures and realities on the ground. Secondly, migration and climate policies would be clearly boosted through the elaboration of a common policy-oriented research agenda of which elements were put forward at the event. Finally, efficient communication tools and channels could be developed to transfer research findings to policy-makers.