Guillermo A. Cañadas‐De la Fuente

Universidad de Granada

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José Luis Gómez‐Urquiza

Universidad de Granada

Luis Albendín‐Garcia

Andalusian Health Service

Nora Suleiman‐Martos

Universidad de Granada

Emilia I. De la Fuente‐Solana

Universidad de Granada

Gustavo R. Cañadas

Universidad de Granada

José L. Romero‐Béjar

Instituto de Investigación Biosanitaria de Granada

Rafael Fernández Castillo

Universidad de Granada

Almudena Velando‐Soriano

Andalusian Health Service

Elena Ortega‐Campos

University of Almería

María José Membrive‐Jiménez

Universidad de Granada

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Universidad de Granada

Instituto de Investigación Biosanitaria de Granada

Andalusian Health Service

Hospital Universitario Virgen de las Nieves

Junta de Andalucía

Universidad de Málaga

Universidad de Jaén

Universidad de Oviedo

Parque Tecnológico de la Salud

Universidad de Sevilla

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SÍNDROME DE BURNOUT EN PROFESIONALES DE ENFERMERÍA QUE REALIZAN JORNADA FÍSICA COMPLEMENTARIA EN SERVICIOS DE CUIDADOS CRÍTICOS Y URGENCIAS

DOAJ (DOAJ: Directory of Open Access Journals) (2016)

Guillermo A. Cañadas‐De la Fuente Luis Albendín‐Garcia E. Inmaculada De La Fuente Concepción San Luis Costas José Luis Gómez‐Urquiza

espanolRESUMEN Fundamentos: El sindrome de burnout es un trastorno que afecta a las personas que lo padecen, a las instituciones en las que estas prestan servicio y a la calidad de los cuidados a los pacientes. El objetivo fue estudiar los niveles de sindrome de burnout en los profesionales de enfermeria de urgencias con jornada fisica complementaria y conocer su relacion con caracteristicas de personalidad y realizacion de jornada fisica complementaria y conocer su relacion con caracteristicas de personalidad de los profesionales de enfermeria. Metodos: Estudio transversal multicentrico con una muestra de 1.225 profesionales de enfermeria de urgencias del Servicio Andaluz de Salud. Se recogieron variables sociodemograficas, psicologicas y laborales. El sindrome de burnout fue evaluado mediante el Maslach Burnout Inventory y los factores de personalidad a traves del NEO-Five Factor Inventory. Se realizaron analisis descriptivos de las variables, contrastes de hipotesis de dos medias independientes y analisis bayesianos. Resultados: El 44,1% de los profesionales de enfermeria que realizaban jornada fisica complementaria presentaban sindrome de burnout alto frente a un 38% de los que no tenian dicha sobrecarga. Respecto a las dimensiones del burnout se mantenian estas diferencias, especialmente en las dimensiones cansancio emocional (15,3% frente a 10,8%) y despersonalizacion (17,9% frente a 11,8%). Conclusiones: La realizacion de jornada fisica complementaria parece afectar negativamente a los profesionales de enfermeria de urgencias y podria favorecer en ellos el desarrollo del sindrome de burnout. EnglishABSTRACT Background: Burnout syndrome is a disorder that seriously affects people who suffer it, the institutions in which they work and the quality of healthcare. It is of great interest to advance in burnout research for its possible prevention. The aim of this work was to study the levels of burnout syndrome in nurses of emergency department with overtime workdays and to know the relationship between burnout and personality characteristics. Methods: Multicenter cross-sectional study with a sample of 1225 emergency nurses from the Andalusian Health Service. Demographic, social and occupational variables were recorded. Burnout was assessed with Maslach Burnout Inventory and personality factors with NEO-Five Factor Inventory. Descriptive analysis of the variables, independent means hypothesis contrast and bayesian analysis were done. Results: 44.1% of nurses who perform overtime workdays had high burnout versus a 38% for those without such overload. These differences have been also found in burnout dimensions, especially in emotional exhaustion (15.3% versus 10.8%) and depersonalization (17.9% versus 11.8%). Conclusions: Overtime workdays performed by emergency nurses seems to have a negative on them and it could also influence the development of burnout syndrome.

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IBD and Motherhood: A Journey Through Conception, Pregnancy, and Beyond.

Antonio M.� Caballero-Mateos Miguel Quesada-Caballero Guillermo A. Cañadas‐De la Fuente Alberto Caballero-Vázquez Francisco Contreras‐Chova

Inflammatory Bowel Disease (IBD) presents distinct challenges during pregnancy due to its influence on maternal health and pregnancy outcomes. This literature review aims to dissect the existing scientific evidence on pregnancy in women with IBD and provide evidence-based recommendations for clinical management. A comprehensive search was conducted across scientific databases, selecting clinical studies, systematic reviews, and other pertinent resources. Numerous studies have underscored an increased risk of complications during pregnancy for women with IBD, including preterm birth, low birth weight, neonates small for gestational age, and congenital malformations. Nevertheless, it's evident that proactive disease management before and throughout pregnancy can mitigate these risks. Continuation of IBD treatment during pregnancy and breastfeeding is deemed safe with agents like thiopurines, anti-TNF, vedolizumab, or ustekinumab. However, there's a call for caution when combining treatments due to the heightened risk of severe infections in the first year of life. For small molecules, their use is advised against in both scenarios. Effective disease management, minimizing disease activity, and interdisciplinary care are pivotal in attending to women with IBD. The emphasis is placed on the continual assessment of maternal and infant outcomes and an expressed need for further research to enhance the understanding of the ties between IBD and adverse pregnancy outcomes.

Vedolizumab

Ustekinumab

10.20944/preprints202308.1825.v1

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Smartphones and Apps to Control Glycosylated Hemoglobin (HbA1c) Level in Diabetes: A Systematic Review and Meta-Analysis

Journal of Clinical Medicine (2020)

María Begoña Martos-Cabrera Almudena Velando‐Soriano Laura Pradas‐Hernández Nora Suleiman‐Martos Guillermo A. Cañadas‐De la Fuente

Introduction: Diabetes mellitus is a chronic endocrine-metabolic disease, the evolution of which is closely related to people’s self-control of glycemic levels through nutrition, exercise, and medicines. Aim: To determine whether smartphone apps can help persons with diabetes to improve their % levels of glycosylated hemoglobin. Method: A systematic review and meta-analysis were done. ProQuest, Pubmed/Medline, and Scopus databases were used. The search equation used was “(Prevention and Control) AND Diabetes Mellitus AND Smartphones”. The inclusion criteria applied were clinical trials, conducted in 2014–2019. Results: n = 18 studies were included in the review. The studies tried different applications to monitor glycemia and support patients to improve glycosylated hemoglobin (HbA1c) levels. More than half of the studies found statistically significant differences in HbA1c in the intervention group compared with the control group. Eleven studies were included in the meta-analysis and the study sample was n = 545 for the experimental group and n = 454 for the control group. The meta-analytic estimation of the HbA1c % level means differences between intervention and control group was statistically significant in favour of the intervention group with a mean difference of –0.37 (–0.58, –0.15. 95% confidence interval). Conclusion: Smartphone apps can help people with diabetes to improve their level of HbA1c, but the clinical impact is low.

10.3390/jcm9030693

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Prevalence of burnout syndrome in oncology nursing: A meta‐analytic study

Psycho-Oncology (2018)

Guillermo A. Cañadas‐De la Fuente José Luis Gómez‐Urquiza Elena Ortega‐Campos Gustavo R. Cañadas Luis Albendín‐Garcia

Abstract Objective To determine the prevalence of high levels of emotional exhaustion and depersonalization and low personal accomplishment in nursing professionals in oncology services. Methods A meta‐analytical study was performed. The search was carried out in March 2017 in Pubmed, CINAHL, Scopus, Scielo, Proquest, CUIDEN, and LILACS databases. Studies using Maslach Burnout Inventory for the assessment of burnout were included. Results The total sample of oncology nurses was n = 9959. The total number of included studies was n = 17, with n = 21 samples for the meta‐analysis of emotional exhaustion and n = 18 for depersonalization and low personal accomplishment. The prevalence of emotional exhaustion and of depersonalization was 30% (95% CI = 26%–33%) and 15% (95% CI = 9%–23%), respectively, and that of low personal performance was 35% (95% CI = 27%–43%). Conclusions The are many oncology nurses with emotional exhaustion and low levels of personal accomplishment. The presence and the risk of burnout among these staff members are considerable.

CINAHL

Burnout Syndrome

10.1002/pon.4632

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Gender, Marital Status, and Children as Risk Factors for Burnout in Nurses: A Meta-Analytic Study

International Journal of Environmental Research and Public Health (2018)

Guillermo A. Cañadas‐De la Fuente Elena Martín Ortega Lucía Ramírez‐Baena Emilia I. De la Fuente‐Solana Cristina Vargas

The correlation between the burnout syndrome and sociodemographic variables in nursing professionals has been widely studied though research results are contradictory. The aim of this study was to assess the impact of gender, marital status, and children on the dimensions of the burnout syndrome (emotional exhaustion, depersonalization, and personal accomplishment) in nursing professionals, as measured with the Maslach Burnout Inventory. The search was performed in May 2018 in the next databases: CINAHL, CUIDEN, Dialnet, Psicodoc, ProQuest Platform, OVID Platform, and Scopus with the search equation (“Maslach Burnout Inventory” OR “MBI”) AND “nurs*”, without using any search restriction. The sample was n = 78 studies: 57 studies for gender; 32 for marital status; 13 for having children. A statistically significant relation between depersonalization and gender (r = 0.078), marital status (r = 0.047), and children (r = 0.053) was found. A significant relation was also found between emotional exhaustion and children (r = 0.048). The results showed that being male, being single or divorced, and not having children were related to the highest levels of burnout in nurses. Moreover, these relations could be accentuated by the influence of moderator variables (age, seniority, job satisfaction, etc.), which, in combination with the previously mentioned significant relations, should be evaluated in the design burnout risk profiles for nursing professionals.

CINAHL

Marital status

Occupational Burnout

Moderation

Burnout Syndrome

10.3390/ijerph15102102

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La cafeína en el ámbito deportivo

C. Martí García Emilio González Jiménez María Encarnación Aguilar‐Ferrándiz Rafael Fernández Castillo Luis Albendín‐Garcia

La cafeina es una sustancia alcaloide del grupo de las xantinas que actua como una droga psicoactiva y estimulante, suele encontrarse en semillas, hojas y los frutos de algunas plantas, y su principal efecto es ejercido sobre el sistema nervioso central (SNC). Desde el mundo del deporte, la cafeina se ha considerado como un suplemento para el atleta, ya que mejora su rendimiento deportivo. Tal efecto ha sido demostrado por diversos estudios aplicados por ejemplo a deportes de equipo como el futbol y el rugby o de alta intensidad, que se caracterizan por una actividad intermitente y duracion prolongada. Teniendo en cuenta que la cafeina tiene propiedades ergogenicas en ejercicios de resistencia y que se ha demostrado que puede aumentar la vigilancia durante episodios de ejercicio exhaustivo prolongado, asi como en periodos de privacion de sueno sostenido, su uso se ha generalizado tanto en deportistas de elite como en aficionados. De hecho, hay quien no solo busca un mejor rendimiento o, acelerar de la quema de grasas, como en el caso de muchas mujeres, sino que ve a la cafeina como un aliado para combatir el cansancio y combinar asi la actividad fisica y los excesos del trasnoche. Este uso �inadecuado� puede dar lugar a efectos no deseados. Por ello hay que plantearse si la cafeina constituye o no una ayuda como suplemento por su potencial efecto ergogenico en el desarrollo de determinadas actividades de resistencia. El objetivo de este trabajo ha sido proporcionar una revision amplia y precisa acerca de la evidencia cientifica existente por el momento en torno al papel de la cafeina en la mejora del rendimiento fisico del deportista y las implicaciones de un uso indebido.

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Efecto de un programa de capacitación en competencias de investigación en estudiantes de ciencias de la salud

Enfermería Global (2016)

César Hueso‐Montoro María Encarnación Aguilar‐Ferrándiz J. Cambil Martín Olga García‐Martínez María Fernanda Serrano Guzmán

<p>El Espacio Europeo de Educación Superior implica un cambio en la formación universitaria de Ciencias de la Salud en España. El sistema universitario debe promover desde el grado la adquisición de competencias básicas en investigación, como la gestión de información y la comunicación científica. Este artículo presenta los hallazgos de un estudio cuyo objetivo fue evaluar el nivel de eficacia y satisfacción de un programa de capacitación educativa en competencias de investigación dirigido a estudiantes de Ciencias de la Salud. Se diseñó un estudio cuasiexperimental en el que participaron ciento ocho estudiantes de grado de Fisioterapia, Terapia ocupacional y Enfermería. En una primera fase se detectaron las necesidades educativas en competencias de investigación a través de un cuestionario; a continuación se implementó un programa de capacitación semipresencial y se evaluó el efecto alcanzado en las necesidades antes detectadas. Este programa mejoró significativamente la percepción de los participantes en relación a su conocimiento y habilidad en competencias de investigación. Del mismo modo, las destrezas cognitivas y prácticas mejoraron considerablemente tras el programa. Estos hallazgos evidencian que la puesta en marcha de programas específicos de capacitación en investigación es efectiva para mejorar la adquisición de competencias a este respecto en estudiantes de Ciencias de la Salud.</p>

10.6018/eglobal.15.4.229361

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Razoxane in the treatment of psoriatic patients resistant to or intolerant of PUVA, methotrexate and etretinate

Acta Dermato Venereologica (1982)

A. M. Mom S. Aresca Guillermo A. Cañadas‐De la Fuente V. Pecorini Graciela Pellerano

Thirty-six psoriatic patients resistant to or intolerant to PUVA, methotrexate and/or etretinate were treated with razoxane (ICRF 159) and EDTA derivative with antimitotic effects. The drug is highly effective in cutaneous and arthropathic psoriasis. Razoxane is well tolerated and appears to be free of hepatotoxicity. Besides some nausea and lethargy, 60% of the patients showed neutropenia, which can be easily controlled.

Etretinate

Lethargy

PUVA therapy

10.2340/0001555562357358

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Relación de los indicadores MBI de burnout con variables individuales y del entorno laboral sanitario

Metodología de las ciencias del comportamiento (2004)

Leticia de la Fuente Sánchez Guillermo A. Cañadas‐De la Fuente E. De la Fuente

espanolEl objetivo de este estudio es recabar informacion sobre la prevalencia del sindrome de Bumout y posibles variables moduladoras asociadas con dicho sindrome en profesionales de enfermeria del Hospital Clinico San Cecilia de Granada. Para medir los indicadores de burnout se utiliza la adaptacion espanola del Maslach Bumout Inventory. Los resultados obtenidos indicaron que la mayor parte de los participantes se situan en niveles medios y altos de Cansancio Emocional y Despersonalizacion y medios- bajos de Realizacion personal. Por otra parte, se apuntan como posibles variables moduladoras la edad, el genero y la situacion laboral EnglishThe aim of this study is to get information about both the bumout syndrome and possible moderator variables linked with that syndrome in staff nurses, males and females, at the San Cecilia Clinic Hospital from Granada (Spain). To measure the bumout indicators we have used the Maslach Bumout lnventory Spanish adaptation. The results indicated that most of participants were suited between high and medium levels in Emotional Exhaustion and Despersonalization, while in Personal Achievement they were suited between low and mediurn levels. In the other hand, the variables age, gender and type of work situation were pointed out like possible moderator variables

Moderation

Burnout Syndrome

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[Burnout in Nursing Professionals Performing Overtime Workdays in Emergency and Critical Care Departments. Spain].

PubMed (2016)

Guillermo A. Cañadas‐De la Fuente Luis Albendín‐Garcia E. Inmaculada De La Fuente Concepción San Luis Costas José Luis Gómez‐Urquiza

Burnout syndrome is a disorder that seriously affects people who suffer it, the institutions in which they work and the quality of healthcare. It is of great interest to advance in burnout research for its possible prevention. The aim of this work was to study the levels of burnout syndrome in nurses of emergency department with overtime workdays and to know the relationship between burnout and personality characteristics.Multicenter cross-sectional study with a sample of 1225 emergency nurses from the Andalusian Health Service. Demographic, social and occupational variables were recorded. Burnout was assessed with Maslach Burnout Inventory and personality factors with NEO-Five Factor Inventory. Descriptive analysis of the variables, independent means hypothesis contrast and bayesian analysis were done.44.1% of nurses who perform overtime workdays have high burnout versus a 38% for those without such overload. These differences have been also found in burnout dimensions, especially in emotional exhaustion (15.3% versus 10.8%) and depersonalization (17.9% versus 11.8%).Overtime workdays performed by emergency nurses seems to have a negative on them and it could also influence the development of burnout syndrome.El síndrome de burnout es un trastorno que afecta a las personas que lo padecen, a las instituciones en las que éstas prestan servicio y a la calidad de los cuidados a los pacientes. El objetivo fue estudiar los niveles de síndrome de burnout en los profesionales de enfermería de urgencias con jornada física complementaria y conocer su relación con características de personalidad y realización de jornada física complementaria y conocer su relación con características de personalidad de los profesionales de enfermería.Estudio transversal multicéntrico con una muestra de 1.225 profesionales de enfermería de urgencias del Servicio Andaluz de Salud. Se recogieron variables sociodemográficas, psicológicas y laborales. El síndrome de burnout fue evaluado mediante el Maslach Burnout Inventory y los factores de personalidad a través del NEO-Five Factor Inventory. Se realizaron análisis descriptivos de las variables, contrastes de hipótesis de dos medias independientes y análisis bayesianos.El 44,1% de los profesionales de enfermería que realizaban jornada física complementaria presentaban síndrome de burnout alto frente a un 38% de los que no tenían dicha sobrecarga. Respecto a las dimensiones del burnout se mantenían estas diferencias, especialmente en las dimensiones cansancio emocional (15,3% frente a 10,8%) y despersonalización (17,9% frente a 11,8%).La realización de jornada física complementaria parece afectar negativamente a los profesionales de enfermería de urgencias y podría favorecer en ellos el desarrollo del síndrome de burnout.

Overtime

Burnout Syndrome

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