Examinando por Autor "Gómez-Ibáñez, Rebeca"

Mostrando 1 - 2 de 2

Acceso abierto
Patient Safety Culture in European Hospitals: A ComparativeMixed Methods Study
(MDPI, 2022-01-14) Granel-Giménez, Nina; Palmieri, Patrick Albert; Watson-Badia, Carolina E.; Gómez-Ibáñez, Rebeca; Leyva-Moral, Juan Manuel; Bernabeu-Tamayo, María Dolors
Background: Poorly organized health systems with inadequate leadership limit the devel-opment of the robust safety cultures capable of preventing consequential adverse events. Althoughsafety culture has been studied in hospitals worldwide, the relationship between clinician perceptionsabout patient safety and their actual clinical practices has received little attention. Despite the needfor mixed methods studies to achieve a deeper understanding of safety culture, there are few studiesproviding comparisons of hospitals in different countries. Purpose: This study compared the safetyculture of hospitals from the perspective of nurses in four European countries, including Croatia,Hungary, Spain, and Sweden. Design: A comparative mixed methods study with a convergentparallel design. Methods: Data collection included a survey, participant interviews, and workplaceobservations. The sample was nurses working in the internal medicine, surgical, and emergencydepartments of two public hospitals from each country. Survey data (n= 538) was collected withthe Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative date was collected through24 in-depth interviews and 147 h of non-participant observation. Survey data was analyzed descrip-tively and inferentially, and content analysis was used to analyze the qualitative data. Results: Theoverall perception of safety culture for most dimensions was ‘adequate’ in Sweden and ‘adequate’to ‘poor’ in the other countries with inconsistencies identified between survey and qualitative data.Although teamwork within units was the most positive dimension across countries, the qualita-tive data did not consistently demonstrate support, respect, and teamwork as normative attributesin Croatia and Hungary. Staffing and workload were identified as major areas for improvementacross countries, although the nurse-to-patient ratios were the highest in Sweden, followed by Spain,Hungary, and Croatia. Conclusions: Despite all countries being part of the European Union, mostsafety culture dimensions require improvement, with few measured as good, and most deemed tobe adequate to poor. Dimension level perceptions were at times incongruent across countries, asobserved patient safety practices or interview perspectives were inconsistent with a positive safetyculture. Differences between countries may be related to national culture or variability in healthsystem structures permitted by the prevailing European Union health policy.
Acceso abierto
Sexuality in people living with a serious mental illness: A meta-synthesis of qualitative evidence
(John Wiley and Sons Inc, 2020-09-03) Hortal-Mas, Roger; Moreno-Poyato, Antonio Rafael; Granel-Giménez, Nina; Roviralta-Vilella, Maria; Watson-Badia, Carolina; Gómez-Ibáñez, Rebeca; Aguayo-González, Mariela Patricia; Giménez-Díez, David; Bernabeu-Tamayo, Maria Dolores; Leyva-Moral, Juan Manuel
“Introduction: Sexuality-related nursing care is scarce and mainly focuses on biological issues. There is also a lack of knowledge about how serious mental illnesses affect sexuality. Aim: To explain how people with a serious mental illness perceive and experience their sexuality Method: A meta-synthesis was conducted to integrate qualitative studies. Four databases were used to perform the search, focused in the last ten years. Nine articles were included, and their results analysed thematically. Results: Four categories were identified: ““Pathologized sexuality,““ which explains how the disorder and treatment affect sexuality; ““Not my sexuality anymore,” which describes feelings emerging from the perceived limitations and the role of self-acceptance; “Learning to manage intimate relationships,” which explains the desire to establish intimate personal relationships and define their meaning; and ““Reconstructing my sexuality,““ which elucidates the influence of the environment on sexuality. Discussion: Sexuality is influenced by several factors, the main ones being: the clinical complications, the side effects of drug treatment, the social support, the relationship with the health sector and stigma. Implications for practice: Having a serious mental illness affects sexuality and can provoke suffering and social isolation. Mental health services should address this issue and carry out community interventions to reduce stigma.“