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Emotional intelligence of nurses in intensive care units: A systematic review
No full textEmotional intelligence (EI) is the ability to recognize, understand
and manage one’s emotions and those of others (Goleman, 2006, p.
128). Recently, this competence has gained particular importance in
nursing (Cichon ́ et al., 2023; Page et al., 2021; Zhang et al., 2024; Hong
& Lee, 2016) due to its positive impact on healthcare professionals,
patients and organizations. Studies demonstrate that EI helps mitigate
stress and prevent nurse burnout by improving communication and
fostering interprofessional relationships (Foji et al., 2020; Kochaksaraei
et al., 2020). These benefits extend beyond individual performance to
shape the broader practice environment, enhancing patient care safety
and quality (Raghubir, 2018). Moreover, EI development is associated
with heightened job satisfaction and increased retention rates among
healthcare professionals, highlighting its critical role in promoting
overall well-being and effectiveness across healthcare settings (Foji
et al., 2020; Kochaksaraei et al., 2020; Raghubir, 2018; Sacco et al.,
2015; Zhang et al., 2024)
Presunción de inocencia y aplicación de medidas cautelares en fase de investigación previa. Vías canónicas ante su vulneración
No full textSumario: 1. Introducción. 2. La presunción de inocencia en el ordenamiento canónico. 2.1. Origen de la presunción de inocencia en la tradición canónica. 2.2. Manifestaciones de la presunción de inocencia en el Código de 1983. 2.2.1. El derecho de defensa. 2.2.2. La carga de la prueba y el in dubio pro reo. 2.2.3. La certeza moral. 2.2.4. Derecho a la buena fama y la intimidad. 2.3. Antecedentes del derecho a la presunción de inocencia en la normativa eclesial más reciente. 2.4. Formalización normativa del principio de la presunción de inocencia en el nuevo Libro VI del CIC 83. 3. Posible vulneración del derecho a la presunción de inocencia. 3.1. Ceder a la presión mediática y social. 3.2. Falta de discernimiento ante las denuncias. 3.3. Deficiencias en los comunicados diocesanos. 3.4. Una investigación previa que parte de la presunción de culpabilidad. 3.5. Falta de capacitación adecuada en derecho penal canónico. 3.6. Medidas cautelares automáticas e innecesariamente prolongadas en el tiempo. 3.7. Desproporción y falta de claridad en la aplicación de medidas cautelares. 4. Vías canónicas ante la vulneración del derecho a la presunción de inocencia. 4.1. Necesidad de restaurar el buen nombre y reparar del daño causado. 4.2. Acciones concretas en vistas a la reparación. 4.2.1. Acciones jurídicas. 4.2.2. Acciones pastorales. Conclusiones. Biblografía. Índice de la tesis doctoral
An odd dancing couple. Non-small cell lung carcinoma with coexisting EGFR mutation and NTRK-1 translocation: A case report
No full textIn the 21st century, there has been a dramatic shift in the diagnosis and management of non-small cell lung carcinoma (NSCLC), with an increasing use of minimally invasive tissue acquisition methods. Current treatments require morphologic subtyping and biomarker information in all cases. Determining such biomarkers is a continuously evolving field; current guidelines state that the determination of mutations on the Epidermal Growth Factor (EFGR), Kirsten Rat Sarcoma viral oncogene homolog (KRAS), Protooncogene B-Raf (BRAF), Human epidermal growth factor receptor 2 (HER2) and Anaplastic Lymphoma Kinase (ALK), genes as well as fusions on genes such as ROS ProtoOncogene 1, Receptor Tyrosine Kinase (ROS1), MET proto oncogene, receptor tyrosine kinase (MET), RET proto-oncogene (RET), and the Neurotrophic Tyrosine Receptor Kinase (NTRK) family is mandatory. While analyzing such alterations, some of them were first reported to be mutually exclusive, although in recent years, it has been shown otherwise in some of these cases. Moreover, so was the case with the concomitant expression of NTRK fusions and EGFR mutations. We present a case report of a patient with concomitant EGFR mutation and NTRK1 fusion
Mathematical model for optimal agri-food industry residual streams flow management: A valorization decision support tool.
No full textWe present a mathematical model for agri-food industry residual streams flow management,
which serves as a decision support tool for optimizing their valorization. The aim is to determine,
under a cost-benefit analysis approach, the best strategy at a global level. The proposed mathematical
model provides the optimal valorization scenario, namely the set of routes followed by agri-food
industry residual streams that maximizes the total profit obtained. The model takes into account the
complete stoichiometry of the residual stream at each step of the valorization route. Furthermore, the
model allows for the calculations of different scenarios to support decision-making. The proposed
approach is illustrated through a case study using a real-case network of a region. The case study
bears evidence that the use of the model can lead to significant profit increases compared to those
obtained with current practices. Moreover, notable profit improvements are obtained in the case
study if the selling price of all the value-added products considered increases or if the processing
cost of the animal feed producer decreases. Therefore, our model enables the detection of key factors
that influence the optimal strategy, making it a powerful decision-support tool for optimizing the
valorization of agri-food industry residual streams
Química Farmacéutica I. Antibióticos. Parte 1, reacción 1: Síntesis del derivado enamina. Procedimiento sintético
No full textTemas de la Asignatura Química Farmacéutica I de 3º de Farmacia
Changes in faecal microbiota in 6- to 12-year-old children after a new nutritional strategy: the ALINFA randomised controlled trial
No full textGut microbiota seems to play a critical role in health and disease. This study aimed to evaluate the effect
of a nutritional intervention in children 6–12 years old on the microbiota and to identify possible dietary components involved in the change. A 2-month parallel, controlled randomised trial was conducted. The
nutritional intervention was based on the recommendations of the Mediterranean diet, for both intervention groups, with the difference that in the ALINFA group a more intensive intervention based on a complete diet, while in the control group, dietary advice was provided. After the intervention, ALINFA group showed an increase in the richness and diversity of their microbiota as well as changes in the abundance of different bacterial heels. These changes were mainly influences by fibre intake and the type of fat consumed. The ALINFA nutritional intervention seems to be able to positively influence children’s microbiota, showing significant changes within 2 months
Roadmap for business sustainability through operational excellence in emerging countries.
No full textThis research is dedicated to investigating in Operational Excellence (OE) within emerging
countries, with a primary focus on understanding its current state, constructing a conceptual
model, formulating a maturity model, and outlining a strategic roadmap for advancement. The
study aims to address a significant research gap concerning OE in emerging markets compared
to developed nations, offering strategic guidance for organizations in these regions to enhance
their operational effectiveness and longevity. This thesis is structured to delve comprehensively
into OE within emerging economies, develop pertinent models, validate outcomes, and
propose a structured plan for implementation.
The research methodology utilized in this study entails a thorough examination of OE practices
in emerging countries through both qualitative and quantitative analyses. By employing in-
depth interviews, surveys, and case studies, the study intends to gather invaluable insights into
the current state of OE in these regions and identify critical factors influencing operational
excellence. The conceptual model developed in this research integrates various dimensions of
OE, including process efficiency, quality management, and continuous improvement, thus
offering a holistic framework for organizations to bolster their operational performance.
Additionally, the proposed maturity model provides a structured approach for organizations in
emerging countries to assess their current level of operational excellence and pinpoint areas
for enhancement. Through benchmarking against best practices and industry standards,
companies can chart a course for improving their operational capabilities and achieving
sustainable growth. The study underscores the significance of leadership commitment,
employee engagement, and organizational culture in driving OE initiatives and fostering a
culture of continuous improvement.
This research contributes significantly to the body of knowledge on OE in emerging economies
by offering a thorough analysis of the current state of operational excellence, developing
practical models for organizations to boost their operational performance, and presenting a
roadmap for implementation. By bridging the gap between research in emerging and developed
markets, this study aims to empower organizations in emerging countries to fortify their
operational capabilities, drive sustainable growth, and attain long-term success in an
increasingly competitive global landscape
Mental health of university students: benefits and challenges
No full textEstudios recientes evidencian un deterioro en la salud mental y el bienestar emocional de las personas jóvenes, en particular del alumnado universitario. Existe una mayor prevalencia de problemas tales como: depresión, ansiedad, consumo de sustancias adictivas, trastornos de la conducta alimentaria, adicciones comportamentales, ideación suicida, conductas autolíticas e intentos de suicidio. Estas problemáticas impactan negativamente en las tasas de retención del estudiantado y en su compromiso con los estudios.
Ante esta panorámica las universidades deben diseñar estrategias e implementar acciones que contribuyan a la mejora del bienestar emocional y la promoción de la salud mental de su alumnado, de modo que se favorezca su promoción y éxito educativo.
En este marco, con esta investigación se pretende diagnosticar el estado de la salud mental y el bienestar emocional del alumnado de la Universidad Pública de Navarra, para entonces elaborar una propuesta metodológica de prevención y promoción de estas áreas.
Esta investigación está apoyada en un enfoque cualitativo de la investigación científica y el diseño está estructurado desde el enfoque de la Teoría Fundamentada.
Como resultados de investigación previsibles se espera:
- Profundizar en el conocimiento de los factores desencadenantes y de riesgo, para la salud mental del alumnado universitario.
- Proponer una tipología de perfiles de estudiantes según las casuísticas que afectan su salud mental.
- A partir del conocimiento de las casuísticas y el establecimiento de perfiles de estudiantes, ofrecer un plan de acciones a desarrollar por la universidad para promover la salud mental y prevenir los riesgos que la socavan.
- Ahondar en el análisis de las potencialidades, limitaciones, desafíos y perspectivas de: la tutoría psicoeducativa, la mentoría entre iguales, los servicios de orientación y atención psicológica; como acciones dirigidas a mejorar el bienestar emocional y la salud mental, así como a favorecer el éxito educativo del estudiantado.Recent studies show a deterioration in the mental health and emotional well-being of young people, particularly university students. There is a higher prevalence of issues such as depression, anxiety, substance abuse, eating disorders, behavioral addictions, suicidal ideation, self-harming behaviors, and suicide attempts. These problems negatively impact student retention rates and their commitment to studies.
In light of this situation, universities must design strategies and implement actions that contribute to the improvement of students' emotional well-being and the promotion of mental health, thereby fostering their educational advancement and success.
Within this framework, this research aims to diagnose the mental health and emotional well-being of students at the Public University of Navarra, in order to develop a methodological proposal for prevention and promotion in these areas.
This research is supported by a qualitative approach to scientific research, and the design is structured based on the Grounded Theory approach.
Expected research outcomes include:
Deepening the understanding of the triggering and risk factors for university students' mental health.
Proposing a typology of student profiles according to the issues affecting their mental health.
Based on the understanding of these issues and the establishment of student profiles, offering an action plan for the university to promote mental health and prevent the risks that undermine it.
Delving into the analysis of the potential, limitations, challenges, and perspectives of: psychoeducational tutoring, peer mentoring, counseling and psychological support services; as actions aimed at improving emotional well-being and mental health, as well as fostering students' educational success
Development of burnout and moral distress in intensive care nurses: an integrative literature review
No full textAims: To describe, through an integrative literature review, the factors contributing to the development of burnout and moral distress in nursing professionals working in intensive care units and to identify the assessment tools used most frequently to assess burnout and moral distress.
Methods: An integrative literature review was carried out. PubMed, CINAHL, PsycINFO, SciELO, Dialnet, Web of Science, Scopus, and Cochrane databases were reviewed from January 2012 to February 2023. Additionally, snowball sampling was used. The results were analysed by using integrative synthesis, as proposed by Whittemore et al., the Critical Appraisal Skills Programme for literature reviews, the Strengthening the Reporting of Observational Studies in Epidemiology guidelines for quantitative observational studies, and the Joanna Briggs Institute checklist for qualitative research were used to evaluate evidence quality.
Results: Forty-one articles were selected for review: 36 were cross-sectional descriptive articles, and five were literature reviews. The articles were grouped into five-factor categories: 1) personal factors, 2) organisational factors, 3) labour relations factors, 4) end-of-life care factors, and 5) factors related to coronavirus disease 2019 (COVID-19). The Maslach Burnout Inventory-Human Services Survey and the Moral Distress Survey-Revised instruments were the most commonly used to measure burnout and moral distress.
Conclusions: This review highlights the multiple personal, organisational, relational, situational, and end-of-life factors promoting burnout and moral distress among critical care nurses. Interventions in these areas are necessary to achieve nurses' job satisfaction and retention while improving nurses' quality of care.Objetivo: Describir, mediante una revisión integrativa de la literatura, los factores que contribuyen al desarrollo del burnout y del distrés moral en los profesionales de enfermería que trabajan en unidades de cuidados intensivos e identificar las herramientas de evaluación utilizadas con mayor frecuencia para evaluar el burnout y el distrés moral.
Metodología: Se llevó a cabo una revisión integrativa de la literatura. Se revisaron las bases de datos PubMed, CINAHL, PsycINFO, SciELO, Dialnet, Web of Science, Scopus y Cochrane desde enero de 2012 hasta febrero de 2023. Además, se utilizó el muestreo de bola de nieve. Los resultados se analizaron mediante el uso de la síntesis integradora, según lo propuesto por Whittemore et al. Para evaluar la calidad de la evidencia se utilizó el Critical Appraisal Skills Programme para revisiones bibliográficas, las directrices Strengthening the Reporting of Observational Studies in Epidemiology para estudios observacionales cuantitativos y la herramienta del Joanna Briggs Institute para la investigación cualitativa.
Resultados: Se seleccionaron 41 artículos para su revisión: 36 eran artículos descriptivos transversales y 5 eran revisiones bibliográficas. Los artículos se agruparon en cinco categorías de factores: 1) factores personales, 2) factores organizativos, 3) factores de relaciones laborales, 4) factores de cuidados al final de la vida y 5) factores relacionados con la enfermedad por coronavirus 2019 (COVID-19). Los instrumentos más utilizados para medir el burnout y el malestar moral fueron el Maslach Burnout Inventory-Human Services Survey y el Moral Distress Survey-Revised.
Conclusiones: Esta revisión destaca los múltiples factores personales, organizativos, relacionales, situacionales y del final de la vida que promueven el burnout y el distrés moral entre las enfermeras de cuidados intensivos. Las intervenciones en estas áreas son necesarias para lograr la satisfacción laboral y la retención de los enfermeros, al tiempo que se mejora la calidad de los cuidados de enfermerí
