ObjectivesTo describe the differences in obstetrical results and women's childbirth satisfaction across 2 different models of maternity care (biomedical model and humanised birth).Setting2 university hospitals in south-eastern Spain from April to October 2013.DesignA correlational descriptive study.ParticipantsA convenience sample of 406 women participated in the study, 204 of the biomedical model and 202 of the humanised model.ResultsThe differences in obstetrical results were (biomedical model/humanised model): onset of labour (spontaneous 66/137, augmentation 70/1, p=0.0005), pain relief (epidural 172/132, no pain relief 9/40, p=0.0005), mode of delivery (normal vaginal 140/165, instrumental 48/23, p=0.004), length of labour (0–4 hours 69/93, >4 hours 133/108, p=0.011), condition of perineum (intact perineum or tear 94/178, episiotomy 100/24, p=0.0005). The total questionnaire score (100) gave a mean (M) of 78.33 and SD of 8.46 in the biomedical model of care and an M of 82.01 and SD of 7.97 in the humanised model of care (p=0.0005). In the analysis of the results per items, statistical differences were found in 8 of the 9 subscales. The highest scores were reached in the humanised model of maternity care.ConclusionsThe humanised model of maternity care offers better obstetrical outcomes and women's satisfaction scores during the labour, birth and immediate postnatal period than does the biomedical model.
The aim of this research was to determine resilience and burnout levels among nursing students, and to analyze the relationship between these two variables and the sociodemographic profile of the sample. This sample was composed of 218 second grade nursing students belonging to the University of Murcia. Three instruments were used: an ad hoc questionnaire which included sociodemographic and relationship with peers and teachers questions, a Spanish adaptation of the Maslach Burnout Inventory (MBI-GS) and the Connor-Davidson Resilience Scale (CD-RISC). The results showed a high level of emotional exhaustion in 28% of the sample, and a high level of cynicism in 19.7%. In addition, the data support the relationship between resilience and burnout in the sample of students analyzed (r Resilience-emotional fatigue = -0.25, r-Realization Personal Resilience / efficiency = 0.52). In conclusion of the study, we emphasize that students who showed a higher level of resilience experienced less emotional exhaustion and greater personal accomplishment. Similarly, the quality of relationship with teachers was associated with a higher presence of burnout syndrome.
El concepto del Baby Café como red internacional de apoyo a la lactancia materna The Baby Café concept as an international network of support to breastfeeding O conceito do Baby Café como rede internacional de apoio à amamentação materna
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