Aim:to describe ostomy patient’s perception about health care received, as well as their needs and suggestions for healthcare system improvement. Method:qualitative phenomenological study was conducted, involving individual and semi-structured interviews on the life experiences of 21 adults who had a digestive stoma. Participants were selected following a purposive sampling approach. The analysis was based on the constant comparison of the data, the progressive incorporation of subjects and triangulation among researchers and stoma therapy nurses. The software Atlas.ti was used. Results:perception of health care received is closely related to the information process, as well as training for caring the stoma from peristomal skin to diet. It is worthy to point out the work performed by stoma care nurses ensuring support during all stages of the process. Conclusion:findings contribute to address the main patients’ needs (better prepared nurses, shorter waiting lists, information about sexual relation, inclusion of family members all along the process) and recommendations for improving health care to facilitate their adaptation to a new status of having a digestive stoma.

Introduction High performance sport requires that the athletes maintain a constant intensity and control of their personal resources, as well as a balance between self-regulation and performance. Likely, such requirements involve the influence of their beliefs regarding the tasks to be performed to improve the confidence in their own resources to face the competition. Theoretical arguments provide new insights for understanding multidimensional perfectionism and its relationships with other variables such as affective experiences, among others. In this study, perfectionism was conceptualized as a “stable personality disposition,” whereas the impulsiveness components were defined as “representing psychological mechanisms (or processes)” underlying the relationships between perfectionism and athletic experiences. Aim This study aims to establish and show profiles of perfectionist beliefs and impulsive responses according to sport modality and the relationships between all these variables. Team athletes were expected to show more functional resources than those in combat or endurance sports. Methods The psychological responses of 487 athletes (273 boys; 214 girls) practicing high-performance sport were examined. A non-randomized, cross-sectional design was used. Self-reports were used to measure impulsiveness, perfectionism and competence self-perceptions. Results Athletes with functional responses of impulsivity and perfectionism showed higher perceived self-competence. Athletes with more reflective thoughts, more careful planning and generally less sensitive to rewards and behaviors were more self-regulated and planned (functional impulsivity) and showed more moderate relationships between the most dysfunctional perfectionist beliefs and self-competence. In addition, perfectionism seems to be useful to the striver athletes that want to be the best, and they are focused on and committed to future goals and performance and self-improvement. It is important for coaches and athletes to understand how the processes of self-regulation (impulsivity) and self-knowledge (perfectionism) could be formed to try to offer better opportunities for building psychological resources that enhance high-performance mental abilities.

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Aims/objectives: To analyse the relevance in clinical practice of factors reviewed in previous studies that define the experience of people with a stoma (ostomates), through the opinions of stoma care nurses. Method: Categories and thematic statements were reviewed by stoma care nurses using a modified Delphi method. They assessed the clinical relevance of the previously identified issues by measuring the intensity of the described situations within their practice. Results: Social impact was the most significant issue. Other relevant aspects were ‘description of disease’, ‘interaction with mutual help groups’, ‘health education’ and ‘consultation with professionals to improve self-care’, among others. In view of these results, an explanatory model was proposed whose central category was the ‘necessity of educating ostomates’, assuming that, if it is mediated by stoma care nurses in combination with others (such as mutual help groups), it will have a positive impact on the promotion of self-care, and it would reduce the negative impact of the stoma. Conclusions: The social dimension was the most outstanding area in the care of ostomates. Patients were afraid of social relationships, triggering situations of isolation and limiting their exposure to unfamiliar environments. If precautions related to stoma care are maintained, it will allow them to live a life without these limitations.

Milagrosa Olmedo Alguacil, Dean, and Concepción Capilla Díaz, Assistant Professor, both at the University of Granad Faculty of Health Sciences, discuss nursing education