Introducción: La situación de crisis generada por la COVID-19 y las medidas adoptadas han generado cambios sociales en las dinámicas normales de la población general y en especial para los trabajadores de la salud, que se encuentran en atención del paciente con infección sospechada o confirmada. Estudios recientes han detectado en ellos síntomas depresivos y ansiosos y síndrome de burnout, afecciones personales y sociales que alteran su capacidad de respuesta durante la emergencia sanitaria. El objetivo es generar recomendaciones de promoción y protección de la salud mental de los trabajadores y equipos de salud dispuestos como primera línea de atención en la emergencia sanitaria por COVID-19. Métodos: Se realizó una búsqueda rápida de literatura en PubMed y Google Scholar, y un consenso de expertos iterativo y mediante consulta electrónica, con 13 participantes de las áreas de psicología, psiquiatría y medicina; la gradación de su fuerza y direccionalidad se realizó según las normas internacionales del Joanna Briggs Institute. Resultados: Se generaron 31 recomendaciones sobre el autocuidado del trabajador de la salud, el cuidado comunitario entre los equipos de salud, el cribado de signos de alarma en salud mental y para las instituciones sanitarias. Conclusiones: Las actividades de promoción y protección en salud mental para el afrontamiento de la emergencia sanitaria generada por la COVID-19 en todo el mundo pueden abarcar acciones articuladas entre el trabajador, los equipos de salud y las instituciones sanitarias como parte de un cuidado integral, comunitario, corresponsable y sostenidas en el tiempo.

Introduction The crisis situation generated by COVID-19 and the measures adopted have generated social changes in the normal dynamics of the general population and especially for health workers, who find themselves caring for patients with suspected or confirmed infection. Recent studies have detected in them depression and anxiety symptoms and burnout syndrome, with personal and social conditions impacting their response capacity during the health emergency. Our aim was to generate recommendations for the promotion and protection of the mental health of health workers and teams in the first line of care in the health emergency due to COVID-19. Methods A rapid literature search was carried out in PubMed and Google Scholar, and an iterative expert consensus and through electronic consultation, with 13 participants from the areas of psychology, psychiatry and medicine; the grading of its strength and directionality was carried out according to the international standards of the Joanna Briggs Institute. Results Thirty-one recommendations were generated on self-care of health workers, community care among health teams, screening for alarm signs in mental health and for health institutions. Conclusions The promotion and protection activities in mental health to face the health emergency generated by COVID-19 worldwide can include coordinated actions between workers, health teams and health institutions as part of a comprehensive, community care, co-responsible and sustained over time.

Background Person-centered care seeks to empower patients and their families to participate in health care decisions. This model of care, aimed at better health outcomes and patient experience, is based on a set of determinants that affect the roles of health care providers.1–5 In addition to having an impact on performance and motivation, these determinants affect providers’ result in physical, emotional and psychological experiences with the patient and the health system. The objective of this study was to design and psychometrically validate a questionnaire to evaluate these experiences and describe the impact on health care providers.Method A survey with 23 questions and five domains was designed. It was emailed to health professionals at four institutions. The psychometric properties of construct validity were determined with factor analysis, discriminant validity with the Fornell and Lacker criteria and convergent validity with Spearman's correlation. Reliability was evaluated with the Cronbach coefficient.Results A total of 536 responses were analyzed. Three models were estimated, and the best goodness of fit was found in the 5-factor model. In the convergent validity, a rho of 0.54 (p = 0.000) was obtained, indicating a moderate correlation between the scales, and in the discriminant, AVE values greater than 0.05 were found, but none greater than the correlations between them. The alpha coefficient was 0.95 (p = 0.00), indicating high internal consistency.Conclusion The QEx-W, composed of five factors, shows high reliability and psychometric validity, so it can be used to measure the experience of Spanish-speaking workers in the health care environment.

Background The measurement of the experience perceived and reported by patients and families is essential to improve the care process. In the literature, a wide variety of questionnaires and supra-specialized scales are provided for services, pathologies or areas of care, making it difficult to compare their results. Our objective was to design and psychometrically validate a questionnaire to measure the experience of patients treated in hospitals and outpatient services and possibly virtual services.Method This was a survey and validation study of instruments with adult patients treated in eight clinics and 28 medical centers. The QEx-P Questionnaire was designed and administered electronically. Construct validity was evaluated with AFE and CFA; convergent and discriminant validity with Spearman's coefficient and Fornell's criterion, respectively; and reliability with Cronbach's alpha.Results A total of 2972 surveys were analyzed. In the validation of the construct, 12 models were estimated, finding a better goodness of fit in the 5-factor models for outpatient and hospital care and 1-factor for virtual care. The convergent validity showed a moderate correlation with the NPS. The discriminant validity was indeterminate. Reliability showed high internal consistency.Conclusion The questionnaire designed and validated in this study has psychometric validity and reliability as a tool to measure the experience reported by Spanish-speaking patients attended in outpatient and hospital services, in addition to being potentially useful for measurement in virtual services (calls or telehealth).