Objetivo: investigar la influencia de la abuela sobre la madre que da lactancia materna y su relación con la incidencia y prevalencia dela misma. Método: se realizó una revisión integral consultando de las bases de datos medline ovid, dialnet y CoChrane library. Tras el análisisde los textos, se escogieron once estudios de investigación que iban dirigidos directamente a comprobar la influencia de las abuelas en laincidencia y prevalencia de la lactancia materna en diferentes contextos. Resultados: la abuela apareció como fuente de apoyo en poblaciónrural (41 %). En población urbana la abuela aparece entre los tres factores principales (intención de la madre de lactar o no, decisiónde la madre del patrón de alimentación de su hijo e información objetiva sobre pautas de amamantamiento), tanto en el papel de apoyo(94,7 %), como en el de obstáculo (26,7 %). En cuanto a la decisión de la madre sobre el patrón de alimentación de sus hijos, el 78 % refierehaber tomado la decisión antes del embarazo o en el primer trimestre. La convivencia con la abuela tuvo asociación positiva con dar aguao infusiones (PR regresión de Cox con IC 95 %: 1,51 [1,10-2,09]; p = 0,011). Conclusiones: a la luz de la revisión, la influencia detractorao no que ejerce la abuela sobre la lactancia materna la da sobre los tres factores principales. La influencia detractora ejercida por losconsejos de la abuela parece estar relacionada con conocimientos erróneos adquiridos como “generación del biberón” más que con laintencionalidad, y es susceptible de modificarse con información adecuada, con resultados favorables sobre el patrón de alimentación.

Background and objectives: Stress in nursing students is a very common experience, especially when they face clinical practice. The aims of this study were to perform a transcultural adaptation and to examine the reliability and repeatability of the Instrument for the Assessment of Stress in Nursing Students for a Spanish population. Methods: A test–retest analysis was carried out in two face-to-face sessions with the students with a lapse of 10 days between the two sessions. A cross-sectional descriptive study was carried out between the months of May and June 2018. Sixty-four nursing students were recruited with a consecutive sampling method that targeted individuals in the freshman class. Results: A good internal consistency was shown for the total score (α = 0.8861) and for each of the six domains. The test–retest reliability, using the Wilcoxon paired test, was not significant, indicating no differences between the total scores or the domain scores (p ≥ 0.05). Finally, Bland and Altman plots of visual distributions did not show differences between the total scores and the domain scores. Conclusion: The Instrument for the Assessment of Stress in Nursing Students was shown to be a reliable tool for measuring stress factors among Spanish nursing students.

Background: The process of breastfeeding is linked to intergenerational influences based on attitudes and messages of grandmothers about their own experience, and this can reinforce or interfere with the experiences of future mothers in breastfeeding. The aim of this study was to explore the meanings transmissible to the next generation of nursing mothers, based on the experiences of grandmothers. Methods: We report the findings of an interpretive phenomenological qualitative research based on the philosophy of Martin Heidegger. In-depth interviews were conducted in Madrid with 17 participants who breastfed before the age of 35 and more than 8 years ago (to ensure the settlement of transmissible meanings in remote memory). Data were analyzed by interpretive phenomenological analysis (IPA). Findings: Two thematic categories were identified: "Breastfeeding: life experiences" and "Breastfeeding: body and mind process", which show that mothers want to convey the need for a balance that allows maintaining the role of women outside of stereotypes but that is also compatible with the rhythm of life, giving new meanings to attachment, weaning, and modesty. Conclusions: Meanings that future grandmothers wish to transmit to the next generation of nursing mothers are related to the search for a satisfactory experience for the mother, who must make an adjustment in her life, freeing herself of inflexible messages about attachment and the maternal role. Practical implications: Strategies to promote breastfeeding and care for nursing mothers can improve the impact of trying to understand the meanings that are transmitted by the grandmothers in the family environment.