Person: Ajejas Bazán, María Julia
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First Name
María Julia
Last Name
Ajejas Bazán
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Enfermería, Fisioterapia y Podología
Department
Enfermería
Area
Enfermería
Identifiers
9 results
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Item Attitude towards Vaccination among Health Science Students before the COVID-19 Pandemic(Vaccines, 2021) Pérez Rivas, Francisco Javier; Gallego Lastra, Ramón del; Esteban Garcimartín, Ana; Marques-Vieira, Cristina Maria Alves; Ajejas Bazán, María JuliaHealth science students are tomorrow’s health professionals, the duties of whom could include vaccination. This work examines the general attitude towards vaccination in students attending the Faculty of Nursing, Physiotherapy and Chiropody at a university in Madrid, Spain, using the ‘Attitudes and Behaviour With Regard To Vaccination Among Health Science Students Questionnaire’. The results were subjected to multivariate analysis to identify the influence of sex, the degree being pursued, and ‘course year’. The number of students vaccinated against influenza in the campaign preceding the present study was also recorded, as were the factors that influenced decision-making in this regard. A total of 934 students completed the questionnaire. Their beliefs regarding vaccination were positive (mean score 3.23 points out of 4), as was their behaviour (3.35/4). Their general attitude (all variables taken together) was therefore also good (3.27/4). Only 26.8% of the students had been vaccinated against influenza. Beliefs scores among the students of nursing in their more senior course years were significantly better than those recorded for all other groups. These students also showed the best general attitude towards vaccination and formed the largest group vaccinated against influenza. The results obtained are encouraging since nursing students are the most likely of future healthcare professionals to be involved in vaccination programmes.Item Flu Vaccination Coverage and Predictors of Non-Vaccination in Military Health Corps Personnel 2016–2017 and 2019–2021(Vaccines, 2022) Ajejas Bazán, María Julia; Pérez Rivas, Francisco Javier; Wärnberg, Julia; Fuentes Mora, Carlos; Ballester Orcal, Lucía Elena; Gómez Crespo, Jose Manuel; López López, Candelas; Domínguez Fernández, Silvia; Rico Blázquez, Milagros; Pérez Farinós, Napoleón(1) Background: Vaccination is the most effective intervention to control seasonal influenza morbidity and mortality. The present study aimed to determine the influenza vaccination coverage in the Military Health Corps personnel in the 2020–2021 season, as well as the time trend and the possible influence of the pandemic on coverage, in order to study the reasons that led to the non-vaccination of health professionals and to analyze adverse drug reactions (ADRs). (2) Methods: A descriptive, cross-sectional study was conducted from February to May 2021. All FAS CMS personnel were included. A self-administered questionnaire was sent by e-mail to the selected personnel. (3) Results: Vaccination coverage in the 2016–2017 season was 15.8% (n = 276), in the 2019–2020 season it was 17.41% (n = 424), and in the 2020–2021 season it was 24.22% (n = 590). The percentage of vaccinated men was higher than the percentage of women. In 2019 and 2020 the most vaccinated group was 31–40 years old. Lieutenants had the highest vaccination uptake in 2019 and 2020. The personnel with the highest uptake of vaccines were those in the specialty of nursing in each of 2016, 2019 and 2020, with >30 years of time worked in 2016. In terms of factors leading to refusal of vaccination, the most reported was “not considered a risk group” (23.0%), and the least reported was “avoidance of vaccine administration” (2.2%). Eighty individuals presented adverse reactions after vaccine administration (9.6%). (4) Conclusions: The rate of influenza vaccination among healthcare professionals was lower during the 2020 season compared to the previous season, but was expected to increase in the upcoming 2021 season.Item Evaluation of the use of a nursing diagnosis Risk for Falls in the Community of Madrid (Spain) Primary Care System(International Journal of Nursing Knowledge, 2023) Domínguez Fernández, Silvia; Ajejas Bazán, María Julia; Pérez Rivas, Francisco JavierPurpose The purpose of this study was to describe the use of the nursing diagnosis Risk for Falls in Primary Care System of the Community of Madrid. Methods A retrospective review of the clinical histories was carried out in 262 health centers from January 2005 to December 2015. The study population are the patients who have recorded in their electronic health record the nursing diagnosis Risk for Falls. Findings Frequency of use of the Risk for Falls ND in the Community of Madrid was 53,340 diagnoses, increasing from 650 nursing diagnosis in 2005 to 14,695 in 2015. NOC Nursing Outcomes total identified were 109,145, which represents an average of 2.05 NOC Nursing Outcomes per diagnosis. NOC Nursing Outcomes frequently appeared as follows: Fall Prevention Behavior (35.9%), Safe Home Environment (11.3%), and Risk Control (10.5%). NIC Nursing Interventions total identified were 104,293, representing an average of 1.96 NIC nursing interventions per diagnosis. NIC Nursing Interventions frequently appeared as follows: Fall Prevention (45.9%), Environmental Management: Safety (27%), and Risk Identification (5.8%). Conclusions Nursing diagnosis of Risk for Falls and the care process related to this diagnosis is starting to be used by the primary care nurses of the Community of Madrid. Implication for nursing practice Risk factors related to the nursing diagnosis of risk for falls identified in our study can be addressed with activities that nurses must implement to prevent falls. Nursing methodology in general and specifically the diagnosis of risk for falls must be included in guides and protocols for the prevention of falls, and its use should be promoted by primary care nurses.Item Attitudes and Behaviors towards Vaccination in Portuguese Nursing Students(Vaccines, 2023) Alves Marques-Vieira, Cristina Maria; Dias Domingues, Tiago; Dutra Tholl, Adriana; Gonçalves Nitschke, Rosane; Pérez Rivas, Francisco Javier; Ajejas Bazán, María Julia; Roquette Viana, Maria ClaraKnowing the attitudes and behaviors of nursing students in relation to vaccination is important because they will soon be determinant for the health literacy of the population. Vaccination remains the most effective response in the fight against communicable diseases, including COVID-19 and influenza. The objective of this study is to analyze the attitudes and behaviors of Portuguese nursing students with regard to vaccination. A cross-sectional study was carried out, with data collection from nursing students at a university in Lisbon, Portugal. A sample of 216 nursing students was obtained, representing 67.1% of the students enrolled in this university. What stands out from the results of the questionnaire “Attitudes and Behaviors in Relation to Vaccination among Students of Health Sciences” is that for the majority of students the answers were positive; in addition, 84.7% had a completed vaccination schedule for COVID-19. Being a nursing student, being in the final years of the course and being a woman are the factors that most influence the positive attitude of the students. The results obtained are motivating, because these students will be the future health professionals most likely to integrate health promotion programs through vaccination.- Project number: 263
Item La página wiki como herramienta de trabajo colaborativo en el campus virtual(2019) Ajejas Bazán, María Julia; Domínguez Fernández, Silvia; López López, Candelas; Pérez Farinós, José Napoleón; Wärnberg, Julia; Pérez Rivas, Francisco Javier; Leonor Rodríguez, Maria Sagrario; López Romero, María Antonia; Rodríguez Sanz, DavidEl aprendizaje "mlearning" basado en el uso de la red permite aprender desde cualquier lugar o espacio geográfico. El aprendizaje móvil, sigue rompiendo barreras temporales y espaciales que aún no había alcanzado la educación a distancia. Estar conectado permanentemente permite la interacción constante con los demás estudiantes, profesores y comunidad. Un claro ejemplo es el caso del uso de las páginas Wiki, como herramienta para compartir e intercambiar conocimiento a través del campus. Además mejora la confianza del estudiante en sí mismo, potencia las habilidades y capacidades para aprender, comprender y aplicar los conocimientos y favorece la consecución de un grado elevado de autonomía que le permite continuar con su proceso de formación. Una Wiki es un conjunto de páginas web que pueden ser editadas por varios usuarios en momentos diferentes. La pueden editar varias personas de manera fácil y rápida, desde cualquier lugar o dispositivo con acceso a Internet. Los participantes en una Wiki pueden crear, modificar o borrar un texto compartido. Su importancia radica en la posibilidad de realizar construcciones colectivas sobre temas específicos. Estas fueron las condiciones con las que W. Cunningham creó el primer sistema de páginas Wiki en 1995. Y esa potencialidad es lo que hace que su aplicación en Educación sea muy versátil. Es la aplicación que permite el trabajo colaborativo y comunicación entre el alumnado, la construcción de conocimientos desde la informalidad, de manera rápida y sencilla. Se puede elaborar desde una simple lista de enlaces para ampliar información, hasta servir de borrador en la creación de trabajos de investigación mucho más elaborados. Profesorado y alumnado trabajan juntos y comparten la responsabilidad de los trabajos. Item The Attitude towards Vaccination of Health Sciences Students at a Spanish University Improved over the First 18 Months of the COVID-19 Pandemic(Vaccines, 2022) Pérez Rivas, Francisco Javier; Gallego Lastra, Ramón del; Marques-Vieira, Cristina Maria Alves; López López, Candelas; Domínguez Fernández, Silvia; Rico Blázquez, Milagros; Ajejas Bazán, María JuliaIt is important to know the attitudes of students of health sciences (SHSs) towards vaccination since they will be tomorrow’s health professionals. Vaccination is a powerful tool in the fight against COVID-19. The aim of the present, cross-sectional study was to examine how the COVID-19 pandemic has influenced the attitude of SHSs towards vaccination. Data were collected in the form of a questionnaire from all students of nursing, physiotherapy and chiropody matriculated at a Madrid University for the academic year 2019/2020 (i.e., before the start of the pandemic [Q1]), and from all those matriculated for the year 2021/22 (i.e., c18 months after the pandemic was declared [Q2]). A multivariate analysis was performed to identify the influence of sex, degree being studied, course year and the time of answering (Q1 or Q2), on the dimensions Beliefs, Behaviours and General Attitude. Overall, 1894 questionnaires were returned (934 [49.3%] for Q1, and 960 [50.7%] for Q2), of which 70.5% were completed by students of nursing, 14% by students of physiotherapy and 15.4% by those studying chiropody. In Q2, the results for all three dimensions were significantly better (p < 0.05). The most important influencing factors were being a student of nursing, being in the final years of training (years 3 or 4), female gender and answering at the time of Q2. The results obtained are encouraging since student nurses (who showed Q1 and Q2 General Attitude scores of 3.34 and 3.47 (maximum possible 4), respectively [p < 0.05]) are the health professionals of tomorrow most likely to be involved in vaccination programmes.Item Factors Influencing eHealth Literacy among Spanish Primary Healthcare Users: Cross-Sectional Study(International Journal of Environmental Research and Public Health, 2022) García-García, David; Ajejas Bazán, María Julia; Pérez Rivas, Francisco JavierBackground: Adequate eHealth literacy levels empower people to make informed decisions, enhancing their autonomy. The current study assessed a group using primary care services for their eHealth literacy and examined its relationship with sociodemographic characteristics. Methods: Adult patients in need of primary care nursing services participated in this cross-sectional study, which was carried out in a healthcare center in the Madrid region of Spain. Through systematic random sampling, 166 participants were chosen for the study. The eHealth Literacy Questionnaire was used to assess eHealth literacy (eHLQ). Results: The studied population showed higher eHealth literacy scores in dimensions 2 (“understanding of health concepts and language”) and 4 (“feel safe and in control”); the lowest scores were recorded for dimensions 1 (“using technology to process health information”), 3 (“ability to actively engage with digital services”), and 7 (“digital services that suit individual needs”). People with completed secondary education and a better-perceived health status who were younger and employed showed a higher level of eHealth literacy. Conclusions: The findings advance our knowledge of the variables affecting eHealth literacy. We may be able to understand patients’ needs and provide them with greater support if we can pinpoint the areas where they demonstrate the lowest eHealth literacy.Item Vaccine Coverage against Influenza and SARS-CoV-2 in Health Sciences Students during COVID-19 Pandemic in Spain(Vaccines, 2022) Ajejas Bazán, María Julia; Gallego Lastra, Ramón del; Marques Vieira, Cristina Maria Alves; López López, Candelas; Domínguez Fernández, Silvia; Rico Blázquez, Milagros; Pérez Rivas, Francisco JavierVaccination against influenza and SARS-CoV-2 is recommended in health sciences students to reduce the risk of acquiring these diseases and transmitting them to patients. The aim of the study was to evaluate how the pandemic influenced the modification of influenza vaccination coverage during the 2019/2020 and 2021/2022 campaigns and to analyze the vaccination coverage against SARS-CoV-2 in health sciences students. A cross-sectional study was conducted among students of the Faculty of Nursing, Physiotherapy and Podiatry of the Complutense University of Madrid. A questionnaire was administered in two stages, the first, Q1, before the start of the pandemic, where we analyzed influenza coverage during the 2019/2020 campaign and a second, Q2, 18 months after the start of the pandemic where we analyzed influenza coverage during the 2021/2022 campaign and coverage against SARS-CoV-2. A total of 1894 students (58.78% of the total of those enrolled) participated. Flu vaccination coverage increased from 26.7% in Q1 to 35.0% in Q2 (p < 0.05), being higher in the age group older than 21 years, who studied nursing, were in their fourth year and lived with people at risk. Vaccination coverage against SARS-CoV-2 was very high (97.8%), especially in students vaccinated against influenza. Coverage of the influenza vaccine in health sciences students increased from 2019–2020 to 2021–2022, being higher in the age group older than 21 years, who studied nursing, were in their first and fourth year and lived with people at risk. Coverage of the SARS-CoV-2 vaccine in health sciences students was very high, especially in those vaccinated against influenza.Item Correlation between Health and eHealth Literacy and a Healthy Lifestyle: A Cross-Sectional Study of Spanish Primary Healthcare Patients(Healthcare, 2023) García García, David; Pérez Rivas, Francisco Javier; Ajejas Bazán, María JuliaBackground: Health literacy and eHealth literacy play a crucial role in improving a community's ability to take care of themselves, ultimately leading to a reduction in disparities in health. Embracing a healthy way of living is vital in lessening the impact of illnesses and extending one's lifespan. This research delves into the link between the health and eHealth literacy levels of individuals accessing primary healthcare services and investigates how this relates to adopting a health-conscious lifestyle. Methods: The approach involves a cross-sectional examination carried out at a healthcare facility in the Madrid region of Spain, focusing on adult patients who are in need of primary care nursing services. Health and eHealth literacy and a healthy lifestyle were measured using the Health Literacy Questionnaire (HLQ), the eHealth Literacy Questionnaire (eHLQ), and the "PA100" questionnaire, respectively. Results: Only some of the dimensions of the HLQ and eHLQ were significantly related to a healthy lifestyle, predominantly with a very low or low relationship. Dimension three of the HLQ and dimension five of the eHLQ acquired more importance and were positioned as positive predictors of a healthy lifestyle. Conclusions: This study helps comprehend the relationship between health and eHealth literacy and a healthy lifestyle, which provides information that contributes to understanding the factors that might have a higher impact on lifestyles.