Person: Domínguez Fernández, Silvia
Loading...
First Name
Silvia
Last Name
Domínguez Fernández
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Department
Area
Enfermería
Identifiers
6 results
Search Results
Now showing 1 - 6 of 6
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.- Project number: 306
Item Mejora de hábitos saludables en universitarios del Grado de Enfermería a través del aprendizaje colaborativo y las TIC(2020) Ajejas Bazán, María Julia; Domínguez Fernández, Silvia; Jiménez Trujillo, Isabel; Jiménez García, Rodrigo; Wärnberg, Julia; Ajejas Bazán, Fernando; Pérez Farinós, NapoleónEl grupo de investigación “Salud Pública-Estilos de Vida, Metodología Enfermera y Cuidados en el Entorno Comunitario” de la Universidad Complutense, Facultad de Enfermería, Fisioterapia y Podología, siguiendo con su línea de investigación sobre hábitos saludables en la población española, ha diseñado un proyecto de innovación docente con objetivos similares y que abarque otra vertiente diferente pero a la vez complementaria. A través de un aprendizaje colaborativo, en el que se fomenten habilidades sociales y académicas, se intenta conseguir una interacción de calidad entre los estudiantes y el profesorado para generar conocimiento colectivo útil a la comunidad estudiantil. El aprendizaje colaborativo pone en práctica una serie de competencias que permiten obtener un gran beneficio al desarrollar competencias emocionales y sociales así como la autonomía, la responsabilidad y el propio autocontrol en el aprendizaje. Consiste en una forma de organización de pequeños grupos de trabajo dado por alumnos que desean desempeñar una labor en conjunto. La responsabilidad en el aprendizaje es cosa del grupo que desempeña el trabajo propuesto y no tanto en el profesorado. Asimismo el uso y desarrollo de herramientas que permiten el “m-learning” en cualquier momento y desde cualquier espacio geográfico permite estar en contacto continuo alumnos y profesorado. Herramientas orientadas a la creación de videos de corta duración o infografías serán fundamentales en el aprendizaje colaborativo, en la adquisición de conocimientos y habilidades relacionadas con los hábitos saludables y las nuevas tecnologías. Durante los meses de enero a mayo de 2020, los estudiantes del curso seleccionado elaboraron infografías a través de las cuales fomentarán los hábitos saludables descritos en este documento. Hicieron uso de mailings masivos al resto de alumnos/as del Grado correspondiente. Tras finalizar se administró un cuestionario para valorar la efectividad de la actividad y la calidad de la misma. 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 Efectividad de la utilización de la metodología enfermera en la incidencia de caídas en población anciana en la Comunidad de Madrid(2022) Domínguez Fernández, Silvia; Pacheco del Cerro, José Luis; Pérez Rivas, Francisco JavierLas caídas en las personas mayores son un problema de Salud Pública de gran relevancia y envergadura por las consecuencias directas a nivel físico, psíquico y social en las personas que las sufren; e indirectas, por las consecuencias económicas en el sistema sanitario. La metodología enfermera es el proceso de resolución de los problemas de cuidados de un modo sistemático. El diagnóstico de enfermería ‘Riesgo de Caídas’ identifica a las personas vulnerables de sufrir este evento y sirve de base para planificar cuidados que eviten su ocurrencia. No existe actualmente ningún estudio que evalúe la efectividad de la utilización de la metodología enfermera en la incidencia de caídas. Este estudio se ha organizado en dos fases para dar respuestas a los siguientes objetivos generales planteados:- Describir la utilización del diagnóstico de enfermería ‘Riesgo de Caídas’ en Atención Primaria de la Comunidad de Madrid.- Evaluar la incidencia de caídas en ancianos mayores de 75 años que viven en la comunidad según la presencia o no de la etiqueta diagnóstica “Riesgo de Caídas”...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.