Lopez-Dicastillo, O. (Olga)
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- Social and emotional competence as key element to improve healthy lifestyles in children: Results from a randomized controlled trial(Wiley, 2019) Iriarte, A. (Andrea); Lopez-Dicastillo, O. (Olga); Bermejo-Martins, E. (Elena); Mujika, A. (Agurtzane)Aim: To show the results of an exploratory trial based on social and emotional learning to promote healthy lifestyles in 5-6 aged children. Design: A randomized controlled trial. Method: The study was conducted from 2015-2016. Thirty-seven children were allocated to the intervention group (N = 19) and control group (N = 18). A multi-method and multi-component evaluation approach was used to capture the preliminary efficacy, acceptability, and feasibility of the programme. Repeat measures ANOVA followed by an ANCOVA tests were applied for the inferential analysis and for qualitative data, a content analysis was used. Results: Positive effects on emotional perception and resilience were found in children's intervention group. Children and families showed high programme's acceptability and a wide range of barriers and facilitators were identified during the implementation process. Conclusion: Predicted mechanisms to improve healthy lifestyles in children throughout social and emotional competence seem to be supported by some of the study's results. However more research is needed to replicate such results and confirm these mechanisms. ClinicalTrials.gov Identifier: NCT02975544.
- Theory based capacity building intervention for intersectoral action for health at local governments: a mixed methods evaluation.(2022) Antoñanzas-Baztan, E. (Elena); Lopez-Dicastillo, O. (Olga); Hernantes-Colias, N. (Naia); Overgard, K.I. (Kjell Ivar); Bermejo-Martins, E. (Elena); Mujika, A. (Agurtzane); Iriarte-Roteta, A. (Andrea); Pumar-Mendez, M.J. (María Jesús)Aim To design, implement and evaluate a nurse-led capacity building intervention (PromoGOB) for intersectoral action for health at local governments. Design The programme was based on theories of the policy process and organizational change and facilitated by a nurse developing a health broker role. A complex intervention perspective was adopted in carrying out the study. The intervention was evaluated using a mixed method embedded design. Methods Quantitative component relied on a specific questionnaire. This tool, designed and piloted ad hoc, measured the capacity in terms of knowledge, awareness, resources, skills, and commitment, both at sectoral and government levels. For the qualitative component, semi-structured interviews were conducted. These explored the perceived capacity and feasibility and acceptability issues. The programme was initiated at the end of October 2019, and it lasted a total of 5 weeks. Nineteen individuals representing various sectors at a local government in northern Spain participated in the study. The data analysis was concluded by the end of March 2020. Findings PromoGOB positively influenced participants' capacity for addressing health promotion. Awareness component, intersectoral work and the nurse as health broker were essential in the programme. The necessity of political participation was identified as an issue to be prioritized in future studies.
- Los retos de la promoción de la salud en una sociedad multicultural: revisión narrativa de la literatura(Gobierno de Navarra, 2014) Lopez-Dicastillo, O. (Olga); Belintxon, M. (Maider)La realidad multicultural en la que vivimos hoy en día, hace que los profesionales de la salud interactúen a diario con personas y familias de culturas diversas. La interacción entre una persona o familia y un profesional de la salud de una cultura diferente se denomina “encuentro cultural”. Los encuentros no van a estar exentos de dificultades a las que los profesionales van a tener que hacer frente para poder proporcionar un buen cuidado y promover estilos de vida saludables. En la revisión narrativa llevada a cabo se han observado que las dificultades están relacionadas con factores culturales y linguísticos, la alfabetización en salud, las desventajas en el estado socio-económico y los prejuicios y estereotipos de los profesionales de la salud. Las estrategias sugeridas para vencer esas dificultades son: el desarrollo de programas culturalmente adaptados; utilizar una pedagogía y recursos apropiados, y materiales cultural y lingüísticamente adaptados; el uso de intérpretes y la organización de cursos para aprender el idioma mayoritario. Además de esas estrategias, la bibliografía enfatiza la necesidad de un cambio de enfoque en el que el objetivo sea la formación de los profesionales de la salud para el desarrollo de lo que los autores denominan “competencia cultural”. La formación en competencia cultural está orientada a favorecer que los profesionales ofrezcan y promuevan cuidados congruentes y adaptados a los valores culturales, creencias y prácticas de cualquier persona, familia o grupo sin caer en prejuicios ni estereotipos.
- La teoría fundamentada como metodología de investigación cualitativa en enfermería(Fundación Index, 2010) Lopez-Dicastillo, O. (Olga); Arantzamendi-Solabarrieta, M. (María); Gordo Luis, C. (Cristina); Garcia-Vivar, C. (Cristina)La teoría fundamentada (TF) es un diseño de investigación cualitativa, reconocido a nivel internacional, que ha sido utilizado para desarrollar teorías sobre fenómenos de salud relevantes. Sin embargo, en el ámbito de la enfermería española, la TF ha tenido escasa consideración. Por ello, este artículo se centra en esta metodología cualitativa e ilustra su contribución en la investigación enfermera en España y su utilidad para la Enfermería. También, se presentan brevemente las características metodológicas distintivas de la teoría fundamentada.
- El comienzo de la lactancia: experiencias de madres primerizas(Gobierno de Navarra, 2011) Lopez-Dicastillo, O. (Olga); Adrián-Garde, M.C. (María Carmen); Belintxon, M. (Maider); Zaragüeta-Lumbier, M.C. (María Carmen)Fundamento. La lactancia materna es importante para promover el desarrollo saludable del recién nacido. A pesar de sus beneficios, el abandono es masivo durante el primer trimestre de vida. El objetivo de esta investigación fue explorar cómo las madres primerizas percibían y experimentaban la lactancia materna para poder identificar así los aspectos que influyen en su instauración. Material y métodos. Se llevó a cabo un estudio cualitativo con un enfoque fenomenológico descriptivo, en el que participaron 12 madres primíparas que fueron entrevistadas en profundidad en dos ocasiones, una los primeros días tras el parto y otra al mes de haber dado a luz. Los datos obtenidos se grabaron y transcribieron para analizarlos con el método de Giorgi. Resultados. El significado esencial de la experiencia vivida por las madres que participaron en este estudio se puede resumir en los cinco temas que se detallan a continuación: la idealización de la lactancia; la incertidumbre ante las dificultades; el deseo de privacidad durante las tomas; la responsabilidad compartida con el niño para lograr el éxito; y finalmente, la desorganización en sus vidas y la modificación del rol de la mujer. Conclusiones. Conocer las experiencias de las madres primíparas en la etapa de instauración de la lactancia, permitirá a los profesionales diseñar intervenciones específicas adaptadas a ellas. Los profesionales deberían tener en cuenta las expectativas de cada madre y cómo hace frente al nuevo rol, la necesidad de proporcionar apoyo práctico y emocional con unanimidad de criterios y la importancia del apoyo del padre.
- Urge capacitar a los gobiernos locales para la intersectorialidad por la salud: un policy brief(2020) Fernández-Unanue, S. (S.); Lopez-Dicastillo, O. (Olga); Hernantes-Colias, N. (Naia); Bermejo-Martins, E. (Elena); Mujika, A. (Agurtzane); Iriarte-Roteta, A. (Andrea); Pumar-Mendez, M.J. (María Jesús)
- Placing myself in a new normalized life: the process of becoming a first-time father. A grounded theory study(2022) Lopez-Dicastillo, O. (Olga); Belintxon, M. (Maider); Bermejo-Martins, E. (Elena); Mujika, A. (Agurtzane); Serrano, I. (Inmaculada); Vidaurreta, M. (Marta)Becoming a first-time father is an important transition period in men's lives that is frequently accompanied by joy and happiness. Engaging fathers has a broader impact on family and community and on fathers' own well-being. This study explores the process of men becoming first-time fathers and the experiences and challenges involved. Seventeen interviews with men in different stages of pregnancy, childbirth, and the postpartum period were conducted. Through a grounded theory design, a novel four-stage theoretical model emerged that represents the journey to first-time fatherhood. These stages are beginning the journey, fatherhood in limbo, facing reality, and settling down. Participants suggested that achieving a new normality was the final stage where they finally felt located with a sense of mastery in their journey to fatherhood. The novel theoretical approach of addressing the process of men's transition allowed more complete access to their perspectives. Men's needs are different at every phase of the transition to fatherhood, and the use of these findings can help care providers in caring for every man according to the stage he is facing.
- A valid and reliable scale to assess cultural sensibility in nursing(2021) Lopez-Dicastillo, O. (Olga); Belintxon, U. (Unai); Raquel; Belintxon, M. (Maider); Dogra, N. (Nisha); Bermejo-Martins, E. (Elena); Carvajal, A. (Ana); Pumar-Mendez, M.J. (María Jesús); Rayón-Valpuesta, P (Pedro); Vidaurreta, M. (Marta)Background: Cultural sensibility is an important concept linked to the achievement of cultural competence. Health professionals must first improve their cultural sensibility to become culturally competent and to be able to offer competent care to culturally diverse populations. Aim To develop and psychometrically test the Cultural Sensibility Scale for Nursing (CUSNUR), a cultural sensibility scale that can be used in nursing for the achievement of competencies needed to care for culturally diverse populations. Design and methods: The cross-sectional survey was conducted over two stages. The first stage involved the cross- cultural and discipline-specific adaptation of an existing scale addressing this concept in the field of law using the reverse translation method. Second, validation of the scale was carried out from October 2016–June 2017 by studying the psychometric properties of the questionnaire through an analysis of content acceptability and reliability and through exploratory factor analysis (EFA). Results: The questionnaire was designed to be clear, easy to understand, and of adequate length, and experts involved in content validation agreed that the scale meets these criteria. A total of 253 nursing students participated in the validation stage. Four factors were identified from the EFA: (1) patient and health professional behaviours, (2) self-assessments, (3) self-awareness, and (4) cultural influence. Two items were excluded. Factorial saturation is adequate for all factors (>0.30). The Cronbach alpha was measured as 0.75. Conclusions: This study presents the first version of the CUSNUR and demonstrates that the scale is valid and reliable.