Person: Pumar Méndez, María Jesús
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Pumar Méndez
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María Jesús
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Ciencias de la Salud
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0000-0003-3284-5588
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812013
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Publication Open Access Theory based capacity building intervention for intersectoral action for health at local governments: an exploratory pilot study(Wiley, 2022) Hernantes Colias, Naia; Bermejo-Martins, Elena; Øvergård, Kjell Ivar; Pumar Méndez, María Jesús; López de Dicastillo Sáinz de Murieta, Olga; Iriarte Roteta, Andrea; Antoñanzas Baztán, Elena; Mujika Zabaleta, Agurtzane; Ciencias de la Salud; Osasun ZientziakAim: 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. Conclusion: This study highlights the relevance of capacity building at local governments and the role that nurses can play in it. Further work should be undertaken to continue developing Health in All Policies approach at local level. Impact: This study offers a starting point for nurses to get involved in the policy process of health promotion, performing a specific role as health brokers, building capacity at local governments for addressing social determinants of health, and delving into theories and concepts of the Health in All Policies field.Publication Open Access Estrategias para impulsar la implementación de promoción de salud en Atención Primaria: dos grupos nominales(Asociación de Enfermería Comunitaria, 2020) Mujika Zabaleta, Agurtzane; Pumar Méndez, María Jesús; Bermejo-Martins, Elena; Hernantes Colias, Naia; Antoñanzas Baztán, Elena; López de Dicastillo Sáinz de Murieta, Olga; Ciencias de la Salud; Osasun ZientziakObjeto: identificar recomendaciones para impulsar la implementación de la promoción de salud en Atención Primaria. Método: se realizaron dos grupos nominales, con la participación de 15 expertos en promoción de la salud, Salud Pública, Atención Primaria y seguridad del paciente. Se llevaron a cabo dos rondas de trabajo, combinando trabajo personal, puesta en común y discusión entre panelistas sobre los elementos identificados, así como su puntuación. Este proceso dio lugar a una lista de ítems priorizados por los participantes. Resultados: consenso alcanzado por expertos sobre estrategias para implementar una taxonomía de actividades de prevención y promoción de salud dirigida a identificar omisiones en este campo; y a elementos críticos para implementar estrategias de promoción de salud en Atención Primaria. Entre ellos, destacan la consideración de la implementación de la promoción de salud como proceso; la interpelación a otros agentes; y la necesidad de una apuesta clara y firme por la promoción de salud en el ámbito institucional. Conclusión: el impulso de la promoción de salud en Atención Primaria requiere de una apuesta clara y firme, acompañada de la adopción de un enfoque de creación de capacidad y de un marco de implementación.Publication Open Access Urge capacitar a los gobiernos locales para la intersectorialidad por la salud: un policy brief(Gobierno de Navarra. Departamento de Salud, 2020) Hernantes Colias, Naia; Bermejo-Martins, Elena; Pumar Méndez, María Jesús; López de Dicastillo Sáinz de Murieta, Olga; Iriarte Roteta, Olga; Fernández-Unanue, S.; Mujika Zabaleta, Agurtzane; Ciencias de la Salud; Osasun ZientziakLos enfoques que integran la salud en todos los sectores y sus políticas están llamados a la acción; sin embargo, la colaboración entre los sectores y el convencimiento de la parte política y de la estructura administrativa continúa siendo la principal barrera para poder implementarlos. En muchos casos, fomentar la colaboración puede requerir mecanismos de financiación e incentivos, o institucionalizar herramientas que evalúen las consecuencias en salud de las políticas y decisiones de todos los sectores. Las autoras, como paso previo a estas medidas, recomiendan la capacitación de los sectores para fomentar una visión compartida en torno a la salud como elemento esencial para establecer objetivos comunes. Esta capacitación debe ser liderada por el sector salud. Ello permitirá avanzar en el establecimiento de la salud como un eje trasversal en los gobiernos locales para promover la salud de las poblaciones sobre las cuales gobiernan.Publication Open Access Parental self-efficacy to promote children's healthy lifestyles: a pilot and feasibility study(MDPI, 2021) Ruiz-Zaldíbar, Cayetana; Serrano-Monzó, Inmaculada; López de Dicastillo Sáinz de Murieta, Olga; Pumar Méndez, María Jesús; Iriarte Roteta, Andrea; Bermejo-Martins, Elena; Mujika Zabaleta, Agurtzane; Ciencias de la Salud; Osasun ZientziakPositive parenting programs are a key strategy to promote the development of parental competence. We designed a pilot study based on parental self-efficacy to promote healthy lifestyles in their children aged between 2 to 5 years old. In this pilot study, we aimed to assess the effects of a parenting program on parental self-efficacy and parenting styles. Twenty-five parents were allocated into intervention (N = 15) and control group (N = 10). Parents from the intervention group received four group sessions (120 mi per session) to develop a positive parenting, parenting styles and parenting skills regarding to children's diet, exercise, and screen time, and two additional sessions about child development and family games. Parents from the control group received these two latter sessions. Parental self-efficacy, parenting styles, and meal-related parenting practices were measured before and after the intervention and at 3-month follow-up. Acceptability and feasibility of the program was also measured. Quantitative data were analyzed using the repeat measures ANOVA and ANCOVA tests and the effect size calculation. Content analysis was used to analyse open questions. Positive trends were found regarding parental self-efficacy and the use of authoritative parenting style. Parents also reported a great acceptability of the program getting high satisfaction. According to the feasibility barriers and facilitators aspects were identified. The positive trends founded in this study support the development of parenting programs to promote healthy lifestyle in children.Publication Open Access A valid and reliable scale to assess cultural sensibility in nursing(Elsevier, 2021) Belintxon, Maider; Carvajal, Ana; Pumar Méndez, María Jesús; Rayón Valpuesta, Esperanza; Velasco, Tamara Raquel; Belintxon Martin, Unai; Dogra, Nisha; Vidaurreta, Marta; Bermejo-Martins, Elena; López de Dicastillo Sáinz de Murieta, Olga; Derecho; ZuzenbideaBackground: 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.Publication Open Access Nurses' role in health promotion and prevention: a critical interpretive synthesis(Wiley, 2020) Iriarte Roteta, Andrea; López de Dicastillo Sáinz de Murieta, Olga; Mujika Zabaleta, Agurtzane; Ruiz-Zaldíbar, Cayetana; Hernantes Colias, Naia; Bermejo-Martins, Elena; Pumar Méndez, María Jesús; Ciencias de la Salud; Osasun ZientziakBackground: Role confusion is hampering the development of nurses' capacity for health promotion and prevention. Addressing this requires discussion to reach agree-ment among nurses, managers, co-workers, professional associations, academics and organisations about the nursing activities in this field. Forming a sound basis for this discussion is essential. Aims and objectives: To provide a description of the state of nursing health promo-tion and prevention practice expressed in terms of activities classifiable under the Ottawa Charter and to reveal the misalignments between this portrayal and the ideal one proposed by the Ottawa Charter. Methods: A critical interpretive synthesis was conducted between December 2018 and May 2019. The PubMed, CINAHL, Scopus, PsychINFO, Web of Science and Dialnet databases were searched. Sixty-two papers were identified. The relevant data were extracted using a pro-forma, and the reviewers performed an integrative synthesis. The ENTREQ reporting guidelines were used for this review. Results: Thirty synthetic constructs were developed into the following synthesising arguments: (a) addressing individuals' lifestyles versus developing their personal skills; (b) focusing on environmental hazards versus creating supportive environments; (c) action on families versus strengthening communities; (d) promoting community part-nerships versus strengthening community action; and (e) influencing policies versus building healthy public policy. Conclusions: There are notable misalignments between nurses' current practice in health promotion and prevention and the Ottawa Charter's actions and strategies. This may be explained by the nurses' lack of understanding of health promotion and prevention and political will, research methodological flaws, the predominance of a biomedical perspective within organisations and the lack of organisational prioritisa-tion for health promotion and prevention.Publication Open Access A reliable and valid parent self-report tool to assess children's global health needs(Elsevier, 2021) Pumar Méndez, María Jesús; Lozano-Ochoa, Cristina; Mujika Zabaleta, Agurtzane; Bermejo-Martins, Elena; Carrasco, José Miguel; Tricas-Sauras, Sandra; López de Dicastillo Sáinz de Murieta, Olga; Ciencias de la Salud; Osasun ZientziakPurpose: This study aimed to develop and validate a parent self-report questionnaire to explore global health needs in 2- to 6-year-old children. Design and methods: The development of the tool started with a conceptualization phase, followed by the design, pilot testing and psychometric validation of the questionnaire. The construct validity was assessed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were carried out to explore the construct validity of the questionnaire. The normed fit index (NFI), root mean square error of approximation (RMSEA), chi square test and comparative fit index (CFI) were used to test the goodness-of-fit. Reliability was explored through Cronbach's alpha for internal consistency. Results: A total of 973 parents completed the 119 items of the Necesidades de salud de la Población Infantil (NPI) questionnaire for the psychometric validation stage. The EFA identified seven factors: Lifestyles, Promotion of healthy lifestyles and influence of significant persons, Children's socioemotional aspects, Parents' socioemotional aspects, Parental self-efficacy, Situational influences, Professional advice. All the factors showed good internal consistency (Cronbach's alpha N0.7). The CFA showed good adjustment to the model (RMSEA = 0.048). The values of NFI and CFI were 0.741 and 0.779 respectively. Conclusions: The NPI questionnaire is a reliable and valid instrument. Practice implications: The seven-factor questionnaire will be useful for analyzing children's global health needs, designing health promotion programs according to identified needs and assessing related interventions.