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 Encounters between children's nurses and culturally diverse parents in primary health care(Wiley, 2020) Belintxon, Maider; Dogra, Nisha; McGee, Paula; Pumar Méndez, María Jesús; López de Dicastillo Sáinz de Murieta, Olga; Ciencias de la Salud; Osasun ZientziakThe objective of this study was to analyze the healthcare encounters between nursesand parents of different cultural backgrounds in primary health care. An ethnographicstudy was carried out using participant observations in health centers and interviews withnurses. Data were analyzed using thematic content analysis and constant comparativemethod. Four main themes were identified when nurses met parents of other culturalbackgrounds: lack of mutual understanding, electronic records hamper the interaction,lack of professionals' cultural awareness and skills, and nurses establish superficial or dis-tant relationships. The concepts of ethnocentrism and cultural imposition are behindthese findings, hampering the provision of culturally competent care in primary healthservices. There were difficulties in obtaining and registering culturally related aspects thatinfluence children's health and development. This was due to e-records, language barriers,and the lack of cultural awareness and skills in health professionals making the encoun-ters difficult for both nurses and parents. These findings show that there is a clear threatfor health equity and safety in primary care if encounters between nurses and parents donot improve to enable nursing care to be tailored to any individual family needs.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.