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Ugarte-Gurrutxaga MI, Mazoteras-Pardo V, de Corral GM, Molina-Gallego B, Mordillo-Mateos L, Gómez-Cantarino S. "Nurses and health professionals facing female genital mutilation: a qualitative study ". BMC Nurs 2023; 22:408. [PMID: 37904211 PMCID: PMC10614387 DOI: 10.1186/s12912-023-01549-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 10/03/2023] [Indexed: 11/01/2023] Open
Abstract
BACKGROUND Transnational migratory movements make Spain a country with a very diverse population, including women and girls from countries where Female Genital Mutilation (FGM) is practiced. Given this reality, we set out to carry out a qualitative study to identify the knowledge, attitudes and skills of health professionals regarding FGM. METHOD Qualitative study with a content analysis approach. Forty-seven health professionals with the profiles of Nursing, Family Medicine, Pediatrics, Midwifery and Gynecology and Obstetrics were purposively selected. Data were collected through semi-structured in-depth interviews and focus groups. The qualitative content analysis approach was used for data analysis. The study was conducted in the years 2019 and 2022. RESULTS Although most professionals are aware of the current legislation on FGM in Spain, only a few of them are aware of the existence of the FGM prevention protocol in Castilla-La Mancha. This lack of knowledge together with the perception that FGM belongs to the private sphere of women, contributes to the loss of opportunities to identify and prevent FGM. CONCLUSION Health professionals' training, especially midwives and pediatricians, is essential to the identification and action against Female Genital Mutilation.
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Affiliation(s)
- MIdoia Ugarte-Gurrutxaga
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Toledo, Spain
- Nursing, Pain and Care Research Group, University of Castilla-La Mancha, Toledo, Spain
| | - Victoria- Mazoteras-Pardo
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Toledo, Spain.
- Nursing, Pain and Care Research Group, University of Castilla-La Mancha, Toledo, Spain.
| | - Gonzalo Melgar de Corral
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Toledo, Spain
| | - Brígida Molina-Gallego
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Toledo, Spain
- Nursing, Pain and Care Research Group, University of Castilla-La Mancha, Toledo, Spain
- National Hospital of Paraplegics. Health Service of Castilla-La Mancha, Toledo, Spain
| | - Laura Mordillo-Mateos
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Toledo, Spain
| | - Sagrario Gómez-Cantarino
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Toledo, Spain
- Nursing, Pain and Care Research Group, University of Castilla-La Mancha, Toledo, Spain
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de Dios-Aguado M, Agulló-Ortuño MT, Ugarte-Gurrutxaga MI, Yañez-Araque B, Molina-Gallego B, Gómez-Cantarino S. Nutritional Health Education in Pregnant Women in a Rural Health Centre: Results in Spanish and Foreign Women. Healthcare (Basel) 2021; 9:1293. [PMID: 34682974 PMCID: PMC8544496 DOI: 10.3390/healthcare9101293] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 09/18/2021] [Accepted: 09/22/2021] [Indexed: 12/03/2022] Open
Abstract
The dietary behaviour of pregnant women, as well as the socio-cultural conditions in which pregnancy takes place, influence obstetric outcomes. To analyse the influence of socioeconomic factors and dietary habits on obstetric outcomes in Spanish and foreign pregnant women living in a rural environment, a population-based, prospective-observational study in a cohort of Spanish and foreign pregnant women in the town of Yepes, in the province of Toledo, Spain was conducted. Foreign pregnant women are ecodependent on their partners, have secondary education and low socioeconomic level. Spanish pregnant women have secondary education, a medium socio-economic level, live with their partners and are economically independent. Moreover, 85% of Spanish pregnant women gave birth at term and reached a gestational age of 40 ± 1.83 weeks. However, only 55% of foreign pregnant women reached a gestational age of 39.72 ± 2.28 weeks. Through health education, pregnant women in this geographical area of Castilla la Mancha, Spain, adopted bicultural dietary patterns, thus reaching the prescribed diet of 2000 Kcal. Through this diet, both Spanish and foreign pregnant women maintained albumin and plasma protein levels within the established range, with no significant differences in obstetric outcomes among pregnant women in the study.
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Affiliation(s)
- Mercedes de Dios-Aguado
- Primary Health Care No.1. Health Centre, Yepes, Castilla-La Mancha Public Health Service (SESCAM), 45005 Toledo, Spain;
- Research Group Nursing, Pain and Care (ENDOCU), UCLM, Av. Carlos III s/n, 45071 Toledo, Spain; (M.I.U.-G.); (B.M.-G.)
| | - María Teresa Agulló-Ortuño
- Faculty of Physiotherapy and Nursing of the Toledo Campus, University of Castilla-La Mancha (UCLM), 45071 Toledo, Spain;
| | - María Idoia Ugarte-Gurrutxaga
- Research Group Nursing, Pain and Care (ENDOCU), UCLM, Av. Carlos III s/n, 45071 Toledo, Spain; (M.I.U.-G.); (B.M.-G.)
- Faculty of Physiotherapy and Nursing of the Toledo Campus, University of Castilla-La Mancha (UCLM), 45071 Toledo, Spain;
| | - Benito Yañez-Araque
- Department of Physical Activity and Sports Sciences, Campus Toledo, University of Castilla-La Mancha, 45071 Toledo, Spain;
| | - Brígida Molina-Gallego
- Research Group Nursing, Pain and Care (ENDOCU), UCLM, Av. Carlos III s/n, 45071 Toledo, Spain; (M.I.U.-G.); (B.M.-G.)
- Faculty of Physiotherapy and Nursing of the Toledo Campus, University of Castilla-La Mancha (UCLM), 45071 Toledo, Spain;
| | - Sagrario Gómez-Cantarino
- Research Group Nursing, Pain and Care (ENDOCU), UCLM, Av. Carlos III s/n, 45071 Toledo, Spain; (M.I.U.-G.); (B.M.-G.)
- Faculty of Physiotherapy and Nursing of the Toledo Campus, University of Castilla-La Mancha (UCLM), 45071 Toledo, Spain;
- Health Sciences Research Unit: Nursing (UICISA: E), Coimbra School of Nursing (ESEnfC), 3004-011 Coimbra, Portugal
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Molina-Gallego B, Gómez-Cantarino S, Ugarte-Gurrutxaga MI, Molina-Gallego L, Mordillo-Mateos L. Neuropsychological Study in Patients with Spinal Cord Injuries. Healthcare (Basel) 2021; 9:healthcare9030241. [PMID: 33668343 PMCID: PMC7996187 DOI: 10.3390/healthcare9030241] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 02/14/2021] [Accepted: 02/19/2021] [Indexed: 11/21/2022] Open
Abstract
The present investigation was designed to determinate the nature, pattern, and extent of cognitive deficits in a group of participants with subacute and chronic spinal cord injury (SCI). Methods: A cross-sectional study was conducted in both patients with subacute and chronic SCI. Different cognitive functions were evaluated through a neuropsychological protocol designed for this purpose, taking into account the patient’s emotional state. Results: A total of 100 patients suffering a spinal cord injury were evaluated. There were no differences between the two groups when age, sex, level of education, and region of origin were studied. The chronic injured patients obtained lower scores in the neuropsychological evaluation protocol respective to the subacute injured patients. Conclusions: Subjects with chronic spinal cord injury presented a cognitive profile that differed greatly in the number of altered cognitive functions as well as in their magnitude from the subacute spinal cord injured patient profile. Moreover, cognitive dysfunction may be important beyond the end of the first stage of rehabilitation as it can affect an individual’s quality of life and possible integration in society.
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Affiliation(s)
- Brígida Molina-Gallego
- FENNSI Group, Hospital Nacional de Parapléjicos, SESCAM, 45071 Toledo, Spain;
- Nursing Department, Hospital Nacional de Parapléjicos, SESCAM, 45071 Toledo, Spain
- Nursing Department, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 13071 Toledo, Spain; (S.G.-C.); (M.I.U.-G.)
- Correspondence: ; Tel.: +34-925-247700 (ext. 47224) or +34-619-085120; Fax: +34-925-247745
| | - Sagrario Gómez-Cantarino
- Nursing Department, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 13071 Toledo, Spain; (S.G.-C.); (M.I.U.-G.)
| | - María Idoia Ugarte-Gurrutxaga
- Nursing Department, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 13071 Toledo, Spain; (S.G.-C.); (M.I.U.-G.)
| | - Laura Molina-Gallego
- Nursing Department, Hospital Mancha-Centro, SESCAM, Alcázar de San Juan, 13071 Ciudad Real, Spain;
| | - Laura Mordillo-Mateos
- FENNSI Group, Hospital Nacional de Parapléjicos, SESCAM, 45071 Toledo, Spain;
- Faculty of Health Sciences, University of Castilla-La Mancha, 13071 Talavera, Spain
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Ugarte-Gurrutxaga MI, Molina-Gallego B, Mordillo-Mateos L, Gómez-Cantarino S, Solano-Ruiz MC, Melgar de Corral G. Facilitating Factors of Professional Health Practice Regarding Female Genital Mutilation: A Qualitative Study. Int J Environ Res Public Health 2020; 17:ijerph17218244. [PMID: 33171622 PMCID: PMC7664698 DOI: 10.3390/ijerph17218244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 10/26/2020] [Accepted: 11/05/2020] [Indexed: 01/26/2023]
Abstract
Introduction: According to figures released by UNICEF (United Nations Children’s Fund), more than 200 million girls and women have suffered female genital mutilation (FGM) in 30 African and Middle East countries. An increasing number of African women who come from ethnic groups where FGM is practised are arriving in Western countries. Healthcare professionals play a fundamental role in its prevention. Goals: To learn about the factors that healthcare professionals consider as facilitators for prevention and action when faced with female genital mutilation. Methods: A cross-sectional descriptive study developed on the basis of the qualitative methodological perspective, where 43 healthcare professionals participated. A series of analysis dimensions were established, based on which, the interview and discussion group scripts were designed. Results: Addressing FGM requires a series of structural adaptations of the healthcare system that facilitate the recording and monitoring of cases, both for treatment and for prevention. In addition, it is necessary to establish coordination between the healthcare, social services and education sectors. Conclusions: The existence of a protocol of action and training in its use is one of the key tools to take into account.
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Affiliation(s)
- M Idoia Ugarte-Gurrutxaga
- Department of Nursing, Physical and Occupational Therapy University of Castilla-La Mancha, Campus Toledo, 13001 Ciudad Real, Spain; (M.I.U.-G.); (B.M.-G.); (S.G.-C.); (G.M.d.C.)
| | - Brígida Molina-Gallego
- Department of Nursing, Physical and Occupational Therapy University of Castilla-La Mancha, Campus Toledo, 13001 Ciudad Real, Spain; (M.I.U.-G.); (B.M.-G.); (S.G.-C.); (G.M.d.C.)
| | - Laura Mordillo-Mateos
- Faculty of Health Sciences, Universidad de Castilla la Mancha, 45600 Talavera de la Reina (Toledo), Spain
- Correspondence: ; Tel.: +34-629-861-084
| | - Sagrario Gómez-Cantarino
- Department of Nursing, Physical and Occupational Therapy University of Castilla-La Mancha, Campus Toledo, 13001 Ciudad Real, Spain; (M.I.U.-G.); (B.M.-G.); (S.G.-C.); (G.M.d.C.)
| | | | - Gonzalo Melgar de Corral
- Department of Nursing, Physical and Occupational Therapy University of Castilla-La Mancha, Campus Toledo, 13001 Ciudad Real, Spain; (M.I.U.-G.); (B.M.-G.); (S.G.-C.); (G.M.d.C.)
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