Ángel Gasch-Gallén

Aim: To develop a guideline for the integration of the gender perspective in the use of NANDA‐I nursing diagnoses. Design: The Delphi technique was used in order to reach consensus between two groups of experts: (a) in nursing diagnoses and (b) in gender, thus allowing us to draw up the guidelines to include the gender perspective in the three levels of the NANDA‐ taxonomy (domains, classes and diagnoses). Methods: The Delphi study included four rounds. The first was carried out considering a qualitative approach to define the items of the guidelines followed by three Delphi rounds to reach consensus combining quantitative thresholds and qualitative feedback. Thirty experts were invited to participate in order to assess and reach consensus on two main criteria: relevance and feasibility of the items. Consensus was evaluated by calculating the mean and standard deviation of each item according to the scores obtained by the participating experts. The study followed the CREDES Guidelines. Results: The participants included 20 experts in gender and NANDA‐I nursing diagnoses. The Delphi process yielded 14 indicators, organized into three domains. This process integrates the consideration of differentiating characteristics in terms of sex, the use of non‐sexist language in the diagnosis, the consideration of the gender perspective in the process of clinical reasoning and the need for including gender experts in the process of translating NANDA‐I language into languages that use binary gender nouns. Patient or Public Contribution: No patient or public involvement occurred in the design or conduct of this study. Reporting Method: In order to allow critical appraisal of the methodology and resulting guidance, the study followed the CREDES Guidelines, a reporting standard for Conducting and REporting DElphi Studies.

Aim: To explore nursing professionals' perceptions of the intersectional positioning of their profession within healthcare and society, examining how axes of oppression shape healthcare responses and resource management. Design: A qualitative study framed in critical theory paradigm employing constructivist grounded theory, as outlined by Charmaz. Methods: The study was conducted in Catalonia, Spain, between 2022 and 2023. A total of 26 nursing professionals participated, representing a range of professional roles and settings. Theoretical sampling guided participant recruitment and was saturated after 17 in‐depth interviews and 2 thematic focus groups. Interviews and focus groups were transcribed verbatim. Thematic analysis, informed by Charmaz's approach, was applied to identify key dimensions and themes. Intersectionality theory was used as a critical analysis framework. Results: A predominant theme emerged from data identified as ‘intersectional disempowerment of nursing profession’. Four categories shape this positioning: (1) symbolic and historical undervaluation of care, rooted in nursing's feminization and patriarchal norms; (2) patriarchal influence on professional leadership, manifested by men disproportionately occupy leadership roles, reinforcing vertical segregation; (3) intra‐professional hierarchies and technocratic influence, forcing prestige disparities within nursing and promoting horizontal segregation; and (4) internalised barriers among nurses regarding professional prestige, authority and recognition which combined undermine nursing's visibility, legitimacy and influence within healthcare. Conclusions: Nursing cannot be understood as a neutral profession. Its societal positioning is deeply shaped by structural inequities, gendered assumptions and entrenched hierarchies, which collectively undermine its potential for autonomy and recognition. Impact: This study highlights the need to challenge intersectional hierarchies in nursing, promoting equitable recognition, policy reforms and leadership opportunities to enhance nurses' authority, visibility and professional empowerment within healthcare systems. Addressing these challenges requires systemic policy reforms and a critical re‐evaluation of societal perceptions. What problem did the study address? Nursing's social image is strongly shaped by biomedical, technocratic and social views. The gap between nursing's public image and identity limits professional growth and recognition. Analysing how power relations intersect in nursing's social position is essential. What were the main findings? Nursing's role is shaped by the intersection of gender, prestige, socioeconomic status and social recognition. Nurses' empowerment must be tied to transforming unjust institutions and systemic structures. Where and on whom will the research have an impact? This study provides a critical analysis of the intersectional positioning of the nursing profession. The findings have implications at multiple levels: micro, by offering nurses a critical perspective on their professional positionality; meso, by providing healthcare managers with insights into the underlying factors contributing to nursing's undervaluation; and macro, by fostering reflection within the broader healthcare community on the power dynamics shaping interprofessional relationships. Patient or Public Contribution: This study did not include patient or public involvement in its design, conduct, or reporting. Reporting Method: The manuscript is based on the Consolidated Criteria for Reporting Qualitative Research (COREQ).

Los cambios en el envejecimiento y los condicionantes relacionados con el estigma y el heterocentrismo en los servicios de salud y sociales afectan la salud y el bienestar de las personas mayores lesbianas, gais, trans, bisexuales e intersexuales (LGTBI). La pretensión de heterosexualidad obliga a una re-armarización en la vejez, agravada por el rechazo y desconocimiento de los profesionales, lo que genera desigualdades en el acceso a los servicios. Es crucial capacitar a estos profesionales para garantizar un envejecimiento saludable, inclusivo y respetuoso con la diversidad afectivo-sexual. La atención inclusiva evitaría que mayores LGTBI enfrenten barreras en Atención Primaria o rechacen residencias, afectando su acceso a cuidados de calidad. La participación de personas mayores LGTBI en la planificación de políticas públicas es esencial. Este trabajo presenta datos de estudios que abordan sus oportunidades de participación, así como las percepciones y desafíos identificados, buscando puntos de encuentro y discordancia para avanzar hacia la equidad.

Relies es la Revista del Laboratorio Iberoamericano para el Estudio Sociohistórico de las Sexualidades de carácter abierto. Su objetivo es el análisis inter y pluridisciplinar de la sexualidad, el cuerpo y el g´éero. Acepta artículos de investigación, ensayos y reseña de libros, y traduccciones de artículos relevantes. A su vez, se acepta propuestas de monográficos. . . No aplica

El objetivo de esta revisión sistemática exploratoria fue identificar el alcance y la naturaleza de la literatura existente sobre la salud mental de las personas trans adolescentes en Europa y conocer el papel de la enfermera en su cuidado. Se utilizaron las siguientes bases de datos en la búsqueda: MEDLINE, Web of Science, Scopus, Cuiden Plus, LILACS y la Biblioteca Cochrane. Se incluyeron 12 estudios publicados entre 2013 y 2024 cuya temática abordó la salud mental de las personas trans europeas de entre 13 y 17 años. Los temas principales abordados en los diferentes estudios analizados fueron el suicidio, la disforia de género y los problemas de internalización y externalización. Las personas trans adolescentes cargan con más sufrimiento psicológico que sus iguales cisgénero. Es destacable la influencia de las relaciones familiares y con sus iguales como factores protectores o de riesgo de los problemas de salud mental de las personas trans adolescentes. No se ha encontrado información relativa al papel de la enfermera en el acompañamiento en el proceso transicional del adolescente trans.

Data from international investigations indicate that gender‐based violence is a phenomenon that also occurs in the university environment. Despite the fact that clinical learning environments have been widely studied, little attention has been paid to sexual violence in the clinical placement setting of Health Sciences students. Consequently, the aim of this study was to describe situations and/or behaviours of harassment, such as assault and/or sexual abuse experienced by the students of one university in Barcelona, Spain, during their clinical placements. A cross‐sectional study was conducted using an ad‐hoc online questionnaire. A convenience sample was used including bachelor's degree students as subjects during their clinical placements in the second half of 2022. A total of 156 responses were collected from the students of four degrees (Nursing, Physiotherapy, Nutrition and Dietetics and Pharmacy). Of the total results collected, 74.5% (117) corresponded to women and the remaining 25.5% (40) to men. 71.3% of students reported that they had experienced one (or more) of the 25 types of conduct described in the questionnaire at some time. The behaviours of social interaction with sexual content and sexual harassment in the placement setting showed that such behaviours were mostly experienced by women on the Nursing degree. In relation to the perpetrators of such behaviours, the respondents manifested that the greatest aggressor was a patient and that most of the aggression took place in hospitalisation units, rehabilitation centres and nursing homes. It is essential that academic institutions, in collaboration with health institutions, carry out joint actions, awareness‐raising, identification and interventions, with students, professionals and teams from a culture of non‐violence and the eradication of sexual harassment in academic placements.

Men who have sex with men are at an increased risk of acquiring sexually transmitted infections, and although behavioral and contextual interventions have improved, infections continue to spread. Therefore, a new focus on recent trends in sexual health in this population is needed. The aim of this study was to describe the relationship between sociodemographic and behavioral characteristics according to Grindr usage patterns, the prevalence of sexually transmitted infections (STIs), and attitudes toward HIV testing. In January 2020, a cross-sectional study was conducted using a sample of 881 men who have sex with men (MSM) who completed an online questionnaire. We evaluated their Grindr use patterns (moderate or intensive) and explored the associations of these with sociodemographic behavioral characteristics, STIs, and attitudes toward HIV testing. Of 881 participants in total, 587 (66.6%) were intensive Grindr users. Compared to moderate users, these participants reported significantly higher numbers of casual sexual partners (76.2% vs. 23.8%; p < 0.001), were more likely to participate in Chemsex (77.3% vs. 22.7%: p = 0.031), and had a higher self-reported number of STIs (69.9% vs. 30.1; p = 0.046). They also demonstrated better attitudes toward HIV testing (69.7% vs. 30.3%; p = 0.045) and perceived themselves to be at moderate risk of HIV (71.2% vs. 28.8%: p = 0.048). Moreover, intensive Grindr users were 1.36 times more likely than moderate users to test positive for STIs (95%CI = 1.15–1.91; p = 0.048). With some limitations, age, sexual partners, intensive Grindr users, and PrEP uses were associated with the risk of STIs in the sample of Spanish Grindr users studied. As Grindr users are vulnerable to sociodemographic and behavioral factors that determine STIs and HIV infection, mainly among intensive users, it is necessary to highlight the importance of new trends such as online dating apps, PrEP use, substance use in sex, and Chemsex, and these need to be incorporated into online public health strategies.

Men who have sex with men are at increased risk of acquiring sexually transmitted infections. Although behavioral and contextual interventions have improved, infections are still spreading. A new focus is needed regarding the influence of sexual compulsivity and gender self-identification. The objective was to explore the relationship between SC and gender stereotype self-identification in MSM in Spain. A cross-sectional study based on an anonymous online survey of a sample of 881 MSM in Spain was performed. A validated Sexual Compulsivity Scale was applied as well as the Bem Sex Role Inventory to identify gender stereotype self-identification. A total of 87.5% of participants identified as gay, while 106 (12%) were sexually compulsive. The Bem Sex Role Inventory showed excellent reliability (0.92 Cronbach’s alpha). Gender stereotype classification showed the undifferentiated category as predominant (n = 325; 36.9%). The androgynous category had higher scores on the Sexual Compulsivity Scale, while the feminine category had lower scores (p < 0.007). Those identifying as androgynous scored higher overall on the Sexual Compulsivity Scale (15; p < 0.001; [12–20]) and subscales (“Interference of sexual behavior” (5; p < 0.001; [4–7]) and “Failure to control sexual impulses” (9; p = 0.014; [7–12])). Education level, cohabitation, sexual role, and unprotected sexual practices are related to sexual compulsivity according to different gender stereotypes. Sexual compulsivity is related to gender stereotype self-identification in men who have sex with men. Specific sociodemographic, behavior, and sexual profiles exist for those at greater risk of sexually transmitted infection dissemination. The undifferentiated category is at greater risk of engaging in unprotected practices. New avenues of prevention that include these findings could shift heteronormative standards to better understand current trends in the sexual health of men who have sex with men.

This study aims to describe a local community expert’s perspective on the identification of and access to children’s health assets and to gather proposals to promote children’s health and well-being within their community. The health asset approach is essential for health promotion, and there is evidence of its benefits to individuals’ or communities’ health when this approach is observed. Children’s health assets are gaining increasing interest, but the literature that captures the perception of professionals working with children is scarce. Qualitative research designed with Delphi methodology was carried out with the participation of 25 professionals working in a neighbourhood with children and families. The participants stated that this neighbourhood was a good environment for the healthy and happy growth of children but pointed out that there were inequities. They emphasised the importance of economic and physical security and feeling loved. The absolute best aspects of the neighbourhood according to these experts were its support networks, mutual help, educational and health services, and green spaces, and the most deficient aspects were the possibility of a hopeful future and emotional support within the family unit. Poverty and/or the scarcity of economic resources were identified as the main barriers to accessing health assets. Special difficulties in access to health for migrant and Roma children were also identified. The panel of experts made concrete action proposals. It was recommended to support resources and services that already exist in their community. The experts prioritised work with families, education, working in conjunction with vulnerable groups, community participation, and networking.