Background: Midwives look after women during pregnancy, childbirth and puerperium. In Spain, the first wave of COVID was particularly virulent. There are few studies about the experiences of midwives providing care during the COVID pandemic and very few have been undertaken in the countries of southern Europe such as Spain. This article sets out to take a more in-depth look at the experiences of midwives who were on the frontline of care during the early months of the COVID-19 pandemic as well as to identify new needs and resilience strategies that can help midwives. Methods: A qualitative methodology of phenomenological tradition was used, interviewing 10 midwives from primary care, hospital and independent care. Results: After content analysis, three central categories emerged: (a) cascade of emotions; (b) professional occupation and concern for the women; (c) resisting the day-to-day; resilience and resistance strategies. Conclusions: Despite the difficulties, midwives are concerned about the loss of rights and autonomy and about the increased vulnerability of women. Midwives have become aware of the power they have in their actions both in health management and administration, as well as in the care of women, creating strategies to provide dignified care to their users.

Gender stereotypes are reproduced in healthcare settings, leading to unequal relationships, discrimination, and sexism. University students express insecurity about their ability to identify and handle these situations. There are gaps in our knowledge about everyday sexism in academic and clinical nursing settings. To describe how nursing students perceive sexist behavior in their daily life at university and during university teaching. Cross-sectional, multicenter study using an online questionnaire. Eight universities that offer nursing degrees in Catalonia. In total, 317 valid responses were collected. The inclusion criteria were to be a third- or fourth-year undergraduate or a first- or second-year postgraduate nursing student in Catalonia. There were no exclusion criteria. Snowball sampling. Online questionnaire designed ad hoc with sociodemographic variables, academic characteristics, and perception of sexism and discrimination in students' daily life collected between November 2020 and March 2021. The Microsexism Against Women Scale was used as a frame of reference to formulate questions on sexism and discrimination at the nursing school and during practicums. A descriptive, bivariate analysis of the data was performed. Students do not place importance on differences between genders in involvement, task distribution, and oral presentation of group work. In this setting, there seems to be no perception of situations of power or inequality. Female students reported a higher frequency of unwanted physical contact than male students; however, the percentage was similar for both in practicums. Everyday sexism and discrimination were perceived at the nursing school but not in practicums. Everyday sexism is perceived in nursing degrees in the context of relationships within the school but not during classroom teaching or in care settings. Various mechanisms make it difficult for students to consciously detect such behaviors. Addressing sexism in nursing training is necessary to ensure a safe learning environment.

Analyse the psychometric properties of the Moral Sensitivity Questionnaire in nursing care and to examine the level of moral sensitivity among nursing students in Spain. Ethical sensitivity is essential in nursing for patient care and decision-making. Assessing nursing students' moral sensitivity aids in developing training strategies for improved care. The study was conducted in two phases: (1) analysis of psychometric properties involving nursing students; and (2) a cross-sectional study design. The study included 611 Spanish nursing students, recruited through non-probability sampling. A self-report questionnaire, socio-demographic data and the Moral Sensitivity Questionnaire were used for data collection. To assess the psychometric properties, both confirmatory factor analysis and exploratory factor analysis were performed. Data were analysed using Student's t-test, analysis of variance (ANOVA) and Pearson correlation. Data analysis was performed using SPSS for Windows v28, with a significance level set at p < 0.05. The study included 611 nursing students. The adjustment indices of the exploratory factor analysis indicate an excellent fit when items 18, 20 and 21 are grouped in Dimension 1, contrary to the proposal made by Campillo et al. The questionnaire demonstrated high reliability and validity. Second-year students and those from the SJD Campus showed higher moral sensitivity. No differences were found based on work experience. This study validated the Moral Sensitivity Questionnaire for nursing students, revealing its reliability. Early ethical training enhanced moral sensitivity, particularly in second-year students, while institutional values and campus focus significantly influenced scores. Gender and experience were negligible.

The aim of this study was to develop a tool for the evaluation of the learning process of the clinical practicum in primary care. The study was carried out in two phases: (1) identification of the categories that determine the perception of the nursing degree students about the learning process in the clinical practicum in primary care and the items for each category; and (2) cross-sectional study in a sample of 475 nursing degree students. The psychometric properties in terms of reliability (internal consistency) and construct validity were analyzed through a confirmatory factor analysis. Cronbach’s alpha coefficient of internal consistency for the entire questionnaire was 0.93, and that for each of the categories was above 0.70 in all cases. The chi-squared test was statistically significant (2.84; p < 0.001). The confirmatory factor analysis produced a model of 6 dimensions and 41 items. The parameters were estimated through the least squares method. All saturations were statistically significant (p < 0.05). In view of the results of this study, it can be asserted that the questionnaire to measure the perception of the nursing degree students about the learning process in the community clinical practicum (QPCLP) presents good properties in terms of internal consistency and validity.

La ética en enfermería se reconoce como esencial para garantizar cuidados de calidad, pero el personal técnico en cuidados auxiliares de enfermería (TCAE) suele carecer de formación estructurada en este ámbito, a pesar de su rol crucial en la atención al paciente. Este estudio tuvo como objetivo diseñar, implementar y evaluar una unidad educativa de ética para mejorar su preparación profesional. Se utilizó un enfoque mixto basado en la investigación acción participativa (IAP), con la participación de 27 estudiantes y seis docentes. Las herramientas incluyeron entrevistas, análisis DAFO, gamificación, simulaciones, juegos de roles y discusiones de casos. Los resultados mostraron una formación ética limitada previa, pero la capacitación mejoró la comprensión de principios bioéticos clave, como la autonomía, la confidencialidad y el consentimiento informado, aunque persistieron dificultades con la terminología técnica. Integrar educación ética en los programas de TCAE fomenta cuidados más éticos, humanos y competentes.