Aim: Compare the use and trend of a telemedicine tool for clinical advice among nurses and other Cameroonian healthcare providers and explore its feasibility and accessibility.Design: A comparative observational descriptive study.Methods: The sample includes all telemedicine users who request advice from volunteer medical specialists in Spain on clinical cases through the telemedicine tool “diagnosis assistance” (DA). It consisted of a total of 296 Cameroonian health professionals (59% women), of whom 77 were nurses. The variables in which the trend was explored (2013–2022) were DAs entered by nurses versus other healthcare professionals, compared by primary specialty, comments and documents attached. Feasibility and accessibility were explored through an anonymous survey.Results: There were 2527 DAs between 2013 and 2022, of which nurses introduced 68%. There is an increasing trend in the nurse/other healthcare providers ratio, with significant differences in the chi‐square of the linear trend between 2015 and 2022 (χ ² = 395.05; df = 7; p < .001). The probability that a DA was requested by nurses (PR >1) was observed in all years except for 2014, 2018 and 2019. The most tele‐counselling requested by nurses was in the specialties of internal medicine, obstetrics and gynaecology, and dermatology. The exchange of comments and attachments was mainly conducted among nurses (74.9% and 50.4%, respectively). The users surveyed considered the tool valuable for diagnosis, applicable, with limitations due to cost, Internet quality or lack of time and effective at reducing hospital referrals.Conclusions: Telemedicine for clinical advice has been used mostly and with increasing tendency by nurses, mainly in internal medicine, gynaecology and dermatology, being a useful and feasible resource that can contribute to improving clinical decision‐making by African nurses.Impact: The study addressed the problem of the shortage of health professionals in Central Africa and the search for alternatives that facilitate decision‐making in this context. Tele‐counselling tools through digital platforms that put Spanish specialists in contact with health professionals in Central Africa are mostly used by nurses working in rural health centres with a growing trend in their use. The research allows us to determine that tele‐counselling tools constitute a well‐accepted resource, which has a positive impact in environments with a shortage of human health resources, favouring the safety of both the nursing professional, through support in decision‐making, and the populations to whom they provide care, who benefit from a multidisciplinary approach to their processes.Reporting Method: The study has adhered to STROBE guidelines.Patient or Public Contribution: No Patient or Public Contribution.

To find comparative elements for quality control in major ambulatory surgery (MAS) units. Descriptive and comparative study of the Ambulatory Care Index (AI) and Substitution Index (SI) in the Santa Cristina Hospital Surgery Service (Madrid, Spain) compared to Key Indicators (KI) of the National Health Service (NHS). 7,817 MAS procedures (between 2006 and 2014) were analysed. The average annual AI was 54%, higher (p <0.0001) than «ambulatory surgery» KI. The hernia outpatient procedures (average 72%) were also superior to the national KI (p <0.0001), but ambulatory haemorrhoidectomy (average 33.6%) was clearly lower (p <0.0001). KI of the NHS are useful and allow to establish a proper development in the global AI and hernia outpatient surgery with opportunities for improvement in haemorrhoidectomy. Their collection should be careful, not including minor surgeries. Also, their usefulness could be increased if data was broken down by speciality and by complexity.

(1) Background: Bariatric surgery has demonstrated the capacity to improve metabolic-associated fatty liver disease (MAFLD) in patients with morbid obesity. In addition, the Mediterranean diet contains anti-inflammatory, anti-oxidative, and anti-fibrotic components, promoting a beneficial effect on MAFLD. This study aimed to assess the improvement of MAFLD, specifically liver steatosis, in morbidly obese patients undergoing Roux-en-Y gastric bypass (RYGB) and following a hypocaloric Mediterranean-like diet. (2) Methods: A prospective observational pilot study of 20 patients undergoing RYGB was conducted. The participants underwent a magnetic resonance spectroscopy study 2 weeks before the surgical act and one year postoperatively to assess the percentage of lipid content (PLC). The adherence to the Mediterranean diet was determined by the KIDMED test 1 year after surgery. (3) Results: Mean baseline PLC was 14.2 ± 9.4%, and one year after surgery, it decreased to 4.0 ± 1.8% (p < 0.001). A total of 12 patients (60%) were within the range of moderate adherence to the Mediterranean diet, whereas 8 patients (40%) showed a high adherence. The patients with high adherence to the Mediterranean diet presented significantly lower values of postoperative PLC. (4) Conclusions: Liver steatosis significantly reduces after RYGB. This reduction is further improved when associated with a high adherence to a Mediterranean diet.

This study analyzes the effects of an educational pill strategy in a nursing anatomy course on academic performance, grade redistribution versus a control group, and student satisfaction, acknowledging that digital teaching innovations in higher education may not benefit all students equally. A learning pill strategy was implemented in a first-year nursing anatomy course. A pre–post quasi-experimental design assessed academic performance, while video usage and student satisfaction were analyzed using an ad hoc questionnaire. In the control group, 44.1% and 40.8% of students failed the first and second exams, respectively. In the intervention group, these percentages were 42.9% and 28.9%. While mean scores showed no significant differences in the control group, the intervention group improved significantly on the second exam (p < 0.001). Grade distribution differed between groups (χ² = 8.635; p < 0.05), with fewer students scoring below 4 and more scoring between 6 and 8. Satisfaction analysis revealed three factors: usefulness/self-efficacy, motivation/learning, and structure/accessibility, with motivation (Factor 2) significantly associated with greater strategy use. Initial group heterogeneity influences how students use and benefit from teaching resources. These findings suggest that integrating educational pills into teaching practices may enhance conceptual understanding and increase student motivation.

La situación sanitaria mundial provocada por el virus SARS-CoV-2 ha obligado a algunas universidades a alternar docencia presencial y en línea. El objetivo de la investigación es analizar la valoración que los estudiantes universitarios hacen de esta docencia bimodal. Un total de 445 alumnos de los cuatro cursos del grado de Enfermería cumplimentaron una encuesta con variables sociodemográficas y una escala tipo Likert sobre docencia bimodal. Se calcularon valores de tendencia central y de dispersión, así como la correlación entre las distintas variables; 17 de los 24 ítems de la escala se distribuyen en tres agrupamientos: el primero compara la docencia presencial con la en línea (M = 3.70, DS = .94), el segundo la adaptación del centro docente a la bimodalidad (M = 3.58, DS = 2.02) y el tercero el papel de los profesores (M = 3.58, DS = .86). Más de un 76% de los estudiantes manifiestan una preferencia por la enseñanza presencial, casi el 80% hace una valoración positiva sobre la organización del centro y el 67% valora positivamente el papel de los profesores. Conocer la opinión de los alumnos universitarios sobre la docencia bimodal como potencial modelo educativo ayudará a reducir sus debilidades.