Innovative teaching methods have become increasingly important in higher education. Through these methods, gamification in general and educational escape rooms in particular are becoming more important. The dual aim of this study was first, to describe an on-site educational escape room, assessing students' motivation and satisfaction, and second, to compare the declarative knowledge obtained and anxiety levels by applying two teaching-learning strategies. The study sample consisted of 108 nursing students from northern Spain. Participants were divided in two groups: the experimental group and the control group. The experimental group took part in an educational escape room activity while a case-based learning method was used with the control group. After the activities, both groups were asked about their anxiety levels (STAI) and the declarative knowledge they had obtained (ad hoc questionnaire). In addition, satisfaction (ad hoc questionnaire) and motivation (GAMEX) were measured in the experimental group. Gender differences and group differences were explored applying the Mann Whitney U test. Students from the escape room obtained higher declarative knowledge on average compared to participants from the control group. Regarding escape room methodology, participants demonstrated high motivation and satisfaction rates on average, although this was negatively related to declarative knowledge. These results showed that educational escape room can increase the participants' knowledge level although it was negatively correlated with motivation (GAMEX). These findings corroborate previous researchers´ conclusions which highlighted the importance of transcending simple student perception when assessing the effectiveness of educational practices. The on-site educational escape room is therefore innovative when teaching the course subject of mental health. Further studies are required, comparing the effectiveness of on-site and virtual escape rooms and these methods should be contrasted against other teaching practices, thus promoting research in nursing education.

This study aimed to investigate the impact of a multicomponent exercise programme on perceived health-related quality of life (HRQoL) and depressive symptomatology in older people living in a long-term nursing home (LTNH). A quasi-experimental study was conducted. Forty-one older people were conveniently selected from the largest LTNH in the Basque Country. The participants were assigned to either an intervention group (n = 21) or a control group (n = 20). The intervention group participated in 50-min moderate intensity multicomponent physical exercise sessions (strength and balance, three sessions a week for 3 months). The control group participants continued their usual activities in the LTNH. Assessments were completed at baseline and reassessed after the 12-week intervention by the same nurse researchers who filled out the questionnaires: the 36-item Short Form Survey (SF-36) and the Geriatric Depression Scale (GDS). Thirty-eight participants completed the study (19 participants in each group). In the SF-36 parameters, physical functioning increase in the intervention group tends with a mean increase of 11.06 units (a 17.2% increase over the pre). In the role-emotional, the increase in the intervention group is with a mean increase of 5.27 units (a 29.1% increase over the pre) (P < 0.05). In social functioning, the increase in the control group is significant with a mean increase of 13.16 units (a 15.4% increase over the pre) (P < 0.05). There are no significant changes in the rest of the parameters, there are no differences between groups in the evolutionary pattern either. As for the effects of the multicomponent exercise programme on HRQoL and depressive symptomatology, no statistically significant effects were obtained in the outcome data among older adults living in LTNHs. An increase in the sample size could confirm the trends obtained. The results may help inform the design of future studies.

Gender inequities are present not only in the health status of individuals but also in access to health services. Unplanned hospitalizations can indicate dysfunction in health systems by detecting unmet health problems prior to the health care needs of a person, while planned hospitalizations indicate effective management by the system. Thus, we aim to analyze the association between sex and the probability of unplanned or planned hospitalization for different diseases. A cross‐sectional retrospective study was performed with data regarding the 700 447 hospitalizations at all registered centers in the Basque Country from 2016 to 2018. Adjusted odds ratios were carried out to determine the association between sex and admission circumstances for each diagnostic category. Results showed that women had higher odds ratio for unplanned hospitalization for various diseases of the circulatory system and inguinal hernia among others, while men had a higher odds ratio for diseases such as neoplasms, metabolic diseases, and multiple sclerosis. The differences by sex indicate that the odds applied to the circumstance of hospitalization is a sensitive indicator and potentially applicable for detecting diseases likely to generate gender‐based inequalities.

Career motivation toward gerontological nursing (CMGN) has been studied by various authors. It is essential to identify the influencing factors and guarantee that undergraduate nursing degrees provide adequate social and healthcare responses to the current demand for gerontological care. Objective: In the absence of a validated instrument to measure students' career motivation in geriatric nursing in our sociocultural context, this study aimed to adapt and validate the original questionnaire Chinese CMGN. Methods: Cross-sectional data from 316 nursing students were collected in May 2021. The cultural and linguistic adaptation process was conducted in accordance with the recommendations of Ramada-Rodilla and Beaton. A committee of experts was established to assess content validity. The CMGN questionnaire consists of 20 items divided into 2 subscales: “Expectancy” (6 items) and “Values” (14 items). To determine the psychometric properties, the following analyses were carried out: content validity (Aiken's V coefficient and Pearson's coefficient of variation), internal consistency (Cronbach's α) and construct validity (confirmatory factor analysis and convergent and divergent validity). To verify the model once the parameters were estimated, we calculated the goodness-of-fit between the model and the data. Data analyses were performed using SPSS for Windows (IBM SPSS Statistics 25.0) and Analysis of Moment Structures (AMOS 27.0). A total of 316 nursing students were surveyed, of which 91.1% were women and the mean age was 21.61 ± 5.45 years (range: 18–56). The results indicate that the psychometric properties of the questionnaire were adequate in terms of content and construct validity. The internal consistency using Cronbach's alpha for both subscales was greater than 0.8. The AMOS results revealed that the final model fit statistics of CMIN/df (2.204), GFI (0.922), CFI (0.948) and RMSEA (0.062) indicated a satisfactory model fit. Finally, an original second-order model was obtained, resulting in the Spanish version of the CMGN (SV-CMGN) instrument. Conclusions: We developed a valid SV-CMGN questionnaire that is socially and culturally adapted to the Spanish context and is capable of measuring the motivation of nursing students toward a career in gerontological nursing, from the newest to the most experienced. This new version opens up the possibility of studying the phenomenon of motivation in other Spanish-speaking countries. Keywords: Gerontological nursing; Motivation; Students, nursing; Validation study; Surveys and questionnaires.

Aim: To analyse the association between gender and in‐hospital mortality odds ratios among patients in the Basque Country.Design: Cross‐sectional study.Methods: Admission data pertaining to the period between 1 January 2016 and 31 December 2018 were gathered for all registered acute care hospitals (both public and private) in the Basque Country. Odds ratios were calculated through binomial logistic regressions to determine the association between gender and mortality in each diagnostic category of the ICD‐10.Results: Women had a higher in‐hospital mortality odds ratio for diseases of the circulatory system (OR 1.07 [1.01–1.14], p < 0.05). In contrast, men were at greater risk of in‐hospital death from neoplasms (OR 0.86 [0.83–0.94], p < 0.05), diseases of the nervous system (OR 0.83 [0.70–0.97], p < 0.05), diseases of the genitourinary system (OR 0.83 [0.71–0.96], p < 0.05), endocrine diseases (OR 0.67 [0.54–0.84], p < 0.05), injury, poisoning and other consequences of external causes (OR 0.60 [0.54–0.67], p < 0.05) and diseases of the musculoskeletal system and connective tissue (OR 0.69 [0.50–0.93], p < 0.05).Patient or Public Contribution: No patient or public contributions.