Background: this study aimed to describe and understand the experiences and health needs of women irregular migrants during emergency care provision upon arrival in Spain by small boat. Methods: a qualitative study based on Gadamer’s phenomenology was used. The data collection included 13 in-depth interviews with women irregular migrants and 10 in-depth interviews with key informants. The study took place in the Spanish Red Cross’ facilities between February 2017 and April 2018. Results: two main themes emerged from the data analysis: the need for emergency care focused on women irregular migrants with the sub-themes ‘Women irregular migrants as objects of sexual exploitation’ and ‘The mother-child dyad as the axis in human trafficking’; and developing an emergency care gender policy for women irregular migrants, with the subthemes ‘Healthcare in a police-controlled setting: detecting weaknesses’ and ‘Promoting screening and safety protocols focused on women irregular migrants’. Conclusions: women irregular migrants who arrive in Spain by small boat have specific needs and healthcare problems. Due to strict safety conditions during emergency care provision, rape and human trafficking can go unnoticed. Implications: interdisciplinary care protocols and new health policies that have a gender perspective are needed to improve the emergency care provided to women irregular migrants.

Objective:To identify the association between the use of web simulation electrocardiography and the learning approaches, strategies and styles of nursing degree students. Method: A descriptive and correlational design with a one-group pretestposttest measurement was used. The study sample included 246 students in a Basic and Advanced Cardiac Life Support nursing class of nursing degree. Results: No significant differences between genders were found in any dimension of learning styles and approaches to learning. After the introduction of web simulation electrocardiography, significant differences were found in some item scores of learning styles: theorist (p < 0.040), pragmatic (p < 0.010) and approaches to learning. Conclusion: The use of a web electrocardiogram (ECG) simulation is associated with the development of active and reflexive learning styles, improving motivation and a deep approach in nursing students. DESCRIPTORSSimulation; Electrocardiography; Internet; Computer-Assisted Instruction; Education, Nursing; Learning. Effects of web-based electrocardiography simulation on strategies and learning stylesEfeitos da simulação eletrocardiográfica em ambiente web sobre as estratégias e estilos de aprendizagem Efectos de la simulación electrocardiográfica en ambiente web acerca de las estrategias y estilos de aprendizaje INTRODUCTIONTraditionally, the electrocardiogram (ECG) has aided the diagnosis, treatment and monitoring of arrhythmias, coronary syndromes and cardiac revascularization (1) . These pathologies, often found in pre-hospital, accident and emergency and critical care settings, pose a life-threatening risk that requires quick diagnosis and treatment. ECG monitoring and interpretation skills are gained in medical education and strengthened by experience. However, the need for immediate pattern recognition and subsequent procedures involves nurses in the processes of evaluation, registration, and initiation of reperfusion therapies as well as in the detection of complications and the request for assistance.ECG interpretation requires high-order learning. Although the ECG has historically been taught in a traditional classroom, new methodologies have changed the teaching-learning process in response to the lack of time and resources. Health science educators should focus their teaching methods on the student, developing new learning processes and adapting their strategies to each context or discipline. In academic nursing education, this new status quo favors technology, motivation, active participation and simulation (2)(3) . Multiple technologies have been applied to ECG teaching in medicine, nursing and pharmacy degrees for both undergraduates and postgraduates, including a multimedia CD-ROM, videograms, computer programs, computer-assisted tutorials, multimedia teaching and interdisciplinary approaches (1,4) . Human simulation, web-based video and web simulation tools (5) have been used to develop ECG diagnostic skills in advanced cardiac life support (ACLS).The ECG diagnostic skills ar...

No abstract

African irregular migrants risk their lives crossing the Mediterranean Sea in small boats hoping to reach Europe. Women irregular migrants (WIMs) are an especially vulnerable group that suffer from violence and sexual aggression, but little is known about their actual experiences. The objective of our study is to describe and understand the violence against WIMs who arrive in Spain in small boats. A qualitative study based on Gadamer’s phenomenology was used. The data collection included twenty-six in-depth interviews with WIMs. Three main themes arose: “Poverty and discrimination push WIMs into migrating”; “WIMs as a paradigm of extreme vulnerability”, and “WIMs in small boats should raise the alarm”. WIMs who arrive to Europe in small boats have a history of violence, rape, prostitution, forced pregnancy, and human trafficking. Emergency care must include gynecological examinations and must make detecting sexual violence and human trafficking of WIMs part of their care protocols.