Pub Date : 2025-12-01DOI: 10.1016/j.anpede.2025.504057
María de la Vieja-Soriano , Ignacio Zaragoza-García , Alberto Galindo-Muñoz , Ismael Ortuño-Soriano , Mónica Blanco-Daza , María Domínguez-Muñoz , Oscar Arrogante Maroto
Introduction
The percentage of difficult intravenous access cases is high in pediatric care, and multiple attempts may be needed to establish peripheral venous access. The DIVA score allows identification of these patients; however, a validated version of this tool is not yet available in Spain. The objective of this study was to develop the Spanish version of the DIVA score.
Material and methods
We conducted a cross-sectional descriptive study with psychometric analysis in two phases: adaptation of the DIVA score to Spanish and analysis of the psychometric properties of the Spanish version (DIVA-SP).
The first phase consisted in the forward and back translation and back-translation of the score followed by expert evaluation and pretesting to develop the DIVA-SP. In the second phase, the scale was validated in a sample of patients aged up to 16 years admitted to different departments of a tertiary care hospital who required peripheral venous access. The nurse in charge of the patient completed the scale, which was included in an ad-hoc questionnaire along with other items to collect sociodemographic data.
Results
A total of 353 catheterizations were included. All items exhibited reliability with kappa values greater than 0.61. In the analysis of robustness, all items were deemed adequate except the history of prematurity. For the three-variable model, a cut-off point of 4 in the DIVA score showed a sensitivity of 0.45, a specificity of 0.81, a positive predictive value of 0.64, a negative predictive value of 0.67, a positive likelihood ratio of 2.44 and a negative likelihood ratio of 0.67. Of all patients, 66% were classified correctly and 33% incorrectly.
Conclusions
The DIVA-SP is useful, valid and reliable for application in Spain. Furthermore, it exhibits better psychometric properties than the original version for identifying difficult intravenous access in pediatric patients.
{"title":"Cross-cultural adaptation and validation of the pediatric difficult intravenous access (DIVA) prediction score in Spain","authors":"María de la Vieja-Soriano , Ignacio Zaragoza-García , Alberto Galindo-Muñoz , Ismael Ortuño-Soriano , Mónica Blanco-Daza , María Domínguez-Muñoz , Oscar Arrogante Maroto","doi":"10.1016/j.anpede.2025.504057","DOIUrl":"10.1016/j.anpede.2025.504057","url":null,"abstract":"<div><h3>Introduction</h3><div>The percentage of difficult intravenous access cases is high in pediatric care, and multiple attempts may be needed to establish peripheral venous access. The DIVA score allows identification of these patients; however, a validated version of this tool is not yet available in Spain. The objective of this study was to develop the Spanish version of the DIVA score.</div></div><div><h3>Material and methods</h3><div>We conducted a cross-sectional descriptive study with psychometric analysis in two phases: adaptation of the DIVA score to Spanish and analysis of the psychometric properties of the Spanish version (DIVA-SP).</div><div>The first phase consisted in the forward and back translation and back-translation of the score followed by expert evaluation and pretesting to develop the DIVA-SP. In the second phase, the scale was validated in a sample of patients aged up to 16 years admitted to different departments of a tertiary care hospital who required peripheral venous access. The nurse in charge of the patient completed the scale, which was included in an ad-hoc questionnaire along with other items to collect sociodemographic data.</div></div><div><h3>Results</h3><div>A total of 353 catheterizations were included. All items exhibited reliability with kappa values greater than 0.61. In the analysis of robustness, all items were deemed adequate except the history of prematurity. For the three-variable model, a cut-off point of 4 in the DIVA score showed a sensitivity of 0.45, a specificity of 0.81, a positive predictive value of 0.64, a negative predictive value of 0.67, a positive likelihood ratio of 2.44 and a negative likelihood ratio of 0.67. Of all patients, 66% were classified correctly and 33% incorrectly.</div></div><div><h3>Conclusions</h3><div>The DIVA-SP is useful, valid and reliable for application in Spain. Furthermore, it exhibits better psychometric properties than the original version for identifying difficult intravenous access in pediatric patients.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 6","pages":"Article 504057"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.anpede.2025.503929
Diana Salinas Chaparro , Patricia Muñoz Cabello , Gema Escribano Serrano , Maite Torres López , Eduardo F. Tizzano , Antonio F. Martinez-Monseny , Fernando Santos-Simarro
Genomic medicine has made significant progress, driven by genomic technologies and their integration into clinical practice. However, its implementation presents challenges, particularly in genetic counseling (GC) and the interpretation of genomic data. Genetic counseling is a nondirective communication process aimed at helping patients and families understand and adapt to the implications of a genetic diagnosis. In pediatric care, GC takes on particular importance, adapting to the needs of each child development stage. Challenges arise with genetic newborn screening and rapid tests in intensive care units (ICUs) during the neonatal period. In children, GC focuses on the communication with the young patient and their family, addressing complex ethical issues such as consent, predictive testing and incidental findings. In adolescents, new challenges arise in relation to autonomy and decision-making. Multidisciplinary care is essential, including yet undiagnosed cases still on the journey commonly referred to as the “diagnostic odyssey”. This article reviews the role of GC across the stages of pediatric care in the framework of the current evidence on genomics.
{"title":"Genetic counseling in pediatrics: Clinical implications and challenges in genomic medicine","authors":"Diana Salinas Chaparro , Patricia Muñoz Cabello , Gema Escribano Serrano , Maite Torres López , Eduardo F. Tizzano , Antonio F. Martinez-Monseny , Fernando Santos-Simarro","doi":"10.1016/j.anpede.2025.503929","DOIUrl":"10.1016/j.anpede.2025.503929","url":null,"abstract":"<div><div>Genomic medicine has made significant progress, driven by genomic technologies and their integration into clinical practice. However, its implementation presents challenges, particularly in genetic counseling (GC) and the interpretation of genomic data. Genetic counseling is a nondirective communication process aimed at helping patients and families understand and adapt to the implications of a genetic diagnosis. In pediatric care, GC takes on particular importance, adapting to the needs of each child development stage. Challenges arise with genetic newborn screening and rapid tests in intensive care units (ICUs) during the neonatal period. In children, GC focuses on the communication with the young patient and their family, addressing complex ethical issues such as consent, predictive testing and incidental findings. In adolescents, new challenges arise in relation to autonomy and decision-making. Multidisciplinary care is essential, including yet undiagnosed cases still on the journey commonly referred to as the “diagnostic odyssey”. This article reviews the role of GC across the stages of pediatric care in the framework of the current evidence on genomics.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 6","pages":"Article 503929"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.anpede.2025.504049
Paula Muyo-Hernández , Roc Monfort-Ibáñez , Rocío Rodrigo-García , Sebastià González-Peris , Maria Mercadal-Hally
{"title":"Analysis of voluntary paracetamol overdoses treated between 2018 and 2021 at a tertiary care center","authors":"Paula Muyo-Hernández , Roc Monfort-Ibáñez , Rocío Rodrigo-García , Sebastià González-Peris , Maria Mercadal-Hally","doi":"10.1016/j.anpede.2025.504049","DOIUrl":"10.1016/j.anpede.2025.504049","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 6","pages":"Article 504049"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.anpede.2025.503997
Ana Elisa Laso-Alonso , Pablo Del Villar-Guerra , Cristina Molinos-Norniella , Vicent Modesto-Alapont , David Pérez-Solís , Alberto Medina
Introduction
Interhospital transport is crucial for ensuring access to specialized care and poses a logistic and clinical challenge that impacts patient safety and resource management. Few tools are available to predict risks in pediatric transport (PT), so a triage scale could help optimize and standardize resources.
Objectives
To analyze the diagnostic accuracy of urgent interhospital transport team selection by health care professionals compared to the use of SCOPETAS, the adapted version Pediatric Transport Triage Tool (PT3), and to assess the agreement between the choices of professionals and those proposed by the scale.
Method
Observational cohort study to evaluate the accuracy of the SCOPETAS scale and the agreement between the actual transport team and the one recommended by the scale, considered the gold standard. We analyzed urgent PT cases (aged 1 month to 14 years) from four regional hospitals to the referral hospital over a one-year period.
Results
The study included a total of 150 PT cases. The weighted kappa for the agreement in team selection was 0.68 (P < .001), with greater discordance in the choice of emergency medical technician (EMT) + nursing teams. The weight of evidence (WoE) for selecting advanced and basic life support was 10.1 dB and 7.54 dB, respectively, compared to 3.93 dB and 3.11 dB for EMT and EMT + nursing teams, respectively. The application of SCOPETAS would have reduced costs and optimized staff availability.
Conclusions
SCOPETAS is a useful and easy-to-apply tool that standardizes PT and optimizes resources. Future research should cover all pediatric age groups and other regions.
{"title":"Evidence-based approach for selecting human resources in urgent transport","authors":"Ana Elisa Laso-Alonso , Pablo Del Villar-Guerra , Cristina Molinos-Norniella , Vicent Modesto-Alapont , David Pérez-Solís , Alberto Medina","doi":"10.1016/j.anpede.2025.503997","DOIUrl":"10.1016/j.anpede.2025.503997","url":null,"abstract":"<div><h3>Introduction</h3><div>Interhospital transport is crucial for ensuring access to specialized care and poses a logistic and clinical challenge that impacts patient safety and resource management. Few tools are available to predict risks in pediatric transport (PT), so a triage scale could help optimize and standardize resources.</div></div><div><h3>Objectives</h3><div>To analyze the diagnostic accuracy of urgent interhospital transport team selection by health care professionals compared to the use of SCOPETAS, the adapted version Pediatric Transport Triage Tool (PT3), and to assess the agreement between the choices of professionals and those proposed by the scale.</div></div><div><h3>Method</h3><div>Observational cohort study to evaluate the accuracy of the SCOPETAS scale and the agreement between the actual transport team and the one recommended by the scale, considered the gold standard. We analyzed urgent PT cases (aged 1 month to 14 years) from four regional hospitals to the referral hospital over a one-year period.</div></div><div><h3>Results</h3><div>The study included a total of 150 PT cases. The weighted kappa for the agreement in team selection was 0.68 (<em>P</em> < .001), with greater discordance in the choice of emergency medical technician (EMT) + nursing teams. The weight of evidence (WoE) for selecting advanced and basic life support was 10.1 dB and 7.54 dB, respectively, compared to 3.93 dB and 3.11 dB for EMT and EMT + nursing teams, respectively. The application of SCOPETAS would have reduced costs and optimized staff availability.</div></div><div><h3>Conclusions</h3><div>SCOPETAS is a useful and easy-to-apply tool that standardizes PT and optimizes resources. Future research should cover all pediatric age groups and other regions.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 503997"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.anpede.2025.504020
Raquel Sánchez Jiménez , Alicia Utrera Ramos , Ibán Plaza Nieto , María del Mar Sánchez Gutiérrez
{"title":"Adolescent with persistent pain in the right calf","authors":"Raquel Sánchez Jiménez , Alicia Utrera Ramos , Ibán Plaza Nieto , María del Mar Sánchez Gutiérrez","doi":"10.1016/j.anpede.2025.504020","DOIUrl":"10.1016/j.anpede.2025.504020","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504020"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.anpede.2025.503944
María Asunción Martínez-Brocca , Virginia Bellido , Roque Cardona-Hernandez , Luis Castaño , Ignacio Conget , Alberto Fernández , Ana Lucía Gómez Gila , Isabel Leiva-Gea , Dídac Mauricio
Type 1 diabetes (T1DM) is an autoimmune disease whose late diagnosis can lead to serious complications such as diabetic ketoacidosis, especially in children. The presence of specific autoantibodies allows for the identification of a presymptomatic phase, opening the door to screening strategies targeting populations at high genetic risk, such as first-degree relatives. This document presents the consensus recommendations of the Spanish Diabetes Society (SED), the Spanish Society of Endocrinology and Nutrition (SEEN) and the Spanish Society of Paediatric Endocrinology (SEEP) on the screening, staging and monitoring of T1DM in preclinical stages. Early identification of the disease will enable a personalised approach to be established, promote health education and, eventually, consider therapeutic interventions that may delay progression to the symptomatic phase. This consensus seeks to establish a common framework for clinical action based on the available evidence, with clear recommendations for its proper implementation.
{"title":"Executive summary. Screening, staging and follow-up of type 1 diabetes in preclinical stages: consensus of the scientific societies SED, SEEN and SEEP","authors":"María Asunción Martínez-Brocca , Virginia Bellido , Roque Cardona-Hernandez , Luis Castaño , Ignacio Conget , Alberto Fernández , Ana Lucía Gómez Gila , Isabel Leiva-Gea , Dídac Mauricio","doi":"10.1016/j.anpede.2025.503944","DOIUrl":"10.1016/j.anpede.2025.503944","url":null,"abstract":"<div><div>Type 1 diabetes (T1DM) is an autoimmune disease whose late diagnosis can lead to serious complications such as diabetic ketoacidosis, especially in children. The presence of specific autoantibodies allows for the identification of a presymptomatic phase, opening the door to screening strategies targeting populations at high genetic risk, such as first-degree relatives. This document presents the consensus recommendations of the Spanish Diabetes Society (SED), the Spanish Society of Endocrinology and Nutrition (SEEN) and the Spanish Society of Paediatric Endocrinology (SEEP) on the screening, staging and monitoring of T1DM in preclinical stages. Early identification of the disease will enable a personalised approach to be established, promote health education and, eventually, consider therapeutic interventions that may delay progression to the symptomatic phase. This consensus seeks to establish a common framework for clinical action based on the available evidence, with clear recommendations for its proper implementation.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 503944"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.anpede.2025.504023
Viviana Paola Muñoz Cabrera , Javier Arredondo Montero
{"title":"Beneath the bruise: The importance of clinical suspicion in pediatric inguinoscrotal trauma","authors":"Viviana Paola Muñoz Cabrera , Javier Arredondo Montero","doi":"10.1016/j.anpede.2025.504023","DOIUrl":"10.1016/j.anpede.2025.504023","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504023"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.anpede.2025.504024
Carlos Ochoa Sangrador , Carmen Villaizán Pérez , Alberto García-Salido , Pablo del Villar Guerra , Francisco Hijano Bandera , Javier González de Dios , Equipo Editorial de Continuum
Introduction
According to the Global Pediatric Education Consortium (GPEC), paediatricians need to acquire and maintain a set of competencies in their daily practice. Continuum, the online training platform of the Spanish Association of Pediatrics, has developed training activities to explore and achieve these competencies.
Methods
Cross-sectional study of the training activities delivered on Continuum over eleven years and the competencies assigned to each of them. The period 2013–2024 was analysed through a descriptive analysis of competency coverage.
Results
A total of 12 048 GPEC competencies were assigned to 1118 training activities, with an average of 10.8 competencies per activity. Of the 8509 competencies available in the Continuum competency matrix, 5718 were addressed at least once. This amounts to 67.2% of the total (95% confidence interval [CI], 66.2 %–68.2%). Each competency was assigned an average of 2.11 times (95% CI, 2.07–2.15). There was considerable heterogeneity in the coverage by area of competence. We ought to highlight the high coverage (>90%) for the areas of “Professionalism”, “Patient Safety and Quality Improvement”, “Musculoskeletal Disorders”, “Allergy”, “Dermatology” and “Nutrition” and the low coverage (<10%) for “Self-Leadership and Practice Management” and “Gynecology”.
Conclusions
In the period under study, the Continuum platform enabled the attainment of more than two-thirds of the competencies required for pediatric practice as established by the GPEC. We identified asymmetries between knowledge areas. These should be considered to prioritize access to underrepresented competencies.
{"title":"ContinuumAEP and the acquisition of competencies in Pediatrics","authors":"Carlos Ochoa Sangrador , Carmen Villaizán Pérez , Alberto García-Salido , Pablo del Villar Guerra , Francisco Hijano Bandera , Javier González de Dios , Equipo Editorial de Continuum","doi":"10.1016/j.anpede.2025.504024","DOIUrl":"10.1016/j.anpede.2025.504024","url":null,"abstract":"<div><h3>Introduction</h3><div>According to the Global Pediatric Education Consortium (GPEC), paediatricians need to acquire and maintain a set of competencies in their daily practice. <em>Continuum</em>, the online training platform of the Spanish Association of Pediatrics, has developed training activities to explore and achieve these competencies.</div></div><div><h3>Methods</h3><div>Cross-sectional study of the training activities delivered on Continuum over eleven years and the competencies assigned to each of them. The period 2013–2024 was analysed through a descriptive analysis of competency coverage.</div></div><div><h3>Results</h3><div>A total of 12 048 GPEC competencies were assigned to 1118 training activities, with an average of 10.8 competencies per activity. Of the 8509 competencies available in the Continuum competency matrix, 5718 were addressed at least once. This amounts to 67.2% of the total (95% confidence interval [CI], 66.2 %–68.2%). Each competency was assigned an average of 2.11 times (95% CI, 2.07–2.15). There was considerable heterogeneity in the coverage by area of competence. We ought to highlight the high coverage (>90%) for the areas of “Professionalism”, “Patient Safety and Quality Improvement”, “Musculoskeletal Disorders”, “Allergy”, “Dermatology” and “Nutrition” and the low coverage (<10%) for “Self-Leadership and Practice Management” and “Gynecology”.</div></div><div><h3>Conclusions</h3><div>In the period under study, the <em>Continuum</em> platform enabled the attainment of more than two-thirds of the competencies required for pediatric practice as established by the GPEC. We identified asymmetries between knowledge areas. These should be considered to prioritize access to underrepresented competencies.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504024"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.anpede.2025.504012
María José Peláez Cantero , Iñigo Noriega Echevarría , Juan Pablo García-Iñiguez , Felipe Verjano Sánchez , Ester Barrios Miras , Inés del Río Pastoriza , María Jesús Alijas Merillas , Francisco Moreno Madrid , Isolina Riaño Galán , José Antonio Salinas Sanz , en representación del Comité de Bioética de la Asociación Española de Pediatría
Objective
To determine the prevalence of compassion satisfaction (CS), secondary traumatic stress (STS) and job exhaustion or burnout (BO) in medical professionals specialized in pediatrics at the national level in Spain and determine which demographic and work-related factors affect their development.
Methods
We conducted a cross-sectional study in pediatricians by means of questionnaires sent by the Spanish Association of Pediatrics (AEP) to its members, which were completed online and anonymously. We collected data on demographic variables, professional category (medical intern/resident [MIR] in pediatrics or pediatrician), main care setting and type of employment, specific field within pediatrics, main field of work, duration of work experience in general and time in current position. Care settings were further categorized into three groups: out-of-hospital, low-volume hospital and high-volume hospital (neonatology, intensive care, palliative care, oncology and emergency care). Participants completed the Spanish adaptation of the Professional Quality of Life Scale (ProQOL) version 5 (Escala de Calidad de Vida Profesional) to assess three domains—CS, STS and BO—in relation to the past 30 days.
Results
We obtained a total of 1112 responses from pediatricians. Female respondents amounted to 78.9% of the sample. The distribution by care setting was 35.6% primary care, 34.9% low-volume hospital settings and 29.5% high-volume hospital settings. Most participants scored in the midrange of the three subscales of the ProQOL questionnaire: compassion satisfaction 60.7% (95% CI, 57.8−63.5), burnout 88.8% (95% CI, 86.8−90.5) and secondary traumatic stress 77.2% (95% CI, 74.7−79.6). Women scored significantly higher in the compassion fatigue subscales (BO and STS), while older age was associated with a linear increase in CS and an exponential decrease in STS. Permanent staff scored higher in CS and lower in BO and STS. We found a higher CS score in association with high-load hospital specialties and a higher BO score in association with low-load hospital specialties.
Conclusions
The surveyed sample of Spanish pediatricians showed significant levels of compassion fatigue and secondary traumatic stress, with greater impact among younger and less experienced professionals, temporary workers and female doctors, highlighting the need for further study and targeted educational interventions.
目的：了解西班牙全国儿科医学专业人员同情满意度（CS）、继发性创伤应激（STS）和工作倦怠（BO）的患病率，并确定哪些人口统计学和工作相关因素影响其发展。方法：我们通过西班牙儿科协会（AEP）向其成员发送的在线匿名问卷，对儿科医生进行了横断面研究。我们收集了人口统计变量、专业类别（儿科医学实习生/住院医师或儿科医生）、主要护理环境和就业类型、儿科特定领域、主要工作领域、一般工作经验持续时间和当前职位时间的数据。护理环境进一步分为三组：院外、小容量医院和大容量医院（新生儿科、重症监护室、姑息治疗、肿瘤科和急诊）。参与者完成了西班牙语版的职业生活质量量表（ProQOL）第5版（Escala de Calidad de Vida Professional），以评估过去30天的三个领域- cs， STS和bo。结果：我们共获得了1112份儿科医生的回复。女性受访者占样本的78.9%。按护理环境分布为35.6%的初级保健、34.9%的小容量医院和29.5%的大容量医院。大多数参与者在ProQOL问卷的三个分量表中得分处于中间位置：同情满意度60.7% (95% CI, 57.8-63.5)，倦怠88.8% (95% CI, 86.8-90.5)，继发性创伤应激77.2% （95% CI, 74.7-79.6）。女性在同情疲劳亚量表（BO和STS）上得分显著较高，而年龄越大，CS呈线性增加，STS呈指数下降。长期雇员在社会服务方面得分较高，而在社会服务及社会服务方面得分较低。我们发现高负荷医院专科有较高的CS评分，低负荷医院专科有较高的BO评分。结论：西班牙儿科医生的同情疲劳和继发性创伤应激水平显著，在年轻和经验不足的专业人员、临时工和女医生中影响更大，需要进一步研究和有针对性的教育干预。
{"title":"Compassion satisfaction, secondary traumatic stress and burnout: quality of working life in the field of pediatrics in Spain","authors":"María José Peláez Cantero , Iñigo Noriega Echevarría , Juan Pablo García-Iñiguez , Felipe Verjano Sánchez , Ester Barrios Miras , Inés del Río Pastoriza , María Jesús Alijas Merillas , Francisco Moreno Madrid , Isolina Riaño Galán , José Antonio Salinas Sanz , en representación del Comité de Bioética de la Asociación Española de Pediatría","doi":"10.1016/j.anpede.2025.504012","DOIUrl":"10.1016/j.anpede.2025.504012","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the prevalence of compassion satisfaction (CS), secondary traumatic stress (STS) and job exhaustion or burnout (BO) in medical professionals specialized in pediatrics at the national level in Spain and determine which demographic and work-related factors affect their development.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study in pediatricians by means of questionnaires sent by the Spanish Association of Pediatrics (AEP) to its members, which were completed online and anonymously. We collected data on demographic variables, professional category (medical intern/resident [MIR] in pediatrics or pediatrician), main care setting and type of employment, specific field within pediatrics, main field of work, duration of work experience in general and time in current position. Care settings were further categorized into three groups: out-of-hospital, low-volume hospital and high-volume hospital (neonatology, intensive care, palliative care, oncology and emergency care). Participants completed the Spanish adaptation of the Professional Quality of Life Scale (ProQOL) version 5 (<em>Escala de Calidad de Vida Profesional</em>) to assess three domains—CS, STS and BO—in relation to the past 30 days.</div></div><div><h3>Results</h3><div>We obtained a total of 1112 responses from pediatricians. Female respondents amounted to 78.9% of the sample. The distribution by care setting was 35.6% primary care, 34.9% low-volume hospital settings and 29.5% high-volume hospital settings. Most participants scored in the midrange of the three subscales of the ProQOL questionnaire: compassion satisfaction 60.7% (95% CI, 57.8−63.5), burnout 88.8% (95% CI, 86.8−90.5) and secondary traumatic stress 77.2% (95% CI, 74.7−79.6). Women scored significantly higher in the compassion fatigue subscales (BO and STS), while older age was associated with a linear increase in CS and an exponential decrease in STS. Permanent staff scored higher in CS and lower in BO and STS. We found a higher CS score in association with high-load hospital specialties and a higher BO score in association with low-load hospital specialties.</div></div><div><h3>Conclusions</h3><div>The surveyed sample of Spanish pediatricians showed significant levels of compassion fatigue and secondary traumatic stress, with greater impact among younger and less experienced professionals, temporary workers and female doctors, highlighting the need for further study and targeted educational interventions.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504012"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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