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Service Learning in the Bachelor's Degree in Nursing

Second-year courses
- Adult nursing
Third-year courses
- Management and organizational experience
Fourth-year courses

Adult nursing

Coordination: Eva de Mingo Fernández (evamariade.mingo(ELIMINAR)@urv.cat)
Community organization: Nursing second-year students
Summary:The service activity will be carried out by the students of the group and will consist of some activity that can help these associations, such as talks, making a poster, guides, or others in agreement with the specific association. To achieve this objective, different activities will be carried out. Group task: put the second year nursing students in contact with the adult nursing subject with a member of the organization. Through an interview previously designed by our faculty with the consent of the collaborating entity, they will find out first hand the experiences and opinions of their partners in relation to their illness. The interview may be in person and also by videoconference or telephone call, if applicable. Afterwards, a presentation will be made to the rest of the class and will also be shared on Moodle, by all the students enrolled in adult nursing at the 3 branches of the URV. The student's individual task will consist of writing a personal reflection before, during and after the activity.

Management and organizational experience

Coordination: Elena Solà Miravete (mariaelena.sola(ELIMINAR)@urv.cat)
Community organization: ESAT-SAM Sant Creu de Jesús Hospital, Tortosa.
Summary: Students take part in developing improvement projects in a social health center in the Terres de l'Ebre aiming to prevent falls and pressure ulcers in the elderly. Falls are the problem that most frequently limits their autonomy. All falls have consequences for people, and sometimes they can be very serious. Most falls occur in the home or place of residence: getting up and going to bed, sitting down and getting up, dressing or undressing, on the stairs or in the bathroom. Preventive measures can be taken. On pressure ulcers: a Spanish study on the prevalence of pressure ulcers (PU), in primary care, observed a 9.1% prevalence of PU (confidence interval, CI, of 95%: 7, 6 - 10.6) in patients receiving home care; 8.9% (95% CI: 7.5 - 10.3) in hospital patients and 10.9 (95% CI: 9.0 - 12.8) in people attending social health centres. First, students had to identify environmental risks and vulnerability factors and and then make recommendations to reduce the risk.

The subject of Management and Organizational Experience works on the quality and continuous improvement of healthcare methodology. Students are given the opportunity to apply the theoretical knowledge they have acquired, identify improvement opportunities and take part in the design of improvement action plans and protocols in a specific health centre. In groups of 3 or 4, students who engage in service learning undertake an improvement project in a health centre in the Terres de l'Ebre on the two issues identified as priorities:
- Prevention of falls and other injuries.
- Prevention of pressure ulcers.

In a real environment, they will learn to work on the different phases of continuous improvement based on an analysis of the initial situation (first phase of the improvement cycle), always coordinated by the lecturer of the subject and by the tutors of the centre.

Final Bachelor’s Degree Project: A social look at mental health: current perceptions about stigma

Coordination: Mª Antonia Martorell Poveda (mariaantonia.martorell(ELIMINAR)@urv.cat)
Community organization: Pere Mata Foundation.
Summary:This project arose from the 1st Social Projects Market and was carried out during the 2014/2015 academic year. The aim was to carry out a final degree project on an approach to the current perceptions about stigma in mental health, in order to assess actions and generate changes in social perspective. To this end, students reviewed the bibliography and engaged in discussion groups by which they intended to get a panoramic view of the meaning of the participants towards health and mental illness. They detected a considerable lack of knowledge and misinformation about mental health, which reinforces stereotypes and prejudices in today's society. The need to combat stigma in education, health and citizenship was also evident. Likewise, they showed the importance of raising citizen awareness by making information available and encouraging contact between the general public and people with mental illness through community support networks.
Poster: "A social look at mental health: current perceptions about stigma", Sara Lasheras González.

Final Bachelor’s Degree Project: Family caregivers of people with Alzheimer's

Coordination: Mª Antonia Martorell Poveda (mariaantonia.martorell(ELIMINAR)@urv.cat)
Community organization: Tarragona Association of Alzheimer's Relatives (AFAT) - Rosa de Abril Centre.
Summary: This TFG was carried out during the academic year 2014/2015. Its main objectives were to detect the needs and demands of primary-care nurses and family members caring for people with Alzheimer's. To this end, semi-structured interviews and discussion groups were carried out with family caregivers of people with Alzheimer's, who attend the Rosa de Abril Centre of the Tarragona Association of Relatives of Alzheimer's in (AFAT). To describe the profile of the caregivers, we used the Zarit caregiver burden scale and the scale measuring the quality of life of caregivers from a nursing perspective ICUB97. By taking part, the students were participants in the AFAT project seeking to design a comprehensive care plan for families.

Final Bachelor’s Degree Project: Study on identity and sexuality in adolescents with Down syndrome

Coordination: Maria Isabel Font Jiménez (mariaisabel.font(ELIMINAR)@urv.cat)
Community organization: Tarragona Down Association.
Summary: Carried out during the 2015/2016 academic year, this project arose from the URV's 2nd Market of Social Projects and focused on current perceptions about identity and sexuality in adolescents with Down syndrome. To this end, we reviewed the bibliography and used the information and experience provided by the association and its users.

Final Bachelor’s Degree Project: Study on caregivers of people with Parkinson's disease

Coordination: Silvia López Reyes (silvia.lopez(ELIMINAR)@urv.cat)
Community organization: Parkinson's Association of the Regions of Tarragona.
Summary: The objective of this project carried out during the 2015/2016 academic year was to learn about the experiences of the caregiver and/or primary caregiver of a person with Parkinson's. It focused on how patient and caregiver coexist, and, in particular, identified the factors that influence adaptation to the disease, compared the differences in the role of caregiver of different genders and studied how the disease affects the life of the caregiver. The qualitative research methodology used involved in-depth interviews.

Final Bachelor’s Degree Project: Perception of health and benefits of sport in improving the quality of life of people with intellectual disabilities

Coordination: Maria Dolors Burjalés Martí (mdolors.burjales(ELIMINAR)@urv.cat)
Community organization: Baix Camp Workshop.
Summary: The project arose from the 1st Social Projects Market held in Reus and was carried out during the 2015/2016 academic year. Its main objective was to study the psychosocial benefits (integration, socialization and self-esteem) that sport has on people with intellectual disabilities and to generate ideas about how to take care of their health. To this end, the bibliography was reviewed and semi-structured interviews were held with a group of users of the Baix Camp Workshop. One of the main conclusions was that users perceived that sport had physical, psychological and recreational benefits and that the main motivation to practice sport was intrinsic.
Poster: "Perception of health and the benefits of sport in improving the quality of life of people with intellectual disabilities", Natalia Salamero Ayén.

Final Bachelor’s Degree Project: Family experiences of children with celiac disease

Coordination: Isabel Font Jiménez (mariaisabel.font(ELIMINAR)@urv.cat)
Community organization: Celiac Association of Catalonia.
Summary: The cure of infants with celiac disease is surrounded by certain misinformation, with which the parents are in charge of forming the school environment of the children; That is why the information and experiences of fathers and mothers are very useful for the general formation of society on celiac disease. The objective of this project for the 2017/2018 academic year was to learn about the experiences of families with celiac infants to analyze how they experienced the moment of diagnosis, the challenges they had to overcome and the changes that were adopted in their lives at a social and family level. To carry out this work, interviews have been carried out that have subsequently been analyzed following the phenomenological methodology. This project sought to give visibility to groups that are usually hidden.

Final Bachelor’s Degree Project: Study on the social and health effects of eviction on family relationships

Coordination: Josep Barceló Prats (josep.barcelo(ELIMINAR)@urv.cat)
Community organization: Platform for People Affected by Mortgages - Terres de l'Ebre.
Summary: This project arose from the URV's 4th Market of Social Projects. It aimed to explore the effects of evictions on the physical, psychological and emotional well-being of the people affected. This 2018/2019 work was part of an interdisciplinary project involving the Platform for People Affected by Mortgages-Terres de l'Ebre (PAH-TE), the URV's Bachelor's Degree in Nursing and the URV's Bachelor's Degree in Social Education, and was carried out within the framework of the final degree projects. The student carried out quality fieldwork, especially participant observation in the PAH assemblies in the region and in-depth interviews with the people affected, in order to reveal the social problems behind the individual cases. In the same way, the study reported how the PAH works as a community movement of support and emotional accompaniment to the people affected.

Final Bachelor’s Degree Project: Development of a practical guide to healthy habits for people with intellectual disabilities

Coordination: Lina Cristina Casadó Marín (linacristina.casado(ELIMINAR)@urv.cat)
Community organization: La Tutela Foundation.
Summary: This project arose from the 5th Market of Social Projects of the URV. It is an interdisciplinary project involving the Bachelor's Degree in Human Nutrition and Dietetics and the Bachelor's Degree in Nursing, carried out during the 2018/2019 academic year within the framework of the final degree projects. The objective was to draw up a practical guide of healthy habits for people with intellectual disabilities who are under public guardianship but living independently. The students engaged in joint fieldwork that involved interviewing and observing two users of the organization with the aim of detecting what they understood by a healthy diet and healthy habits. Under the supervision of the people in charge of the Foundation, they developed a practical and comprehensive guide to healthy habits, designed with this specific group in mind. Finally, they designed and developed a workshop so that the users of the Foundation could put into practice the materials if they were ever to live independently.

Final Bachelor’s Degree Project: New psycho-stimulation techniques for people with dementia

Coordination: Lina Cristina Casadó Marín (linacristina.casado(ELIMINAR)@urv.cat).
Community organization: STS Misericordia Nursing Home.
Summary: This project from the academic year 2018-19 responded to the need of the nursing home to explore new techniques and systems for the psycho-stimulation of people with dementia who reside at the home. Students conducted prior observation (of staff, resources and profiles) to identify the most beneficial techniques for their patients, bearing in mind the resources available. The aim was to draft a programme of care techniques based on meaningful activities for people with dementia that also consider aspects such as the patient's life story.

Final Bachelor’s Degree Project: Dissemination tool for caregivers of people with Alzheimer's

Coordination: Lina Cristina Casadó Marín (linacristina.casado(ELIMINAR)@urv.cat)
Community organization: Familiars d'Alzheimer de Tarragona Association (AFA) and Familiars d'Alzheimer de les Terres de l'Ebre Association (AFATE).
Summary: This project considers the needs of AFA and AFATE caregivers and people affected by Alzheimer's disease, and aims to design and implement a dissemination tool for caregivers and people diagnosed to be in the early stages of Alzheimer's.

Final Bachelor’s Degree Project: Development of a guide to healthy habits for people with Alzheimer's and their families

Coordination: María Jesús Aguarón García (mariajesus.aguaron(ELIMINAR)@urv.cat)
Community organization: AFATE - Terres de l'Ebre Family Alzheimer's Association.
Summary: Development of a guide to healthy habits for people with Alzheimer's and their families.

Final Bachelor’s Degree Project: Study on the social and health effects of eviction on family relationships

Coordination: Josep Barceló Prats (josep.barcelo(ELIMINAR)@urv.cat)
Community organization: Platform for People Affected by Mortgages - Terres de l'Ebre.
Summary: This study aims to explore the effects of evictions on the physical, psychological and emotional well-being of the people affected. In the academic year 2018-19, it was part of an interdisciplinary Platform for People Affected by Mortgages-Terres de l'Ebre (PAH TE), the URV's Bachelor's Degree in Nursing and the URV's Bachelor's Degree in Social Education, and was carried out in the framework of the final degree project. The students carried out qualitative fieldwork, mainly participant observation in the PAH assemblies in the region and in-depth interviews with the people affected, in order to reveal the social problems behind the individual cases. Similarly, the study reported how PAH works as a community movement of support and emotional accompaniment to the people affected.

Final Bachelor’s Degree Project: Development of a practical guide to healthy habits for people with intellectual disabilities

Coordination: Lina Cristina Casadó Marín (linacristina.casado(ELIMINAR)@urv.cat)
Community organization: La Tutela. Catalan private guardianship foundation for the mentally handicapped and the elderly.
Summary: This is an interdisciplinary project involving the Bachelor's Degree in Human Nutrition and Dietetics and the Bachelor's Degree in Nursing carried out in the 2018-19 academic year, developed within the framework of the final degree project. The objective was to draw up a practical guide of healthy habits for people with intellectual disabilities who are under public guardianship but living independently. The students engaged in joint fieldwork that involved interviewing and observing two users of the organization with the aim of detecting what they understood by a healthy diet and healthy habits. Under the supervision of the people in charge of the Foundation, they developed a practical and comprehensive guide to healthy habits, designed with this specific group in mind. Finally, they designed and developed a workshop so that the users of the Foundation could put into practice the materials if they were ever to live independently.

Final Bachelor’s Degree Project: My sexuality: Towards Self-Determination

Coordination: Martín Correa-Urquiza Vidal (martin.correaurquizav(ELIMINAR)@urv.cat; marthuc(ELIMINAR)@yahoo.com) i Mª Dolors Burjalés Martí (mdolors.burjales(ELIMINAR)@urv.cat)
Community organization: La Tutela. Discapacitats psíquics i persones grans private Foundation.
Summary: The students have developed a participatory intervention project with the aim of analyzing the perceptions of people with functional diversity, in relation to their sexuality and the treatment / approach to the issue of sexuality by the institutions that care for them. The result has been the design of the instrument of analysis and data collection has generated an analytical corpus that helps to shed light on the problems arising from the invisibility of sexuality in groups with functional diversity. The students have managed to get in touch with the institution, connect with people with functional diversity and generate a space for reflection and action with them.

Final Bachelor’s Degree Project: Lunch in company: food and quality of life of the elderly

Coordination: Mª Antònia Martorell Poveda (mariaantonia.martorell(ELIMINAR)@urv.cat)
Community organization: Gran Activa - Tarragona Municipal Institute of Social Services.
Summary: The study analyzes the social dynamics of older people at lunch time in order to design interventions that improve quality. The research focuses on understanding the impact that having lunch in company has on people. Although the work was affected by the Covid-19 pandemic, the results show that projects such as this one respond to the needs of the elderly, not only at the physiological level, but also at the social and psychological level.

Final Bachelor's Degree Project: Consumption of toxics by young people in a CRAE

Coordination: Isabel Font Jiménez (mariaisabel.font(ELIMINAR)@urv.cat)
Community organization: Residential Center d'Acció Educativa - CRAE Voramar.
Summary: The paper addresses the lifestyle of adolescents living in the CRAE from the point of view of the professionals who work there: drug use, inappropriate behaviors, risky sex, mental health problems and emotional problems. We highlight two priority issues in which nursing may intervene: lack of socio-affective education and lack of adherence to mental health treatment. This study is a multidisciplinary contribution, that understands nursing as a link between professionals, whom it can provide with a holistic view thanks to its proximity and humanity in care, observation and communication skills. Secondly, it aims to make visible a group unknown to most of the population that does not work in the child protection system. This work aims to awaken the empathetic and humanized attitude during the practice of care.

Final Bachelor's Degree Project: Benefits for people who are part of an entity that works on community mental health

Coordination: Maria Teresa Royo Iglesias (mariteresa.royo(ELIMINAR)@urv.cat)
Community organization: "La Muralla" Social Club
Summary: End of Degree thesis for the year 2022-2023, based on the observation of a community and social service aimed at people who suffer from some mental health disorder. They will contribute to the visibility of the work done by the Club around the people who participate and how it affects the health of the community as well.