OBJECTIVE: to compare the level of fear of death in nursing students and professionals. METHOD: this was a comparative-transversal study examining 643 nursing students and professionals from a third-level institution. A random sampling method was employed, and the sample size was calculated by power analysis. The study was developed during three stages: the first stage consisted of the application of a pilot test, the second stage involved the recruitment of the participants, and the third stage measured the participants' responses on the Collett-Lester Fear of Death Scale. RESULTS: the average fear of death was moderate-high (-X=3.19±0.55), and the highest score was observed for the fear of the death of others (-X=3.52±0.20). Significant differences in the perceptions of fear of death were observed among the students of the first three years (p<.05). However, no significant differences were observed among the first- and fourth-year students and professionals (p>.05). CONCLUSIONS: it is possible that first-year students exhibit a reduced fear of death because they have not had the experience of hospital practice. Students in their second and third year may have a greater fear of death because they have cared for terminal patients. However, it appears that greater confidence is acquired over time, and thus fourth-year students and professionals exhibit less fear of death than second- and third-year students (p<.05).
Objectives: to analyze the impact of the Colombian Peace Agreement on the structural social determinants of health. Methods: a descriptive, ecological study, based on documentary data from 2008 to 2018. The records of victims, epidemiological indicators, and structural social determinants of health in Colombia were analyzed. Results: there was a correlation between the period in which the Peace Agreement process was developed and the indicators of structural determinants in health with p<0.05. With the Poisson regression analysis, the favorable correlations between the peace process and the determinants were confirmed, besides allowing the understanding of the changes in these indicators before the Peace Agreement. Conclusions: the implementation of the peace process has a positive impact on structural social determinants of health, which is observed by the beginning of the decrease of economic, educational, health, and social inequalities and inequities, a fact that offers the possibility of living in peace.
RESUMO Objetivo refletir sobre as dimensões do ser humano e o cuidado de enfermagem no contexto pandêmico da Covid-19. Método trata-se de um estudo reflexivo, em que foram discutidas as dimensões corpórea (Homo somaticus), de vida humana (Homo vivens), conhecer (Homo sapiens), vontade (Homo volens), linguagem (Homo loquens), social (Homo socialis), do trabalho (Homo faber), jogo e divertimento (Homo ludens) e o cuidado de enfermagem no contexto pandêmico da Covid-19. Resultados as dimensões estão sendo influenciadas pelo contexto pandêmico do novo coronavírus, sendo necessárias intervenções de enfermagem humanizadoras como o manejo clínico e terapêutico transpessoal, suporte ao corpo físico em adoecimento, garantia de uma linguagem que possibilite o autocuidado e apoio psicológico, atitude de escuta aberta, incentivo às práticas de jogos para passar o tempo e métodos de relaxamento, meditação e imaginação guiada, entre outras. O ato de refletir sobre as dimensões cria novas possibilidades de sinalizar pontos de intercessão para a compreensão da nova realidade vivenciada pelo homem. Conclusão e implicações para a prática ao refletir sobre as dimensões do homem à luz da antropologia com o embasamento teórico dos Modelos de cuidados da Nursing Interventions Classification (NIC), geram-se possibilidades de estabelecer um cuidado holístico no contexto da pandemia pelo novo coronavírus.
Resumen. La Escala original de Miedo a la Muerte de Collett-Lester (EMMCL), traducida al español, no ha sido validada en población mexicana. Dado que la muerte para los mexicanos tiene una perspectiva diferente a la de individuos de otras culturas, es importante indagar sobre su validación. El objetivo de este artículo es determinar la validez de la EMMCL en población universitaria mexicana. Metodología. Diseño psicométrico y transversal, muestreo aleatorio simple. Se analizaron las respuestas de 368 estudiantes de enfermería. Resultados. Predominó el género femenino (90.2%), edad igual a 21.0±3. La EMMCL obtuvo una confiabilidad de 0.95. Las puntuaciones en las dimensiones de la muerte propia, en comparación con la muerte de otros, es menor (=2.8±0.56 vs =3.5±0.53). El proceso de la muerte propia, en comparación con el de otros, no es diferente ( =3.2± 0.46 vs =3.2±0.34). El análisis factorial con el método de rotación varimax apoyó la validez de contenido de la escala original, a pesar de que los reactivos de dos dimensiones se reagruparon sin perder ninguno de sus elementos. Conclusiones. La versión en español de la EMMCL es válida y confiable en estudiantes universitarios mexicanos; Sin embargo, se necesita llevar a cabo réplicas en otros contextos socioculturales del territorio mexicano.
Objective: To reflect on the nursing and pandemic of COVID-19 considering health education, health promotion, and the Ottawa Charter action areas. Methods: A theoretical-reflexive study on health education and health promotion concepts and the areas of action presented in the Ottawa Charter. Results: Educational actions are present in the contexts of epidemics and pandemics, as well as in the work of nurses, who need to be increasingly based on dialogue and individual and collective empowerment to enable users to adopt healthy and preventive behaviors - in this case, concerning COVID19. However, this professional needs effective and efficient public policy actions and measures based on scientific assumptions of health promotion. Final considerations: The actions of health education need to be increasingly valued because knowledge can be considered the first “vaccine” to combat any pandemic.
Highlights: La Continuidad de Cuidados (CC) no se transmite como conocimiento epistemológico en los planes de estudios en Colombia, situación que se transforma en un motivo de dificultad en su aplicabilidad en el territorio. La práctica de la CC es parcial por tres grandes motivos: la carencia de claridad de la CC, la desarticulación entre APS y Atención Especializada y los limitantes administrativos. Siendo fragmentada y empírica la práctica de la CC, se observa alguna mejora en la salud del paciente; si la CC se practicara integralmente, se podrían obtener mejores resultados. La investigación le apunta al aterrizaje de la necesidad de la implementación de la CC en la práctica enfermera colombiana, dados los beneficios de su uso. Introducción: La Continuidad de Cuidados se comprende a partir de la adaptación del sujeto de cuidado y su red de apoyo a la nueva situación de salud-enfermedad. Objetivo:Comprender la percepción de los profesionales de enfermería sobre la aplicabilidad del proceso de continuidad de cuidados. Materiales y métodos: Estudio con abordaje cualitativo, fenomenológico, los sujetos de estudio se conformaron por profesionales de enfermería coordinadores de área, realizando entrevistas semiestructuradas, para el análisis de los datos se utiliza el software AtlasT. Resultados: Se encontró que la continuidad de cuidados se aplica parcialmente por los participantes, esto debido a la carencia de claridad del concepto, la desarticulación entre atención primaria en salud, atención especializada y los limitantes administrativos; así mismo, esta es practicada de forma desorganizada y de forma empírica. Discusión: Es evidente la necesidad de la aplicación de estrategias en pro de la comunicación entre los diferentes niveles de atención, para fortalecer el trabajo en equipo y favorecer el autocuidado de los pacientes, dado que a consideración de los participantes la información no es compartida entre los diferentes niveles de atención y esto dificulta la continuidad de cuidados individual de los pacientes. Conclusión: La aplicación de la Continuidad de Cuidados es fragmentada y desordenada, además de esto, se reconoce que, con base en la evidencia de otros países, si dicho proceso se aplicara en Colombia mejoraría la calidad del servicio y así mismo la calidad de vida de los pacientes. Como citar este artículo: Rojas-Manzano Karen Liseth, Toro-Delgado Nicolay, Eraso-Riascos Deysi Johana, Mondragón-Sánchez Edna Johana. Percepción de los profesionales de enfermería sobre la aplicabilidad del proceso de continuidad de cuidados. Revista Cuidarte. 2023;14(1):e2210.http://dx.doi.org/10.15649/cuidarte.2210
Objective: to identify actions to prevent adolescent sexual violence. Method: an integrative literature review of five databases, Medline/Pubmed, Scopus, Lilacs, Bdenf, Cinahl using the following descriptors “adolescent” “adolescence” “youth” “primary prevention” “prevention” “primary” “sexual violence”, plus the Boolean operators AND and OR, with a final sample of 24 articles; the evidence was assessed by the Grading of Recommendations Assessment, Development and Evaluation Results: the review identifies different structures of the study object, classified in the categories “Interventions with programs created by authors” and “Interventions with standard programs”. Conclusion: there are actions to prevent sexual violence against adolescents; the participants’ knowledge was assessed immediately after the intervention, but the assessment of the participants’ acquisition of habits and behavioral changes was to a lesser extent; health prevention is crucial for society’s healthy development, which demonstrates that its applicability in the environment directly favors human health.
Objective: To validate, with the target audience, the usability and appearance of a serialized album about the warning signs to the health of children below 2 months. Method: Methodological validation study with the target population of an educational material in the form of a serialized album. 11 mothers with children under 2 months of age participated. The domains evaluated were: Objectives, Organization, Writing Style, Appearance, and Motivation. Data were analyzed using descriptive and statistics, and the data agreement index was calculated. Results: The global data agreement index was high (0.99). Mothers had positive responses, recognizing the excellence of the material: attractive figures that were easy to understand. Conclusion: The validation of the serialized album provides mothers with the abilities and knowledge they need to identify warning signs in regard to the health of their children, providing them with autonomy, corresponsibility, and helping them develop better child health practices.
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