The infections and deaths resulting from Coronavirus Disease 2019 (COVID-19) triggered the need for some governments to make COVID-19 vaccines mandatory. The present study aims to analyze the position of 3026 adults in Colombia, El Salvador, and Spain regarding the possibility of making COVID-19 vaccine mandatory and the intention to be vaccinated with the booster or possible successive doses. Data from an online survey conducted from August to December 2021 among a non-representative sample of Spanish-speaking countries were collected. Multinomial Logistic Regression Models were used. A total of 77.4% of Colombians were in favor of mandatory vaccination compared to 71.5% of Salvadorians and 65.4% of Spaniards (p < 0.000). Women and people over 65 years of age were the groups most in favor of making the vaccine mandatory (p < 0.000). A total of 79.4% said they had received a third dose or would intend to receive the third dose or future doses, if necessary, compared with 9.4% who expressed doubts and 9.9% who refused to be vaccinated or did not intend to be vaccinated. Among the measures that could be taken to motivate vaccination, 63.0% and 60.6% were in favor of requiring a negative test to enter any place of leisure or work, respectively, compared to 16.2% in favor of suspension from work without pay. The acceptance of mandatory vaccination and of third or future doses varies greatly according to sociodemographic characteristics and work environment. As such, it is recommended that policy makers adapt public health strategies accordingly.

Objetivo: Determinar el nivel de incertidumbre de las usuarias que acuden a la toma de citología cervico uterina según la teoría de Mishel. Materiales y métodos: Estudio de corte transversal de tipo descriptivo, realizado durante el año 2019 a partir de una muestra por conveniencia, no probabilística conformada por 151 mujeres a quienes se les aplicó la Escala de Incertidumbre en la enfermedad de Mishel adaptada para procedimientos diagnósticos en Colombia en el año 2017 por la enfermera Leidy Yazmin Díaz Moreno. Tiene validez de contenido de 0.861 y Alfa de Cronbach de 0.90. Se realizó análisis univariado a través de frecuencias y distribución porcentual para las características sociodemográficas y para obtener los niveles de incertidumbre se efectuó la sumatoria de ítems y chi cuadrado para identificar asociación. Resultados: La edad promedio fue 39 años, el 17,3% de mujeres manifestó acudir a toma de citología por primera vez. Aproximadamente el 95% de las mujeres presentó niveles de incertidumbre alto o moderado. Conclusiones: La incertidumbre provocada por un posible diagnóstico de cáncer, puede hacer que las personas evalúen inadecuadamente una situación estresante como la toma de citología cervico uterina; es por eso que, la aplicación de la teoría de Mishel lleva a que se identifiquen las primeras percepciones del paciente para realizar un plan de cuidado enfocado en controlar esta situación y luego alcanzar que la persona o familiar afronten y se adapten a la enfermedad.

Diabetes mellitus is considered a chronic non-communicable disease with high morbidity, presents to its high prevalence, social, family, and economic costs. Interventions aimed at life-style changes are fundamental in managing; due to this, patients must receive education. The aim of the study was to identify the beliefs and practices of the persons with diabetes mellitus, to propose nurse care according to these precepts. This was a descriptive study of systematic literature review, searching for articles in databases, Springer Science, Elsevier, ProQuest, Science Direct, Index, Pubmed, SciELO, Medigraphic, and Medline during 2016 to 2018, published between 2001 and 2018, in Spanish, English, and Portuguese. A total of 49 studies were contributing to fulfilling the objective. Within the beliefs for the management of disease, is the use of herbs, some consider as cause "fright"; Others take into account risk factors such as heredity, obesity, poor eating habits. Various beliefs are presented in relation to insulin treatment. Spirituality is emphasized; seeking refuge in God and prayer. Is important to understand the person, from their values, beliefs, customs and feelings. Education is a fundamental tool to control the disease, but health beliefs must be taken into account in order to achieve favorable results.