Background: Having a high Quality of Work Life (QWL) has a positive influence in care quality, however, in Mexico, little is known about QWL and even less in health care professionals and primary care. This study aims to describe strengths and areas of improvements in QWL in nursing professionals who work in primary care of Jurisdiction No. 2 in Tampico, Tamaulipas, Mexico. Methods: Cross-sectional analytical study. The CVT-GOHISALO instrument was applied, which measures QWL. Results: The study sample was composed by 67 women (95.7%) and 3 men (4.3%). The average age was 39 years old, ranging from 23 to 69 years old. A 57.1% reported living with a partner; 54% had a full time job; and 78.6% had only one job. The results of the present study showed that dissatisfaction can be found in nursing professional's QWL in public health clinics in all dimensions. Those dimensions with the greatest dissatisfaction were Inclusion in the working place, Personal development and Well-being achieved through work. The dimensions with less dissatisfaction were Institutional support, Free-time management, Work satisfaction, Safety at work. Conclusions: This study is the first attempt to determine the QWL of nursing professionals of primary care clinics in Tampico, Tamaulipas.

The professional role of nurses working in public health in Latin America is not well defined because of the health-care system infrastructure and the lack of a clear public health nurse job description. Further research is needed to better understand the role of public health nurses and strengthen their training, particularly in relation to nursing management encompassing abilities for decision-making processes and public health program planning and evaluation.

Objective: The propose was to evaluates the behavior of self-management in people with: diabetes, hypertension and cancer, and to analyze the relationship between self-management and family support. Methods: This study has cross-sectional and correlational design. A convenience sample was used. The study was conducted at the Sanitary District Number 2 of Tampico, Tamaulipas, México. The sample consisted of 299 patients, the scale of selfmanagement in chronic illness: "Partners in Health Scale". The Kruskal-Wallis test, the Spearman and Kendall-Tau correlation were used for the analysis. Results and Conclusions: The people of the study showed poor self-management. The statistical significance was found in the adherence dimension, being this difference in the group which was diagnosed with cancer, vs the diabetes and hypertension groups. The results of the family APGAR showed that 25% of the participants had moderate and severe family dysfunction; the results also show that this family support is not the only factor to consider in this behavior, although the statistical results were significant, yet this relationship is medium or low.

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Introducción: Dado el carácter prioritario de atención a las enfermedades no transmisibles, la Organización Mundial de la Salud propuso el Modelo de Cuidados Crónicos. En este modelo incluye el automanejo como un elemento principal en el combate de dichas enfermedades. Objetivo: identificar las variables predictoras del comportamiento de automanejo en usuarios con Diabetes Mellitus, Hipertensión Arterial y Obesidad. Métodos: La muestra no probabilística e intencional fue de 386 usuarios de la Secretaría de Salud de Tamaulipas (Ciudad Victoria y Tampico). El diseño de estudio fue no experimental, transversal. Resultados: casi la mitad (42.2%) de los participantes con ECNT refieren síntomas de trastorno depresivo en el continuo de leve a grave, la categoría que obtuvo mayor porcentaje de IMC fue sobrepeso con 33.2% y más de un tercio de la población (36.8%) percibe algún grado de disfunción familiar. Así también se aplicó un análisis de Regresión Lineal Múltiple con el método de pasos, el modelo indica que fueron siete predictores del comportamiento de Automanejo (varianza explicada R2=.325); la variable autoeficacia fue el más importante (β=38) y el apoyo social percibido el predictor con carga más baja (β=.10). Conclusiones: estos predictores representan elementos importantes para ampliar el conocimiento y entender el comportamiento del automanejo, área que es promovida en el modelo de atención a crónicos de la Organización Mundial de la Salud y en la actualidad es liderada por el área de enfermería.

Predisposing, enabling and need factors are strong predictors of health services utilization among Mexican older persons. In addition, gender differences exist among this population in relation to health status, but not to health services demands.

Of the numerous instruments available to detect nutritional risk, the most widely used is the Mini Nutritional Assessment (MNA), but it takes 15–20 min to complete and its systematic administration in primary care units is not feasible in practice. We developed a tool to evaluate malnutrition risk that can be completed more rapidly using just clinical variables. Between 2008 and 2013, we conducted a cross-sectional study of 418 women aged ≥60 years from Mexico. Our outcome was positive MNA and our secondary variables included were: physical activity, diabetes mellitus, hypertension, educational level, dentition, psychological problems, living arrangements, history of falls, age and the number of tablets taken daily. The sample was divided randomly into two groups: construction and validation. Construction: a risk table was constructed to estimate the likelihood of the outcome, and risk groups were formed. Validation: the area under the ROC curve (AUC) was calculated and we compared the expected and the observed outcomes. The following risk factors were identified: physical activity, hypertension, diabetes, dentition, psychological problems and living with the family. The AUC was 0.77 (95% CI [0.68–0.86], p < 0.001). No differences were found between the expected and the observed outcomes (p = 0.902). This study presents a new malnutrition screening test for use in elderly women. The test is based on six very simple, quick and easy-to-evaluate questions, enabling the MNA to be reserved for confirmation. However, it should be used with caution until validation studies have been performed in other geographical areas.

Objective: To evaluate quality of life the Informal cancer (IC) patients' caregivers offer to relatives suffering from cancer and to determine their relation with the IC work overload. Methods: The study was correlational cross-sectional design. The convenience sample included 164 caregivers of relatives diagnosed with cancer who are receiving chemotherapy treatment in a General Hospital in Lima, Peru. The instrument of "Zarit Rating Scale", and The Medical Outcomes Study Short Form, version 2(SF-36v2)SF36 were used, along with questions on sociodemographic data to the caregiver and the cancer patient. Descriptive statistics and Spearman's ρ were used. Results: The 85% of IC referred to perform this role for more than three months, while 15% from one to two months. More than a half (60%) cohabited with the patient. Most (74%) had greater burden. The areas of highest percentages of overload indicated fear and dependency of the IC towards the relatives diagnosed. The results on quality of life presented an average below 60% in social functions, vitality, mental health and general health. The results of significant correlation between quality of life and overload are: general health, social functioning and pain (p: .01-.02). Conclusions: The results described the caregivers group of people with cancer as a vulnerable group and in need of attention. The requirements described are referred to aspects, such as mental and social health. The effect of their role as caregiver has an effect on the intense overload for most of them, threatening their physical and mental health. Further research is suggested, as well as implementing programs of attention to this vulnerable group.