Investigacion y Educacion en Enfermeria最新文献

Creation of graduate studies as academic programs in the Faculty of Nursing at Universidad de Antioquia began during the 1980s as a result of the generation of knowledge product of profound academic discussions in research and disciplinary areas. The Master's, specialization, and PhD programs have generated an important academic production that helps make the Faculty visible in the world. These programs are permanently subjected to self-evaluation processes, which lead to improvement plans aimed at raising their quality in response to scientific progress, social needs, and health and education policies within the framework of graduate training for nursing professionals, which guarantees the social pertinence of their formation. Currently, the Faculty's graduate programs are pertinent in their purpose of training professionals capable of confronting society's heterogeneity and proposing solution alternatives according to the new challenges from the context to live with quality and dignity. This text seeks to show the historical development of graduate training in the Faculty of Nursing at Universidad de Antioquia in its 75 years of existence and its contribution to care and development of nursing in our society.

This essay aims to critically reflect on the ethical challenges posed by the incorporation of artificial intelligence (AI) in the education of nursing professionals. Based on an argumentative review of recent scientific literature, three key dimensions are analyzed: personalized learning as an opportunity to promote inclusion and academic autonomy; the potential of AI to reduce educational gaps through public policies that guarantee digital equity; and the strengthening of clinical and ethical judgment through AI-assisted simulations in educational environments. Likewise, the risks associated with its implementation are addressed, such as algorithmic surveillance, the mechanization of moral reasoning, and technological exclusion in contexts with low digital literacy. It is concluded that the real challenge does not lie in the technology itself, but in how it is designed, regulated, and pedagogically integrated in terms of care, dignity, and critical thinking. Finally, the need to advance research that guides regulatory frameworks and educational proposals to ensure an ethical, inclusive, and contextualized integration of AI in nursing education is suggested.

Objective: To analyze the coping strategies for the adaptation of the migrant during pregnancy described in the literature.

Methods: Integrative review using the method approached by Whittemore and Knafl. MeSH terms Pregnancy, Migrants and immigrants, and Psychological adaptation, were incorporated in addition to their variants in the databases of Pubmed, Scopus, EBSCO, Science Direct, and Web of Science. Articles that examined the coping strategies used by pregnant migrants to adapt during pregnancy were included. Only the articles published from 2003 to 2023 was considered. After applying the inclusion and exclusion criteria, the articles were analyzed with the CASPe critical reading tool in which quality and consistency were reviewed. Using the software, Atlas.ti, version 23.2.1, content analysis for the categorical construction of data was performed. These strategies were analyzed with the middle-range theory adaptation to life events by Callista Roy.

Results: A total of 416 articles were considered. The reviewed articles show 14 coping strategies used by the pregnant migrant, which were grouped into 5 strategies called social support, emotional regulation and transfer, positive attitude strategy, cultural adaptation strategy, and comprehensible language strategy.

Conclusion: It was found that the strategy most used by the migrant pregnant woman is social support, followed by positive attitude strategies and comprehensible language; when using these strategies, the results show migrant pregnant women with a decrease in anxiety, fear and a positive attitude towards life and health.

Objective: The objective was to analyze the relationship among sociodemographic factors, management variables, and the perception of care humanization by nursing staff.

Methods: A descriptive and observational study was conducted with a sample of 659 nurses working in Spain. A descriptive analysis of the sociodemographic and management variables was performed. Subsequently, a Latent Class Analysis (LCA) was applied to classify participants according to their scores on the HUMAS scale, which measures their perception of their own humanization and that of their manager. Finally, multinomial and logistic regression models were proposed to identify the determinant factors for belonging to these classes and for the opinion on the center of the healthcare system.

Results: The sample was composed mostly of women (78.9%) with professional experience and job stability averaging 24.17±10.49 years (Min=1, Max=45). Notable dissatisfaction (58.3%) and distrust (57.9% between little and none) towards managers were detected. The LCA identified four nurse profiles based on their perception of humanization: a class with a high valuation of their own humanization and management (Class 2: c2), one with a low valuation in both (Class 3: c3), one with a high personal valuation but low towards management (Class 4: c4), and an intermediate class (Class 1: c1). The most valued traits in a manager were respect, communication, and transparency.

Conclusion: A significant gap exists between nurses' self-perception of humanization, which is generally high, and their perception of their managers, which is predominantly low. This dissonance, combined with dissatisfaction with leadership, underscores the need to develop management styles that promote communication, respect, and transparency to improve the work environment and the quality of patient care.

Objective: To evaluate the effect of family-centered self-care education via tele-nursing on health literacy and the self-care status of patients with heart failure.

Methods: This study is a randomized, controlled clinical trial. Sixty heart failure patients were randomly allocated into two groups: intervention (n=30) y control (n=30). The researcher conducted six 20-minute sessions on how to take care of yourself in heart failure for active family members of patients in the intervention group via mobile phone on Eitaa APP messenger. Before the intervention and one month after it, patients completed the Heart Failure Health Literacy Questionnaire and the Self-Care Assessment Questionnaire.

Results: Inter-group comparisons using the Mann-Whitney test showed that before the intervention, there was no statistically significant difference between the intervention and control groups in terms of mean health literacy scores and self-care behaviors(p<0.05). However, after the intervention, a significant difference emerged, with the intervention group exhibiting higher mean scores than the control group in both questionnaires (p<0.001). Intra-group comparisons further revealed that the intervention group's mean scores for health literacy and self-care behaviors increased significantly after the intervention compared to before (p<0.001).

Conclusion: Family-centered education via mobile phone on Eitaa APP messenger improved both health literacy and self-care status among heart failure patients. Thus, employing tele-nursing to engage the family members of heart failure patients can be an effective strategy for delivering educational interventions as part of the treatment program.

Objective: To assess the effectiveness of nurse-led or nurse-integrated interventions in improving maternal health outcomes, particularly antenatal care (ANC) attendance, in resource-constrained settings.

Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines. Databases including PubMed, Scopus, CINAHL and Web of Science were searched for studies evaluating the impact of nursing interventions on maternal health outcomes. Risk of bias was assessed using the Cochrane RoB 2 tool and Newcastle-Ottawa Scale. A random-effects meta-analysis was performed for studies reporting ANC attendance (4 and more visits). (PROSPERO CRD420251067253).

Results: Of the 1038 records identified, 11 studies met the inclusion criteria, and 3 were eligible for meta-analysis. The pooled Odds Ratio for ANC attendance was 1.48 (95% CI = 1.06-2.08), indicating a statistically significant improvement. For facility use at birth, results also showed positive effects (OR=1.49, 95% CI = 1.21-1.77). Mortality-related outcomes showed a midwife-delivered postpartum hemorrhage bundle reduced a composite outcome including severe hemorrhage and death (RR = 0.40, 95% CI = 0.32-0.50) Narrative synthesis of other outcomes such as skilled birth attendance and maternal mortality also suggested a positive impact of nurse-led interventions.

Conclusion: Nurse-led and nurse-integrated maternal health interventions significantly improve ANC utilization in low-resource settings. Policymakers should consider scaling these models as part of broader maternal health strategies.

Objective: To examine the link between ambient air pollution and poor pregnancy and neonatal outcomes.

Methods: This systematic study searched numerous databases, including PubMed, Scopus, Web of Science, and Cochrane Library, revealed 26 papers that met established criteria. This research looked at how pollutants such as Particulate matter smaller than 2.5 microns, Particulate Matter ≤10 micrometers, Nitrogen Dioxide, Sulfur Dioxide, Ozone, and black carbon affected maternal and new-born health, including miscarriage, preeclampsia, preterm delivery, low birth weight, and neonatal respiratory and neurological abnormalities.

Results: Findings repeatedly revealed that enhanced the danger of gestational problems and poor neonatal consequences, with pollutants including Particulate matter smaller than 2.5 microns and Nitrogen Dioxide substantially related to hypertensive disorders, before the expected time of delivery, low birth weight, and reduced new-born immune and respiratory function. The paper also discusses how pollution impacts health via biological processes such as oxidative stress and epigenetic alterations. Variability in research designs, exposure assessment methodologies, and regional pollution levels were observed.

Conclusion: This review underscores the link between ambient air pollution, particularly Particulate matter smaller than 2.5 microns and Nitrogen Dioxide, and poor pregnancy and neonatal outcomes. Recognizing these risks is crucial for nursing care, allowing nurses to educate, identify early risks, and advocate for policies that protect mothers and newborns. Strengthening interventions will improve health outcomes for both.

Objective: To evaluate a website-type care-educational technology aimed at promoting adherence to antiretroviral treatment in adults living with HIV.

Methods: This study was based on a Knowledge Translation into Action project developed in two stages: in the first stage, a free-access website was created through collaboration among different research groups; in the second stage, a cross-sectional study was conducted with focus groups and individual interviews with eight participants, using the Assistive Technology Assessment Instrument to evaluate the website's attributes.

Results: The website was established as a digital care-educational technology, providing information supported by scientific evidence on self-efficacy, social support, and quality of life. The proposed issues addressed different situations in the lives of people living with HIV, with the objective of fostering treatment adherence. In the overall assessment conducted by the target audience, the website obtained a mean score of 1.88 (minimum 1.1 and maximum 2.0), being classified as adequate. Suggestions received were incorporated through adjustments in design and content structure.

Conclusion: The website can be used by adults living with HIV and by nursing professionals to promote treatment adherence, contributing to self-care and health education.