Investigacion y Educacion en Enfermeria最新文献

Objectives: To understand the health process, from the approach of the social determination of health in two neighborhoods in Medellín - Colombia, to contribute to the care of people, families, and collectives in their multidimensional reality.

Methods: Qualitative research from the ethnographic perspective, approaching the general dimension with documentary analysis of social policies and community documents, the particular dimension through focal groups and interviews to community leaders, and the singular dimension with the family visit.

Results: Families and collectives live within a sociocultural setting of resistance, overshadowed by moments of flight and displacement derived from violence, with scant participation in city plans and programs and with structural problems of economic and political exclusion. They constructed the territory as space and shelter in the weave that protects and violates them, with processes from uprooting to rooting. The families have maintained protective processes, like family participation in decision making, knowledge on health care, among others, and destructive processes, like informal labor and job instability, without spaces for recreation and with limitations in transportation, in access to health programs and in obtaining food.

Conclusions: The health of the families has been determined by historical exclusion to work to obtain resources for a minimum vital subsistence, which is why they suffer social vulnerability due to few opportunities for development; they have lived a transformation process of the territory with resistance, solidarity, and construction of social networks.

Objectives: Produce and determine the validity of a reusable learning object for assessment cardiovascular and respiratory responses from the taxonomy of the North American Association of Nursing Diagnosis Domain 4. Activity/Rest, Class 4. Cardiovascular/Pulmonary Responses.

Methods: A descriptive methodological study was developed that included three phases (1) construction of the reusable learning object incorporating Gagné's nine instructional events, (2) content validation was carried out with 24 nurses who served as experts, and (3) and Usability was evaluated by 22 nursing students from a Public University in Colombia.

Results: The reusable learning object was organized into three modules: introduction, assessment of cardiovascular responses, and assessment of pulmonary responses. The learning object obtained a content validation index of 0.86; the usability indicators had proportions of agreement greater than 85%.

Conclusions: The reusable learning object is valid and can be used for teaching the assessment of cardiovascular and respiratory responses in nursing students.

Objectives: The work's aim was to comprehend the cultural practices of the care by Zenú indigenous mothers to their newborn premature children and those of low birth weight by implementing the Kangaroo-Mother method at home.

Methods: Qualitative study of particularistic ethnographic approach, with participation from eight mothers and two key informants trained in the Kangaroo-Mother method, who were interviewed and observed in their homes, in the municipalities of San Andrés de Sotavento, Tuchín, Sampués, and San Antonio de Palmitos from the Departments of Córdoba and Sucre (Colombia), respectively. Ethnographic analysis was performed. The criteria of data saturation and methodological rigor, typical of qualitative research, were applied.

Results: Eight Zenú indigenous mothers and two key informants from the family participated in the study. The themes emerging were the context, a different experience, adaptations of the Kangaroo-Mother method at home and care practices, protection and healing based on customs and cultural tradition.

Conclusions: The indigenous mothers provide holistic care to their newborn premature children and those with low birth weight, by integrating the knowledge and practices of the Kangaroo-Mother method and with the ancestral practices of care, protection, and healing characteristic of the context and culture; thus, transcending the use of resources available in the environment.

Objectives: This work sought to design and validate a self-care instrument to prevent diabetic foot in Colombian adults with diabetes.

Methods: Psychometric study in which an instrument was designed to measure self-care to prevent diabetic foot according to the Medium Range Theory of Self-care in chronic diseases. With a sample of 230 people with type-2 diabetes, construct validity was determined through exploratory and confirmatory factor analysis. Internal consistency was calculated with Cronbach's alpha coefficient.

Results: Favorable evidence of construct validity was obtained with a model consisting of three scales: self-care maintenance with a three-factor structure (accumulated variance 43%), α = 0.7, with good fit (𝜒2= 64.698, p = 0.001; RMSEA = 0.066; RMSSR = 0.071; CFI = 0.936, NNFI = 0.910). Monitoring of self-care with presence of symptoms a two-factor structure was found, α = 0.950, with good fit (𝜒2 = 266.837, p = 0.000; RMSEA = 0.321; RMSSR = 0.057; CFI = 0.848; NNFI = 0.789); and without symptoms, a single-factor structure (cumulative variance 84%), α = 0.9, acceptable fit (𝜒2= 377.327, p < 0.001; RMSEA = 0.355; RMSSR = 0.073; CFI = 0.832; NNFI = 0.764). And self-care management with two-factor structure (cumulative variance 53.7%) α = 0.7, with good fit (𝜒2 = 14.317, p = 0.014; RMSEA = 0.144; RMSSR = 0.063; CFI = 0.905; NNFI = 0.809).

Conclusions: The resulting instrument has adequate psychometric properties, consistent with the theoretical model of self-care in chronic diseases. Its use is recommended to evaluate self-care to prevent diabetic foot in populations similar to the study population.

Objectives: To identify the knowledge of teachers about suicidal behavior in adolescents.

Methods: Qualitative exploratory-descriptive study conducted in a state school in the municipality of Porto Alegre, RS, Brazil. Twelve teachers participated in the study. Data were collected through semi-structured interviews analyzed using Bardin's Content Analysis.

Results: Three categories were built: "Warning signs of suicide", related to the signs identified by the professionals; "Risk factors for suicide", which indicate the reasons that may lead adolescents to present this type of behavior; and "Difficulties in dealing with the behaviors", referring to the behaviors adopted by adolescents and the difficulties of teachers before the theme.

Conclusions: It was possible to identify that teachers recognize some signs of suicidal behavior, as well as some risk factors. Nonetheless, it is necessary to qualify them to approach the subject, since they feel insecure to act in more critical moments, thus generating mainly feelings of sadness, guilt and powerlessness.

Objectives: To analyze levels of production, reach, and thematic development of the Investigación y Educación en Enfermería journal from a scientometric analysis.

Methods: The study collected 1,066 articles corresponding to the period between 1983 and 2020. The scientometric analysis was carried out from three components of descriptive analysis: performance of the publication, geographic reach, and thematic development. The first two used data consolidated from articles published in the Open Journal System at Universidad de Antioquia. The third component captured the bibliographic references from the Web of Science and Scopus databases and from the Google Scholar and Lens academic search engines.

Results: In terms of the production analysis, the Journal shows stable behavior sustained over time with international reach regarding authorship. In the thematic setting, the Journal concentrates on two large clusters: 1) research on human factors from different perspectives and 2) cross-sectional studies differentiated mainly by sex. With respect to emerging clusters, on one side, a thematic pillar is seen with studies in young adult population and another in matters related to the educational process and nursing students.

Conclusions: The Journal has maintained outstanding behavior in terms of production over time, aligned with very good visibility for potential authors internationally; something not easily accomplished for most journals in Colombia. Likewise, its production has had a thematic domain to a greater extent related to human factors associated with the nursing practice.

Objectives: To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings.

Methods: This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India.

Results: Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals).

Conclusions: Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.