Revistas UDEA (Universidad de Antioquia)
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    “I didn't know anything, but I learned over time”: The process of nurses attaining autonomy in Intensive Care Units

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    Objective. Understand the social processes experienced by nursing professionals and the meanings underlying autonomy in adult Intensive Care Units in the city of Cartagena (Colombia). Methods. A qualitative study with a grounded theory approach was conducted. Fifteen semi-structured interviews were carried out with nursing professionals, and the analysis was based on the coding technique proposed by Strauss & Corbin. Results. Of the respondents, fourteen were female and one was male, with ages ranging from 23 to 57 years. Experience in intensive care units ranged from 1 to 28 years, and none had postgraduate studies. After thematic analysis, the central category was obtained from four categories: adaptation process, applicability of autonomy exercise, building autonomous competence, and limitations to the exercise of autonomy. Conclusion. Nursing professionals achieve their autonomy through a social process, based on different stages of learning when facing the environment of the units. It is grounded in decision-making and the power to act freely. However, barriers continue to hinder it, including limitations imposed by institutions, protocol-based interventions, social status, and individual differences among professional

    The wet nurses of the Hospital Real of Santiago de Compostela between 1803 and 1808

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    Objective. To analyze the duties of wet nurses at the Hospital Real in Santiago de Compostela (Spain). The secondary objectives were to compare the mortality rate and distribution by parish of the foundlings under the care of the Royal House between 1803 and 1808; and to determine the origin of the Galician foundlings who participated in the Royal Philanthropic Expedition of the Smallpox Vaccine in 1803. Methods. Historiographic study that analyzed sorted and not sorted in series indirect positional and quantitative historical sources. Results. The duties of wet nurses during the studied period were to provide basic care and cultural instruction. The mortality rate of foundlings fluctuated during that period and their distribution by parish (functional unit of healthcare services at that time) was similar in those years, with a predominance in the provinces of A Coruña and Pontevedra. A total of 5 Galician foundlings from the House analyzed were part of the smallpox vaccine expedition, their names were Juan Antonio, Jacinto, Gerónimo María, Francisco Florencio and Juan Francisco. Conclusion. During the observed period the wet nurses of the Hospital Real of Santiago de Compostela were in charge of pediatric care. Wet nurses were vital in the role of keeping the foundlings alive and can be considered as one of the forerunners of the pediatric nurse profession at that time

    Development and Validation of a questionnaire on human dignity in nursing cares: an exploratory sequential mixed study

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    Objective. The current study aimed to develop and validate of human dignity questionnaire in nursing care. Methods. The present research is a sequential exploratory mixed method study. The questionnaire was developed and validated in three phases: (1) the concept of human dignity was defined through conventional content analysis qualitative approach, (2) early items of questionnaire was generated according to findings of the first phase, (3) validation of the questionnaire was evaluated using face, content and construct validity as well as reliability. The study was conducted with the participation of 13 nurses in the qualitative section and 203 nurses in the quantitative section in teaching hospitals affiliated to Jahrom University of Medical Sciences (Iran). Results. In the qualitative section, the definition and dimensions of the concept of human dignity in nursing care were discovered. In the quantitative section, the initial pool of items for the questionnaire of human dignity in nursing care was formed using the results of the qualitative section of the study and review of texts and related questionnaires. In factor analysis, four subscales including: respectful communication, equality of patient human value, preservation of privacy and patient-centered care were extracted by Eigen value above one. Internal consistency and stability of the questionnaire were calculated as 0.85 and 0.80, respectively, indicating an excellent reliability. Conclusions. The 20-item developed questionnaire is valid and reliable for measurement of human dignity questionnaire in nursing care

    Educational technology to promote self-efficacy in newborn care: a validation study

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    Objective. To build and validate an educational technology consisting of a flipchart to promote self-efficacy in newborn care. Methods. A methodological study was carried out in two stages: (i) creation of the flipchart and (ii) validation by 25 experts and 50 people who could be the target audience (pregnant women, mothers or family members of newborns). Clarity, language, practical relevance and theoretical relevance were reviewed using the Suitability Assessment of Materials (SAM) instrument. The Content Validity Index and the Flesch Readability Index were calculated. Results. The serial album "Can you take care of your baby" consists of 30 pages. The overall Content Validity Index was 0.93 among experts and 1.0 among the target audience. The flipchart was considered superior quality material, reaching an agreement percentage of 94.9, indicating that it is suitable as an educational technology. Participants suggested adjustments, incorporated into the material for printed production. Conclusions. The flipchart developed and with content validated by experts is suitable for use in health education activities that aim to promote self-efficacy in caring for newborns

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    El viaje, método para la construcción de periodismo: Mirada a la obra De río en río. Vistazo a los territorios negros de Alfredo Molano

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    In a world where news is frequently conveyed through screens and print media that can be easily forgotten, some journalists choose to break away from the fleeting narratives and daily routines of their screens. They immerse themselves in stories that are based on experience, territory, and context, creating portraits with more pauses, reflections, and explorations. Alfredo Molano’s book ‘De río en río’ invites us to explore this deep connection between travel and journalism. Examining the black territories, Molano demonstrates how travel can be an integral part of constructing living journalism by unraveling the complexities of some of Colombia’s forgotten regions.This article explores how Molano utilises his physical and emotional displacements as crucial tools and methods in journalistic storytelling. It demonstrates that travel is not only a geographical journey but also a means of reaching and conveying the essence of the deepest human stories.En un mundo donde las noticias a menudo se transmiten en pantallas e impresos que se pierden en la inmediatez, hay hacedores de periodismo que deciden romper las narraciones fugaces, abandonar la cotidianidad de sus pantallas y sumergirse en las historias desde la experiencia, el territorio y sus contextos, para hacer retratos con más pausas, reflexiones y exploraciones. Alfredo Molano nos invita a explorar esta conexión profunda entre el viaje y el periodismo a través de su libro De río en río. Vistazo a los territorios negros. A medida que desentraña las complejidades de algunas regiones olvidadas de Colombia, Molano nos muestra cómo el acto mismo de viajar puede tejerse intrínsecamente en la construcción de un periodismo vivo. En este artículo, nos sumergimos en cómo Molano utiliza sus propios desplazamientos físicos y emocionales como herramientas cruciales como método en la narrativa periodística, demostrando que el viaje no es solo una travesía geográfica, sino también una forma de llegar y contar la esencia de las historias humanas más profundas

    Intention, Motivations, and Barriers to Emigration of Nursing Students in Colombia

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    Objective. To explore the intention, motivations, and barriers to emigrate of final semester nursing students from Colombia. Methods. Quantitative, descriptive, and cross-sectional study with participation by 556 last-semester students matriculated in 26 undergraduate nursing programs in Colombia. Data were collected through an online questionnaire. Results. The study found that 84% of the participants consider among their plans as future nursing professionals to emigrate to practice their profession in another country. Destinations of preference for those who have thought of emigrating include countries, like Canada (63.5%), Spain (57.7%), Germany (44.9%), and the United States (44.4%). The main reasons that motivate nursing students to emigrate when they complete their professional studies are: better remuneration (81.6%), better quality of life (67.9%), greater professional growth (64.1%), greater job stability (54.7%), and more employment options (49.8%). In turn, the reasons that discourage nursing students from emigrating when they complete their professional studies are: language (71.9%), going away from the family (60.6%), and the complexity of the emigration process (55.4%). Conclusion. The findings of this research show that a notable proportion of last-semester nursing students consider among their plans to emigrate to practice in another country when they receive their degree. Knowing the intentions, motivations, and barriers to emigrate of future nurses will permit having elements to design strategies that improve the retention of professionals in Colombia

    Jorge Franco Ramos: “sigo llevando a Medellín en mi literatura”

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    Interview with Jorge Franco RamosEntrevista con Jorge Franco Ramo

    ELC54: enero-junio 2024

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    Revista Estudios de Literatura Colombiana n.° 54 Enero-junio de 202

    Reseña del libro Del agua al desierto de Azriel Bibliowicz

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    Reseña de la novela Del agua al desierto, de Azriel Bibliowicz, publicada en Bogotá por la editorial Tusquets en el año 202

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