Community and Interculturality in Dialogue (Journal)
Not a member yet
114 research outputs found
Sort by
Breastfeeding and education in the puerperium
Get PDFThis systematic review explores the effectiveness of various educational and emotional interventions to promote breastfeeding in the postpartum period, analyzing their benefits and limitations. Interventions include prenatal educational programs, mobile apps, emotional support, nutritional supplementation, and personalized teaching methods such as teach-back, which has been shown to improve breastfeeding self-efficacy. Research shows that a combination of approaches, such as psychosocial support and technology integration, is essential to reduce practical and emotional barriers faced by mothers, especially in cases of cesarean section, postpartum depression, and socioeconomic vulnerability. Although some interventions do not directly increase the duration of exclusive breastfeeding, they reduce the perception of difficulties, contributing to more effective breastfeeding. The study concludes that a holistic approach, including education, emotional support and counseling, is key to improving breastfeeding outcomes and supporting maternal and child health in diverse populations
Effectiveness of the kangaroo method in premature infants
Get PDFIntroduction: prematurity is one of the main causes of neonatal mortality, the Mother Kangaroo Method (MMC), developed in 1978 in Colombia, emerges as an effective and humanized alternative for premature neonates, based on skin-to-skin contact, strengthening the maternal bond, regulating temperature and promoting breastfeeding. It reduces neonatal mortality by 40 % and optimizes hospital resources. Although it faces cultural and structural challenges worldwide, its implementation can improve the quality of life of newborns and their families. Objective: to determine the effectiveness of the Kangaroo Method in preterm infants. Methods: this article uses a systematic review supported by the PRISMA 2020 Declaration, with a qualitative-descriptive approach. The PICO model was used to define the research question, scientific articles from the last 5 years were reviewed in ten databases, using MeSH terms, DeCs and using Bilean operators, related to the Kangaroo method and its effectiveness. Results: a compilation of studies demonstrate the effectiveness of the kangaroo method in improving the quality of life, basing this on different categories supported by authors who defend this method as an effective and recommended alternative to problems such as breastfeeding, socioeconomic level or medical problems that arise in premature newborns. Conclusions: CMM is an effective strategy to care for preterm newborns, however, despite its multiple benefits, there is a lack in terms of its application, for this reason the dissemination of this effective method is sought
Cultural beliefs and parental support for female genital mutilation practices in Ibadan, Oyo State
Get PDFIntroduction: female genital mutilation (FGM) remains a persistent cultural practice in Nigeria despite decades of advocacy against it. This study examined cultural beliefs and parental support for FGM in Ibadan City, Oyo State of Nigeria, where parental decisions and community norms significantly influence its continuation. The purpose was to assess parents’ knowledge of FGM practices, identify cultural beliefs sustaining the practice, and determine the level of parental support within the study area.
Method: a descriptive survey design was adopted, targeting parents across the five local government areas of Ibadan. Using a multistage sampling technique, 400 respondents were selected, with 342 valid responses analyzed. Data were analyzed using descriptive statistics and chi-square tests at a 0.05, level of significance.
Results: findings revealed that although FGM still exists in Ibadan, perceptions indicate a gradual decline in its prevalence and social endorsement. Most respondents disagreed with cultural beliefs linking FGM to purity, obedience, or family honor, though traces of religious and traditional justification persist. Parental support for FGM was generally low, with stronger support found in rural than urban areas. Hypothesis testing showed that age and education significantly influenced parental support, while gender and religion did not.
Conclusions: The study concludes that cultural beliefs and parental support for FGM are weakening in Ibadan, signaling a gradual cultural shift. It recommends strengthening anti-FGM laws, expanding culturally sensitive health campaigns, integrating FGM awareness into educational curricula, and focusing interventions on rural communities where support remains stronger
The Lion That Never Lived: Global Gestalt and Hermeneutic Reading of the Singa Barong Ornament in the Javanese Keris
No full textThe Singa Barong engraved on the frontal base of the Javanese Keris blade, positioned above the ganja, is important because it demonstrates how a global symbol of power acquires a localized ethical meaning within Javanese culture. This study aims to explain that process by examining the visual form and symbolic function of Singa Barong and comparing it with lion representations in Asian, European, and American traditions, including the Chinese qilin and guardian lions. The research draws on primary visual data from museum collections and secondary sources on cross-cultural lion imagery. A semiotic–hermeneutic approach framed by Gestalt theory guides the analysis. Visual units, structural relations, and symbolic attributes were identified and interpreted to reveal how the unity of form shapes meaning across different cultural contexts. The results outline three key findings. First, lion images across civilizations share an identical gestalt that joins authority, vigilance, and moral discipline. Second, the Singa Barong reconfigures this archetype by emphasizing ethical self-control as the central value in Javanese thought. Third, the Keris positions the lion not as an emblem of domination but as a refined heraldic figure that affirms spiritual power through cultural wisdom. The study concludes that the Singa Barong exemplifies the convergence of global iconography and Javanese ethical philosophy. This insight contributes to a deeper understanding of how form, belief, and power interact within world visual cultures
Rehabilitation nursing in promoting health literacy in the elderly and preventing falls
Get PDFThe aim of this study was to map the available scientific evidence on the intervention of rehabilitation nurse specialists in the promotion of health literacy, with an emphasis on the prevention of falls in the elderly. The literature review suggest a positive relationship between adequate Health Literacy and a lower prevalence of falls, although more studies are needed to consolidate this association. The promotion of Health Literacy in the context of falls prevention can be operationalized in three main areas: identification and assessment of risk factors; mobilization and provision of resources; education, teaching and training. Within the scope of their competencies, rehabilitation nurses play a central role in developing and implementing strategies that promote the empowerment of the elderly, providing tools that facilitate informed decision-making and the adoption of behaviors aimed at preventing falls
Mentoring in Developing Best Practices for Elementary School Teachers in Indonesia
Get PDFIntroduction: Elementary school teachers face challenges in designing and documenting best practices from their teaching experiences. These difficulties are often caused by a lack of understanding of what constitutes best practices, how to format and write them systematically, and the limited specialized training to support these skills. Teachers need ongoing support through training and technical guidance to develop skills for effectively documenting and disseminating best practices.Objective: The aim of this community service program is to improve teachers\u27 ability to develop best practices. Methods: This study uses a lesson study method with a qualitative descriptive approach. Data was obtained from observing activities during training and filling out descriptive questionnaires.Results: The methods and teaching materials used by teachers are dominated by methods and sources that are less relevant to the needs of the times. Low student attention, interest, and competence reinforce that there are deficiencies in the learning process. Teachers need e-modules based on local wisdom to help improve cultural literacy and critical thinking skills.Conclusions: This study concludes that there is a need to develop teaching materials in the form of e-modules developed based on local wisdom that can improve cultural literacy and critical thinking skills for elementary school student
Dating Violence: Responsibility of the Nurse Specialist in Community and Public Health
Get PDFDating violence represents a significant public health challenge. Recent data indicates an increase in its prevalence, with serious consequences for the victims, making intervention necessary. A theoretical-reflective methodology was used, supported by bibliographic research. Recent national findings show an increase in the legitimization of physical violence, control, and stalking. The consequences for victims range from low self-esteem to suicidal behavior. The results are unanimous in reinforcing the importance of prevention and raising awareness about healthy relationships. The specialist nurse in community and public health plays an important role in raising awareness and educating young people about the issue, due to their specific competencies. The lack of studies highlights the need for further research to build evidence that enables effective intervention.
Keywords: Intimate Partner Violence; Adolescent; Health; Community Health Nursing; Public Healt
Nursing strategies to improve treatment adherence in patients with type 2 diabetes
Get PDFIntroduction: type 2 diabetes mellitus (T2DM) is a highly prevalent chronic disease, projected to affect more than 700 million adults by 2045. Improving adherence to treatment remains a challenge in Latin America and Ecuador, due to communication and socioeconomic barriers. Patient-centred nursing strategies and digital health emerge as promising alternatives. Methods: a qualitative and descriptive systematic review was conducted under PRISMA 2020 and the PICO approach, including studies from 2020 to 2025 in recognised scientific databases, evaluated with CASP and JBI. Results: the data, summarised in tables, show that the nursing strategies identified to improve adherence to treatment in patients with type 2 diabetes were grouped into educational interventions, behavioural support, continuous monitoring and use of technological reminders. The quality of the studies was assessed through criteria such as the validity of the instruments and the relevance of the findings. Conclusión: personalised and tailored nursing strategies optimise glycaemic control and quality of life, and standardised protocols and evidence for clinical practice are recommended
Humanized Care of Nursing Students of the Adventist Technological Institute of Ecuador, Santo Domingo de los Tsáchilas
Get PDFCaring is a human activity that is defined as a relationship and a process whose purpose goes beyond simply treating illnesses. In the field of nursing, care is considered the essence of the profession. Humanized care is essential in the ethical and social values of nurse-patient care, implying the application of ethical principles and the student\u27s self-perception. This process is based on the connection and shared experiences between the nurse and the patient. The objective of this research was to determine the level of applicability of humanized care in relation to the sociodemographic data of the Nursing students of the Adventist Technological Institute of Ecuador, Santo Domingo de los Tsáchilas 2021. No relationship was found between the age of the students and the perception of humanized care (X² = 6.382; P = 0.1759). There was also no association between gender and humanized care (X² = 1.787; P = 0.4092). The students\u27 degree did not show a relationship with humanized care (X² = 3.414; P = 0.1814). However, there is a significant relationship between the level of the student cycle and humanized care (X² = 17.615; P = 0.024) at the regular level. The results suggest that academic development influences the ability to provide more humanized car
Use Of Pain Assessment Scales In Non-Communicative And Communicative Patients
No full textIntroduction: Adequate pain management in non-communicative patients represents a critical challenge in healthcare. Globally, approximately 50 % of non-communicative critically ill patients experience pain during their stay in intensive care units. However, the use of validated scales such as the Behavioral Pain Scale (BPS) and the Critical-Care Pain Observation Tool (CPOT) remains limited. In Ecuador, 87 % of medical staff do not use scales to assess pain, resulting in 66 % of patients not receiving an adequate assessment and 92 % experiencing ineffective pain management. Objective: to analyze the clinical utility and application of validated scales for the assessment of pain in non-communicative patients in hospital settings. Methods: a systematic review was conducted with a qualitative-descriptive approach, using the PRISMA methodology. Twenty-seven articles published between 2020 and 2025, in English and Spanish, located in scientific databases such as PubMed, Scopus, and Scielo, were included. Results: the Behavioral Pain Scale (BPS), the Pain Indicator Behavior Scale (ESCID), PAINAD, CPOT, and NCS-R were the most frequently used. These tools were found to have good validity and reliability for detecting pain in non-communicative critically ill patients and were effective in procedures such as tracheal aspiration and mobilization. New technologies have also shown advances in the automation of pain diagnosis, although with limitations in standardization. Conclusion: adequate pain assessment in non-communicative patients is possible through validated behavioral scales, whose clinical application requires ongoing professional training and adaptation to the patient\u27s context