Nursing Depths Series
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Nursing intervention in pregnancy loss: challenges and human responses
No full textIntroduction: Pregnancy was recognised as a stage of major physical, emotional and social changes, during which women faced risks that compromised their well-being and that of their babies. When perinatal death occurred, that moment of hope turned into deep sadness, affecting not only the mother but also her family. Globally and locally, as in Santander, the figures showed the magnitude of this public health problem.Development: Perinatal bereavement was a painful experience that was misunderstood and not adequately addressed by the health system. The mother experienced complex emotions such as guilt, frustration and anger. In this context, nursing played an essential role, providing empathetic support and comprehensive care. Trained professionals applied strategies to recognise emotional suffering and mitigate its consequences. Kristen Swanson\u27s theory of care provided guidance based on close support, empathy and compassion. The Colombian legal framework established standards to protect pregnant women and ensure timely and humane interventions, recognising the right to dignified and respectful mourning.Conclusion: Perinatal death was a traumatic event that required a holistic response from nursing. It was necessary to integrate scientific knowledge, human sensitivity, and regulatory compliance to provide comfort and guidance to families. The intervention of nursing staff, based on theories such as Swanson\u27s, made it possible to address this experience from an emotional, spiritual, and clinical perspective, strengthening the well-being of the mothers affected
Effective nursing interventions for managing maternal grief and its family due to perinatal death
No full textIntroduction: Perinatal mourning is a consequence of perinatal loss; for them it is important that a humanized management is given, since, in some cases, mourning occurs silently. This care must be carried out both for the mother and her family. For them, the role of the nurse in the approach with comprehensive accompaniment and support is important.Objective: To determine qualities are the most effective nursing interventions for the management of perinatal grief for the mother and her family.Methodology: Narrative review through the search for research articles on perinatal grief and effective interventions for the management of perinatal grief. These searches were carried out by means of a peak question in which a specific population was selected, additional inclusion and exclusion criteria were taken into account according to the ProQuest, Dialnet, Google Scholar databases.Results: Finally, a total of 15 articles that answered the research question were selected, a series of effective nursing disorders for the mother and her family were identified, such as support groups, active listening by the staff, expression of feelings, implementation of rituals among others.Conclusions: From the nursing discipline, effective nursing interventions are implemented for the management of grief due to perinatal death, such as creating memories, emotional support, active listening, among others; but it is worth noting the need to include other disciplines that address perinatal grief, for this reason new guidelines and protocols must be generated for a multidisciplinary approach
Humanized Childbirth: Challenges, Maternal Health Benefits And Comprehensive Intervention Strategies
No full textIntroduction: Obstetric and gynecological violence continues to be a serious problem in developing countries, where women\u27s reproductive rights are violated; therefore, it was proposed to analyze how humanized childbirth is provided in obstetric services to ensure maternal and neonatal health, as well as the strategies implemented in the care of the couple. Methods: A literature review study of original studies in Spanish, English and Portuguese was arried out, with a sample of 30 articles selected from indexed databases such as SCOPUS, SCIELO, CINALH, PUBMED and REDALYC. These sources were organized in an Excel matrix for analysis using the CASPe critical reading rubric to verify the rigor and scientific quality according to the selection criteria. Results: Humanized childbirth fosters the mother-baby bond, direct skin-to-skin contact, early initiation of breastfeeding and the participation of the woman, which improves the physical and emotional health of both, reduces postpartum complications and strengthens emotional bonds. In addition, it respects cultural beliefs and fosters an environment of family support, which makes it possible to face challenges such as resistance to change, infrastructure limitations and work overload. Conclusion: This approach promotes a safe, quality and family-centered environment, integrating strategies that promote the wellbeing of the trinomial, where emotional support and the reduction of unnecessary medical interventions favor natural childbirth, direct skin-to-skin contact, breastfeeding and family involvement, thus reducing the risk of complications in the puerperium
Level of nursing knowledge and factors that hinder or favor exclusive breastfeeding in late first-time adolescents in neonatology at a public hospital in Rosario
No full textThis case study, with a qualitative and quantitative approach, was carried out in the neonatology service of a public hospital in the city of Rosario. Its main objective was to evaluate the knowledge and attitudes towards exclusive breastfeeding (EBF) in first-time adolescent mothers, as well as to survey sociodemographic characteristics and the knowledge of the nursing team that accompanies them. Two instruments were applied: a Likert-type scale to measure attitudes, and the questionnaire by Muñoz et al. (2022) to assess knowledge about breastfeeding. The sample consisted of 132 adolescent mothers between 15 and 19 years of age and 23 nurses from the service. The results showed that a significant proportion of the mothers had insufficient knowledge about breastfeeding, although most of them expressed positive attitudes towards EML, especially in terms of its immunological and affective benefits. The study highlights the importance of the role of the nursing team as a key agent in strengthening the mother-child bond and promoting healthy practices, underscoring the need to implement educational strategies aimed at this population group. Respect for ethical principles was guaranteed, ensuring the confidentiality and voluntariness of the participants
Nursing care process for people with septic shock in the emergency department
No full textIntroduction: Septic shock is a medical emergency characterized by a systemic inflammatory response secondary to infection, leading to life-threatening hemodynamic instability. In this context, the Nursing Care Process allows for the scientific application of nursing knowledge to deliver safe and high-quality care.Objective: To describe the application of the Nursing Care Process in people with septic shock in emergency and critical care settings using the updated NANDA, NOC, and NIC taxonomies.Methods: A descriptive case study conducted in a hospital emergency service from March to June 2025. The Marjory Gordon functional health patterns model and an electronic clinical record system were used. The process included assessment, diagnosis, planning, implementation, and evaluation based on NANDA (2023–2026), NOC, and NIC.Results: Priority diagnoses included ineffective tissue perfusion, risk for shock, and fluid volume imbalance. Nursing interventions focused on hemodynamic control, fluid therapy, and continuous monitoring achieved stabilization of vital signs and clinical improvement.Conclusions: The application of the Nursing Care Process supported evidence-based clinical decision-making, contributing to patient recovery and reinforcing professional nursing practice in critical scenarios
Oral health strategies for older adults: perspectives and contemporary relevance for their well-being
No full textOral health is a fundamental aspect of well-being, and its relevance is heightened in the context of people over 60 years of age. It is currently a topic of growing importance due to the aging population and the increase in life expectancy in many countries. A qualitative study was carried out with the objective of analizing the historical context, its perspectives, contemporary relevance, as well as the broader implications of oral health strategies for society and culture. The research process utilized the systems approach, analytic-synthetic, and inductive-deductive methods, as well as a documentary analysis of 13 bibliographies. Educational intervention strategies on oral health for people over 60 years of age are crucial to improving their oral health and quality of life. Through community programs, training of health providers and caregivers, the use of technology, and an emphasis on nutrition, significant improvements in the well-being of this population can be achieved. By addressing diverse health, social, and economic perspectives and considering potential counterarguments, it is clear that educational interventions must be comprehensive and adaptive. Maintaining a proactive and preventative approach will contribute to improving the oral health of older adults and, consequently, their well-being and quality of life
Psychological Impact and Among Nursing Students in the West Bank after the October Gaza War
No full textBackground: The October 2023 Gaza War\u27s psychological impact extended beyond its epicenter, affecting populations throughout the region. Nursing students, facing dual pressures of academic training and exposure to collective trauma, represent a vulnerable yet understudied group in the West Bank.
Objective: This study aimed to assess the prevalence and severity of PTSD-related symptoms among nursing students in the West Bank following the October Gaza War and to explore variations across demographic factors.
Methods: A cross-sectional study was conducted among 195 nursing students from universities across the West Bank. Participants completed a structured questionnaire collecting demographic data and the Impact of Event Scale-Revised (IES-R) to measure symptoms of intrusion, avoidance, and hyperarousal. Data were analyzed using descriptive statistics, t-tests, and ANOVA.
Results: The sample was predominantly female (71.3%), single (89.2%), with a mean age of 21 years. Participants reported moderate to high levels of psychological impact. Intrusion symptoms were prominent (e.g., "Any reminder brought back feelings," Mean=2.21), alongside significant avoidance behaviors (e.g., "I tried not to think about it," Mean=1.94). Hyperarousal symptoms, particularly irritability (Mean=2.07) and difficulty concentrating (Mean=1.95), were also elevated. No statistically significant differences in total IES-R scores were found across gender, academic year, place of residence, or marital status (all p > .05).
Conclusion: The findings indicate a significant and pervasive psychological impact on nursing students, highlighting a urgent need for institutional mental health support, trauma-informed educational strategies, and accessible counseling services to safeguard the well-being of the future healthcare workforce in Palestine
Didactic strategies for meaningful learning in the Nursing Program: a systematic review
No full textDidactic strategies are a set of planned actions carried out by the teacher to achieve the learning objectives. This study focused on conducting a review aimed at analyzing the didactic strategies used to foster meaningful learning in nursing education. Its goal was to identify best practices and emerging trends, offering educators and pedagogy professionals a comprehensive and up-to-date perspective on how to facilitate deeper and more meaningful learning in higher education. An exploratory systematic review of the existing literature was conducted, analyzing and synthesizing research by various authors on the subject. The search was directed toward bibliographic databases and reliable academic sources such as Web of Science, Dialnet, Elsevier, SciELO, Scopus, Latindex, Redalyc, and Google Scholar. The study concludes that most students employ meaningful learning strategies. Positive trends were observed in approaches related to constructivist models, including: active learning, student-centered teaching, collaborative learning, information technology, research- or project-based learning, and concept mapping. These strategies enable students to express their opinions and develop critical thinking while reclaiming autonomy. Moreover, reflecting on their own learning and identifying areas of confusion promotes a deeper understanding of the subject matter
Transformation and Leadership in Rehabilitation Nursing: Driving Person-Centered Care from an Academic Perspective
No full textIntroduction: globally, one in three people need rehabilitation care throughout their lives, especially older people or people with chronic conditions. The WHO\u27s Rehabilitation 2030 agenda reinforces rehabilitation as an essential component of universal health coverage, person-centered, integrated, evidence-informed and supported by transformational leadership. Objective: to analyze how teaching in rehabilitation nursing can contribute to promoting transformational leadership and transforming the provision of care towards a person-centered model.Method: theoretical-reflexive analysis.Results: Rehabilitation Nursing plays a strategic role in promoting empowerment, functional autonomy and the management of transitions throughout the life cycle. The person-centered model values individual needs, preferences and decisions, promoting a more inclusive and participatory care approach. Transformational leadership leverages improved safety, clinical innovation and positive experience, enhancing leadership and person-centered care. Academic training in rehabilitation nursing should integrate the International Classification of Functioning, Disability and Health, person-centered metrics, leadership and translational research, promoting the inclusion of co-production with citizens and caregivers and aligning with the WHO\u27s global agenda.Conclusions: Academic institutions are fundamental in training transformational leaders in Rehabilitation Nursing who are capable of making the transition to people-centered systems, measured by results that translate into gains in functionality, full participation and satisfaction with the care experience
The Impact of Neoadjuvant Radiotherapy on Outcomes in Rectal Cancer Treatment
No full textPreoperative radiotherapy plays a crucial role in the treatment of rectal cancer. It is the only method proven to significantly reduce local recurrence rates. Radiotherapy contributes to improved treatment outcomes through three primary mechanisms: (1) downstaging the tumor to facilitate surgical resection, (2) reducing the risk of local recurrence by eradicating microscopic tumor foci in the operative field, and (3) increasing the likelihood of sphincter-preserving surgery, particularly in cases involving invasion of the levator ani or external anal sphincter musclesMaterials and MethodsIn this study, we analyzed 289 patients with rectal cancer, 80 (27.6%) of whom received preoperative radiotherapy. Of these, 30 patients (37.5%) underwent short-course radiotherapy and 50 (62.5%) underwent long-course radiotherapy. Among the long-course group, 22 patients (44%) were in the laparoscopic surgery group and 28 (56%) in the open surgery group. Long-course radiotherapy was delivered at 2 Gy per session over four weeks, while short-course radiotherapy consisted of 5 Gy per session over five days. Long-course results were assessed eight weeks post-radiotherapy.DiscussionShort-course radiotherapy was primarily administered in cases with suspected mesorectal lymph node metastases, followed by total mesorectal excision (TME) surgery within the subsequent week. In patients who received long-course radiotherapy, three distinct response patterns were observed: complete radiosensitivity, partial radiosensitivity, and radioresistance.In cases of complete radiosensitivity, the tumor underwent total regression; in partially radiosensitive cases, tumor size was reduced but not completely eliminated. In radioresistant cases, no significant change in tumor size was observed following radiotherapy. To quantitatively assess these effects, tumor regression rates were evaluated.ResultsFollowing long-course radiotherapy, among patients in the laparoscopic group, 4 (18.2%) demonstrated complete radiosensitivity, 15 (68.2%) exhibited partial radiosensitivity, and 3 (13.6%) were radioresistant. In the open surgery group, 5 (17.9%) patients showed complete radiosensitivity, 19 (67.9%) had partial radiosensitivity, and 4 (14.3%) were radioresistant (p = 0.998).Regarding tumor regression grading, in the laparoscopic group, Grade 1 regression was 19.1 ± 5.7%, Grade 2 was 51.1 ± 7.3%, Grade 3 was 17.0 ± 5.5%, and Grade 4 was 12.8 ± 4.9%. In the open surgery group, the respective values were 23.2 ± 5.6%, 44.6 ± 6.6%, 17.9 ± 5.1%, and 14.3 ± 4.7%.ConclusionLong-course radiotherapy demonstrated efficacy in reducing tumor size (including instances of complete tumor regression), minimizing local recurrence, and increasing the feasibility of surgical intervention. No statistically significant differences were observed between the laparoscopic and open surgery groups in terms of radiosensitivity or tumor regression rates (p > 0.05). Notably, Grade 2 regression was the most prevalent outcome, observed in 51.1 ± 7.3% of laparoscopic cases and 44.6 ± 6.6% of open surgery cases