Nursing Depths Series
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99 research outputs found
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Open door model in critical care: challenges, opportunities and intervention strategies
No full textIntroduction: Family-centered care in ICU faces the major challenge of balancing technology and humanization; therefore, we envisioned exploring how the open door model in critical care presents opportunities in care, as well as the challenges it presents in its implementation and the strategies used for its application. Methods: It is a qualitative approach, descriptive design of bibliographic review type that allowed to analyze and interpret data exhaustively, obtained from scientific databases such as PubMed, SciELO, Scopus, Dialnet, as well as the Google Scholar search engine; with a sample of 30 studies that met the selection criteria, organized in a matrix in Excel software, for subsequent critical analysis following the CASPe reading rubric. Results: The implementation of the open-door model in the ICU promotes the humanization of care, strengthens family bonding. During the COVID-19 pandemic, the restrictions evidenced the need to balance biosecurity and emotional support. This model requires continuous training of personnel, adequacy of infrastructure, and protocols for its implementation, which contributes to a more comprehensive and humanized recovery. Conclusion: This model promotes the humanization of care and the integral wellbeing of the patient by integrating the family as an emotional support and protective factor in the patient\u27s recovery. The research drives a cultural shift towards more inclusive, empathic and person-centered critical care
Work-related stress and resilience among nursing staff at a hospital in Cajamarca - Perú
No full textObjective: Determine the relationship between work stress and the resilience of nurses at a hospital in Cajamarca during the month of March 2025. To identify the levels of both variables and the personal factors that influence them. Materials and Methods: A quantitative, non-experimental, cross-sectional, and correlational study, the sample of which was 115 nursing professionals selected through simple random probability sampling. The Nursing Stress Scale questionnaire (α=0.92) and the Wagnild and Young Resilience Questionnaire (α=0.905) were used. Results: The evaluated relationship yielded a value (RS=-0.083, p=0.379) and an association (p=0.816). 81.7% of respondents exhibited a low level of stress and 47% a high level of resilience. A significant relationship was found between gender and resilience (p=0.002), as well as between employment status (p=0.043) and educational level (p=0.029) and work stress. Conclusions: Work stress is not statistically significantly related to resilience among nursing staff at a hospital in Cajamarca in 2025. Gender is significantly associated with higher levels of resilience, while employment status and educational level are significantly associated with work stress
Pharmacodynamics of pregabalin and gabapentin as pain treatment in cervical and lumbar radiculopathy in adults
No full textThe general objective to analyze the pharmacodynamics of Pregabalin and Gabapentin as pain treatment in cervical and lumbar radiculopathy in adult patients of the Neurosurgery service at the Central Hospital of Maracay, Aragua State, Venezuela, during the period from April to September 2024.Materials and Methods An observational, evaluative, prospective and longitudinal study was conducted. The sample consisted of 21 patients, divided into two groups: Group A (n=14) treated with Gabapentin 300 mg and Group B (n=7) treated with Pregabalin 75 mg. The results the mean age was 52.07 ± 10.4 years in Group A and 47.71 ± 7.8 years in Group B (p = 0.300). Most patients were women (78.57% in Group A and 85.71% in Group B, p = 1,000). Both treatments significantly reduced pain (Gabapentin: 7.07 ± 2.2 to 4.78 ± 2.8; Pregabalin: 7.00 ± 2.2 to 5.28 ± 12.2, p = 0.813). Muscle strength improved in both groups, but did not reach statistical significance (p = 0.055). Sensitivity improved in both groups, however, it was lower in the Pregabalin group after treatment (p = 0.029). Adverse events were more frequent in the Pregabalin group (57.14%) compared to Gabapentin (42.86%, p = 0.659). In conclusion, both Pregabalin and Gabapentin are effective in reducing pain in patients with cervical and lumbar radiculopathy. Pregabalin had a higher incidence of adverse effects, which should be considered when choosing treatment. An individualized approach and ongoing follow-up are recommended to optimize neuropathic pain management
Impact of Chronic Wounds on Quality of Life: A Review from the Perspective of Humanized Care
No full textIntroduction: Chronic wounds are characterized by slow healing, difficult scarring, and duration of more than three months. They not only affect the body physically, but also have an emotional, social, and psychological impact on those who suffer from them. The consequences include pain, foul odor, excessive exudate, social exclusion, and impaired self-esteem, which significantly reduce health-related quality of life (HRQoL).Development: Through an international, national, and local literature review, it was found that people with chronic wounds faced functional, emotional, and economic difficulties. In Canada, Brazil, and Colombia, limitations in performing basic activities, dependence on caregivers, and a high emotional burden due to persistent symptoms were reported. The predominant sociodemographic characteristics included women over 60 years of age, with low educational attainment, minimal income, and no partner. In the theoretical framework, humanistic nursing theory was integrated, promoting a holistic approach to care, centered on empathy and patient accompaniment, recognizing their individuality and social environment.Conclusions: The study concluded that chronic wounds significantly compromised several dimensions of HRQoL. Pain was the most frequent symptom, and social exclusion was a common consequence. The need for interdisciplinary care that considers not only physical treatment but also emotional and social support was reaffirmed. Humanized care was established as a key strategy for improving patients\u27 experience and overall well-being
Financial toxicity of cancer in Latin America and the Caribbean A systematic review
No full textAs the incidence of cancer increases worldwide, the costs associated with cancer care and management also increase, generating a heavy financial burden on the economies of nations, affecting the quality of life of patients and negatively impacting the economic well-being of families. Objective: To analyze the impact of financial toxicity during oncological care in Latin America and the Caribbean. Methodology: This systematic review was carried out between December 2024 and December 2025, the documentation was obtained from the databases contained in the academic search engines PubMed, Google Scholar, Dialnet, BVS, and Redalyc. Results: Fourteen studies were identified that address the financial burden of cancer, highlighting those direct costs represent between 4% and 7% of GDP in many countries in the region. Indirect costs, such as loss of labor productivity, and intangible costs are also significant, further exacerbating stress and anxiety. Inequalities in access to health care, obsolescence of health infrastructure and lack of specialized personnel contribute to this reality. Conclusions: This systematic review clearly show how financial toxicity during cancer care negatively impacts the budgets of Latin American and Caribbean nations, as well as patients and families, in addition to resulting in a long-term economic burden that can lead to financial bankruptcy for the family group
Evaluation of the impact of SARS-CoV-2 on licensed nursing professionals in southern Santa Fe
No full textIntroduction: the COVID-19 pandemic has left long-term sequelae, known as residual or prolonged COVID-19, which affect multiple organ systems and mental health. Nursing staff, being on the front line of containment, constitute a particularly vulnerable population. However, there are few studies that comprehensively address this problem in nursing professionals in Argentina.Objective: to analyze the health problems reported by registered nurses in the southern province of Santa Fe and their possible link to residual COVID-19.Method: a cross-sectional study with a mixed approach was conducted during the second half of 2025. A validated survey was administered to 358 nurses, assessing variables of mental and physical health, risk perception, and contextual characteristics. The analysis included descriptive statistics and a contextualized qualitative approach.Results: a high prevalence of mental health problems was identified: 48,3 % reported chronic fatigue, 34,6 % reported distressing memories, and 32,7 % reported excessive worries, with low treatment rates (≤9,2 %). In terms of physical health, difficulty concentrating (36,8 %), acid reflux (21,7 %), and high blood pressure (13,6 %) stood out. Paradoxically, 70,1 % did not express fear of reinfection. The study population was predominantly female (83,5 %) and had a high prevalence of multiple jobs (37,2 %).Conclusions: nurses have a significant burden of physical and mental morbidity consistent with residual COVID-19, exacerbated by critical healthcare neglect and precarious working conditions. These findings call for the urgent development of specific public policies for surveillance, comprehensive care, and occupational protection for this group
Mindfulness and work-related stress among healthcare personnel in the emergency department of a hospital in Cajamarca
No full textObjectives: To determine the relationship between mindfulness and work stress among health personnel in the Emergency Department of a hospital in Cajamarca in 2025. To assess the level of mindfulness and work stress, and to identify intervening variables that influence stress. Method: A quantitative study with an observational, cross-sectional, and correlational design with a sample of 77 healthcare staff participants. The "Five Facet Mindfulness Questionnaire" and the "Wolfgang Stress Inventory for Healthcare Professionals" were administered, with Cronbach\u27s alpha indices of 0.829 and 0.912, respectively. Results: No significant relationship was found between mindfulness and work stress. A medium level of mindfulness predominated in 66.2% of respondents, and moderate stress in 63.6%. Furthermore, a significant relationship was found between sex (p = 0.012) and employment status (p = 0.020) and work stress levels. Conclusions: Mindfulness was not significantly related to work stress in the Emergency Department of a hospital in Cajamarca, 2025. Sex and employment status were also identified as factors significantly associated with work stress among health personnel
Didactic approach to social determinants in medical sciences degree programs
No full textIntroduction: In Higher Education, the teaching process is developed to meet the demands that society places on professional training. Didactics have a scientific nature, supported by philosophical, sociological, epistemological, and psychological positions, allowing for the approach to the Social Determinants of Health, which require systemic understanding and innovative solutions. The objective of this study was to justify the didactic approach to the Social Determinants of Health in medical science degree programs.
Methods: A qualitative research was carried out where theoretical and empirical methods were used to obtain information.
Results: Didactics are developed throughout the teaching-learning process and systematically address the social development of new generations. It enables students to develop a Health Situation Analysis, systematically addressing the population distribution of opportunities for a healthy life, capturing social inequalities in health and identifying mechanisms that produce inequity, informing public policy decisions and evaluating the impact of population interventions, taking a stand for health equity and social justice, and critically examining everyday paradigms and practices.
Conclusions: Didactics, social determinants of health, analysis of the health situation.
Rehabilitation Nursing: A transformative perspective focused on the person, family, and community
No full textIntroduction: Rehabilitation Nursing requires a distinct and evolving body of knowledge that strengthens its scientific and professional identity. The practice of Rehabilitation Nurse Specialists must be grounded in theoretical frameworks that support critical, reflective, and individualized care, ensuring quality and intentionality in interventions. Objective: This theoretical-reflective article aims to analyze the intervention of Rehabilitation Nursing in the community, focusing on fundamental, person- and family-centered care that promotes adaptation to lived experiences.Development: The analysis is structured around three complementary theoretical references: the Fundamentals of Care Framework, the Person-Centred Nursing Framework, and the Roy Adaptation Model. The interrelation of these frameworks allows rehabilitation nurse specialists to adjust care continuously to contextual, personal, and organizational changes, fostering evidence-based, integrated, and individualized community care.The home environment is a privileged setting for person-centered Rehabilitation Nursing that enhances autonomy and well-being. Given the complexity of care and population aging, it is essential for Rehabilitation Nurse Specialists to critically reflect on their practice, anchoring interventions in theoretical frameworks to ensure differentiated, humanized, and high-quality care. This perspective reinforces the ontological identity of nursing, rooted in person and family centred care. Conclusions: Therefore, advancing Rehabilitation Nursing based on theoretical frameworks that correspond, in a comprehensive and individualized manner, to the real human responses of the population, contributing to improve quality of life, promote functional rehabilitation and independence among people receiving care
Oral cancer, a health risk
No full textA literature review on oral cancer was carried out with the aim of synthesising up-to-date information on this entity, its risk factors, diagnosis and prevention. Twenty-six bibliographic sources were consulted, including 12 journals, 9 books and 5 scientific articles. It was found to be one of the most common causes of death among all diagnosed cancers, which occurs more frequently in the male sex and in the older adult population, although everyone is susceptible to it. It is concluded that routine clinical examination and the use of diagnostic aids are the most effective measures to reduce the morbimortality of oral cancer, recommending healthy habits and lifestyles for its prevention