Nursing Depths Series
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Effectiveness of the car index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis
No full textThe general objective is to evaluate the effectiveness of the CAR index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis Materials and Methods A total of 38 patients submitted to gastrointestinal anastomosis were chosen for this study, under the modality of a descriptive, prospective and longitudinal clinical-epidemiological research. The results of the 38 patients, only 4 developed anastomotic dehiscence with an incidence of 10.53% (4/38), diagnosed most frequently on the 7th postoperative day, with a CAR efficiency of 30.77%, with a sensitivity of 100%, specificity 73.53%, a positive predictive value of 30.77% and a negative predictive value of 100%. In conclusion, that CAR favors early prediction of anastomotic dehiscence given its high percentage of sensitivity; however, it is worthwhile to continue this line of research considering a much larger sample size
Covid-19 in patients with Arterial Hypertension
No full textIntroduction: High blood pressure is a risk factor for worsening health in patients with COVID-19.Objective: To characterise the treatment of high blood pressure during the COVID-19 pandemic.Methods: A descriptive literature review was conducted using data collected between 2019 and 2021 worldwide with the aim of gathering up-to-date information on high blood pressure during Covid-19. We used different search engines and nationally and internationally renowned bibliographic resources, including the Scielo database, the Virtual Health Library, and scientific articles from journals, which were chosen for their up-to-date content on the subject and their accuracy. The research was conducted in accordance with the principles of medical ethics. Results: Hypertensive patients are more likely to develop severe cases of COVID-19 compared to healthy individuals. The prescribed medication to control high blood pressure must be followed.Conclusions: The most recent evidence shows that people with untreated high blood pressure appear to be at greater risk of complications associated with COVID-19. Extreme measures should be taken to prevent the spread of infection among these patients, who in turn should lead a healthy lifestyle to keep their defences strong
Diagnosis and management of amblyopia in school children
No full textAmblyopia, as a neurological disease, is the result of abnormal stimulation of the brain during a critical period of visual development. This is the main etiology of reduced spatial vision during childhood, historically caused by strabismus, depravation, and anisometropia. The objective of this research was the diagnosis and management of amblyopia in school children in Aragua, Venezuela in 2024. Materials and methods, a cross-sectional descriptive study was carried out with a sample of 69 primary school students, with an average age of 8 years. Socio-demographic data, history of visual pathologies, use of optical correction, clinical typicity, warning signs and visual acuity were collected using optotypes and the JAEGER near vision card. In addition, monocular therapeutic techniques were applied to children with amblyopia. Results showed that 81% of the students denied having a history of visual pathologies, while 15% reported myopia and 4% hyperopia. 91% did not use optical correction. Regarding clinical typicity, 87% did not present signs or symptoms of amblyopia, and 90% showed no warning signs. The visual acuity assessment revealed that 83% of the students had a visual acuity of 20/20 in both eyes, and 90% had a close visual acuity of 1+ in both eyes. After refractive correction, 9% reached 20/20 in both eyes, and after treatment, 91.30% did not require additional follow-up. The applied monocular therapeutic techniques showed a significant improvement in the visual acuity of the amblyopic eye. Conclusion, it is concluded that most of the students presented a normal visual acuity after treatment, which indicates the effectiveness of the monocular therapeutic techniques applied. The low prevalence of optical correction uses and the lack of signs and symptoms in most students suggest a need for greater awareness and education about visual pathologies in the school population.
Post sepsis syndrome: an ignored enemy
No full textIntroduction: post sepsis syndrome is an emerging entity, underrecognized in clinical practice and scarcely described in the literature. It is characterized by physical, cognitive, and psychological sequelae that affect the majority of survivors, with a negative impact on their quality of life and a significant increase in morbidity and mortality and healthcare costs. The objective of this review is to synthesize recent knowledge and evidence available regarding post sepsis syndrome.Method: a narrative review of articles published between 2000 and 2023 in PubMed, Sciencedirect, and LILACS was conducted. The MeSH terms "Sepsis," "Post ICU syndrome," and "Post sepsis syndrome" were used. A total of 221 articles were identified; 84 met inclusion criteria and were analyzed to describe the clinical and pathophysiological manifestations and impact of post sepsis syndrome.Development: the available evidence shows that sepsis survivors present persistent impairment in physical, cognitive, and psychological domains. The syndrome is associated with prolonged immune dysfunction, frequent rehospitalizations, decreased functional autonomy, and increased cardiovascular and neuropsychiatric risk. High mortality rates up to five years after the event and high socioeconomic costs have also been documented. No standardized follow-up protocols or uniform rehabilitation strategies were identified in the reviewed literature.Conclusions: post sepsis syndrome is an underestimated and underdiagnosed problem that represents a clinical and public health challenge. Large-scale studies are needed to define its true epidemiological burden and guide the implementation of multidisciplinary follow-up and rehabilitation programs to reduce its impact on patient survival and quality of life
Quality of life in people with chronic wounds
No full textIntroduction: Chronic wounds were identified as lesions that are difficult to heal, lasting more than three months. These affected not only the patient\u27s physical condition but also their emotional, social, and economic well-being. Their presence was recognized as significantly impairing health-related quality of life (HRQoL), altering daily functions, autonomy, self-esteem, and interpersonal relationships.Methods: A narrative review of the literature was conducted, selecting articles published between 2015 and 2020 in English, Spanish, and Portuguese. Databases such as Scielo, ProQuest, Springer, and Visibility Virtual en Salud were used. Fifteen studies that met the inclusion criteria were included, excluding those without access to full text or published outside the time range.Results: The studies reviewed showed that the most affected dimensions of HRQoL were physical, psychological, social, emotional, family, economic, and spiritual. The most frequent symptom was pain, followed by bad odor, profuse exudate, infection, inflammation, and other signs such as intermittent claudication, pruritus, and heaviness in the lower limbs. The most common sociodemographic data included a mean age of 61 years, a predominance of females (51%), low educational and socioeconomic levels, and high unemployment rates. Eleven point eight percent were not affiliated with EAPB, and only 7% reported resources for wound care.Conclusions: It was concluded that chronic wounds negatively impacted multiple dimensions of quality of life. In addition, a vulnerable sociodemographic profile was identified, highlighting the need for comprehensive and interdisciplinary strategies to improve the care and well-being of this population
Professional development and its health implications in military women from the gender perspective
No full textIntroduction: The purpose of this research will be to unravel the ontological intricacies of professional development that emerges from the daily work praxis of Venezuelan female military officers. Method: It is framed within the post-positivist paradigm, qualitative approach, using the hermeneutic phenomenological method. Results: The voices of 4 female military officers were recorded and once the speech was refined, categorized and analyzed, they were established as final reflections regarding the benefits and challenges of work. The ability to transform obstacles into opportunities and to turn adversity into strength is evident. In their family and emotional life, they tend to blame themselves for not having enough time to be with their children. However, they tend to instill values in them and show them their affection. Finally, the manifestations regarding health indicate that remaining exposed for long periods to stressful situations is associated with other physical alterations. Conclusion: Finally, considering that female military officers face a path of dualities, where the construction of their professional identity is intertwined with challenges and opportunities marked by psychosocial risk factors that manifest themselves in their health. Therefore, occupational health in the military field requires a paradigmatic transformation
Nurse leadership and the challenges of clinical governance in emergency settings: a theoretical and reflective analysis
No full textObjectives: to analyze the articulation between nurse leadership and clinical governance in emergency settings, identifying strategies that promote care quality and the development of health and nursing management.Methods: theoretical-reflexive analysis, supported by a review of recent scientific literature, using Rodgers\u27 approach to conceptual analysis.Results: an interdependence between leadership and clinical governance was identified, grounded in the principles of patient safety, quality, and accountability, fostering improvements in health outcomes. By requiring rapid decision-making, team coordination, and efficient resource management, leadership in emergency contexts aligns with the pillars of clinical governance: evidence-based practice, continuous audit, and risk management.Conclusions: nursing leadership constitutes a structural pillar of clinical governance. Its integration strengthens organizational and team resilience, improves clinical outcomes, and promotes patient-centered care, highlighting the importance of continuous training in leadership and governance for effective health management
Nursing in robotic surgery: adapting skills and new roles
No full textIntroduction: Robotic surgery has experienced exponential growth in recent decades, with the Da Vinci surgical system being the most widely used. Therefore, we sought to analyze the functions of the surgical nurse in robotic surgery, as well as the competencies and roles required for its application.Method: A literature review study analyzed articles obtained from indexed sources such as SCOPUS, PUBMED, SCIELO, CINAHL, and LATINDEX. Using keywords with Boolean operators, these were recorded in Excel for analysis using the CASPe method.Development: The effective incorporation of nursing programs in robotic surgery has shown a positive impact on various healthcare quality indicators. The specialized literature points to a decrease of nearly 30% in intraoperative complications when interventions are assisted by nursing teams with specific training in robotic technology.Conclusion: The coordination of nursing in Da Vinci robotic surgery highlights the importance of transforming traditional roles into highly specialized profiles. These new roles, such as the specialized circulating nurse and the robotic scrub nurse, require not only advanced technical knowledge but also communication and coordination skills within a complex surgical environment
Factors Associated with Participation in Continuing Education Activities among Hospital Nurses in Buenos Aires, Argentina
No full textObjective: Identify the factors associated with participation in continuing education activities among nursing staff in the general hospital service of a private health institution in Buenos Aires, Argentina.Methods: This was a descriptive, cross-sectional, quantitative study. An abbreviated version of the Reasons for Participation in Continuing Education Scale was administered. The Infostat program was used for data analysis.Results: A total of 96 nursing workers participated. Of those, 62.5% were between 31 and 50 years old, 91.6% were women, 46.9% were single, 62.5% had children, and 78.1% were heads of household. Labor characterization showed that 38.54% had an undergraduate degree, 48.96% had ten or more years of work experience, 39.58% worked weekends and holidays, and 19.79% had more than one job. The reasons related to keeping updated on new advances in nursing and improving economic income were evaluated the best and worst, respectively. Respondents who were single showed a greater willingness to participate in continuing education activities.Conclusions: Overall, the perception of reasons to participate in continuing education was positive. However, organizational support to encourage nursing staff to continue training needs improvement
Occupational Health NursingImpact of occupational violence on the well-being of nurses
No full textOccupational violence in nursing is a growing problem that affects the physical, emotional and professional health of the staff, compromising the quality of care. Objective: The aim of this study was to analyze the impact of such violence on nursing staff, comparing it with healthy work environments free of aggression, in order to evaluate its effects on physical, psychological and occupational well-being. Methods: A systematic review guided by the PRISMA 2020 guidelines was conducted, including original qualitative, quantitative or mixed studies published between 2020 and 2025 in international databases. Forty-six studies that met the inclusion criteria were selected. Results revealed a high overall prevalence of occupational violence (68.4%), with verbal (66.8%) and physical violence (20.8%) predominating. The main impacts identified were anxiety (65.3%), emotional exhaustion (58.4%) and intention to resign (40.3%). The interventions implemented reduced incidents by 31.7%. Violence was more frequent in night shifts and emergency areas, while only a minority of institutions had complete protocols. Conclusion: it is urgent to implement comprehensive policies with mandatory protocols, confidential reporting systems and institutional psychological support, in order to protect staff and improve the quality of care