Nursing Depths Series
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Science, innovation and development for a healthy smile
No full textScience, innovation, technology, and development will enable the well-being and quality of life that the population must achieve, taking into account the role played by Promotion and Prevention. The objective of the research was to evaluate the results of the research, development, and innovation project "For a Healthy Smile." Qualitative research was conducted from 2023 to 2025. Information was obtained from the project\u27s semiannual report template and the evaluation of schedule compliance. The variables used during the research process were: social, scientific, and technological impact. The main results achieved were: positive changes in the knowledge of undergraduate and graduate students in the Dentistry program, as well as preschool students, schoolchildren, educators, and legal representatives. Hygiene and health activities with a participatory approach were implemented in different communities across the region. A training plan for student scientific work, a postgraduate improvement strategy, a strategy for fifth-year-old infants, a strategy for preschool infants, and an educational program for preschool infants were implemented. Participation in scientific events and publications in scientific journals by 100% of members. Websites on: potentially malignant lesions and cancer, oral health, healthy nutrition, primary dentition, and mouth breathing. The social, scientific, and technological results demonstrate significant value for the development of science, technology, and society in the region. The results of the "For a Healthy Smile" project can be evaluated as satisfactory
Ergonomic conditions, physical demands and musculoskeletal risk level of the “occupational therapist” work position of the occupamor aragua-venezuela occupational care center. 2025
No full textIntroduction: Determining the ergonomic conditions and musculoskeletal risk levels was essential to ensuring the health of occupational therapists at an occupational care center. Method: The study was conducted within the positivist paradigm, with a quantitative approach and a non-experimental, descriptive, cross-sectional design. The population consisted of the four therapists working at the center, and the sample was census-based. Individual questionnaires, direct observation, the OWAS method, the body schema of pain, and the NTP 295 were applied. Results: The results showed that women were the predominant sex (100%), representing a young adult population with an average age of 28.5 years. By applying the OWAS method to the overall analysis of accumulated postures, risk categories 2 and 3 were identified, with 76% of the patients on their backs (bent and tilted/rotated) and 67% on their legs (bent knees). These postures can cause greater postural strain for the workers, necessitating the implementation of corrective actions as soon as possible. By applying NTP 295, a bearable cardiac demand was determined, along with a score of 5 points according to the Frimat index for the care of an agitated patient. The results obtained through the application of the body schema subjectively support the findings obtained through the OWAS method. Conclusion: Occupational therapists are exposed to dysergonomic conditions in their workplaces, directly related to the awkward postures they must adopt when performing activities related to childcare
Cancer care and its financial impact in Venezuela. A look from critical epidemiology
No full textThe rapid scientific advancement of oncology has led to an increase in patient survival, which has translated into a significant increase in cancer care-related expenses. In Venezuela, by 2022, more than 62,000 new cases were recorded in the country, as well as 31,000 deaths, generating a significant economic burden that has not been adequately studied. Objective: To analyze the financial impact of cancer care in Venezuela from the perspective of critical epidemiology. Methods: Critical processes related to cancer patient care were identified, and a critical process matrix was then constructed, and the findings obtained from this matrix are reported. Results: The research found that the fragile Venezuelan public health system is marked by high costs of diagnostic procedures and treatments, as well as by shortages of supplies, medications, and a lack of specialized healthcare personnel, which has a strong negative economic impact on family budgets. Conclusions: Venezuelan cancer patients face serious challenges in accessing quality medical care, which contributes to the growth of existing inequalities, limits equitable access to cancer care, and significantly increases the costs of cancer care.
Efficacy of autologous blood pleurodesis in patients with malignant pleural effusions
No full textThe general objective was to evaluate the efficacy of autologous blood pleurodesis in patients with malignant pleural effusion in services of Thoracic Surgery and General Surgery of at the Autonomous Service “Hospital Central de Maracay”, in the period from July, 2023 to August, 2024. Materials and Methods, clinical-epidemiological research of descriptive, experimental, observational, prospective and longitudinal type. The population consisted of 100 patients with a diagnosis of pleural effusion, from which a sample of 21 patients was selected. Variables evaluated: age, sex, clinical manifestations, personal history, imagenology, cytological and anatomopathological diagnosis, side effects, post-procedure resolution and pleural catheter removal, as well as hospital stay. The results, Mean age: 64.90 years. The majority of patients were women. Dyspnea was the main clinical manifestation. Breast cancer was the predominant antecedent. Out of 21 patients, 18 of them had complete resolution of the pathology within the first 24 hours after the procedure, with no adverse effects and radiologically evident pulmonary expansibility. Pleural catheter removal and hospital discharge were early, within the first 24 and 72 hours respectively. In conclusion, Pleurodesis with autologous blood is presented as a fundamental therapeutic option, in view of being an innovative and effective technique for the treatment of these effusions, providing symptom relief and significant pulmonary expansibility, showing satisfactory results in a short period of time, for which we recommend its implementation, training of health personnel and studies to confirm the benefits and its cost-effectiveness evaluation
Inflammatory myofibroblastic tumor in a pediatric patient. A case report from Bolivia.
No full textInflammatory myofibroblastic tumor (IMT) is a distinctive neoplasm with limited metastatic potential. It is a rare disease in pediatrics, generally benign, although with possible progression to malignancy. We present the case of a 6-year-old female patient referred from a second-level hospital due to a clinical picture of large abdominal distension and a palpable abdominal mass. On admission, the patient presented slightly pale, hydrated mucous membranes, complained of abdominal discomfort, a distended abdomen, tender to superficial and deep palpation, with no peritoneal irritation. A giant abdominal mass was palpated occupying all quadrants of the abdomen, of hard consistency, tender to deep palpation, and hypoactive air sounds (AAR). An abdominal ultrasound was performed, which reported a retroperitoneal tumor lesion. Based on this finding, an abdominal and pelvic computed tomography (CT) scan with contrast was indicated, with the finding of a heterogeneous retroperitoneal tumor lesion likely related to neuroblastoma. Based on all the findings, the patient was admitted to the operating room for exploratory laparotomy and open biopsy. Transoperatively, a giant abdominal mass was revealed. Histopathological findings were consistent with inflammatory myofibroblastic tumor. The diagnosis was confirmed with immunohistochemistry. A comprehensive multidisciplinary evaluation was performed, and surgical intervention was initiated, with favorable outcomes. From a therapeutic perspective, complete surgical resection remains the mainstay of treatment, as it was in our clinical case, especially in localized and resectable lesions, as it is associated with a lower risk of recurrence. This clinical case highlights the inherent complexity of addressing IMT in pediatric patients, reinforcing the need for close collaboration between pediatricians, surgeons, imaging specialists, pathologists, and oncologists. Furthermore, due to the rarity of the disease in the pediatric population, further research and collective experience are needed to improve our understanding of IMT and refine treatment strategies for these cases
Mental health and work environment: feelings of psychologists in a mental health service
No full textIntroduction: According to Jung, the psychologist is a healer who suffers from his own wound, whose mask hides the shadow of his own feeling. The purpose of this research is to reveal the feeling of psychologists about their work process in a mental health center in 2025.Method: A methodological level was directed under the gaze of the post-positivist paradigm, with a qualitative approach, with a phenomenological-hermeneutic method, using as an instrument for collecting information a semi-structured interview script focused on depth, with psychologists as the research subjectsResults: From the voices of the informants it can be revealed that their work environment generates discomfort and they feel vulnerable when their criteria as professionals are not respected. Regarding the effects of their work processes, they describe musculoskeletal ailments of the upper limbs, which they experience with difficult patients, in addition to this at a psychosocial level they present fatigue, isolation and mutism. Regarding self-care mechanisms in consultation, they refer to establishing clear limits, avoiding their own emotional processes and focusing on the patient. On the other hand, they feel comfortable with their work, but they have to bear the burden of family expectations that turn them into a god. Finally, they agree that life as a couple is somewhat complicated and that being a psychologist does not make it any better. Conclusion: Finally, they consider that mental health policies are necessary for the professional care of those who work with purely emotional demands
Relationship between physical exercise and stress in nursing
No full textNursing is known as one of the most stressful professions due to the high physical, mental, and emotional demands associated with its care activities and the work environment in which it is carried out. Factors such as workload, high patient demand, irregular shifts and constant exposure to emotionally stressful situations contribute to a challenging work environment that can affect the well-being of nursing professionals. The ability to overcome these difficulties is therefore essential, as it not only impacts the health and quality of life of nurses but also the safety of the care received by patients. One of the tools for coping with stress is physical exercise, which has been shown to have an impact on stress levels and improve overall health. However, in the field of nursing, the relationship between stress and physical exercise remains largely unexplored. Due to their work and personal characteristics, nurses face various barriers such as lack of time, multiple jobs, and financial constraints, among other factors that limit their access to self-care strategies. Therefore, the main objective of this research is to describe the relationship between exercise and perceived stress in nursing students and alumni of a private university in Rosario, Argentina, based on a cross-sectional, non-experimental design. The study seeks to identify specific aspects such as perceived stress levels, characterise physical exercise practices among respondents, and establish possible relationships between these variables: the physical and mental health of nursing staff. The results are expected to provide valuable information on how various personal and work-related factors condition the perception of stress and how the implementation of tools such as physical exercise can influence the perception of stress. The results obtained are expected to provide evidence on factors that influence the impact of stress, as well as the impact of physical activity, in order to develop health strategies that promote tools for coping with difficult situations, thereby improving quality of life and professional performance and preventing injuries and disabilities due to physical and emotional injuries
Sacred hour in neonatology: benefits, challenges, and health interventions
No full textIntroduction: The sacred hour after birth is a key moment to strengthen the bonding between mother, baby and family, favoring breastfeeding and emotional well-being; therefore, we sought to analyze the scientific evidence on the benefits of the sacred hour in neonatology services, as well as the challenges that hinder its compliance and interventions implemented for its application. Methods: A qualitative, descriptive and literature review study, with a sample of 30 articles selected by convenience. A search in indexed databases in Scopus, Scielo, Pubmed, and Latindex was used; the selected studies were classified in a matrix for analysis using the CASPe method to guarantee the quality and validity of the results. Results: The sacred hour in neonatology strengthens mother-child bonding, improves neurodevelopment and reduces neonatal mortality through practices such as skin-to-skin contact and breastfeeding. However, comorbidities, institutional limitations and lack of training hinder its implementation. Conclusion: Family-centered care in the first hour of life is a key moment for the integral wellbeing of the mother, the newborn and the father. Therefore, it is an inherent need to establish policies that guarantee family integration, marked by initiatives such as mother and newborn friendly institutions, as well as the continuous training of the health professional as a real need in health systems for the promotion of care to the trinomial.
Nurses’ Knowledge Toward Preventing Central Line-Associated Bloodstream Infections in Intensive Care Units
No full textBackground: Central Line-Associated Bloodstream Infections (CLABSIs) are a major source of preventable harm in ICUs, leading to increased mortality, morbidity, and healthcare costs. ICU nurses are the frontline defenders against these infections, and their knowledge is a critical determinant of prevention success. However, studies consistently show gaps in nurses\u27 understanding of evidence-based guidelines.
Methods: A cross-sectional study was conducted with 101 ICU nurses from multiple hospitals. A self-administered questionnaire was used to assess socio-demographic characteristics and knowledge of CLABSI prevention practices based on CDC guidelines. Knowledge was evaluated via 10 yes/no questions, and a total score was calculated. Data were analyzed using descriptive and inferential statistics (t-tests, ANOVA) with SPSS version 26.0.
Results: The study revealed a moderate overall level of knowledge. Significant knowledge gaps were identified in fundamental daily care practices: only 46.5% knew not to change dressings routinely, 45.5% knew to use a sterile dressing, and a critical low of 35.6% knew the correct protocol for replacing administration sets for continuous fluids. Statistically significant associations were found between knowledge scores and sex (p=0.035), hospital type (p=0.001), and a trend with education level (p=0.068). Prior training did not significantly impact scores (p=0.416).
Conclusion: While ICU nurses possess foundational knowledge, significant and dangerous gaps persist in key areas of catheter maintenance. These findings underscore an urgent need for targeted, hands-on, and recurrent educational interventions focused on daily maintenance protocols to improve adherence to guidelines and enhance patient safety
The usefulness of acupuncture and acupressure considering the orofacial structures
No full textA literature review was conducted to explain the usefulness of acupuncture and acupressure, taking into account the orofacial structures. Documentary analysis methods were used to search for information, using websites, documents, journals, books, theses, and scientific articles, for a total of 47 bibliographic sources. Analytical-synthetic methods, historical-logical analysis, and interviews were used during the research process. Acupuncture is one of the most widely used forms of traditional and natural medicine in stomatology. It is currently used in stomatological therapy and is an effective, economical method that is free of side effects and produces analgesia. It is used to treat oral and facial conditions such as toothache, mouth ulcers, gingivitis, stomatitis, trauma and temporomandibular joint dysfunction by modulating pain through the stimulation of touch and pressure nerve fibres that are punctured at each acupuncture point in the oral and facial structures