Nursing Depths Series
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Humanized care in neonatal services: role of the family member and impact on bonding
No full textIntroduction: Neonatal care faces challenges due to the lack of family-centered policies and limited access to quality care; therefore, we proposed to analyze humanized care in neonatal services, as well as the role of the family during care and the impact this has on bonding. Methods: A bibliographic review of scientific articles in Spanish, English and Portuguese was carried out, selecting 30 studies by means of convenience sampling. The sources consulted included MDPI, SCOPUS, PUBMED, SCIELO and WILEY; the articles were organized in an Excel matrix and evaluated with the CASPe critical reading rubric.Results: Humanized care in neonatology seeks to strengthen the bond between the newborn, his family and health personnel, promoting an affective and safe environment that favors the physical, emotional and neurological development of the baby, with the active participation of the parents as a key element in this process.Conclusions: The birth of a baby requires humanized neonatal care that favors both its health and that of its family. Birth complications and unequal access to care affect the family bond, so it is necessary to adopt more empathetic models, where the family is an active part of the care, prioritizing both medical outcomes and emotional well-being.
Systematic review on occupational stress and its risk factors among nurses
No full textIntroduction: occupational stress is a major challenge in nursing, with implications for workforce well-being, patient safety, and health system resilience. Nurses face multidimensional stressors, including workload, shift work, and limited resources, which may vary across global and regional contexts.Objective: This systematic review aimed to synthesize recent evidence on the prevalence, determinants, and consequences of occupational stress among nurses, with attention to universal and context-specific risk factors.Method: Guided by the PRISMA 2020 framework, a comprehensive search was conducted in PubMed, CINAHL, Scopus, and PsycINFO, covering studies published between January 2015 and March 2024. Eligible studies included nurses working in hospital or healthcare settings and assessed occupational stress using validated tools. Data extraction and quality appraisal were performed independently by two reviewers using the Joanna Briggs Institute (JBI) Critical Appraisal Tools.Results: Fifteen studies met inclusion criteria, conducted across Asia, Africa, the Middle East, and Europe. Reported prevalence of occupational stress ranged from moderate to high. Common determinants included heavy workload, shift work, inadequate staffing, role ambiguity, limited managerial support, and workplace violence. The COVID-19 pandemic further intensified stress, driven by infection risk and inadequate protective equipment. Context-specific stressors included resource shortages in low- and middle-income countries and political instability in regions such as Jordan and Palestine. Consequences included burnout, emotional exhaustion, turnover intention, and adverse effects on patient safety and care quality.Conclusion: Occupational stress among nurses remains a significant global issue with critical personal and systemic consequences. Multilevel interventions—targeting organizational support, staffing, safe workplaces, and resilience-building—are urgently required, especially in resource-limited and conflict-affected settings
Characterization of older adults from a family doctor\u27s office in Palma Soriano
No full textIntroduction: aging is an inherent biological phenomenon, defined by morphophysiological alterations stemming from cumulative deterioration. From a demographic perspective, it refers to a transformation in the age composition of the population. Globally, this phenomenon has acquired an accelerated growth rate, becoming a significant challenge that demands the design of specific strategies targeted at this population segment.Objective: to characterize the older adult population belonging to Family Doctor\u27s Office No. 1 of the "Carlos Montalván" South Polyclinic in Palma Soriano, during the period March - June 2025.Method: an observational, descriptive, cross-sectional study was conducted with a population of 297 individuals over 60 years of age, of both sexes. The entire population was included. Data were collected in contingency tables.Results: males predominated (51,52 %), with the highest concentration in the 70-80 age group (42,76 %). 58,92 % were classified as ill (Group III), with Hypertension (HTA) (86,20 %) and Smoking (79,46 %) standing out as the main comorbidities. High multimorbidity was evident. Extended/expanded families (69,11 %) and functional families (72,06 %) predominated. Normal weight (44,78 %) co-occurred with male obesity (13,13 %) and female underweight (9,76 %). 93,27 % received full family support, but 81,14 % presented a risk of home accidents.Conclusions: the phenomenon of demographic aging is progressively intensifying. This reality makes it imperative to implement measures that enhance the well-being of older adults, while promoting preventive health initiatives and healthy habits specifically designed for this age group
Palliative care and nursing attitudes: keys to dignified end-of-life care
No full textIntroduction: End-of-life care gained increasing relevance in the face of population aging and the increase of chronic diseases. The WHO estimated that the need for palliative care would double by 2060, highlighting the importance of the role of nurses in end-of-life care. However, deficiencies in academic training and inappropriate attitudes were identified that limited the quality of such care.Development: This review addressed fundamental concepts such as dying patient, death, palliative care and attitude. The most common attitudes towards the end of life were described: fear, denial, avoidance and acceptance. Scales used to measure these attitudes were also analyzed, such as the FATCOD, the Collet-Lester and the Revised Profile of Attitudes Toward Death (PAM-R), validated in various countries. It was found that nursing staff attitudes were influenced by cultural, educational and personal factors. In addition, barriers to empathic care were identified, such as fear of death and lack of adequate tools during professional training.Conclusions: It was concluded that nursing staff attitudes were determinant in the quality of palliative care. The review showed the need to strengthen emotional and ethical training from undergraduate level, incorporating valid assessment tools. The role of the nurse was not only focused on physical care, but also on emotional and spiritual accompaniment. Encouraging positive attitudes from the training allowed providing a more humane and dignified care at the end of life
Genotypic Diversity of HPV in Adult Women: A Multisectoral Analysis
No full textIntroduction: Human papillomavirus (HPV) is one of the most common sexually transmitted infections worldwide, and its persistence is closely associated with the development of cervical cancer. In Ecuador, particularly in areas with high ethnic diversity and health inequalities such as the province of Esmeraldas, updated information on the circulation of HPV genotypes is needed to guide preventive strategies. This study aimed to determine the frequency and distribution of HPV genotypes in women between 18 and 70 years of age treated in health institutions in the Esmeraldas canton. Methods: A cross-sectional, descriptive study was carried out with non-probability convenience sampling, using an anonymized database with molecular results for 23 viral genotypes. Results: The sample included 630 women; of these, 44.4% tested positive for HPV, with 26.2% infected with a single genotype and 18.3% with multiple genotypes. The most frequent high-risk genotypes were HPV 52, 58, 31, and 68, while HPV 81 was the most prevalent among low-risk women. The highest viral load was observed in women aged 25 to 31 years. Conclusions: The results reveal significant genotypic diversity, with a predominance of oncogenic types, which underscores the need to strengthen vaccination and screening programs tailored to the local epidemiological profile. These findings provide key evidence for public health decision-making in the region
The impact of work-related stress on nursing: physical activity as a preventive strategy
No full textWork-related stress in nursing was identified as a growing problem that significantly affected the physical, emotional, and psychological health of healthcare personnel, especially in high-demand settings such as the city of Rosario, Argentina. This phenomenon manifested itself as a response to various internal and external factors, including work overload, structural conditions in healthcare centres, multiple jobs, and family responsibilities. It was highlighted that this situation reduced the quality of the service provided, increased the risk of errors and generated multiple physical and emotional symptoms, ranging from gastritis to anxiety or depression. In Rosario, where healthcare demand was intensified by the influx of patients from other localities, nurses were exposed to long working hours, staff shortages, demanding physical conditions, and frequent musculoskeletal injuries. These conditions exacerbated stress and affected the safety of both workers and patients. Against this backdrop, physical exercise was analysed as an effective tool to counteract the effects of stress. Studies showed that exercise strengthened the immune system, regulated the neuroendocrine system and improved overall well-being. However, it was noted that various personal and work-related obstacles made it difficult to exercise regularly. Finally, the need to implement institutional policies that promote physical exercise, adapted to the reality of nursing staff, was emphasised in order to preserve their health and ensure a safer and more humane working environment
BREATH Project: Training program on physical activity for people with chronic respiratory diseases
No full textIntroduction: Respiratory diseases are one of the main causes of mortality globally, and physical activity is widely recognized as an essential element in their prevention and treatment. However, health professionals often report training gaps in the promotion of physical exercise in clinical settings.Objective: to describe the implementation of the BREATH Project from the perspective of the Portuguese partner, with a focus on interdisciplinary training to promote physical activity in people with chronic respiratory diseases.Method: experience report on the implementation of a project. The BREATH project, funded by Erasmus+, involves six European institutions. Its implementation is based on activities structured into work packages, including a systematic review, a database of good practices, an e-learning platform and training modules.Results: 20 good practices in Portugal were identified and analyzed, and content was produced for the module on integrated care. The Portuguese team contributed scientific publications and dissertations in line with the project. The e-learning platform promotes flexible, evidence-based learning, facilitating the development of skills.Conclusion: The BREATH Project has made a significant contribution to training professionals in the integrated management of chronic respiratory disease, highlighting the role of physical activity and promoting more effective, person-centered clinical practices and health policies
Didactic Strategies for Meaningful Learning in Nursing: A Systematic Review
No full textDidactic strategies are a set of planned actions carried out by the teacher for the achievement of learning objectives. The present study focused on conducting a review, with the objective of analyzing the didactic strategies used for meaningful learning in the Nursing career, identifying the best practices and trends, providing educators and pedagogy professionals with a comprehensive and updated vision on how to facilitate a deeper and more meaningful learning in the field of higher education. An exploratory systematic review of the existing literature was conducted, analyzing and synthesizing the research of other authors on the subject. The search was directed to bibliographic databases and search engines of reliable sources: Web of Science, Dialnet, Elsevier, SciELO, Scopus, Latindex, Redalyc, Google Scholar. It is concluded that most of the students employ significant learning strategies. Positive trends were observed in the topics related to strategies mainly from constructivist models such as: active learning, student-centered teaching, collaborative learning, information technology, research or project-based learning and concept maps, because they allow students to express their opinions and develop critical thinking, recovering their autonomy, while reflecting on learning and identifying areas of confusion promotes a deeper understanding of it.
Protection and continuity of breastfeeding: evidence and a comprehensive approach
No full textIntroduction: The study exposed exclusive breastfeeding as a central public health strategy and a human right supported by international agencies. It pointed out that, although Argentina had high rates of breastfeeding initiation, continuity declined sharply due to technical, cultural, labor and social factors. She also highlighted the importance of colostrum as the first immunization, especially in premature newborns, as well as the particular challenges of adolescent motherhood, conditioned by biopsychosocial and vulnerability factors.Development: Throughout the work, public policies that had promoted breastfeeding protection were described, such as Law 26.873 and the 1000 Days Law, as well as the creation of Breastfeeding Friendly Spaces in work environments. The oropharyngeal administration of colostrum as an early immunological intervention was analyzed and strategies to promote breastfeeding in late preterm and early term newborns, who presented greater sucking difficulties and lower continuity rates, were detailed. The study also examined attitudes, beliefs and barriers affecting breastfeeding in adolescent mothers, and evidenced the impact of misinformation, unintended pregnancy and lack of socio-familial support.Conclusions: The analysis concluded that breastfeeding should be addressed as a multidimensional practice dependent on public policies, professional support and equitable social conditions. It affirmed that continuity of breastfeeding required specialized accompaniment, community education and specific interventions for vulnerable populations, especially preterm infants and adolescents, in order to ensure its sustainability and long-term benefits.
Rehabilitation Nursing interventions that facilitate continuity of care between hospital and community settings
No full textThe transition from hospital to community care should begin during hospitalization and requires structured and collaborative planning. In this context, the Rehabilitation Nurse Specialist plays a key role in outlining a transdisciplinary plan that ensures continuity and effectiveness of care, promoting the client\u27s autonomy and responding to their needs and those of the caregiver. This critical-reflective study analyzed relevant studies on the subject, with the aim of identifying interventions that can be implemented by the Rehabilitation Nurse Specialist to ensure a safe transition between different care settings. The results show that formal coordination between professionals, through the use of structured and confirmed communication tools, is essential for the effective transfer of clinical information. The early assessment of the client\u27s social needs, as well as the implementation of educational strategies aimed at the client and the caregiver, are decisive for their safe reintegration into the community, contributing to the reduction of complications and hospital readmissions. In conclusion, Rehabilitation Nurse Specialists face challenges in maintaining continuity of care at the time of transition, and it is crucial to optimize communication between contexts in order to ensure the quality of the rehabilitation care provided