Nursing Depths Series
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Towards respectful obstetric care
No full textEpisiotomy was a common procedure in vaginal deliveries for decades, performed to prevent maternal complications. However, recent research has questioned its effectiveness and safety, promoting a more restrictive, evidence-based approach. It was found that routine use did not significantly reduce severe perineal tears or shorten the second stage of labour, and in some cases led to major complications. Factors associated with its practice were also identified, such as primiparity and the use of oxytocin, and the importance of informed consent was emphasised. From a clinical and ethical perspective, it was recommended that it should only be performed when strictly necessary, always prioritising respect for women\u27s autonomy and humanised care
Family functionality and nursing intervention in adolescents from an educational institution in an area of Lima
No full textFamily functionality is a set of interpersonal relationships of the adolescent, who need emotional stability and an emotional environment in which they can safely explore an unknown world, therefore, the research objective is to determine family functionality and nursing intervention in adolescents from an educational institution in an area of Lima. It is a quantitative-descriptive, cross-sectional study, with a total population of 571 participants who answered a sociodemographic data questionnaire and the family APGAR instrument. In the results, 303 (53.1%) of adolescents have severe family dysfunction, 155 (27.1%) moderate, 5 (0.9%) mild and 108 (18.9%) good family function. It is concluded that family interventions should be carried out to allow family unity and thus improve the psychoaffective health of the adolescent
The integral value of breastfeeding in public health
No full textIntroduction: Breastfeeding was presented as one of the most significant practices in the history of public health and infant nutrition. It was recognized not only for its biological and nutritional contributions, but also for its cultural, emotional and social dimension. Over time, its role in the survival of the newborn, in the consolidation of the mother-child bond and in the promotion of integral wellbeing was highlighted. However, difficulties related to myths, lack of knowledge and sociocultural barriers that limited its continuity and effectiveness were also identified.Development: The analysis showed that breastfeeding guaranteed unique nutrients and essential immunological defenses for the baby, while strengthening the mother\u27s physical and emotional health. It was observed that this process was mediated by hormonal factors such as oxytocin and prolactin, which favored both milk production and emotional attachment. In addition, it was documented that the practice of breastfeeding contributed to the family economy and environmental sustainability. However, frequent problems such as cracked nipples, the perception of low milk production and erroneous beliefs were highlighted, which generated early interruptions and the incorporation of artificial formulas.Conclusions: It was concluded that breastfeeding transcended the biological to become an integral phenomenon involving health, culture and emotions. Its benefits encompassed nutritional, immunological, psychological, economic and environmental dimensions. At the same time, it became evident that its practice depended on adequate professional support, education for mothers and sociocultural and labor support. Finally, it was affirmed that guaranteeing breastfeeding as a right and protected practice was essential for maternal and child well-being and sustainable social development
Knowledge, Practices and Attitudes about Breastfeeding among mothers in several Health Centers, Santo Domingo, 2024
No full textThis study aimed to identify the level of knowledge, attitudes, and practices regarding breastfeeding among mothers attending various health centers in Santo Domingo in 2024. A quantitative, descriptive, applied approach was used, with a non-experimental cross- sectional design. The sample consisted of 100 pregnant, breastfeeding, and multiparous mothers selected by convenience sampling. Two instruments were used: "Knowledge about Breastfeeding" and "Attitudes, Practices, and Knowledge about Exclusive Breastfeeding. “The results show that 77% of mothers have a medium level of knowledge, 8% a high level, and 15% a low level. Regarding attitudes and practices, 41% demonstrated a medium level,39% a high level, and 20% a low level. Notably, 93% of mothers recognize the importance of breastfeeding on demand, 98% identify the immunological benefits of breast milk, and96% report that breastfeeding fosters an emotional bond with their baby. However, 45% believe they do not produce enough milk, and 53% state that breastfeeding interferes with their work life. Two instruments were used: a data collection tool (16 items, reliability 0.71, validation 99 pts) and an attitude scale (10 items, polytomous, reliability 0.88 with Cronbach\u27s alpha). It is concluded that although there is a positive predisposition toward breastfeeding and basic knowledge of its benefits, practical barriers and misconceptions persist. Strengthening educational programs, continuous counseling, and institutional support is necessary to ensure proper and sustained breastfeeding practices
Level of perceived stress in final-year nursing students due to the COVID-19 pandemic in North Lima
No full textPerceived stress is one of the symptoms that nursing students present in which they perceive due to stressful situations in their life and academics, therefore the objective of the study is to determine the level of perceived stress in final year students of a nursing school due to the COVID-19 pandemic in Lima Norte. It is a quantitative, descriptive-cross-sectional study, with a total population of 60 participants who answered a questionnaire of sociodemographic aspects and the Perceived Stress Scale instrument. In its results, it was observed that 21.7% (n = 13) have a low level of stress, 58.3% (35) have a medium level of stress and 20% (n = 12) a high level of stress. In conclusion, the university must implement strategies that allow strengthening coping skills in students
Perception of abandonment of older adults in different Gerontological Centers, Santo Domingo, 2024
No full textThe purpose of this research was to analyze the perception of abandonment in elderly inmates and outpatients of several gerontological centers in Santo Domingo during the year 2024. For this purpose, a quantitative approach was used with a non-experimental, descriptive and transversal design. The population was made up of elderly inmates and outpatients from different gerontological centers. Structured surveys were applied as a data collection instrument.The results revealed that elderly inmates perceive a higher degree of abandonment compared to outpatients. It was identified that inmates mostly come from families with low economic resources and receive fewer visits and family support. On an emotional level, they expressed feelings of sadness and isolation, while outpatients, although they also expressed loneliness, reported greater social support. Regarding the support received, inmates depend mainly on the care provided by the center staff, while outpatients obtain greater support from their relatives.In conclusion, the perception of abandonment in older adults varies according to their status as inpatient or outpatient, including factors such as contact with family, emotional support and care received. It is recommended to strengthen family ties, implement integration programs and improve psychological care to reduce the emotional impact of abandonment in this vulnerable group
Impact of work-related stress on occupational health in nursing
No full textNursing staff played a fundamental role in the hospital setting, being an essential pillar of patient care. Karasek\u27s demand-control theory explained that stress arose when high job demands were combined with low levels of control and little social support. This approach made it possible to understand how working conditions directly influenced the physical and psychological health of nursing staff.DevelopmentWork-related stress was defined as the body\u27s response to demands that exceeded the worker\u27s capabilities. This phenomenon was accompanied by physical, psychological, and behavioral symptoms that affected their performance and quality of life. Stages such as alarm, resistance, and exhaustion were identified, leading to serious emotional and physical complications, while eustress was presented as a positive factor that stimulated motivation and creativity. However, distress predominated in scenarios of work overload, long shifts, and precarious wages. Physical, psychological, and social factors, such as long working hours, work-family conflicts, and lack of institutional support, increased the risk of stress-related illnesses.ConclusionThe analysis showed that nursing staff were exposed to multiple stressors that compromised their overall well-being and professional performance. It was concluded that promoting a healthy work environment, strengthening autonomy in practice, and ensuring social support were essential strategies for reducing the effects of stress, improving the quality of care, and preserving occupational health
Quality of eating habits in older adults at the MIES Gerontology Center, Santo Domingo, 2024
No full textThe quality of the eating habits of older people is very important to maintain their health and prevent diseases, minimizing the risks of complications during aging. This research aims to determine the quality of the eating habits of older people at the MIES Gerontological Center, Santo Domingo 2024. Methodologically, it was developed through a quantitative approach as a descriptive and transversal field research, with a fundamental purpose. The sample was made up of 100 older adults, to whom a polytomous tool was used, which produces a measurement scale and, after being applied, the results obtained show that only 24% of older adults have good eating habits. while 76% have bad eating habits.Quality eating habits. In the classification of bad eating habits, 36% corresponds to good quality and 64% to poor quality of eating habits. Furthermore, when evaluating the general quality of diet, it was found that only 13% of older adults have a good quality diet, compared to 87% who have a poor quality diet. These results highlight the significant prevalence of poor eating habits and poor diet quality in this population. In general, the eating habits of older adults present some deficiencies. There is often a low intake of essential foods such as dairy products, meat, fruits and vegetables, and a high intake of fats. It is important to implement corrective measures to improve the quality of the diet, ensuring adequate intake of essential nutrients to maintain your health and well-being
Lifestyle of family members and students of the Instituto Superior Tecnológico Adventista del Ecuador, Santo Domingo, 2024.
No full textThe study was conducted with the aim of determining the level of lifestyle of the families and students of the Adventist Technological Institute of Ecuador, Santo Domingo, using the FANTASTIC TEST. The methodology used focused on determining the attitudes and practices regarding the lifestyle of students and their families. To do this, data was collected through surveys, the most relevant results revealed that most students and their families maintain healthy habits in terms of diet and physical activity, which suggests a solid basis for promoting health and well-being in the educational community. Regarding sociodemographic data, the majority of respondents are women, predominantly between 18-24 years and 35-44 years. Higher education is common among the participants and the Catholic religion is the most represented, in addition, the majority of respondents are at a medium socioeconomic level and consider their health status as good. In the results regarding lifestyle, it is highlighted that 32% consider it good and 59% catalog it as regular. However, 33.3% never attend social groups, 26.36% never check their weight, and 18% never attend medical appointments. In addition, 13% always feel tense or stressed, 8% feel upset or angry for no reason, and 7% always feel depressed or sad
Level of knowledge about handwashing for disease prevention among sixth and seventh grade students at CADE, Santo Domingo
No full textHandwashing is a fundamental practice for preventing infectious diseases, especially among school-age children. This research aims to assess the level of knowledge about handwashing among sixth- and seventh-grade students at CADE, Santo Domingo, in 2024. A quantitative, descriptive, and cross-sectional study was conducted. The population consisted of students from the Unidad Educativa Adventista del Ecuador (UEPA CADE), from which a representative sample of 55 students was selected through simple random sampling. A structured questionnaire was used as the data collection instrument. The results showed that although most students recognize the importance of handwashing, there are deficiencies in the proper technique and recommended frequency. It is concluded that educational strategies need to be reinforced to improve knowledge and practice of handwashing among this population to reduce the risk of diseases