Seminars in Medical Writing and Education
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The University Substantive Processes: Quality or Quantity
Full text linkThis study aimed to analyze the core university processes in Ecuador—teaching, research, and community engagement—highlighting the tensions between expanding access and maintaining quality. With the growing demand for higher education, universities face challenges in balancing massification with the need to ensure meaningful learning experiences, relevant research, and impactful social contributions. A qualitative design was employed, combining semi-structured interviews, focus groups, and document review. Participants included faculty, students, administrators, and community members, whose perspectives were examined to understand the dynamics, strengths, and limitations of the three university processes. Thematic analysis was conducted to identify convergences and divergences across stakeholders. The findings reveal that while enrollment has expanded, the pressure on limited resources has negatively affected educational quality, particularly in terms of personalized student support and academic follow-up. In research, a notable increase in scientific production was identified, yet a persistent disconnection remains between research topics and the concrete needs of Ecuadorian society. In community engagement, universities have made progress in initiating collaborative projects with local actors, but problems of sustainability, continuity, and systematic evaluation limit their long-term impact. These tensions illustrate the need to strengthen the articulation of the three processes rather than addressing them in isolation. Ecuadorian universities must critically review current evaluation models, promote policies that balance student numbers with educational quality, and reinforce long-term, community-based strategies. Only through stronger integration of teaching, research, and engagement can universities ensure effective contributions to sustainable development and meaningful improvements in educational quality
From the Digital Ecosystem to Critical Artificial Intelligence
Full text linkDigital transformation in Latin American higher education, driven by the rapid expansion of artificial intelligence (AI), constitutes a complex phenomenon that reshapes not only technological environments but also pedagogical practices, institutional structures, and the ethical frameworks that underpin university life. In this context, a critical perspective is essential to examine how these technologies influence the reproduction of inequalities and the redefinition of knowledge.
This study aims to critically analyze the discourses, practices, and policies related to university digitalization and the integration of AI in higher education institutions across Latin America, from an ethical, contextualized, and situated perspective. The research follows an interpretive approach with socio-pedagogical and sociocultural orientation, grounded in an extensive documentary review, a comparative analysis of institutional cases, and the use of secondary sources. Although no direct fieldwork was conducted, replicable methodological instruments were designed as proactive contributions for future research.
The main findings reveal structural tensions between modernization narratives and the real conditions of many public universities. It is evident that digitalization progresses more strongly in administrative areas than in pedagogical ones, and that AI is often adopted without solid ethical frameworks or meaningful faculty involvement.
The study concludes that digital transformation in universities will only be socially and pedagogically meaningful if guided by principles of equity, technological sovereignty, and cognitive justice, recognizing Latin America’s cultural and epistemic diversity as a starting point rather than a barrier
Integrating Cultural Mapping into Nursing Education: A Mixed-Methods Study on Physical Activity Interventions for Elderly Populations
Full text linkIntroduction: As global populations age, culturally responsive nursing interventions are critical to enhancing functional performance in older adults. This study aimed to develop and evaluate a context-sensitive sports nursing model tailored to Indonesian community-dwelling older adults.
Methods: A mixed-methods design was employed, integrating quantitative pre-post tests with qualitative thematic analysis. Functional endurance and agility were assessed using the Two-Minute Step Test and Eight-Foot Up-and-Go Test among 60 participants. Data were collected before and after a 12-week culturally adapted sports nursing intervention. Simultaneously, semi-structured interviews explored participants’ experiences, with thematic analysis used to identify sociocultural influences on engagement and adherence.
Results: Quantitative findings showed significant improvements in endurance (mean steps increased from 49.61 to 61.40, p < 0.001) and agility (mean time reduced from 9.35 to 7.51 seconds, p < 0.001). Qualitative analysis revealed that cultural values, community dynamics, and traditional beliefs strongly influenced participation and sustained involvement. The integration of local customs, group cohesion, and familiar physical activities enhanced acceptability and motivation.
Conclusions: The study developed a replicable, culturally responsive sports nursing model that significantly improves functional performance in older adults. By embedding cultural mapping into program design, the model supports inclusivity and sustainability in community-based care. Findings advocate for global standards in nursing education that emphasize cultural competence, preparing future nurses to deliver equitable, patient-centered care across diverse populations. This approach offers a scalable framework for geriatric health interventions in low- and middle-income countries
Project-Based Political Education Model: A Study of the Pancasila Student Profile Project with the Theme “Suara Demokrasi”
Full text linkPolitical education is crucial for fostering a critical and democratically responsible young generation. In Indonesia, the Pancasila Student Profile Strengthening Project (P5), with the theme "Suara Demokrasi" aims to improve students\u27 political literacy in secondary schools. This study focuses on designing a valid and practical political education model to address challenges in P5 implementation. Using the ADDIE development model within a Research and Development (R&D) framework, the study involved expert validation and limited trials with six teachers and thirty students. Expert validation averaged 3,5 or 87 %, categorizing the model as very valid, while practicality scores were 85 % from teachers and 82 % from students. These results directly demonstrate that the Inclusive Democracy Education Model (In-DEMO), which integrates Project-Based, Meaningful, and Transformative Learning, is effective and ready for classroom application. Thus, this research advances a contextual and inclusive political education model that supports the Merdeka Curriculum\u27s goals of enhancing students\u27 civic literacy
Evaluation of the managerial competitions in the students of intensive medicine and emergencies
Full text linkIntroduction: the scientific focus in the medical formation in the current society, constitutes a challenge for the universities in the world and in Cuba that you/they demand inclusion of the formation process in managerial competitions. He/she was carried out the investigation with the objective of evaluating the process of formation of managerial competitions in students of the specialty of Intensive Medicine and Emergencies Adults in the provincial hospitals of Pinegrove of the River. Method: the general methodological design was sustained in the materialistic dialectical focus, with methods of the theoretical, empiric level, corroborated by descriptive statistic. The main results were the determination of the broken into fragments character, asistémico and spontaneous of analysis from the educational perspective, with prevalence of visions reduccionistas determined in the applied instruments. The carried out diagnosis showed deficiencies from the program for the development of the managerial teaching, inadequate quality of the methodological preparations, lack of rigor in the control and evaluation of on the part of formation tutors and bosses of service. Conclusions: it was evaluated with difficulties the process of formation of managerial competitions in the students of the specialty Intensive Medicine and Emergencies adults in the provincial hospitals of Pinegrove of the River.
Encouragement and recognition of the results of teacher evaluation: design of a distinction
Full text linkTeacher evaluation in higher medical education demands innovative strategies to foster a culture of recognition and encouragement. This study presents the design and implementation of the “Crystal Pointer” distinction, aimed at recognizing the exceptional performance of teachers in the Faculty of Medical Sciences of Artemisa, Cuba. The methodology included the integration of multidimensional criteria: excellence in undergraduate/postgraduate teaching, contribution to political-ideological formation, methodological leadership, research productivity (projects, publications and scientific events), continuous professional improvement and evaluation of “Excellent” for five consecutive years. The distinction is awarded annually in an institutional event, linked to the Educator\u27s Day, to reinforce its symbolic value. The results show that this mechanism promotes teaching motivation, institutional commitment and academic quality by aligning individual objectives with organizational goals. In addition, it functions as an incentive for promotion to higher categories, scientific degrees and accelerated professional development
Innovative Approaches to the Implementation of Inclusive Education in Higher Education Institutions of Ukraine
Full text linkIntroduction: in the contemporary scientific discourse, inclusion is recognized as a key component of quality education. This study aims to analyze modern scientific works on innovative approaches to implementing inclusive education in higher education institutions of Ukraine. It also seeks to identify key trends, current challenges, and prospects in this area. Methods: based on the PRISMA approach, the study analyzed 52 items of scientific sources published between 2015 and 2025 that were thematically related to inclusive education and innovation. Thematic analysis was used to process the papers.Results: the academic community is actively developing innovative views on implementing inclusive education in higher education institutions: the principles of universal design of learning, intercultural cooperation, STEAM-based education, digital inclusion and various innovative strategies. It is established that innovative approaches include universal learning design, integration of technological tools, formation of centres for inclusive education, training of teaching staff for inclusive teaching, personalization of educational trajectories, support for the inclusive infrastructure of higher education institutions, and the use of big data analytics. It is shown that notable challenges persist, such as insufficient teacher training, imperfect institutional and legal support, gaps in the material and technical base, and challenges of digitalization. Conclusions: therefore, the innovative areas identified in the Ukrainian context show promise but require further development and systematization. It has been established that inclusive education in Ukrainian higher education institutions is an active development area that demands systematic approaches to overcome existing challenges
Critical Thinking in the Information Age: A Systematic Review on the Role of MIL and Information Overload
Full text linkIntroduction: in a context marked by information overload, critical thinking and media and information literacy (MIL) have become essential for effectively understanding and evaluating information.Objective: to analyze and synthesize the most recent scientific literature on critical thinking, media and information literacy (MIL), and information overload. The aim is to identify the relationships among these concepts, their educational and social implications, and the strategies that contribute to strengthening critical competencies in information-saturated contexts.Method: a systematic review of scientific literature published between 2019 and 2024 was conducted. Empirical, theoretical, and review studies addressing the relationship between critical thinking, MIL, and information overload were selected. A qualitative analysis was applied to group themes, identify patterns, and detect trends and gaps in current research.Results: media and information literacy is a key skill to mitigate the negative effects of overload and to enhance critical thinking. Educational interventions that integrate MIL have proven effective in improving the ability to critically assess information. Moreover, information overload can be addressed through innovative and contextualized pedagogical strategies.Conclusions: it is concluded that MIL is fundamental for the development of critical thinking in a context dominated by information overload. Education must respond with innovative methodologies and tools that incorporate both digital and traditional literacies, considering the social and technological factors that influence access to and processing of information
Evaluation of Environmental Health Literacy in High School Students Regarding Environmental Management Aspects for Malaria Vector Control Instrument Development and Validation
Full text linkIntroduction: This study aims to develop and validate an instrument to evaluate EHL related to environmental management practices for malaria vector control among high school students. Methods: This study used a cross-sectional design with samples of high school students selected through Multistage Random Sampling in five schools. The sample size was determined based on the ratio of ten respondents per item. A total of 387 questionnaires were returned with a response rate of 77.4%. After eliminating 36 multivariate outliers, 351 questionnaires were further analyzed. Results: The initial instrument consisted of 39 items evaluated by seven expert panelists (I-CVI: 0.86–1.00; S-CVI/AVE: 0.92). Five items with I-CVI < 0.78 were removed, and three items were revised based on face validity. EFA with varimax rotation identified five factors explaining 53.57% of the total variance. The CFA results showed a good fit model (CMIN/df: 1.824; RMSEA: 0.049; RMR: 0.03; TLI: 0.931; CFI: 0.937). The final instrument included 28 items in four main domains: knowledge (factual and conceptual), information skills, attitudes, and environmental management practices
Trends in paediatric tumours from the perspective of scientific production
Full text linkIntroduction: Neoplastic lesions in pediatric ages have a low presentation compared to adults. The development of studies in this area of knowledge is key to trying to mitigate the negative effects of these pathologies in patients under 18 years of ageObjective: to characterize the scientific production regarding tumor conditions or neoplasms in pediatric agesMethod: An observational, descriptive research was carried out with a bibliometric approach. The universe was made up of 13,317 research papers. Variables analyzed: year of publication, thematic area of research, keywords, type of document, journal where they were published, country and affiliation. Descriptive statistics were applied. Results: I highlight the year 2021 with 854 articles, equivalent to 6.41%. Scientific articles stood out with 9,047 studies, equivalent to 68%. The United States was presented as the one with the greatest development with 5,897 investigations for 44.28% of the total. Articles related to thematic areas of Medicine stood out compared to the rest with 13,209 studies (99.19%). The representation of terms or keywords and the correlation between them according to the research yielded a presentation in five main clustersConclusions: Scientific production on tumours in paediatric age groups has shown upward trends. Its main epicenters are located in regions considered to be high producers. In turn, the main scientific contribution focuses on updating diagnostic and therapeutic means based on original research