Enfermería global Vol.24, Nº 3 (2025)

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Open Access
Impacto de la fatiga en enfermeros recuperados de COVID-19 en el noreste de Brasil
(Universidad de Murcia: servicio de publicaciones, 2025) Albuquerque Costa, Sarah Loyse Silva Cavalcanti de; Ferreira Brasil, Maria Hellena; Cordeiro de Queiroz, Viviane; Carneiro Acioly, Cizone Maria; Gir, Elucir; Oliveira e Silva, Ana Cristina de; Sin departamento asociado
Introduction: Post-COVID-19 fatigue is a condition exerting various impacts on people, especially on health professionals.Objective: To analyze the impact exerted by fatigue on nurses recovered from COVID-19 in a northeastern Brazilian state.Method: A quantitative-qualitative study conducted in a northeastern Brazilian state by means of an online survey. Data collection took place between May 2021 and August 2024. A bivariate analysis and binary logistic regression were performed for the quantitative data. The qualitative data were presented through thematic categorical content analysis. All ethical precepts were respected, with due approval from a Research Ethics Committee.Results: A total of 301 nurses were included, with predominance of female, married and brown-skinned subjects. The prevalence of self-reported post-COVID-19 fatigue was 52.3%. The participants working in the Intensive Care Unit and Emergency sectors presented higher chances of reporting fatigue. The qualitative analysis revealed that fatigue exerted an impact on the performance of activities of daily living and on the need for sleep and rest. Difficulties were found for health professionals to recognize post-COVID-19 conditions. Other fatigue-associated symptoms reported included memory and hair fall and difficulty concentrating.Conclusion: Post-COVID-19 fatigue exerted negative impacts on nurses' personal life and work activities
Open Access
Necesidades de atención de la demencia con respecto a los servicios de atención de la demencia en Indonesia: un estudio cualitativo
(Universidad de Murcia: servicio de publicaciones, 2025) Sahar, Junaiti; Rekawati, Etty; Widyastuti, Rita Hadi; Sin departamento asociado
Introduction: In Indonesia, approximately 30% of older adults with dementia are treated by family caregivers. These caregivers require supportive dementia care services to provide effective care. However, research on family caregivers’ expectations regarding dementia care services that facilitate optimal caregiving remains limited.Objective: This study aimed to explore the needs of family caregivers concerning dementia care services in Indonesia.Methods: This qualitative study employed a descriptive phenomenological approach using semi-structured interviews. Data were collected from purposively selected family caregivers who provide care to older adults with dementia (n=15). The data were analyzed using Colaizzi’s method to identify themes.Results: Three themes were developed from the data, reflecting the expectations of family caregivers regarding dementia care services in Indonesia. Family caregivers expressed a need for health programs that enhance their knowledge and skills in caring for older adults with dementia. However, they also reported limited dementia care services in the community. Conclusion: Dementia care services in Indonesia are not yet adequately prepared to meet the challenges of dementia care. These findings underscore the need to develop comprehensive dementia care services that support family caregivers, thereby improving the quality of care for older adults with dementia.
Open Access
Cobertura vacunacional contra el sarampión en niños de América Latina: una revision de alcance
(Universidad de Murcia: servicio de publicaciones, 2025) Bernardo, Francisco Mardones dos Santos; Nascimento, Jamile Domingos do; Silva, Lígia Maria Ferreira da; Barros, Lívia Moreira; Rouberte, Emilia Soares Chaves; Sin departamento asociado
Objective: To identify advances and setbacks in measles vaccination coverage in children in Latin America. Material andMethod:This is a scoping review carried out in the PubMed, Web of Science, Scopus, SciELO, BVS and EMBASE databases in February 2025. Full articles, without a time frame, were included in Portuguese, English and Spanish. Results: 11 studies were selected to compose the final sample. The A10 research indicates that the rate found in the vaccination programs of Latin American countries in the period from 2000 to 2015 presented coverage values of 91.1% for measles. Another A11 mentions the coverage rate in 9 countries of the Americas (Bolivia, Colombia, Ecuador, Guyana, Paraguay, Peru, Suriname, Trinidad and Tobago, Venezuela) the coverage of the first dose against measles ranged between 87% and 97% between 2006 and 2016. This research indicates that measles vaccination coverage in Latin American countries has varied in recent decades. Conclusion:The data presented show that there are success stories in the implementation of measures to increase vaccination coverage, but there is also a need to advance in several aspects, including the political, economic, and seek to strengthen public policies that prioritize the prevention of diseases through the supply of immunobiologicals to the population. and the intensification of immunization programmes either at the local or national level
Open Access
Intervenciones de Salud Mental Positiva dirigidas a enfermeras: Revisión Sistemática
(Universidad de Murcia: servicio de publicaciones, 2025) Capera Fernández, Jesica; Mora López, Gerard; Gil Mateu, Elsa; Casanova Garrigós, Georgina; Torrubia Pérez, Elisabet; Puig Llobet, Montserrat; Sin departamento asociado
Introduction:In recent years, nurses’ mental health has been increasingly at risk of deterioration due to heightened psycho-emotional and occupational stress. A key protective factor is maintaining a good level of positive mental health, understood as the psychological strength that enhances resilience and supports the ability to cope with adverse situations. Objective: To identify, synthesize, and evaluate, through a systematic review, interventions or programs promoting positive mental health aimed at improving nurses’ mental health and quality of life.Method:A search for quantitative studies was conducted in PubMed, Scopus, and CINAHL. The PRISMA guidelines were followed, and the CASPe tool was used to assess the methodological quality of the selected articles.Results: Nine studies were analyzed that implemented interventions aimed at strengthening the positive mental health of participants. The most common techniques included mindfulness, problem-solving strategies, and resilience-building techniques. These methods demonstrated a significant reduction in stress and occupational burnout, as well as improvements in quality of life and in the care provided.Conclusions:The evidence suggests that positive mental health programs are effective in enhancing nurses' well-being. Institutional support for their integration into clinical practice could improve occupational health among nurses and enhance patient safety
Open Access
Determinantes sociales, conocimientos, actitudes y prácticas relacionadas con exposición a garrapatas en el Noroeste de México
(Universidad de Murcia: servicio de publicaciones, 2025) Munguía-Nolan, Julia Estrella; Robles-Zepeda, Ramón Enrique; García-Puga, Julio Alfredo; Laborín-Álvarez, Jesús Francisco; Valenzuela, Jesús G.; Sotelo-Mundo, Rogerio R.; Sin departamento asociado
ntroduction: Ticks are of great medical and veterinary importance. Rocky Mountain spotted fever(RMSF) is a highly lethal disease that can be prevented and treated.Objective:To analyze determinants of KAP (knowledge, attitudes, practices) regarding tick exposure andtheir association with household characteristics in a region with high prevalence of rickettsiosis transmitted by the tickRhipicephalus sanguineus. Methods: A cross-sectional study was conducted in Sonora, Mexico, using stratified random sampling of 228 households in high-incidence areas. A 30-item questionnaire assessed KAP on vector-borne diseases, employing dichotomous, categorical, and Likert scale responses. The chi-square test evaluatedassociations between variables (p<0.05 significance). Data analysis was performed using IBM® SPSSStatistics software.Results:The median age of household representatives was 36.9 years; 66.0% were women. Higherlevels of knowledge about tick-borne diseases, preventive measures, symptoms, and greater motivationto avoid ticks correlated with educational level (p<0.001), occupation (p=0.001), attitudes and practiceslike the frequency of dogs entering households (p=0.005), prior tick findings on dogs (p=0.030), fumigation practices (p=0.017), and higher perceived risk of tick bites (p=0.023).Conclusion: A limited understanding of tick-related risks highlights gaps in KAP, reflecting insufficientindividual awareness and systemic public health education failures.Keywords: Rhipicephalus sanguineus; Vulnerable Population; Social Determinants of Health; Tick-borneDiseases; Rickettsiosis; Knowledge Attitudes Practices
Open Access
Monitorización continua de glucosa en la percepción de la hipoglucemia en personas con diabetes mellitus
(Universidad de Murcia: servicio de publicaciones, 2025) Ruiz-Trillo, Carmen Amelia; Cortés-Lerena, Ana; Garrido-Bueno, Miguel; Gamero-Dorado, Carmen; Pérez-Morales, Ana; López-Gallardo, Gema; Sin departamento asociado
Introduction:Recurrent hypoglycemia increases the risk of developing asymptomatic hypoglycemia, which affects up to 40% of people with diabetes and leads to severe hypoglycemic episodes. Objective: This study aimed to evaluate the effect of instant glucose monitoring on the perception of hypoglycemia in patients with type 1 diabetes mellitus.Method:A 24-week quasi-experimental study was conducted at the Virgen del Rocío University Hospital involving 68 patients with type 1 diabetes with severe or asymptomatic hypoglycemia. The primary outcome was the change in Clark test score from baseline to 24 weeks after implementation of a flash glucose monitoring device (Free Style 2®, Abbott). Secondary outcomes included changes in glycemic data and factors influencing improved perception.Results: The Clark test score decreased significantly, with a reduction in total hypoglycemic time. No significant changes were observed in time below or in range. Longer duration of diabetes was associated with a higher likelihood of persistent asymptomatic hypoglycemia.Conclusions:Rapid glucose monitoring improved the perception of hypoglycemia and reduced hypoglycemic time and glycemic variability in patients with type 1 diabetes, although its impact on HbA1c and time in range was minimal
Open Access
Salud mental positiva en estudiantes de enfermería, Chile
(Universidad de Murcia: servicio de publicaciones, 2025) Seguel Wollerman, Francisca; Rodríguez Campo, Varinia; Hidalgo Ortiz, Juan Pablo; Sin departamento asociado
ntroduction:Positive mental health is defined as a state of mental well-being, which is little understood among nursing students in Chile.Objective: To evaluate the level of positive mental health and its relationship with associated factors in nursing students at a university.Method:Quantitative, observational, correlational, and cross-sectional study. A sample of 179 nursing students from a Chilean university. An online questionnaire was applied to collect biosociodemographic and academic background, along with the Positive Mental Health Questionnaire by Lluch, from May to June 2024, after obtaining informed consent. Data analysis involved descriptive and inferential statistics using the Jamovi 2.5 software. The study was formulated according to the ethical requirements of E. Emanuel and was approved by the respective ethics committees.Results: 56.4% of the students showed a high level of positive mental health. Among the six factors of the questionnaire, self-control and autonomy had the lowest mean scores. Academic year, presence of mental health disorders, and the intensity of the relationship with individuals with mental health disorders were significantly associated with the level of positive mental health.Conclusion:Nursing students showed a high level of positive mental health. It is necessary to generate strategies to strengthen positive mental health as a protective factor, in order to train competent and humanized nursing professionals
Open Access
Percepción de docentes de Enfermería sobre la implementación de un modelo educativo basado en competencias
(Universidad de Murcia: servicio de publicaciones, 2025) Godoy Pozo, Jessica; Illesca Pretty, Mónica; Barallat Gimeno, Eva; Botigué, Teresa; Sin departamento asociado
ntroduction: The curriculum for the Nursing Degree Programme at the Austral University of Chile (UACh) has been redesigned with a competency-based approach.Objective: To explore the perceptions of Nursing faculty at the Universidad Austral de Chile (UACh) regarding the implementation of the educational model centered on competency-based learning.Materials and methods: A qualitative descriptive study with a phenomenological approach, using an intrinsic case design and purposive theoretical sampling. Eight semi-structured interviews were conducted with Nursing faculty. Data were analyzed using content analysis. The research was approved by the Scientific Ethics Committee Servicio de Salud Valdivia (Chile).Results: A central theme emerged: faculty perceptions regarding the implementation of the institutional educational model, which includes two categories with their subcategories. The first, "institutional educational model," describes conceptions regarding principles, requirements for its implementation, and faculty attitudes. The second, "development of generic competencies and institutional seal," highlights generic competencies and institutional seals, factors that facilitate and hinder their development.Conclusion:Teaching staff demonstrate a high level of ownership of the MECEA (Mechanical Education and Training Model); however, they require training and support to optimize its application. The development of generic competencies is closely linked to factors such as the characteristics of teachers and students, the use of active methodologies, the conditions of clinical fields, and institutional aspects such as academic management, infrastructure, and human resources.
Open Access
Tecnologías sanitarias educativas en el contexto de la lepra: Revisión de Alcance
(Universidad de Murcia: servicio de publicaciones, 2025) Soares, Ana Beatriz da Silva; Barros, Mariah Kemily Silva; Vieira Silva, Cícera Renata Diniz; Sousa Fernandes, Petra Kelly Rabelo de; Nascimento, Maria Berenice Gomes; Fernandes, Marcelo Costa; Sin departamento asociado
Introduction: The objective of this research was to map the production of educational health technologiesin the leprosy context at the global level.Material and methods: This is a scoping review conducted in accordance with the methodologicalstructures set forth by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses checklist, extension for Scoping Reviews. Searches were carried out in the followingdatabases: Medline, Web of Science, Scopus, CINAHL, Embase, LILACS and BDENF, in addition to dissertation and these repositories, as well as in Google Scholar to support the review.Results: Twenty-five studies between 2008 and 2024 were included, where the country that produced themost educational technologies aimed at leprosy was Brazil and the main technologies demonstrated were apps.Conclusions: Educational technologies targeted at leprosy have developed significantly, benefiting bothhealth professionals and people affected by the disease. This progress not only improves the patients'quality of life but is also essential for prevention and awareness raising regarding leprosy
Open Access
Preservación de la fertilidad en pacientes afectos de cáncer en edad fértil: abordaje asistencia
(Universidad de Murcia: servicio de publicaciones, 2025) Cabrera Jaime, Sandra; Rodriguez Ortega, Ana; Hernandez Marfil, Anais; García-Lazaro, Sheila; Sin departamento asociado
Objective: To identify the fertility preservation care approach offered by professionals in the Catalan public health system (Spain) to cancer patients of childbearing age undergoing cancer treatment. Methods: Multicentre cross-sectional descriptive study, Catalonia (Spain) in 2023. Participants were health professionals caring for cancer patients of childbearing age after diagnosis: physicians, residents and nurses. Estimated sample of 287 professionals (CI: 95% and p=q=0.5), accidental sampling. Ad hoc online questionnaire with 42 questions. Results: One hundred nine professionals participated, 74% (81) nurses, 24.8% (27) physicians and one resident. Fertility preservation was considered by 97.2% (106) of the professionals as an important issue to be addressed from the beginning of the diagnosis. Seventy-eight percent (85) of the professionals reported that they had not received specific training in fertility preservation. 19.4% (21) of the participants indicated that their centre had a fertility preservation counselling unit, but only 9.2% (10) of them indicated that their centre had an assisted reproduction unit. Referral was made by the physician in 49.1% (53) of the cases.Conclusions: There is an approach to fertility preservation that is not based on institutional guidelines or protocols. Professionals perceive a need for training in fertility preservation
Open Access
Intervención Digital para disminuir prácticas de riesgo en el almacenamiento de antibióticos: prueba piloto
(Universidad de Murcia: servicio de publicaciones, 2025) Morales Rojas, Marco Esteban; Canché Guzmán, Luis Enrique; Cohuo Cob, Sheila Mariela; Aké Canul, Didier Francisco; Balam Gómez, Maricela; Sin departamento asociado
Introduction:Incorrect and excessive storage of antibiotics is a behavior observed in communities, and it is a main factor that leads to self-medication. In addition to clinical factors, Antimicrobial Resistance has become a main problem worldwide. Digital interventions provide cost-effective solutions to promote healthy behaviors, coupled with the practicality of instant messaging and the use of a behavior change model, allowing to increase the probability of success.Objective: To determine the effectiveness of a digital intervention to reduce risky practices in home antibiotic storage in an urban community in Mexico.Material and methods: An intervention study with a quantitative approach, descriptive, longitudinal, and quasi-experimental scope, carried out with 35 families in their homes through the instant messaging type "WhatsApp". The RiALMeH instrument was applied to later follow an intervention with materials and activities from home and apply it again to check changes.Results: Before the intervention, the average was 19.8 points, participation was 100% in at least one of the activities and only 7 families did not carry out the final activity. After the intervention, the average score obtained in RiALMeH was 16.1, obtaining a significant result in the change, after 7 weeks of study.Conclusion:The digital intervention was significant in achieving a change in family behavior, observations are made to the materials according to the doubts expressed
Open Access
Análisis de la Investigación en Enfermería: identificación de factores críticos para su fortalecimiento
(Universidad de Murcia: servicio de publicaciones, 2025) Ochoa Villegas, Luisa-Fernanda; Ramírez Merchán, Eddison Josué; Ramos Caballero, Edgardo Javier; Casallas Vega, Alexander; Sin departamento asociado
ntroduction:Research in nursing is paramount for the advancement of healthcare quality and evidence-based practice; however, its developmental trajectory is fraught with challenges. This study endeavors to conduct an analysis aimed at delineating the extant state of nursing research.Objective: Analyze the key elements reported in the scientific literature that contribute to strengthening nursing research.Methodology:A qualitative synthesis of the literature, incorporating bibliometric analysis of 666 Scopus documents, was performed. VosViewer was utilized to generate citation and co-citation maps, revealing key stakeholders, primary themes, and collaborative patterns. Subsequent qualitative analysis adhered to PRISMA guidelines.Results: Since 2000, publications in nursing research have demonstrated consistent growth, reaching a zenith in 2017. The United States and the United Kingdom exhibit the highest levels of productivity and impact. The study identifies three fundamental components of a nursing research ecosystem: competencies, capacities, and existing barriers.Discussion: The findings underscore the significance of organizational support, mentorship, and transformational leadership in cultivating a research-oriented culture. Limitations in available resources and the effective integration of research with clinical practice were also identified as pertinent issues.Conclusions:The cultivation of research capabilities within the nursing profession necessitates the implementation of institutional policies that prioritize formal training, mentorship provision, and the allocation of protected time dedicated to research activities. Such measures will contribute to the mitigation of existing impediments and the fortification of scientific evidence generation. It is recommended that future inquiries explore pedagogical and organizational strategies aimed at addressing these identified needs

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