SALUD, ARTE Y CUIDADO (SAC) is an open access, refereed and indexed scientific journal of the Research Unit of the Nursing Program of the Deanship of Health Sciences of the Universidad Centroccidental Lisandro Alvarado, Venezuela. Its publication is biannual, it accepts scientific works related to Nursing and other related Sciences in its philosophy of care. The journal receives manuscripts permanently, with edition closings in the months of July and December. Email: Saludarte@ucla.edu.ve. ISSN 1856-9528, EISSN 2957-4463.
Universidad Centroccidental Lisandro Alvarado
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Humanizing nursing management: professional-centrism and leadership for quality care and professional well-being
This article addresses the humanization of nursing management as a concept that merges ethical values, principles of well-being, and the integral development of the professional. It is a strategic and ethical imperative that seeks the sustainability of the health system and the improvement of care quality, in addition to fostering the well-being and resilience of professionals in a demanding work environment. The objective is to analyze this humanization, demonstrating how, by centering organizational decisions on the nursing professional (and, therefore, on the patient), it becomes an essential approach. Methodology A conceptual and theoretical review of relevant literature in health management, nursing, care ethics, and work psychology was conducted. The principles of humanized management were adapted and synthesized for the healthcare environment, paying special attention to the integration of professional-centrism and nursing leadership. Results: Fundamental pillars of humanized nursing management were identified: transformational and empathetic leadership, effective and transparent communication, work-life balance and integral well-being policies, a system of continuous recognition and professional development, and adherence to the ethics of care. Professional-centrism permeates these pillars, valuing the autonomy, experience, and empowerment of the nurse, which is crucial for superior care quality and job satisfaction. Conclusions: The humanization of nursing management, driven by authentic leadership and a professional-centric approach, is an imperative need to guarantee the well-being and resilience of professionals, the sustained improvement of care quality, and the building of a healthy work environment. This strategy is essential for building a resilient, efficient, ethical, and truly person-centered health system
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¿Un algoritmo puede cuidar vidas?: Perspectivas de la IA en medicina, actividad física y rehabilitación/ Can an algorithm save lives? AI perspectives in medicine, physical activity, and rehabilitation
AI should not be rejected; it should be integrated. For specialists in medicine, physical activity, and/or rehabilitation, it should be used in their practice with sound judgment and continuous learning. For example, it can be highly beneficial as an educational tool, recreating medical situations, helping to clarify immediate concerns, answering basic questions, or exploring additional perspectives (1). However, this requires the implementation of training programs that enhance professional skills regarding the achievements and limitations of these tools (2). AI is a complement that aids human epistemology and should not be viewed as a superficial or impersonal exercise. Therefore, from a pedagogical standpoint, it is possible to train professionals in medicine, physical activity, and rehabilitation in these skills to master AI-based tools. The real challenge is not technical, but moral and educational; it is necessary to train experts who master artificial intelligence, who use it with reflective judgment and who evaluate the irreplaceable importance of human interaction in healthcare and health preservation. Therefore, AI should be a strategic ally, but it cannot be the main character in the process that unfolds as a professional dedicated to the work of caring for lives.
Historical-social trends in axiological training in internal medicine residents
The objective of this article is to describe the historical and social trends in the axiological training process of internal medicine residents at the Juan Bruno Zayas Alfonso General Hospital in Santiago de Cuba. This allows us to propose the following trends: postgraduate training models in the internal medicine specialization process. In the first stage, this is characterized by an individualistic, economic, biological, and decontextualized approach to the comprehensive, sociocultural, and spiritual perspective of patient care. In the second stage, a more systemic approach is observed in comprehensive medical, preventive, and therapeutic care within the Internal Medicine specialty; that is, an integrative approach based on cultural, social, humanistic, and spiritual aspects. With a greater axiological interpretation of human care regarding the solution of health problems and determinants, which specialized medical care faces in its direct relationship with the health-disease link, this will allow for scientific-humanistic care consistent with the current situation and the characteristics of the Cuban Health System, such as universality, free access, and accessibility.
low-grade myofibroblastic sarcoma in the oral cavity: case report
Objective: To describe the evolution and diagnosis, as well as the registration of a case of a female patient with low-grade myofibroblastic sarcoma in the upper alveolar rim. Clinical case: 36-year-old female, who has been reporting for 2 years an exophytic injury at the level of the upper alveolar rim which has grown progressively, associated over time with dysphagia to solids and liquids; they undergo a lesion biopsy which reports oral Telangiectatic Granuloma, without evidence of malignancy. Neck tomography is performed with contrast, in which a lithic-like lesion is observed that involves the upper jaw with compromise of the bilateral alveolar edge, it is decided to perform a new biopsy and immunohistochemical study, which reports Chronic Xantogranulomatous Inflammation. Patient who is referred to the Otorhinolaryngology Outpatient Consultation of the Central University Hospital Dr. Antonio María Pineda of Barquisimeto Edo. Lara - Venezuela, who is seen at the clinic and presents 2 anatomopathological studies that report chronic inflammation without evidence of malignancy, proceeds to be admitted for exeresis of said injury. The entire sample is taken to anatomopathology, which reports a malignant mesenchymal neoplasm consisting of abundant fusiform cells, findings compatible with low-grade Myofibroblastic Sarcoma. Extension studies are performed without evidence of metastases. Patient with satisfactory evolution at 6 months of his surgery without recurrence. Discussion: The histopathological similarity of LGMS to various benign and reactive tumors can lead to erroneous diagnoses and treatments. The rarity of the LGMS explains the lack of established treatment protocols. Conclusion: This case demonstrates the importance of making appropriate clinical decisions, experience in rare tumor histopathology, and interdisciplinary exchange to achieve cutting-edge patient management.
Educational applications for improving knowledge and self-care in people with type 2 diabetes: a systematic review
Introduction: Type 2 diabetes mellitus (T2DM) is a major global and national public health problem. Mobile educational applications have emerged as innovative tools to enhance knowledge and strengthen self-care practices in people with T2DM. Objective: To explore and synthesize the available scientific evidence on the use of mobile educational applications in adults with T2DM, identifying their impact on knowledge, self-care practices, barriers and facilitators for use, and user experience in community and home settings. Methodology: An integrative systematic review was conducted following PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, and Google Scholar for original studies published between 2015 and 2025, in English and Spanish. Quantitative, qualitative, and mixed-method studies evaluating educational mobile apps were included. Evidence quality and level were assessed using the JHNEBP tool. Results: Thirty-nine studies were included, mainly observational designs and randomized controlled trials. Most reported improvements in health literacy, treatment adherence, empowerment, and self-efficacy. Main barriers included digital literacy gaps, usability issues, and data privacy concerns. Facilitators highlighted personalization, user-friendly design, and social/professional support. User experience was generally positive when apps provided clear content, feedback, and clinical follow-up. Conclusions: Mobile educational applications are effective tools to improve knowledge and self-care practices in T2DM, though challenges remain regarding digital equity and sustainability of effects. Family and community nursing play a key role in supporting their adoption and integration
Revision Sistematica Y Evidencia Cientifica
Use of mobile applications to promote therapeutic adherence in adults with type 2 diabetes: an integrative literature review
Introduction. This integrative review aimed to synthesize the scientific evidence on the use of mobile applications to promote therapeutic adherence in adults with type 2 diabetes mellitus (T2DM), considering aspects related to adherence to pharmacological treatment, diet, and physical activity in community or outpatient care settings. Methods. A systematic search was conducted in PubMed, Scopus, and Google Scholar, identifying a total of 46 studies published between 2015 and 2025. The Johns Hopkins Evidence-Based Practice (JHNEBP) tool was used to assess the quality of the included studies. Results. The findings show that mobile applications and other digital health platforms (mHealth) have a positive impact on adherence to pharmacological treatment, diet, and physical activity. Among the most effective interventions were telemedicine, reminders, personalized feedback, and real-time monitoring. These tools promote self-management, improve clinical indicators such as HbA1c and BMI, and increase patient satisfaction. Conclusions. Mobile technologies are useful complementary tools to strengthen adherence in T2DM, provided they are implemented in a personalized, contextualized manner and with nursing support. The results highlight the strategic role of nursing in bridging digital innovation with everyday care in community and family health.
sexual behaviors in university students and their relationship with alcohol and drug use
Introduction: University students represent a vulnerable community with high rates of alcohol and substance use, factors that influence risky sexual behaviors, promiscuity, and early sexual initiation, increasing the risk of unintended pregnancies and sexually transmitted infections (STIs). Objective: To conduct a systematic review analyzing the relationship between alcohol and psychoactive substance use and risky sexual behaviors. Method: A systematic review was conducted following the PRISMA 2020 guidelines. The search was performed in databases (PubMed, SciELO, Redalyc, etc.), encompassing articles published between 2019 and 2025. The inclusion criteria were based on the PICO framework, selecting 20 original studies that met the methodological requirements. Results: A significant relationship was demonstrated between alcohol and tobacco use and the presence of risky sexual behaviors. Students who use psychoactive substances (PAS) more frequently reported having sex under the influence of these substances, not using condoms, and having multiple sexual partners. Conclusions: The use of alcohol and psychoactive substances is identified as a specific factor in the presence of risky sexual behaviors among university students, as it reduces the perception of danger and increases impulsivity.
Care transition from the theoretical perspectives of Afaf Meleis, Mary Naylor, Eric Coleman, and Eric Cassell
Objective: To understand the relationship between the theories of Afaf Meleis, Eric Coleman, Mary Naylor, and Eric Cassell in the transitional care process within the hospital context. Methods: This is a narrative review with a qualitative approach, guided by SANRA. The search was conducted in LILACS, MEDLINE, PubMed, and SciELO, as well as Scopus Preview and Science Direct, in January 2026, including studies published in the last five years in Portuguese, English, and Spanish. The selection followed PRISMA recommendations. Results: The predominance of Afaf Meleis’ Transitions Theory was observed as the most frequently identified theoretical framework, highlighting the central role of nursing in coordinating transitional care and in understanding the adaptive processes experienced by patients and their families. Complementarily, the models of Eric Coleman and Mary Naylor emphasize strategies focused on patient empowerment, care self-management, and interprofessional coordination during hospital discharge and post-discharge follow-up. Furthermore, Eric Cassell's philosophical perspective expands this understanding by highlighting the centrality of the experience of suffering and the person's uniqueness in the care process. Conclusion: The integration of these theories demonstrates that healthcare becomes more comprehensive and effective when different perspectives are articulated. Descriptors: Transitional Care; Continuity of Care; Nursing; Patient Safety; Quality of Care.
leadership practice in public health management
A leader is a visionary capable of action, who guides the future of an organization. A managerial guide who, together with the employees, is key to success. Every management system requires leading managers who lead the organization with leadership and commitment, demanding responsibility, training, direction, initiatives, competencies, and skills to face challenges and successfully perform in the planning, design, evaluation, and monitoring of programs in the area. They also possess negotiating skills to lead people through new demands, such as technological tools that benefit from a global vision, teamwork, and the exchange and communication of ideas. In this sense, the purpose of this article is to contribute to the professional development of individuals pursuing healthcare management training based on the virtues of their education, in order to offer quality to organizations within a changing environment. Using the methodological approach of documentary reviews, consulting specialized material on healthcare leaders, indexed journals that address the topic, being aware of the work in hospital environments, using available resources, knowing the important activities of a team leader, negotiating, communicating the management process, being clear about the goals pursued with the activities, the main tasks that healthcare leaders will have, introducing and disseminating it in society, without neglecting quality and improving it over time. It is not only about care; over the years, it has been incorporated into the fields of care, prevention, education, management, and automation. It is concluded that this leading manager needs to face current challenges, health personnel who are required to perform at a high level, responsible for managing the necessary time to develop their learning.
The art of motherhood: a collective unity of women that will transform society.
Since the last century, women artists have recognized, through their creative sensitivity, women's capacity to awaken the most secret forces hidden within human beings through a conscious and sacred motherhood that can significantly impact the future of humanity and the changes that will transform society. In this article, we will explore these hidden powers within women and how, through their thoughts and will, they can create ideal characters in their children during pregnancy, thus manifesting an ideal related to the advent of a fraternal society. Women artists are already feeling the need to elevate themselves and form a collective unity, fighting for recognition of their exceptional capacity as trainers and educators in the true nature of things, where gestation plays an enormous role
From the Academy to the Heart: Transforming Care Through Education
INTRODUCTION: Technical knowledge is essential in healthcare practice, but its impact can be limited if not complemented by humanistic training. Professionals' education should evolve towards an integrative model that prioritizes ethics, communication, and empathy, ensuring care centered on the patient's dignity. A more humane and resilient health system requires professionals capable of combining technical excellence with emotional and relational competencies.OBJECTIVE: To analyze the impact of comprehensive training on healthcare professionals, incorporating emotional, relational, and communicational elements to optimize the quality of care provided to patients and their families. METHODOLOGY: Theoretical reflection based on the concepts of care, nursing, and education, through a review of specialized literature on humanistic training in health sciences. RESULTS: Despite evidence supporting the benefits of humanistic education, its implementation continues to face structural barriers. The overload of technical content, lack of teacher training in emotional competencies, and scant institutional valuation of these skills hinder their effective integration into academic programs. CONCLUSIONS: Health training must integrate technical knowledge with human skills to ensure care centered on the patient's dignity. Educational institutions and health centers need to implement strategies such as simulations, communication workshops, and ethical training, fostering a balance between science and sensitivity in clinical practice.
The evolution of economic education in the curriculum of the medical degree in Cuba. (2020-2024)
Introduction: The sustainability of universal healthcare systems requires professionals with competencies in economic management. In Cuba, this training component in the "D" medical curriculum has evolved significantly in a context of high complexity. Objective: To analyze the historical evolution of economic training in the Cuban medical curriculum between 2020 and 2024.Method: A critical documentary analysis was conducted of MINSAP regulations, analytical programs of the "D" plan, and Cuban scientific publications from the period. Curricular, pedagogical, and contextual changes were examined. Results: A transition was identified from a theoretical-descriptive approach to the National Health System to a practical model of vertically and horizontally integrated clinical micromanagement. Key changes include the explicit introduction of competencies in resource management and pharmacoeconomics, the implementation of active methodologies based on real problems, and the consolidation of an "economic culture" as a cross-cutting ethical principle. This evolution responds to the need to optimize resources in a scenario of extreme economic pressures. Conclusions: The 2020-2024 five-year period consolidated a graduate profile that combines clinical competence and efficient resource management, ensuring the sustainability of the health system. The curricular transformation reflects a proactive adaptation to contextual demands. It is recommended to prioritize teacher training and evaluate the impact of these competencies on future professional practice.
Health management model for HIV pre-exposure prophylaxis Preexposición
Introduction: Pre-exposure prophylaxis (PrEP) is a cornerstone of combined HIV prevention. In Santiago de Cuba, despite its availability, organizational barriers persist that limit its impact, requiring management models adapted to the local context. Objective: To design and validate a management model to enhance inclusion and access to HIV pre-exposure prophylaxis in the municipality of Santiago de Cuba during the period July–December 2024. Methods: The study included a diagnostic phase and a design phase based on theoretical methods and expert consultation. Validation was performed using the Moriyama criteria, applied to a population of specialists selected for their level of expertise (Biogram). Results: A systemic model was structured, comprising a process management matrix (external) and an impact area matrix (internal). The model integrates primary care with multidisciplinary teams. Experts awarded the model the highest score for comprehensibility, justification, and feasibility. Conclusions: The proposed model offers a clear methodological path for decentralizing PrEP, focusing on eliminating psychosocial barriers and training the primary healthcare team, thus ensuring the sustainability of the strategy at the primary care level
Male Infertility and its Therapeutic Approach from Natural and Traditional Medicine
Male infertility is a global health problem that significantly affects the psychosocial well-being of couples. Given the limitations or side effects of some conventional treatments, Natural and Traditional Medicine (NTM) emerges as a valuable therapeutic complement. This article aims to analyze the diagnostic-therapeutic approach of NTM, and within this framework, acupuncture in the treatment of male infertility. An integrative review was conducted, contextualizing NTM from its historical foundations and its validation by international organizations such as the World Health Organization, highlighting its implementation in the Cuban healthcare system. The principles of Traditional Chinese Medicine are explored in depth, explaining the concept of infertility as an imbalance of Kidney Jing (Essence) and Liver Qi flow. Simultaneously, the causes and conventional diagnosis based on semen analysis are reviewed. The core of this study examines the scientific evidence on the use of acupuncture, describing its proposed mechanisms of action at the neuroendocrine, vascular, and antioxidant levels, and its positive impact on seminal parameters such as sperm concentration, motility, and morphology. Specific point protocols (KI6, SP6, BL23, BL54) used in clinical practice are discussed. It is concluded that acupuncture, as a primary modality of Natural and Traditional Medicine, represents a safe and promising intervention that can improve semen quality and reduce associated stress. Its integration into a multidisciplinary care model is recommended to optimize reproductive outcomes.
Francisca de las Nieves Santisteban-Aguilera
Caring for people with skin wounds: beliefs, practices, procedures, rituals, and materials used in popular knowledge
Introduction: One of the threats to human beings is the deterioration of skin integrity. Nursing professionals need to understand the factors that affect skin health to promote optimal conditions. Objective: To explore the cultural practices employed by support networks and families in the care of wounds. Methodology: A qualitative, narrative approach was utilized, focusing on families of individuals with wounds of various etiologies. Data were collected through in-depth interviews conducted with prior informed consent. Results: The findings reveal that women, drawing from their experiences, family heritage, self-education, or training from health institutions, utilize both popular and scientific knowledge for wound care. A direct relationship between these two types of knowledge is evident in their practices. Conclusion: The effectiveness of popular practices enhances scientific research, contributing to the development of supplies and materials from laboratories for wound care, grounded in traditional knowledge.
Characterization of the mental health of nursing students at Universidad Centroccidental Lisandro Alvarado
The objective of this research was to know the characteristics of the state of mental health in university students of the nursing degree, at the Universidad Centroccidental Lisandro Alvarado (UCLA). For data collection, the Goldberg General Health Inventory was used, and the results were analyzed with the GraphPad Prism 8 statistical program. This inventory was applied to a sample of 43 nursing students from the Universidad Centroccidental Lisandro Alvarado, Lara, Barquisimeto, of which 81% were female, and 19% were male, who are studying in the first semester of the degree in nursing. 89% of the students range between 17 and 19 years old. Once the subscales of Goldberg's general health questionnaire have been analyzed, it is observed that the percentage of cases detected with mental health problems, which includes probable cases of psychosomatic symptoms, is 28.6%, anxiety and insomnia, 59.5%, social dysfunction, 11.9%, and depression, 7.1%. The mental health of college students is a topic of growing concern due to the increase in difficulties related to psychological well-being in this population
Infants with bronchiolitis admitted to the Antonio María Béguez César Children's Hospital
Introduction: Bronchiolitis is the most common acute lower respiratory tract infection in children under 2 years of age and is the leading cause of pediatric hospitalization. Objective: To identify risk factors associated with the severity of bronchiolitis in hospitalized children. Method: A descriptive, cross-sectional study was conducted on patients under 2 years of age who were hospitalized at the Antonio María Béguez César Southern Children's Hospital in Santiago de Cuba with a diagnosis of bronchiolitis. The modified Wood Downes and Ferres Clinical Severity Scale was used to assess the severity of acute bronchiolitis, and percentages were used as summary measures. Results: The biological age range of 7 to 12 months and male sex predominated. No significant differences were found between the sexes at the different severity levels. Patient factors associated with severity were malnutrition in general and overnutrition in particular, lack of exclusive breastfeeding, and a history of underlying diseases or comorbidities. Overcrowding, low family income, and smoking in the environment were the most prevalent modifiable sociodemographic and environmental risk factors. Conclusions: There are no relevant differences between age groups or sexes. Most cases are classified as mild. There is a direct relationship between younger age, overweight and obesity, and the combination of risk factors with disease severity.
Modulating effect of sedentary lifestyle on the psychological variables of anxiety and resilience
Numerous studies have reported on the negative effects of a sedentary lifestyle and its relationship to health and quality of life. The main objective of the study was to assess the relationships between sedentary behaviour, anxiety, and resilience. This research was comparative, descriptive, and exploratory in nature. A sample of 3,520 university students enrolled in physiotherapy, nursing, and physical activity and sports science programmes was used. The following questionnaires were used: sedentary behaviour in university students and generalised anxiety. The brief resilience scale was also selected. The fit indices obtained were: X² = 5.20; df = 2; IFI = 0.95, CFI = 0.93; NFI = 0.88; RMSEA = 0.079. Statistically significant differences (p < 0.01) were observed in the variables of sedentary lifestyle with respect to anxiety (p = 0.34) and resilience. (p = -0.27) A moderate positive relationship was found between sedentary lifestyle and anxiety (β = 0.20, p = 0.018). Statistically significant differences (p < 0.05) were observed in the variables of sedentary lifestyle with respect to anxiety (p < 0.05) and resilience (p < 0.05). A moderate positive relationship was found between sedentary lifestyle and anxiety (β = 0.24, p = 0.018). A negative relationship was also found between physical inactivity and resilience (β = -0.17, p = 0.032). Finally, a negative relationship was found between anxiety and resilience modulated by physical inactivity (β = -0.12, p = 0.025). In all cases (p < 0.05). The most important conclusion to highlight is the modulating effect of a sedentary lifestyle and resilience on anxiety levels. Further studies on this topic are needed to subsequently develop intervention programmes.
Clinical-epidemiological and therapeutic characteristics of patients with liver trauma. Saturnino Lora Hospital
Objective: To characterize the clinical and epidemiological aspects of patients with liver trauma treated in the General Surgery Department of the "Saturnino Lora" Provincial Hospital. The study period was from September 2021 to September 2024. Method: This research is an observational and descriptive study. A quantitative research methodology was used with a sample of 83 patients. Results: 61.45% of the patients were male, predominantly in the 28-37 age range. Open trauma was the most common type of injury (55.42%), with stab wounds being the primary cause (33.73%), followed by traffic accidents (9.64%). Traffic accidents were also the leading cause of closed trauma (14.46%). The most frequent injury grades were II and III, at 38.55% and 30.12%, respectively. Hepatorrhaphy with drainage was the most frequently performed surgical technique at 25.30%, followed by hepatorrhaphy with ligation of bleeding vessel and drainage at 19.28%; 45.4% of deaths were due to hypovolemic shock. Conclusions: Mortality in the studied population of patients with liver trauma is primarily caused by hypovolemic shock and intra-abdominal infectious complications. A multicenter study is vital, as it would provide a larger sample size of patients with liver trauma, allowing for a more comprehensive study of the variability, cultural, sociological, and healthcare factors specific to the population of Santiago de Cuba at risk of suffering this type of trauma.
Emotional competencies as a mediator of parental stress and overload in grandmothers who care for grandchildren
Main Objective: To analyze the mediating effect of emotional competencies on parental stress and burden in grandmothers who care for their grandchildren. Methodology: An explanatory study was designed using a non-probabilistic sample of 200 grandmothers who care for their grandchildren. The Emotional Competencies Scale for Grandmothers, the Parental Stress Index, and the short version of the Zarit Burden Interview were applied. Correlations and a mediation model were estimated. Main Results: The women had an average age of 57 years; most were married, had completed high school, and were homemakers. On average, they cared for four school-aged grandchildren for 47 months, five days a week, and approximately 30 hours per week. It was observed that caring for more grandchildren was associated with higher emotional competencies, whereas more hours of care were linked to lower emotional competencies and higher parental stress. Emotional competencies significantly mediated the relationship between the number of grandchildren and caregiver burden, as well as parental stress, acting as a protective factor. Full mediation was found in both cases, highlighting its key role in well-being. Conclusion: This finding underscores the importance of strengthening emotional resources in this population group, as they enable better adaptation to the caregiver role and help reduce the negative effects associated with the time and intensity of care.
Modelo explicativo de la Calidad de Alimentación en el Adulto Mayor
Objective: determine the effect of nutritional status, emotional eating, and family support on eating habits and food security on dietary quality in older adults. Methodology: A predictive correlational design was used with 240 older adults. Scales on emotional eating, family support, food security, and dietary quality were applied, along with anthropometric measurements to calculate BMI. Data were analyzed in SPSS using descriptive and inferential statistics to identify relationships between variables and predictors of dietary quality. Results: The sample had a mean age of 71.12 years, mostly men, with primary school education, married status, and middle socioeconomic level. A high nutritional risk was identified, with adequate control of emotional eating, favorable family eating habits, food security, and good dietary quality. The analysis showed that age, BMI, emotional eating, family support in eating habits, and food security explained 16.3% of the variability in dietary quality among the evaluated older adults. Conclusion: Older adults maintain good eating habits and food security, positively influenced by family support. These factors partially explain the quality of their diet, highlighting the importance of strengthening support networks and educational strategies to promote healthy eating in this population.
Inteligencia emocional y calidad del servicio de enfermería
This feasibility study aimed to design an emotional intelligence (EI) training program for the nursing staff of the Valentina Canabal Clinical Center (Barquisimeto, Venezuela) to strengthen the quality of service. The research was based on a positivist paradigm, with a quantitative approach, a descriptive level, and a field design. The methodology employed a mixed sampling method for a population of 96 nursing professionals and 100 patients, resulting in a sample of 30 subjects per group. Systematic probability sampling was used for the nursing staff, and non-probability convenience sampling for the patients. Data collection was carried out using two Likert-type questionnaires. The results showed favorable levels of EI among the staff: more than 75% recognized their emotions, between 80% and 83.3% demonstrated adequate self-regulation, 83.3% showed empathy, and more than 80% demonstrated effective social skills. In parallel, 93.3% of patients rated the emotional support they received as adequate, highlighting the quality of the human touch. Despite these strengths, areas for improvement were identified: 26,7% in emotional self-regulation, 16.7% in empathy, and 20% in social skills. As a technical response to these findings, a training program focused on developing these competencies was designed. The implementation of this program constitutes a strategic tool for the continuous improvement of the quality of care and the well-being of nursing staff, positively impacting the experience of hospitalized patients.
Cultural construcción of masculine identity in nursing: challenges and perceptions
The purpose of this qualitative study was to understand the cultural construction of masculine identity in the nursing career, analyzing the challenges and perceptions of male students in the 5th, 6th, and 7th semesters at the Centroccidental Lisandro Alvarado University, Barquisimeto, Lara State. From an interpretive approach, it examined how sociocultural gender norms influence their academic experiences, as well as their personal and social perception within a profession traditionally associated with femininity. A phenomenological-hermeneutic method was employed, supported by in-depth interviews, to capture the participants' narratives. Subsequently, the information was processed where categories and subcategories were identified. The sun rising theory of Madeleine Leininger was incorporated as a conceptual guide, allowing for a comprehensive approach to the participants' experiences. The findings revealed that students faced stigmas, prejudices, and identity tensions, but they also developed coping strategies that allow them to reinterpret their role within professional care. Most expressed a positive transformation in their self-perception, highlighting the value of care as a human practice, not limited by gender. It was concluded that the construction of a masculine identity in nursing requires the dismantling of cultural stereotypes, promoting a neutral vision of the profession. This study provided reflections that invite us to recognize that care transcends traditional roles and can be performed by anyone committed to preserving and improving life
Development of a scale to measure organizational change fatigue among nurses
Introduction: Changes in the healthcare sector are occurring rapidly; if not properly managed, they can negatively impact nurses, leading to fatigue. Objectives: To develop and conduct preliminary content validation of the Organizational Change Fatigue Scale for Nurses (OCFSN). Methodology: This is a methodological study focused on the initial steps of scale development: (1) creation of the initial set of items and (2) preliminary evaluation of the items. A literature review was conducted to guide the development of items. The content validation process involved evaluation by nine experts, followed by a pretest with 46 nurses to assess the clarity and relevance of the items. Results: The content validity index was 0.98 for both clarity and relevance. The draft scale showed good comprehensibility, readability, and relevance and was finalized with 35 items. Discussion: The scale has the potential to enable early identification of change fatigue among nurses, providing managers with insights to implement effective support and training strategies. Conclusion: The scale addresses a gap in the literature by targeting change fatigue in nurses. Although full psychometric validation is still needed, it demonstrates strong potential as a tool for assessing organizational change fatigue in nursing
Meeting for innovation in clinical nursing practice: skills for the future. As part of the 30th Anniversary Celebration of the Nursing Program
As part of the 30th Anniversary celebration of the Nursing Program at the Lisandro Alvarado Central-Western University (UCLA), the scientific and academic conference entitled "Innovation in Clinical Nursing Practice: Skills for the Future" was held. This event established itself as a high-level institutional forum for discussion, knowledge sharing, and professional development in the face of emerging global health challenges. The central purpose of the conference was to examine cutting-edge trends and technological tools that are transforming the practice of human care. During the sessions, the urgent need to develop technical, digital, and socio-emotional competencies in nursing staff was addressed, thus ensuring safe, efficient, and humanized clinical practice. Through keynote addresses and workshops, leading experts and faculty members discussed the integration of scientific evidence into decision-making, new hospital management models, and ethics in the digital health era. This meeting not only celebrated three decades of educational excellence and social commitment from the UCLA Nursing Program, but also reaffirmed its leadership in training healthcare professionals. The day's conclusions outline a clear roadmap for curriculum adaptation and clinical practice, positioning nursing in Lara state and throughout the nation toward the quality standards demanded by the future.
Progressive fibrodysplasia osificans in pediatrics: about a clinical case
Fibrodysplasia ossificans progressiva is one of the most unique and significant constitutional bone diseases, to the point of having been considered "the Mount Everest of musculoskeletal disorders of genetic origin." The scarcity of epidemiological data is a deficiency that FOP shares with all rare diseases. A clinical case is presented: an 11-year-old female adolescent, product of non-consanguineous parents, from a rural environment, with a history of cervical rectification diagnosed in the neonatal period, untreated, community-acquired pneumonia at 3 years of age, who required hospitalization for 7 days, left middle hearing loss and agenesis of the mastoid process diagnosed at 3 years by means of a brain magnetic resonance study; tonsillectomy at 5 years, without complications. SARS-CoV-2 infection in December 2021, empirically treated. Presenting, onset of the current disease in December 2021, after a mild SARS COV-2 infection, characterized by severe abdominal pain, worsening during walking, swelling of the abdominal and suprascapular muscles that limit flexion-extension is evident. cervical, its admission for multidisciplinary management is decided, in discussion, a probable diagnosis of Fibrodysplasia Ossificans Progressiva (FOP) is considered, deciding to carry out the respective bibliographic review
Lymphoma of the marginal nodal zone with positive CD5 marker, report of a case in an adolescent patient
In this moment, there are three types of marginal zone lymphoma (MZL) they are: MZL splenic LZM, extranodal LZM (MALT lymphoma) and primary lymph node LZM (NM LZM). These kinds of lymphomas have morphological and phenotypic characteristics that somewhat overlapping so different in clinical presentation and behavior. In the same vein, the marginal zone lymphoma (LMZ) it is an indolent mature B-cell neoplasm with variable clinical presentation and distinctive histopathological features. As mentioned above, there is a case of a 15-year-old female adolescent. She is from Anzoátegui state, Venezuela. Her parents are non-consanguineous, with a personal youth history of polyp polypectomy, and paroxysmal disorder (corrected), competent mitral valve prolapse, inborn error of immunity: common variable immunodeficiency, infection by Epstein-Barr Virus and Hepatitis C Virus. She has a Family history of hemoglobinopathy in her father and brother. Her brother died of Acute Lymphoblastic Leukemia. Who presented a medical condition for twelve (12) months with intermittent fever, cutaneous mucosal sickly, polyarthralgia, diffuse perumbilical abdominal pain, abdominal distension, hyporexia, asthenia, weight loss, cervical, axillary and inguinals adenomegaly, with nephromegaly, subsequently associated with dizziness, erythematous maculopapular lesions on the face and lower limbs, with persistence of febrile episodes, which temporarily improve with the use of oral steroid for four (4) months. Multidisciplinary evaluations were performed, which included cervical lymph node excision, resulting in immunohistochemical findings compatible with CD5-positive lymphoma of the Marginal Zone Lymph Node, for which the pertinent bibliographic review was carried out.
Ethics of care and humanistic learning in the training of cardiologists: a semi-systematic review
This article aimed to reflect on the ethics of care and humanistic learning in the training of cardiologists. The theoretical development was conceived around three core aspects: ethical foundations of care in cardiology practice, humanistic learning in specialized medical education, and the formative and institutional implications of cardiology specialization. The methodological approach was carried out through a semi-systematic review of the English-language literature, focusing on the theoretical aspects investigated. The analysis covered publications between 2019 and 2025, applying the PRISMA guideline for abstract selection. The search was conducted in the PubMed/MEDLINE, Scopus, Web of Science, Embase, and DOAJ databases, using Boolean operators (AND, OR) and specific keywords. The findings revealed that the ethics of care and humanistic learning are manifested in the training of cardiologists through empathy, respect, professionalism, and ethical and social commitment. Furthermore, the need for a transformative curriculum that integrates embodiment, gratitude, and collaborative humanistic learning experiences is highlighted. It is concluded that humanistic learning and its educational implications in clinical cardiology demand an integration of technical knowledge, the ethics of care, and emotional sensitivity. The future vision of this academic production is oriented toward achieving specialized medical education that evolves toward dual certification with a humanistic approach, strengthening cardiologists' capacity to face complex challenges.
Printed educational technologies for health educativon of people with cardiometabolic diseases: a scoping review
The objective is to map the printed educational technologies available in the literature for health education of people with Cardiomatabolic Diseases. This is a scoping review with a search carried out from July to August 2024, being updated in November and December 2024, in the following databases: PubMed/MEDLINE, Web of Science, Scopus, SciELO, LILACS, BDENF, BDTD, Capes and ProQuest Thesis and Dissertation Catalog. 42 studies were included in the final sample of the review. The printed educational technologies identified were booklets, serial albums, leaflets, pamphlets, posters, games, manuals, comic books, folders, conversation maps and mobile panel. These resources proved to be valid and effective in improving aspects such as knowledge, self-care, quality of life, adherence to medication and non-medication treatment, and foot self-care. It is concluded that printed educational technologies are adequate, valid and effective soft-hard tools, which support the patient in coping with the health-disease-care process.
Objective: To update and analyze the epidemiological aspects, risk factors, and burden of disease in pregnant women in malaria-endemic areas worldwide Methods: A systematic literature review was conducted from January 2018 to April 2024. The process involved identifying 154 documents, screening based on inclusion and exclusion criteria, and selecting 31 articles for analysis. These articles were characterized by year of completion, study population, and thematic focus to analyze statistics and existing prevention strategies. Results: Effective management of malaria in pregnant women requires integrated responses, including intermittent preventive therapeutic intervention. Timely diagnosis and combination therapies are crucial to reducing disease severity and complications. Conclusions: Malaria in pregnancy presents a complex and multifaceted challenge with diverse clinical manifestations and underlying mechanisms across the entire spectrum of endemicity worldwide. Its significant impact on women and children needs prioritization in future research to reduce the disease burden in this vulnerable population.