Investigación y Educación en Enfermería https://revistas.udea.edu.co/index.php/iee <ul> <li class="show"><strong>Print ISSN: </strong>0120-5307</li> <li class="show"><strong>Online ISSN: </strong>2216-0280</li> <li class="show"><strong>Periodicity:</strong> quarterly</li> <li class="show"><strong>Open Access</strong></li> <li class="show"><strong>Creative Commons licence:</strong> <a href="https://creativecommons.org/licenses/by-nc-sa/2.5/co/" target="_blank" rel="noopener">by-nc-sa</a></li> </ul> Facultad de Enfermería - Universidad de Antioquia en-US Investigación y Educación en Enfermería 0120-5307 <!-- [if gte mso 9]><xml> Normal 0 21 false false false ES-CO X-NONE AR-SA </xml><![endif]--> <p><!-- [if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves ></w:TrackMoves> <w:TrackFormatting ></w:TrackFormatting> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning ></w:PunctuationKerning> <w:ValidateAgainstSchemas 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exclusive property of <em>Investigación y Educación en Enfermería</em>. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.</p> <p><strong>Español: </strong>Si el artículo es aprobado para publicación, todos los derechos son de propiedad de <em>Investigación y Educación en Enfermería</em>. El texto y las gráficas incluidas en&nbsp; la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.&nbsp;</p> <p><strong>Português</strong><strong>:</strong> Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.&nbsp;</p> <!-- [if gte mso 9]><xml> </xml><![endif]--><!-- [if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES-CO; mso-fareast-language:EN-US;} </style> <![endif]--> Nursing and its Essential Role in the Vaccination against COVID-19: New Challenge in a Pandemic Scenario https://revistas.udea.edu.co/index.php/iee/article/view/347878 <p>A la fecha de publicación de este editorial ya hemos transitado más de 20 meses enfrentando la compleja y desafiante pandemia por SARS-CoV-2 desde que se reportara el primer caso a finales de 2019. Las consecuencias en el mundo han sido significativas no solo por la morbilidad y mortalidad sin precedentes sino, además, como efecto de los drásticos cambios ocurridos en las dinámicas usuales en lo individual, familiar y colectivo dada la interrupción generalizada de las funciones y operaciones habituales en los distintos contextos de la vida cotidiana, por lo cual se mantuvieron solamente aquellas actividades consideradas esenciales.</p> R. Mauricio Barría P Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e01 State and Evolution of the Investigación y Educación en Enfermería Journal from a Metric Analysis https://revistas.udea.edu.co/index.php/iee/article/view/347879 <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong><span style="background: #ffffff;">Objective.</span></strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">&nbsp;To analyze levels of production,&nbsp;reach, and thematic development of the </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em><span style="background: #ffffff;">Investigación y Educación en Enfermería </span></em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">journal from a </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">scientometric analysis.</span></span></span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong><span style="background: #ffffff;">Methods.&nbsp;</span></strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">The study collected 1,066 articles corresponding to the period between 1983 and 2020. The scientometric analysis was carried out from three components&nbsp;of descriptive analysis:&nbsp;performance of the publication, geographic reach, and thematic development. The first two used data consolidated from articles published in the </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em><span style="background: #ffffff;">Open&nbsp;Journa</span></em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">l&nbsp;</span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em><span style="background: #ffffff;">System</span></em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">&nbsp;at Universidad de Antioquia. The third component captured the bibliographic references&nbsp;from the </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em><span style="background: #ffffff;">Web&nbsp;of&nbsp;Science </span></em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">and </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em><span style="background: #ffffff;">Scopus</span></em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;"> databases and from the </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em><span style="background: #ffffff;">Google&nbsp;Scholar </span></em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">and </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em><span style="background: #ffffff;">Lens </span></em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">academic search engines.</span></span></span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong><span style="background: #ffffff;">Results.</span></strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">&nbsp;In terms of the production analysis, the Journal shows stable behavior sustained over time with international reach regarding authorship. In the thematic setting, the Journal concentrates on two large clusters: 1) research on human factors&nbsp;from </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">different perspectives and</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;"> 2) cross-sectional studies differentiated mainly by sex</span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. With respect to emerging clusters, on one side, a thematic pillar is seen with studies in young adult population and another in matters related to the educational process and nursing students</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">.</span></span></span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong><span style="background: #ffffff;">Conclusion. </span></strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><span style="background: #ffffff;">The Journal has maintained outstanding behavior in terms of production over time, aligned with very good visibility for potential authors internationally; something not easily accomplished for most journals in Colombia.&nbsp;Likewise,&nbsp;its production has had a thematic domain to a greater extent related to human factors&nbsp;associated with the nursing practice</span></span></span></span>.</p> Manuela Vélez Ramírez Jaider Ochoa Gutiérrez Marcela Suárez Tamayo Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e02 'Unheard voices’: Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis https://revistas.udea.edu.co/index.php/iee/article/view/347881 <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Objective.</strong></span><span style="font-family: Arial Narrow, serif;"> To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings.</span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Methods.</strong></span><span style="font-family: Arial Narrow, serif;"> This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India.</span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Results.</strong></span><span style="font-family: Arial Narrow, serif;"> Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals).</span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Conclusion.</strong></span><span style="font-family: Arial Narrow, serif;"> Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings</span><span style="font-family: Arial Narrow, serif;"><strong>.</strong></span></p> Vijayalakshmi Poreddi S. Sai Nikhil Reddy Sailaxmi Gandhi Marimuthu P Suresh BadaMath Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e03 Barriers and Facilitators that Influence on Adopting Healthy Lifestyles in People with Cardiovascular Disease https://revistas.udea.edu.co/index.php/iee/article/view/347882 <p style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Objective. </strong></span></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">T</span></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">o measure lifestyle changes and describe the barriers and facilitators perceived that influence on adopting healthy lifestyles in people with cardiovascular diseases.</span></span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Methods. </strong></span></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">Mixed study of concurrent execution in the public health center of the municipality of Tausa, Colombia. The quantitative phase corresponded to a longitudinal analytical method in which the FANTASTICO instrument was applied to 28 patients in this program between 0 and 120 days after a brief nursing intervention (face-to-face meetings and telephone calls). The qualitative phase was carried out with a micro-ethnographic approach applying a semi-structured interview to 12 out of 28 participants, 120 days after the intervention.</span></span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Results. </strong></span></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">During the quantitative phase, a statistically significant change (</span></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><em>p </em></span></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">&lt; </span></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">0.05) </span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">was the improvement of the total score and in the domains of activity, type of personality and insight between day 0 and 120. During the qualitative phase, 13 categories arose regarding barriers and facilitators to adopt a healthy lifestyle: four facilitators and one barrier for physical activity, three facilitators and three barriers for feeding, and two facilitators for stress management. By integrating the results, it is possible to explain that, for the change in eating behaviors, physical activity and stress management, personal biological and psychological factors, interpersonal and situational influences coincide with the assumptions and propositions of the Health Promotion Model by Nola Pender.</span></span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Conclusion. </strong></span></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">The participants’ lifestyles changed positively in three of the domains and the total of the instrument, which can be explained by simultaneous triangulation, by the facilitators and perceived barriers as influential on adopting behaviors to acquire a healthy lifestyle.</span></span></span></span></p> Jessica Natalia Saavedra Espinosa Martha Yelitza Rodríguez Malagón Sara Pamela Londoño Granados Oscar Stiven Alméziga Clavijo María Camila Garzón Herrera Luz Patricia Díaz-Heredia Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e04 National Early Warning Score 2 Lactate (NEWS2-L) in Predicting Early Clinical Deterioration in Patients with Dyspnoea in Prehospital Care https://revistas.udea.edu.co/index.php/iee/article/view/347884 <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Objective</strong></span><span style="font-family: Arial Narrow, serif;">. To evaluate the ability of the NEWS2-L (National Early Warning Score 2 Lactate) scale to predict the risk of early clinical deterioration (mortality within 48 hours) in patients with dyspnoea treated by the Medical Emergency Services compared with NEWS2 and lactate in isolation.</span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Methods</strong></span><span style="font-family: Arial Narrow, serif;">. Prospective, multi-centre study of a cohort of 638 patients with dyspnoea treated in the ambulance and priority-transferred to a hospital emergency service in the cities of Valladolid, Salamanca, Segovia or Burgos (Spain). We collected clinical, analytical and demographic data. The main outcome measure was all-cause mortality within 48 hours. The recommendations of the Royal College of Physicians were followed to calculate NEWS2. When NEWS2 and LA prehospital values were obtained, the two values were added together to obtain the NEWS2-L.</span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Results</strong></span><span style="font-family: Arial Narrow, serif;">. Mortality within 48 hours was fifty-six patients (8.8%). The NEWS2-L scale obtained an area under the curve (AUC) of the receiver operating characteristics (ROC) for mortality within 48 hours of 0.854 (CI 95% 0.790–0.917), at seven days of 0.788 (CI 95% 0.729–0.848) and at 30 days of 0.744 (CI 95% 0.692–0.796); in all cases </span><span style="font-family: Arial Narrow, serif;"><em>p</em></span><span style="font-family: Arial Narrow, serif;">&lt;0.001, with a significant decrease between the value at 48 hours and at 30 days.</span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><strong>Conclusion</strong></span><span style="font-family: Arial Narrow, serif;">. The NEWS2-L scale was found to be significantly superior to the NEWS2 scale and similar to lactate in predicting early clinical deterioration in patients with dyspnoea. This scale can help a nurse detect these patients early, as part of their regular practice, and thus guide therapeutic efforts.</span></p> Raúl Villanueva Rábano Francisco Martín-Rodríguez Raúl López-Izquierdo Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e05 Impact of an Educational Intervention Aimed at Nursing Staff on Oral Hygiene Care on the Incidence of Ventilator-Associated Pneumonia in Adults Ventilated in Intensive Care Unit https://revistas.udea.edu.co/index.php/iee/article/view/347885 <p class="western" lang="es-419" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Objective</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. This work sought to evaluate the impact of an educational intervention on oral hygiene care aimed at nursing care staff, on the incidence of Ventilator-Associated Pneumonia (VAP) in adults from an ICU in Colombia.</span></span></p> <p class="western" lang="es-419" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Methods.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> Quasi-experimental study pre- and post-educational intervention aimed at nursing staff</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> in which theoretical-practical sessions were conducted during 12 weeks to explain different oral hygiene techniques according to the oral conditions of patients.</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> The study gathered sociodemographic, clinical, and characteristic variables of the oral and dental care received. The VAP was diagnosed according with international criteria.</span></span></p> <p class="western" lang="es-419" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Results</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. The educational intervention received participation from 60 individuals (40 nurses and 20 nursing aides), 80% were women. The work collected data from 171 patients, 70 (40.9%) cared for after the educational intervention. Daily oral and dental care by the staff increased from 29.6% to 92.8% after the intervention. Although the accumulated incidence of VAP diminished from 8.9% to 2.8% and the rate of incidence dropped from 9 to 3.5 cases per 1000 days of intubation, these changes were not statistically significant.</span></span></p> <p class="western" lang="es-419" style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Conclusion</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. The educational intervention aimed at the nursing staff in oral care reduced the incidence of VAP in adults connected to ventilator in ICU; although this decrease was not statistically significant, it was a clinically relevant result for the institution, which is why it is necessary to continue the educational strategies on oral health studied in this staff.</span></span></p> Melissa Sánchez Peña Luz Angélica Orozco Restrepo Freddy Andrés Barrios Arroyave Oscar Felipe Suárez Brochero Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e06 Daily lives of university students in the health area during the beginning of the Covid-19 pandemic in Brazil https://revistas.udea.edu.co/index.php/iee/article/view/347886 <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Objective.</strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"> To determine the main changes that took place in the daily lives of students in the health area during the beginning of the Covid-19 pandemic in Brazil.</span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Method. </strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">This is a cross-sectional study, carried out from May to June 2020, with 1786 students over 18 years old, regularly enrolled in health courses at higher education institutions in five regions of Brazil. Sampling was by convenience, typified as snowball. In order to collect data, an instrument to describe the sociodemographic profile and the daily lives of students during the pandemic period was used, which was applied via a digital platform on the web.</span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Results. </strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">The main changes that took place in the daily lives of academic students in the health area in the face of the Covid-19 pandemic in Brazil are related to lower productivity; difficulty concentrating; increased hours of sleep, use of electro-electronic equipment and weight; poorer quality of food; higher consumption of food, legal and illegal substances and medications (mainly analgesics, anxiolytics and antidepressants); less interest in personal appearance; and greater contact with relatives. Regarding emotional changes, it should be underlined the complaints of anxiety, stress, anguish, confusion, helplessness and depression.</span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Conclusion.</strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"> During the beginning of the Covid-19 pandemic in Brazil, the students in the health area experienced several changes in their daily lives, which deserve special attention from higher education institutions and health systems, envisioning interventions to minimize health risks to this population.</span></span></span></p> Luciana Regina Ferreira da Mata Juliana Dias Reis Pessalacia Tatiane Prette Kuznier Priscila Kelly da Silva Neto Caroline de Castro Moura Fernando Ribeiro dos Santos Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e07 Randomized Controlled Trial Study of the Impact of a Spiritual Intervention on Hope and Spiritual Well-Being of Persons with Cancer https://revistas.udea.edu.co/index.php/iee/article/view/347887 <p style="margin-left: 0in; text-indent: 0in; margin-bottom: 0in; line-height: 100%;" align="left"><span style="font-family: Times New Roman, serif;"><span style="font-size: medium;"><span style="font-family: Arial Narrow, serif;"><strong>Objective.</strong></span><span style="font-family: Arial Narrow, serif;"> To determine the impact of spiritual intervention on hope and spiritual well-being of persons with cancer</span></span></span></p> <p style="margin-left: 0in; text-indent: 0in; margin-bottom: 0in; line-height: 100%;" align="left"><span style="font-family: Times New Roman, serif;"><span style="font-size: medium;"><span style="font-family: Arial Narrow, serif;"><strong>Methods. </strong></span><span style="font-family: Arial Narrow, serif;">R</span><span style="font-family: Arial Narrow, serif;">andomized controlled trial </span><span style="font-family: Arial Narrow, serif;">in which 74 patients with cancer referring to a chemotherapy ward </span><span style="font-family: Arial Narrow, serif;">of Shahid Rajaie Hospital in Yasuj city, </span><span style="font-family: Arial Narrow, serif;">Iran, were participated.</span> <span style="font-family: Arial Narrow, serif;">The</span> <span style="font-family: Arial Narrow, serif;">eligible patients were</span> <span style="font-family: Arial Narrow, serif;">randomly assigned to either intervention or control</span> <span style="font-family: Arial Narrow, serif;">group.</span> <span style="font-family: Arial Narrow, serif;">Spiritual-based intervention was performed based on the protocol in four main fields namely; religious, existence, emotional and social over 5 sessions before chemotherapy.The participants in the control group had received usual cares .</span><span style="font-family: Arial Narrow, serif;">Data were collected using Snyder's Hope Scale and Ellison's Scale Spiritual Well-Being Scale on a week before and after intervention.</span></span></span></p> <p style="margin-left: 0in; text-indent: 0in; margin-bottom: 0in; line-height: 100%;" align="left"><span style="font-family: Times New Roman, serif;"><span style="font-size: medium;"><span style="font-family: Arial Narrow, serif;"><strong>Results.</strong></span><span style="font-family: Arial Narrow, serif;"> The total mean scores of the scales of hope and spiritual well-being in both groups did not present statistical differences in the pre-intervention assessment. In contrast, at the post assessment, significant differences (</span><span style="font-family: Arial Narrow, serif;"><em>p</em></span><span style="font-family: Arial Narrow, serif;">&lt;0.001) were found in the mean scores between the intervention and control groups on the hope scale (60.9 versus 39.8) and on the spiritual well-being scale (94.3 versus 71.6).</span></span></span></p> <p style="margin-left: 0in; text-indent: 0in; margin-bottom: 0in; line-height: 100%;" align="left"><span style="font-family: Times New Roman, serif;"><span style="font-size: medium;"><span style="font-family: Arial Narrow, serif;"><strong>Conclusion.</strong></span><span style="font-family: Arial Narrow, serif;"> Spiritual intervention could promote hope and spiritual well-being of persons with cancer.</span> </span></span></p> Ardashir Afrasiabifar Asadollah Mosavi Abolfazl Taghipour Jahromi Nazafarin Hosseini Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e08 Portuguese validation of the Regret Intensity Scale (RIS-10) for measuring the intensity of regret associated with the provision of attention in health https://revistas.udea.edu.co/index.php/iee/article/view/347888 <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="pt-BR" align="left"><span style="font-family: Arial Narrow, serif;"><span lang="en"><strong>Objective</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">. The aim of the study was to adapt and validate the Regret Intensity Scale-10 (RIS-10) for Brazilian health professionals.</span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="pt-BR" align="left"><span style="font-family: Arial Narrow, serif;"><span lang="en"><strong>Methods.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en"> The validation study took place in two phases, in which the first was the translation of the instruments and the second, the field validation using psychometric properties validity and reliability of the scale with 341 professionals (doctors, nurses and physiotherapists) linked to hospitals. Validity was assessed using content validities (</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">six judges evaluation</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">), criteria (correlation with the Life Satisfaction Scale - SWLS and Self-Reporting Questionnaire 20 -SRQ-20) and construct (exploratory analysis using the rotation method Promax, based on the slope graph and the Kaiser criterion and confirmatory using the structural equation model) </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">after applying the questionnaire to professionals.</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">Reliability was measured by Cronbach's α coefficient and retest test over a maximum period of 30 days. Reproducibility was calculated by intraclass correlation.</span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="pt-BR" align="left"><a name="_Hlk80131652"></a> <span style="font-family: Arial Narrow, serif;"><span lang="en"><strong>Results</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">. A total of 341 professionals participated, with an average age of 38.6 ± 9.2 years. The content validity index (CVI) was 1.00, for all items of the scale in the proportion of agreement of the judges. Exploratory factor analysis showed a satisfactory correlation (Kaiser-Meyer-Olkin = 0.88), suggesting a two-factor model, which comprises the main components of the emotion of regret (Factor</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> I – emoticons, </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">Factor</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> II - feelings)</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">, accounting for </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">64%</span></span> <span style="font-family: Arial Narrow, serif;"><span lang="en">of the total variation of the first factor. In the confirmation, the index </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">standardized root mean squared residual </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">= 0.063 was close to the acceptable and other values were below. The scale correlated positively with SRQ-20 (</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en"><em>p</em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en"> &lt; 0.001) and negatively with SLWS (</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en"><em>p </em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">= 0.003). Reliability showed (Cronbach’s α = 0.863) and test–retest reliability showed lower values </span></span><span style="font-family: Arial, serif;"><span lang="en">​​</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en">than expected. The Bland-Altman graph showed a mean bias of -1.5 with lower and upper limits of 15.8 to 12.8 respectively.</span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="pt-BR" align="left"><span style="font-family: Arial Narrow, serif;"><span lang="en"><strong>Conclusion.</strong></span></span> <span style="font-family: Arial Narrow, serif;"><span lang="en">The RIS-10 adapted for the population performed adequately in the psychometric properties evaluated </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">for the assessment of the intensity of regret related to the provision of health care.</span></span></p> Fabiana Rosa Neves Smiderle Valmin Ramos-Silva Stela Maris de Jezus Castro Delphine Sophie Courvoisier Rita Mattiello Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e09 Poor glycemic control and associated factors in diabetic people attending a reference outpatient clinic in Mato Grosso, Brazil https://revistas.udea.edu.co/index.php/iee/article/view/347889 <p class="western" lang="pt-BR"><span style="font-size: small;"><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Objective. </strong></span></span></span><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US">To identify the proportion of poor of glycemic control and associated factors among people with type 2 diabetes attending a regional reference outpatient clinic in Mato Grosso (Brazil).</span></span></span></span></p> <p class="western" lang="pt-BR"><span style="font-size: small;"><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Methods.</strong></span></span></span><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> This is a cross-sectional quantitative study based on data from medical records of 338 people with type 2 diabetes who attend a state reference outpatient clinic in Mato Grosso (Brazil). Information on glycemic control, sociodemographic factors, lifestyle and clinical conditions was collected.</span></span></span></span></p> <p class="western" lang="pt-BR"><span style="font-size: small;"><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Results.</strong></span></span></span><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> The prevalence of elevated glycated hemoglobin was 47.34%. In the Poisson multiple regression model analysis with robust variance, poor glycemic control was significantly associated (p&lt;0.05) with the following factors: insulin use (Prevalence Ratio -PR = 2.03), fasting glucose ≤70 and ≥100 mg/dL (PR = 2.0), postprandial glucose ≥180 mg/dL (PR = 1.76), no physical activity (PR = 1.62), the interaction between age group ≤59 years and the time of disease diagnosis &gt;10 years (PR = 1.58), and presence of arterial hypertension (PR = 0.79).</span></span></span></span></p> <p class="western" lang="pt-BR"><span style="font-size: small;"><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Conclusion</strong></span></span></span><span style="font-family: Arial Narrow, sans-serif;"><span style="font-size: medium;"><span lang="en-US">. Most users of the reference outpatient clinic with type 2 diabetes had poor glycemic control associated with risk factors that alter glycated hemoglobin and negatively affect the achievement of established glycemic levels.</span></span></span></span></p> Mariano Martínez Espinosa Vitesinha Rosa dos Santos Almeida Vagner Ferreira do Nascimento Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e10 Physiological changes in vision during aging: perceptions of older adults and healthcare providers https://revistas.udea.edu.co/index.php/iee/article/view/347890 <p class="western" style="orphans: 0; widows: 0;"><span style="font-family: Calibri, serif;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Objective</strong></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. To identify the physiological changes in older adults’ vision during the aging process.</span></span></span></span></p> <p class="western" style="orphans: 0; widows: 0;"><span style="font-family: Calibri, serif;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Methods.</strong></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> An exploratory, descriptive study with a qualitative approach was conducted with 20 older adults and six healthcare providers who worked with older adults </span></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">in </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">João Pessoa, </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">Paraíba (Brazil)</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">.</span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> The Focus Group Technique was used for data collection, with the collected information subsequently being submitted to Inductive Thematic Analysis using textual analysis software.</span></span></span></span></p> <p class="western" style="orphans: 0; widows: 0;"><span style="font-family: Calibri, serif;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Results</strong></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. The physiological changes related to vision were described by both the older adults and healthcare providers using the following words: vision, difficulty; see; cataract; glasses; surgery; more; age; eye; and no. These terms represent declines in vision resulting from advancing age which significantly modify the daily lives of older adults and their families.</span></span></span></span></p> <p class="western" style="orphans: 0; widows: 0;"><span style="font-family: Calibri, serif;"><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Conclusion. </strong></span></span></span><span style="color: #000000;"><span style="font-family: Arial Narrow, serif;"><span lang="en-US">The perception of the older adults and the healthcare providers who care for them regarding the physiological changes in vision throughout the aging process shows that the loss of visual acuity significantly affects the daily life of older adults and their families.</span></span></span></span></p> Tattiana Dias de Carvalho Cordeiro Luípa Michele Silva Edilene Araujo Monteiro Maria de Lourdes de Farias Pontes Francine Golgheto Casemiro Rosalina Aparecida Partezani Rodrigues Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e11 Relationship between Spiritual Intelligence and Professional Self-concept among Iranian Nurses https://revistas.udea.edu.co/index.php/iee/article/view/347894 <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Calibri, serif;"><span style="font-size: small;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Objective.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> To determine the relationship between spiritual intelligence (SI) and professional self-concept (PSC) among Iranian nurses.</span></span></span></span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Calibri, serif;"><span style="font-size: small;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Methods.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> This is a correlation study. A convenience sampling method was used and 344 nurses were selected from hospitals of Jahrom University of Medical Sciences. Data collection standard tools included two validated scales: </span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">Cowin’s</span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> Nurse Self-Concept Questionnaire </span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en">(36 items</span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> scored ranged from 1 to 8; Maximum score=288; 6 subcategories: General Nurse Self-Concept, Knowledge, Care, Communication, Staff Relation and Leadership)</span></span> <span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">and Abdollahzadeh</span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">’s</span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> SI Questionnaire (</span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en">29 items </span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">scored ranged from 0 to 5; Maximum score=145; 2 subcategories: Relying on the inner core and Understanding and communicating with the origin of the universe</span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>.</strong></span></span></span></span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Calibri, serif;"><span style="font-size: small;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Results.</strong></span></span> <span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en">The mean total score of </span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">PSC</span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en"> was 220.3±30.61 and 120.67±16.13 for SI</span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">. </span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en">There was a significant statistical correlation between PSC (r=0.348, </span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en"><em>p</em></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en">&lt;0.0001) </span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">and almost </span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en">all subcategories and SI.</span></span></span> <span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">The results of the regression analysis showed that SI predicts 13.3% of the variance of PSC (</span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><em>p</em></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">&lt;0.0001).</span></span></span></span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;"><span style="color: #000000;"><span style="font-family: Calibri, serif;"><span style="font-size: small;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Conclusion.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> Considering the correlation of SI and PSC among Iranian nurses, it is suggested that strategies be used to train and promote the SI of nurses.</span></span></span></span></span></p> Mohsen Hojat Zohreh Badiyepeymaiejahromi Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e12 Self-perception of nurses’ competence in family assessment and intervention https://revistas.udea.edu.co/index.php/iee/article/view/347895 <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Objective. </strong></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;">To describe nurses’ self-perception of competence in family assessment and intervention</span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Methods.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> A sample of 551 Portuguese primary care nurses was selected. A Likert-type questionnaire with 11 items corresponding to the areas of care proposed by the Dynamic Model of Family Assessment and Intervention (MDAIF) was administered. Each item consists of 7 optional responses; a score equal to or greater than 4 denotes competence.</span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Results.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> The nurses perceived themselves as competent in areas of care belonging to the development dimension of the MDAIF (parental role, adaptation to pregnancy, and family planning), as well as in the caregiver role (which belongs to the functional dimension). There was a progressive decline in self-perception of competence over the stages of the nursing process.</span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><strong>Conclusion.</strong></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"> In this study, crucial aspects related to nurses’ self-perception of their competence in family assessment and intervention were observed, and need to be addressed in the training of nurses in all areas of care included in the Model. This should facilitate awareness of the competences needed to provide the best care for families.</span></span></p> Maria Henriqueta Figueiredo Maria Manuela Ferreira Marlene Lebreiro da Silva Virgínia Sousa Guedes Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e13 Nursing Professionals within the Intergenerational Context during the 20th and 21st Centuries: an Integrative Review https://revistas.udea.edu.co/index.php/iee/article/view/347896 <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="es-419"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Objective. </strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">To describe the </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">generational differences and similarities existing among nursing professionals of the 20</span></span><sup><span style="font-family: Arial Narrow, serif;"><span lang="en-US">th</span></span></sup><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> and 21</span></span><sup><span style="font-family: Arial Narrow, serif;"><span lang="en-US">st</span></span></sup><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> centuries and how these have influenced on the evolution of the profession.</span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="es-419"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Methods. </strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">Integrative review according to the methodology by Whittemore and Knafl.</span></span> <span style="font-family: Arial Narrow, serif;"><span lang="en-US">The key words used for the search were: nurses, intergenerational relations, Veterans, Baby Boom, X generation, and Millennials.</span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="es-419"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Results</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. The electronic search process yielded 10 documents (eight articles and two theses), all within the Anglo-Saxon environment (4 in Canada, 5 in the United States, and 1 in Australia). The documents recovered determined three principal themes:</span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em> the intergenerational nursing workforce (n =</em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> 7), </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em>recruiting and retention within an intergenerational workforce (n =</em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> 2), and </span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em>tutoring within an intergenerational nursing workforce</em></span></span> <span style="font-family: Arial Narrow, serif;"><span lang="en-US"><em>(n =</em></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US"> 1). The four generations of nursing professionals (X, Y, Baby Boomers, and Veterans) have different aptitudes, social and cultural setting, that coexist within the same work staff.</span></span></p> <p class="western" style="margin-bottom: 0in; line-height: 100%;" lang="es-419"><span style="font-family: Arial Narrow, serif;"><span lang="en-US"><strong>Conclusion</strong></span></span><span style="font-family: Arial Narrow, serif;"><span lang="en-US">. This</span></span> <span style="font-family: Arial Narrow, serif;"><span lang="en-US">study establishes the legitimacy of the intergenerational differences as an important variable of social categorization. The findings have the potential to improve generational comprehension and promote a more cohesive culture in clinical practice settings, besides conserving the legacy of the four generations of nursing professionals contributing to outline the identity of the nurses through the conservation of social, cultural, and professional experiences. </span></span></p> Susana Rollan Oliveira José Siles González Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e14 Measurement of Practices-Knowledge-Attitudes of the Nursing Process: Systematic Review https://revistas.udea.edu.co/index.php/iee/article/view/347897 <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Objective.</strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"> To analyze the literature available on the psychometric properties of the instruments to measure knowledge, attitudes, and practices of the nursing care process.</span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Methods.</strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"> This was a narrative-type review conducted by following the recommendations of the PRISMA declaration. The search strategy was executed in two stages; through the search in databases by two reviewers and – thereafter – three reviewers identified independently the studies and evaluated the methodological quality of the measurement instruments by using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) property checklist boxes.</span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Results</strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">. Of 71 studies identified for the full-text review, only seven complied with the inclusion criteria that represent four instruments (Q-DIO, D-CATCH, NP-CDSS, PNP). It was found that the instruments continue in their validation and appropriation processes to reality in health services.</span></span></span></p> <p style="margin-bottom: 0in; line-height: 100%;"><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Conclusion. </strong></span></span></span><span style="font-family: Arial Narrow, serif;"><span style="font-size: medium;"><span lang="en-US">In spite of the evident evolution of the instruments to evaluate the implementation of the nursing care process, the need is still valid for an instrument that measures aspects of knowledge, attitudes, and practices in every stage of the process.</span></span></span></p> Fabio Alberto Camargo-Figuera María Alejandra Ortega-Barco María Camila Rojas-Plata Daniela Marín-Rodríguez Lizeth Johana Alarcón-Meléndez Beatriz Villamizar-Carvajal Copyright (c) 2021 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2021-10-29 2021-10-29 39 3 10.17533/udea.iee.v39n3e15