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]--> Assessing and Achieving Quality in Qualitative Research: Clues for Researchers in Training https://revistas.udea.edu.co/index.php/iee/article/view/356789 <p>This article deals with the particularities of the quality of qualitative research, under the double lens of valuing it and ensuring it. While achieving the quality of qualitative research concerns only those who have opted for this methodology, assessing it is everyone's business because researchers in training will encounter, in the literature reviews, qualitative studies on which they must reflect and estimate their quality. Appreciating the quality of a research work is a complex activity as it is situated within a context and conducted by individuals who use any of the means available to do so. The means they use are criteria as evaluation guides and criteria checklists. For researchers in training, I suggest some guiding criteria to evaluate qualitative publications and ensure quality during the research process, key issues that they must address</p> Carmen de la Cuesta Benjumea Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e02 Qualitative nursing research: evidence of scientific validation from a translational perspective https://revistas.udea.edu.co/index.php/iee/article/view/356800 <p>This article aims to reflect on scientific validation strategies in qualitative research in the light of translational theory in nursing. It is a reflection based on translational theory applied to nursing in strategies for validating qualitative studies. From this angle, validation is recognized as an adaptable construct, capable of eliciting/favoring an understanding of the subjectivity of the target audience in its relationship with the object of interest/study/research. The potential for advancing the science-profession lies in the interdisciplinary confluence of validation mechanisms, qualitative studies, the translational perspective, and nursing research. This confluence has the capacity to extend beyond theoretical and epistemological aspects. However, it is crucial to emphasize its profound, expressive, and relevant impact on the construction of scientific evidence. This impact aims to enhance the rigor and reliability of qualitative research, thereby bolstering its credibility and applicability in clinical practice.</p> João Cruz Neto Ainoã de Oliveira Lima Edmara Chaves Costa Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e11 Educational intervention on perceived stress among adults with type 2 diabetes and metabolic syndrome: a non-randomized clinical trial https://revistas.udea.edu.co/index.php/iee/article/view/356790 <p><strong>Objective.&nbsp;</strong>To assess the effectiveness of an educational intervention on perceived stress and metabolic syndrome parameters among adults with type 2 diabetes mellitus.&nbsp;</p> <p><strong>Method.&nbsp;</strong>Fifty-one adults (aged 48.73±7.84; 86.3% of women) were included in a non-randomized clinical trial performed in a healthcare unit for six months (Brazilian Clinical Trial Registry: RBR-43K52N). All participants were diagnosed with type 2 diabetes mellitus and metabolic syndrome (intervention group, n=26; control group, n=25). The intervention consisted of a nurse-led educational health-promoting program with a multidisciplinary approach organized in seven workshops. The primary outcome was decreased perceived stress, and the secondary outcome was improvement in metabolic syndrome parameters according to perceived stress levels. These outcomes were assessed at two points in time, at the baseline and follow-up.&nbsp;</p> <p><strong>Results</strong>. Participation in the intervention program resulted in a significant decrease in perceived stress (p=0.028). The stressed participants in the intervention group experienced a significant decrease in blood glucose levels (p=0.001) and a significant increase in high-density lipoprotein-cholesterol (p=0.003) concentrations after the six-month intervention.&nbsp;</p> <p><strong>Conclusion</strong>. The nurse-led educational health-promoting program decreased perceived stress among adults with type 2 diabetes mellitus and metabolic syndrome, improving fasting blood glucose and high-density lipoprotein cholesterol among the stressed participants in the intervention group.</p> Wilkslam Alves de Araújo Isleide Santana Cardoso Santos Randson Souza Rosa Diego Pires Cruz Cícero Santos Souza Rita Narriman Silva de Oliveira Boery Claudia Geovana da Silva Pires Andréa dos Santos Souza Roseanne Montargil Rocha Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e03 Effectiveness of virtual teaching programme regarding palliative care on knowledge, self-efficacy and attitude of Nursing Personnel in North India https://revistas.udea.edu.co/index.php/iee/article/view/356791 <p><strong>Objective. </strong>To evaluate the effectiveness of Virtual Teaching (VT) Programme regarding palliative care on knowledge, self-efficacy and attitude among Nursing Personnel working in selected hospitals of North India.</p> <p><strong>Methods.</strong> A quasi-experimental study with non-equivalent control group pre-test-post-test design was conducted on 121 Nursing Personnel, selected by convenient sampling technique. Knowledge, self-efficacy and attitude were assessed using structured knowledge questionnaire, Palliative Care Self-efficacy Scale, and Frommelt Attitudes toward care of dying scale respectively. Nursing personnel in experimental group received Virtual Teaching Programme regarding palliative care whereas those in comparison group received conventional teaching (CT). The study included a pre-test followed by the teaching (virtual/ conventional) on day one. The post-test was conducted on 15<sup>th</sup> day after the intervention.</p> <p><strong>Results.</strong> The results showed that there was a significant difference in mean post-test knowledge (VT group: 17.11 to CT group: 25.05; t=9.25, <em>p</em>&lt;0.001), self-efficacy (VT group: 39.27 to CT group: 43.38; t=6.39, <em>p</em>&lt;0.001) and attitude (VT group: 108.86 to CT group: 133.23; t=9.27, <em>p</em>&lt;0.001) scores between virtual teaching group and conventional teaching group. ANCOVA test revealed statistically significant differences in the mean scores of knowledge [F (1.11) = 86.61,<em> p</em>&lt;0.001], self-efficacy [F (1.11) = 841.75, <em>p</em>&lt;0.001] and attitude [F (1.11) = 82.92, <em>p</em>&lt;0.001] between the groups, with higher means obtained in the CT group.</p> Alka Guleria Kanika Rai Yogesh Kumar Jyoti Sarin Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e04 Educational interventions to prevent urinary infections in institutionalized elderly people. Quasi-experimental Study https://revistas.udea.edu.co/index.php/iee/article/view/356793 <p><strong>Objective</strong>. To analyze the effectiveness of an educational intervention among nursing professionals and caregivers to prevent urinary tract infections in institutionalized elderly people.</p> <p><strong>Methods.</strong> this is a quasi-experimental study carried out with 20 people (7 nurses and 13 formal caregivers). A questionnaire was applied during the pre-intervention stage, then professional training was carried out and finally, the questionnaire was reapplied 6 months after the intervention. The prevalence profile and factors associated with urinary infections in 116 elderly people was evaluated before and after the educational interventions. Statistical analysis was performed using association and correlation tests, logistic regression model comparison and prevalence rates.</p> <p><strong>Results</strong>. The average number of correct answers by the nursing professionals and caregivers after the educational intervention increased from the pre to the post-test by 52% regarding signs of urinary infection, 32% regarding its symptoms, 72.5% regarding its treatment, 40% regarding personal/behavioral and morbidity-related risk factors, 59% regarding conditional factors and 43.8% regarding its preventive measures. The team of caregivers showed a greater gain in knowledge compared to the nursing team in almost every question (<em>p</em>&lt;0.05). The length of time working in elderly care showed no positive correlation with any variable (R&lt;1; <em>p</em>&gt;0.05). The prevalence of urinary tract infection in the pre-intervention period was 33.62%, and 20% in the post-intervention period.</p> <p><strong>Conclusion. </strong>The educational intervention was effective in preventing urinary tract infections in the elderly. The increased knowledge acquired by nurses and caregivers was associated with a reduction in the infection rate and an improvement in the most prevalent modifiable factors for the development of this type of pathology.</p> João Luis Almeida da Silva Myria Ribeiro da Silva Talita Hevilyn Ramos da Cruz Dulce Aparecida Barbosa Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e05 Development and Validation of the Companion's Satisfaction Questionnaire of Patient's Hospitalized in Intensive Care Units https://revistas.udea.edu.co/index.php/iee/article/view/356798 <p><strong>Objective</strong>. The current study aimed to develop and validate of companions’ satisfaction questionnaire of patients hospitalized in ICUs.</p> <p><strong>Methods.</strong> This is a methodological study that was performed in three phases: In the first phase, the concept of companion's satisfaction of patients hospitalized in ICUs was defined through qualitative content analysis method. In the second phase, early items of questionnaire were generated based on findings of the first phase. In the third and final phase, validation of the questionnaire was evaluated using face, content and construct validity as well as reliability.</p> <p><strong>Results</strong>. In exploratory factor analysis, three subscales including: satisfaction with nursing staff communication (5 items), satisfaction with nursing care (12 items), and satisfaction with decision making (5 items) were extracted by Eigen value above one and factor load above 0.5. Internal consistency and stability of the developed questionnaire confirmed with 0.94 and 0.95 respectively that indicated acceptable reliability.</p> <p><strong>Conclusion</strong>. The 22-item developed questionnaire is valid and reliable for measurement of levels of companion's satisfaction of Iranian patients hospitalized in ICUs.</p> Ali Dehghani Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e09 Factors associated with the health and reproductive autonomy of Quilombola women in Brazil https://revistas.udea.edu.co/index.php/iee/article/view/356799 <p><strong>Objective. </strong>To verify the association between reproductive autonomy and sociodemographic, sexual, and reproductive characteristics in Quilombola women (a term indicating the origin of politically organized concentrations of Afro-descendants who emancipated themselves from slavery).</p> <p><strong>Methods. </strong>Cross-sectional and analytical study with 160 women from Quilombola communities in the southwest of Bahia, Brazil. Data were collected using the Reproductive Autonomy Scale and the questionnaire from the National Health Survey (adapted).</p> <p><strong>Results. </strong>Out of the 160 participating women, 91.9% declared themselves as black, one out of every three were aged ≤ 23 years, 53.8% were married or had a partner, 38.8% had studied for ≤ 4 years, over half (58.1%) were unemployed, only 32.4% had a monthly income &gt; R$ 430 (80 US dollars), 52.5% had their first menstruation at the age of 12, 70.7% had not accessed family planning services in the last 12 months, and over half used some method to avoid pregnancy (59.0%). The women had a high level of reproductive autonomy, especially in the "Decision-making" and "Freedom from coercion" subscales with a score of 2.53 and 3.40, respectively. A significant association (<em>p</em>&lt;0.05) was found between the "Total reproductive autonomy" score and marital status, indicating that single or unpartnered women had higher autonomy compared to married or partnered women.</p> <p><strong>Conclusion. </strong>The association of social determinants of health such as marital status, education, and age impacts women's reproductive choices, implying risks for sexual and reproductive health. The intergenerational reproductive autonomy of Quilombola women is associated with sociodemographic and reproductive factors.</p> Gabriela Cardoso Moreira Marques Silvia Lucia Ferreira Eliana do Sacramento de Almeida Paloma Leite Diniz Farias Sânzia Bezerra Ribeiro Edméia de Almeida Cardoso Coelho Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e10 Construction and validation of an Entrepreneurship Measurement Instrument for nursing students https://revistas.udea.edu.co/index.php/iee/article/view/356801 <p><strong>Objective</strong>. To develop a valid and reliable scale to measure entrepreneurship competences of nursing students, by assessing the level of development of diverse entrepreneurship dimensions.</p> <p><strong>Methods</strong>. An Entrepreneurship Measurement Instrument, Catalonia (IME.Cat) was constructed, by adapting two existing instruments, and a psychometric study was performed to address the validity of the content and the construct, and the reliability. The internal consistency and the discrimination capacity of the instrument’s items were examined.</p> <p><strong>Results.</strong> The IME.Cat scale showed a high reliability (α=0.89) for the complete set of items. The Cronbach’s α value of the individual dimensions were: Problem management=0.78; Creativity=0.76; Personal confidence =0.64; and Risk acceptance =0.46. The corrected homogeneity indices for each of the item in the instrument were high (&gt;0.40). The Confirmatory Factorial Analysis validated the proposed structure of the items according to dimension.</p> <p><strong>Conclusion</strong>. The IME.Cat scale showed solid psychometric values for assessing the entrepreneurship competences of nursing students within its dimensions, which are fundamental for the professional development of nursing.</p> Isabel del Arco Bravo Mercé Muñoz Gimeno Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e12 The Effect of an Educational Intervention Based on the Health Action Process Approach on Nurses’ Communication Skills https://revistas.udea.edu.co/index.php/iee/article/view/356802 <p><strong>Objective</strong>. This study aimed to the effects of the Health Action Process Approach (HAPA) in promoting the quality of nurses' communication skills among nurses.</p> <p><strong>Methods</strong>. The present quasi-experimental research was conducted on 148 nurses (76 in the intervention and 72 in the control group) in Yazd province (Iran). &nbsp;In this study, the total number of nurses in one hospital was selected as the intervention group, while the nurses from another hospital were chosen as the control group. The participants were recruited from public hospitals in Ardakan and Meibod cities. The data collection instrument was a questionnaire based on the Health Action Process Approach (HAPA) Constructs and a communicative skill questionnaire. The data were collected from the two groups before, one month after, and four months after the intervention. The control group did not receive any educational training during the course of the study.</p> <p><strong>Results</strong>. In the pretest, no statistically significant difference was found between the intervention and control groups regarding the behavioral stages of effective communication with patients. In the posttest, the mean task self-efficacy score was significantly increased in the intervention group compared to the control (<em>p</em>&lt;0.001). The mean coping self-efficacy score was also significantly higher in the intervention group than the control in the posttest (<em>p</em>&lt;0.001). Moreover, the mean coping planning score was significantly increased in the post-test intervention group(<em>p</em>&lt;0.001).&nbsp; The mean communicative skill score was also significantly increased in the intervention group compared to the post-test control (<em>p</em>=0.03).</p> Mojtaba Fattahi Ardakani Ahmad Sotoudeh Ali Asadian Sara Heydari Moradali Zareipour Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e13 Investigation of environmental ethics, spiritual health, and its relationship with environmental protection behaviors in nursing students https://revistas.udea.edu.co/index.php/iee/article/view/356803 <p><strong>Objective. </strong>To investigate the relationship between environmental ethics, spiritual health, and environmental behavior among nursing students.</p> <p><strong>Methods.</strong> In this cross-sectional study, 200 iranian students from the Chabahar Nursing School were selected using a simple random sampling method. The data collection tool included a questionnaire on demographic information, knowledge, attitudes and behaviors towards the environment, environmental ethics, and spiritual health. Partial least squares structural equation modeling (PLS-SEM) was utilized to evaluate the conceptual framework in this study.</p> <p><strong>Results.</strong> The mean score for environmental ethics among nursing students was 65.73±10.61 out of 100. Most of the students (47%) had desirable environmental ethics. The knowledge structure (β=0.46) predicted attitude. The attitude structure also predicted environmental behavior (β=0.28) and spiritual health (β=0.31). Ultimately, the results showed that spiritual health and environmental ethics predict environmental behavior directly and indirectly (<em>p</em>&lt;0.001).</p> <p><strong>Conclusion.</strong> Spiritual health and environmental ethics were strong predictors of environmental behavior. Therefore, it is necessary to take into account not only students' spiritual health but also their ethical behaviors to promote environmental protection behaviors in the future.</p> Mohammad Saeed Jadgal Abdulwahid Bamri Mojtaba Fattahi Ardakani Nasir Jadgal Moradali Zareipour Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e14 Invisibility and devaluation of nursing work: related factors and coping strategies https://revistas.udea.edu.co/index.php/iee/article/view/356788 José Jeová Mourão Netto Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e01 An Analysis of Approaches to Reduction of HIV Stigma across the World through educational interventions: A Scoping Review https://revistas.udea.edu.co/index.php/iee/article/view/356795 <p><strong>Objective.</strong> To determinate the educational interventions for reducing the stigma caused by HIV worldwide.</p> <p><strong>Methods.</strong> This scoping review study analyzed all papers published from early 2000 to the end of 2022 by searching all the scientific databases, Scopus, Web of Science, PubMed, Cochrane, Embase and CINHAL. The quality assessment of the papers was done using the ROBIS tool checklist.</p> <p><strong>Results.</strong> 31papers were admitted to the scoping review process. Stigma reduction intervention was founded on three parts: Society, health and therapeutic services providers, and the patients who had HIV and their families. The interventions included education on the reduction of fear, and shame, observation of protective standards, conducting tests and treatment at the above levels, as well as the support provided by the society, policymakers, religious leaders and families of patients in economic, psychological and cultural terms, together with the establishment of social centres and organization of campaigns.</p> <p><strong>Conclusion.</strong> The stigma associated with HIV is a significant obstacle before treatment, life expectancy and living quality of patients. Therefore, the stigma associated with this disease can be reduced, and the living quality of patients can be raised using approaches such as education of healthcare service providers and afflicted people, as well as economic, social, cultural, and psychological support.</p> Hamideh Ebrahimi Foroozan Atashzadeh Shoorideh Mohammad Reza Sohrabi Masoumeh Ebrahimi Meimanat Hosseini Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e06 Patient Repositioning during Hospitalization and Prevention of Pressure Ulcers: a Narrative Review https://revistas.udea.edu.co/index.php/iee/article/view/356796 <p><strong>Objective</strong>. This article presents a literature review to explore and analyze the current situation of pressure ulcers or lesions or decubitus ulcers, pathophysiological, epidemiological aspects, and risk factors. The progress in evidence of the effectiveness of preventive repositioning in the appearance of these lesions in vulnerable hospitalized patients is also evaluated.</p> <p><strong>Methods</strong>. Databases were reviewed in non-systematic manner, including the Cochrane Wounds Specialized Register; Medline, Scopus, PubMed, the Cochrane Central Register of Controlled Trials; MEDLINE (Ovid); EMBASE (Ovid), Web of Science, SciELO, and Lilacs. The general search terms included [pressure ulcers or pressure lesions or decubitus ulcers] and [prevention or preventive] and [repositioning or positioning or position changes or postural change] and [patient at risk or vulnerable] and [hospitalized or ICU or intensive care]. Systematic literature reviews, randomized clinical trials, observational studies, cost-effectiveness and qualitative studies in English or Spanish were included.</p> <p><strong>Results.</strong> Although globally, the incidence, prevalence, and years of disability associated to these lesions has diminished between 1990 and 2019, the high impact on health persists. Evidence found on the effectiveness of repositioning in preventing pressure ulcers and health associated costs has been evaluated with certainty between low and very low, as a result of conducting research with serious methodological limitations that report results with high inaccuracy.</p> <p><strong>Conclusion. </strong>The findings reported present that these lesions persist at hospital level and continue being a global social and health problem with high impact on health budgets. Likewise, there is a need to develop greater quality research on prevention strategies, such as repositioning, which validate their effectiveness, and justify their use.</p> Olga L. Cortés Skarlet M. Vásquez Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e07 The effect of Orem self-care model on the improvement of symptoms and quality of life in patients with diabetes: A scoping review https://revistas.udea.edu.co/index.php/iee/article/view/356797 <p><strong>Objective</strong><strong>: </strong>to evaluate the association of Orem self-care model improvement of symptoms &nbsp;and quality of life in patients with diabetes.&nbsp;</p> <p><strong>Methods.</strong> A scoping reviewwas carried on bibliographic databases: PubMed-Medline, Scopus, SID and Magiran. The inclusion criteria encompassed studies examining the impact of the Orem self-care model on diabetic patients. Studies considered for inclusion needed to have full-text availability and be written in either English or Persian, with key words including “Models”, “Nursing”, “Quality of Life”, and “Diabetes Mellitus”. CONSORT checklist and STROBE statement were selected for quality assessment.</p> <p><strong>Results. </strong>A total of 9 studies were included, all using quantitative methodology and focusing on adults or older adults. The majority of articles focused on quality of life and diabetic symptoms. 8 studies showed positive outcomes after implementation of the model. The findings indicate that this model led to an enhanced level of self-efficacy, improved quality of life, and better self-care practices among diabetic patients.</p> <p><strong>Conclusion. </strong>Orem self-care model can reduce the diabetic symptoms and improve the quality of life, self-efficacy and self-care in these patients.</p> Mohammadamin Jandaghian-Bidgoli Sheida Jamalnia Marzieh Pashmforosh Negin Shaterian Pouriya Darabiyan Alireza Rafi Copyright (c) 2024 Investigación y Educación en Enfermería https://creativecommons.org/licenses/by-nc-sa/4.0 2024-04-02 2024-04-02 42 1 10.17533/udea.iee.v42n1e08