Importance of nursing care management in the care of patients with a diagnosis of Von Willebrand disease in Colombia
Introduction Von Willebrand’s disease is considered one of the most frequent hereditary bleeding disorders, which is characterized by a quantitative, qualitative, or functional defect of the Von Willebrand factor (VWF) level, which causes difficulties for the healing process. hemostasis. It is classified into three types: Type I, Type II and Type III affecting the female and male population to the same extent. For this reason, they require specific care interventions by the nursing professional to guarantee the maintenance of health and prevent the risk associated with bleeding complications. during their life cycle. Methods A bibliographic review of the subject was carried out through various online databases such as Scielo, Dialnet, PubMed, Elsevier. Where it was possible to show that there are currently no articles that specifically abound in nursing care for patients diagnosed with Von Willebrand disease. Reason why this article was built based on experience and taking into account It has medical literature where the concept, diagnosis and treatment of Von Willebrand disease is addressed, the starting point to establish the interventions of the nursing care plan. Objectives To carry out a review on the essential aspects to achieve adequate care management in patients diagnosed with Von Willebrand disease. Results The perception and definition of care is different according to the appreciation and experience in the field of each nursing professional, however there is a common point regarding the need to guarantee the maintenance of health and guarantee prevention. of risk through each of the proposed care interventions. Conclusions In order to guarantee the ideal care management for patients with a diagnosis of Von Willebrand disease, it is necessary for the nursing professional to prepare a care plan that is mainly focused on the assessment of patterns and analysis of each one of them. the priority needs. To carry out the adaptation of the necessary proposed interventions and thus guarantee the maintenance of health and the prevention of the risk associated with their disease.
Prevalence of SARS-CoV-2 infection in the nursing staff of the Santa Monica hospital in the municipality of Dosquebradas 2020 and 2021
ABSTRACT During 2020 and 2021 SARS CoV2 (COVID-19) affected about 570,000 health care workers and 2,500 have died from COVID-19 in the Americas(1). Objective To determine the prevalence of infection by Coronavirus (COVID-19) in the nursing staff of the Santa Monica hospital in the municipality of Dosquebradas during 2020 and 2021. Method It was a descriptive observational study, an instrument owned by the WHO was applied, using 7 of the 10 variables that are: identification and basic information, exposure to patients with (COVID-19), symptoms of the health worker, respiratory symptoms, radiological report, treatment - medications, pre-existing ailments of the health worker. Results The prevalence of infection was 22.3% during 2020 and 2021, also highlighting that 60% of the personnel interviewed corresponded to workers dedicated to COVID patients, female gender in 96%, with lack of training in the care and management of the COVID patient in 24% of the population; and with presence of constant symptom in exposed employees, such as sore throat in 60%. Conclusions The causal epidemiological triangle. Regarding the host, SARS COV2 infection prevailed in nursing assistants. In the environment, it was possible to determine that the prevalence of SARS COV2 infection was in the Santa Monica institution due to the collapse of the service, highlighting that 76% of the personnel received training on COVID-19 positive patient care. Regarding the agent, more than half of the study population was present in COVID-19 positive patient procedures, which substantially increased the risk of infection by the SARS COV2 virus, since the source of infection is through respiratory particles.
Instruments for assessing family functioning: an integrative review
Introduction For family assessment in terms of its context, dynamics and functioning, several evaluation instruments have been developed in recent years, but currently there is no review in the scientific literature that would allow the compilation and visualization of instruments that measure family functionality and are validated for the Latin American region. Objective To identify instruments that assess family functioning and are validated in Latin America in Spanish. Methodology An integrative review was carried out using the following descriptors: family health, psychometrics, family nursing, nursing, using in the search strategy the Boléan operators OR and AND in English and Spanish, using the following databases: Virtual Health Library (BVS), Cochrane, Science Direct, Redalyc, Google academic. Results Twelve articles were finally retained which were developed in Colombia, Peru, Uruguay, Mexico, Chile and Argentina, one in each country; these studies were published between 2002 and 2017. The studies performed tests such as KMO, Bartlett test and Cronbach’s Alpha. The instruments reported and validated to local contexts are the Family APGAR, FACES III and IV and ASF-E. Conclusion There is a need for further development of reliable and validated instruments for Latin America and their application in local contexts, which will make it possible to generate more accurate information for effective family intervention actions and adequate decision making.
Approach to the prevention of the use of psychoactive substances from the knowledge, attitudes, and practices of active consumers
Objective To determine the knowledge, attitudes, and practices related to the consumption of psychoactive substances, alcohol, and tobacco in young consumers in the municipality of San Gil to generate strategies for the prevention of consumption. Methodology The research carried out was a cross-sectional study in which collected data through a validated and commonly used survey, consisting of 43 questions and divided into three parts, the first of knowledge, the second of attitudes and the third of practices, which was applied to young people between 18-27 years of age. age of the different neighborhoods of San Gil. Results The survey was answered by 140 volunteers, with a majority participation of women, indicating that the greatest consumption occurs in substances such as alcohol and tobacco. Discussion There has been evidence of an early onset of both cigarette and alcohol consumption and by the influence of a family member, so it is believed that the main prevention strategies should be aimed at education in the family. Conclusions The consumption of psychoactive substances has become a big problem nowadays since their naturalization has made us lose sight of the complications that they can have at the level of physical and mental health, therefore, the educational-preventive approach is urgent to alleviate this difficult health situation.
“Mom, dad, i’m pregnant”: the father’s and the pregnant adolescent mother’s experience
Objective To know the experience of the role of the father and mother of pregnant adolescents in the family. Methodology Study with a qualitative approach that seeks to describe, explain, and learn about a real- life phenomenon. The collection of information made it possible to capture a total of 12 pregnant adolescents and 15 interviews, with a transcript of more than 11 hours of dialogue. The analysis used familiograms, content analysis, and interpretive analysis, as well as some of Krippendorff ’s guidelines. Findings Multiple factors that predispose to early pregnancy were found in the context of families, such as structure, family diversity, forced displacement, a history of multiple partners on the part of the parents, and a history of intrafamily violence. Reducing the information with content and interpretive analysis made it possible to obtain 6 final categories that described the experience of the role of the pregnant adolescent father and mother. Conclusions This research allows us to conclude that adolescent pregnancy is an unexpected process within the family, where adolescents must assume a role for which they are not prepared. It is an experience strongly marked by family genetics, that is, the context of adolescents and their experiences, including the way in which they find out about the pregnancy, how they tell the news, the acceptance and support of their family, and the feelings that this brings with it.
Evidence of the nursing professional during the pandemic
Objective Identify the management of the nursing professional from the safety of the patient in times of pandemic. Materials and methods Literature review of articles published in scientific databases. Seventeen were selected from Science Direct, Proquest and others. Results A shortage of personnel, a shortage of protection elements and supplies, a lack of adequate protocols, little knowledge and experience in critical care and great work overload were found, with repercussions on performance, the health of professionals and comprehensive and safe care at covid-19 patient. Conclusion Despite the weakening and saturation of health systems, and the adversities presented to their professionals, the nursing response in the first line of care was immediate and their management showed leadership, commitment and dedication, which was crucial for the care integral and provide a quality and safe service to the patient.
Knowledge of nursing professionals in the care of people who have elimination ostomies
Objective Identify what is the knowledge of the professional nurses for taking care adequately of removal ostomies. Methodology he next integrative literature review study is developed using the PICO strategy for the consolidation of the investigation’s question, in addition to 6 inclusion criteria and 3 of exclusion. This for consolidating a database with 28 articles among the 210 documents found in the entire process of searching. Results The investigation allowed the identification of the most common weaknesses and shortcomings made in the care of ostomized patients. Through the discussion of the findings, it is identified the adequate knowledge required in the handling of removal ostomies. This procedure is composed of 3 pillars: the training, the professional doing, and the educational training. Conclusions In this way, the professional nurses will be able to take into account some key aspects at the time of developing an effective self care plan.
Objetive To analyze through a review of the scientific literature aspects inherent to the difficulties, tools and coping capacity of ostomized patients at the time of resuming their daily activities, their interaction with people and their acceptance with themselves. Methodology The methodology used consisted of a descriptive review of 40 articles published in specialized journals, published between 2012 and 2021, on issues of patient adaptation to ostomy surgery. Result Papers that, after being analyzed, and passed through a medical discussion, result in four clearly delimited subcategories such as the description of the patients, the image of the condition, the way of coping with the new reality, and the present and future repercussions on their body and mental state. Situations that in the light of the bibliographic research allow to discover, confront and present a proposal on the human capacity of coping by medical intervention. Conclusion It is concluded that, be it digestive ostomy, gastrostomy, tracheotomy, ulcerative colitis, Crohn’s disease, and other related ones, are manageable operations according to the social, economic, affective and mental condition of the patient, just as it is impossible to avoid the emergence of negative attitudes related to surgery; However, there is knowledge and procedures to intervene in the situation, demonstrating that any reality derived from a surgery of this type can lead to a favorable situation, both for the patient, as well as the medical staff and the family of the intervened person.
Breastfeeding and oral health of children under two years of age: literature review
Introduction Children depend on their caregivers for their development and growth, they influence the creation of habits related to their oral health. The aim was to carry out a descriptive review of the scientific literature on breastfeeding and the oral health of children under 2 years of age. Methodology Original articles published between 2011 and 2020 (until August) were included. Seven databases were selected, the keywords were validated in thesauri, 45 articles were selected. Results Main findings by category: 1) growth and development: alterations of physiological spaces and deforming oral habits were reported; 2) oral hygiene habits: lack of knowledge was evidenced in mothers regarding the oral hygiene of their babies, among other issues; 3) oral conditions: the presence of a cariogenic diet, the use of a bottle and night-time breastfeeding without hygiene are determinants of caries, it was detected that children can suffer pathologies when exclusive breastfeeding is interrupted; 4) breastfeeding: lack of training causes mothers to be unaware of techniques and benefits of breastfeeding, so they abandon it prematurely; 5) health education: interventions reported they improved knowledge and practices, mainly on breastfeeding. Conclusion Most research focuses on mothers and ignores the role of the father and other caregivers. It is necessary to educate in breastfeeding, dentomaxillofacial growth and development, oral pathologies at an early age, and the relationship between oral health and systemic diseases.
Sense of self-efficacy and occupational demands in elementary school students
Objective To determine the sense of self-efficacy and its influence on occupational demands (sequencing and time) in elementary school students. Methodology Through a quantitative approach with a descriptive correlational scope, interviewing 30 students from a private institution in the municipality of Pamplona, between the ages of 5 and 11 years old. Results In order to respond to the relationship between sense of self-efficacy and occupational demands, a sociodemographic card and the COSA occupational self-evaluation instrument for children were applied, allowing to obtain specific characteristics and data regarding the self-efficacy and routines of the schoolchildren. According to this research, a considerable percentage of the students present difficulties in maintaining attention and concentration, in participation and social skills, lack of motivation, lack of interest, tiredness, exhaustion, drowsiness, stress, lack of balance and self-control, disorganization of routines that have repercussions in the execution of daily life activities, participation in occupations, in academic performance and performance. Conclusions Thirty students were characterized through the application of the sociodemographic card, identifying social, economic and cultural characteristics, finding in the users the destructuring of habits and routines, thus interfering in their leisure and free time. It was possible to determine the low level of motivation presented by the great majority of the population in the execution of daily life and academic activities.
Risk level of health care personnel with regard to alcohol consumption in two health care institutions in Colombia
Introduction Alcohol consumption is a social situation with wide acceptance, which represents in its consequences an important risk factor for the burden of disease, mortality, accident and affectations in the work environment. The causes of this consumption are related to psychological, emotional and social aspects that occur in work activities, family relationships or social interaction. Objective To describe the level of risk related to alcohol consumption in health teams of two institutions in Colombia in 2019. Methodology Cross-sectional descriptive study that sought to determine alcohol consumption in health personnel in two health institutions in Bogota and Tolima, which included 44 members of the health team and the AUDIT instrument was applied to them after signing informed consent. The statistical analysis included the use of descriptive and inferential statistical techniques and the chi-square test was applied. The data were analyzed in stata version 12.0. Results 88.7% of the health team members of the two institutions had a low consumption risk level or were abstainers; the female sex presented the highest percentage of high-level consumption (80%), with the group aged 28 to 32 years being the one with the highest consumption. Conclusion The identification of alcohol consumption in members of the health care team should be a priority to allow the design of strategies for the prevention and mitigation of the risks derived from consumption for the team and the users.
Nursing interventions in women surviving breast cancer: an integrative review
Introduction This article describes the state of the art on the subject: nursing interventions developed by nurses to women survivors of breast cancer. Methodology The integrative review method was used to systematically examine the published nursing literature on nursing interventions in breast cancer survivors. The literature review was carried out between the months of January - December 2019. The data sources for this review included: scientific databases. Whittemore’s footsteps were followed. Medline, Ebsco, Embase, Science Direct, Web of Science, Scielo, lilacs, Scopus, Epistemonikos and Google Scholar databases were reviewed; secondary literature was obtained from reading the bibliographic references of primary sources. The descriptors used were nursing, breast cancer, breast cancer, intervention, survivor and the total of articles analyzed after the selection process was 15. Results This integrative selection process yielded different interventions associated with related work in breast cancer survivors, developed by nurses. Many of them do not refer effects related to the sample calculation. Conclusions Nurses can help breast cancer survivors reduce signs and symptoms by using multiple interventions that focus on stress reduction, use of cognitive-behavioral techniques, complementary therapies, yoga, exercise, diet management to achieve positive changes and improving the quality of life of the participants. It is suggested to continue with the development of experimental studies.
Topical use of breast milk compared with traditional treatments for the healing and care of different types of skin and mucous lesions
This article arose as an academic need to publicize the different uses of breast milk in skin and mucosal lesions thanks to its healing properties and curative components against infectious agents. In this critical literature review of the last five years (2015-2020) in national and international databases, it is prevented to identify that the different skin and mucosal lesions are a major health problem: since they impair the quality of life of patients and their integrity appears, with a negative impact on their families and caregivers, increasing the consumption of resources and costs due to its high prevalence.
Aportes de la bioética a los procesos de construcción social que velan por la calidad y el cuidado de la salud en la escuela
Adherence in the management of arterial hypertension in patients of the subsidized regime. Barranquilla, Colombia.
Objective To establish adherence to treatment for the management of arterial hypertension in patients of the subsidized regimen in the District of Barranquilla - Colombia. Methods Descriptive, analytical cross-sectional study, with application of the CAT-HTA of Varela 2010. The sample was made up of 400 individuals from the cardiovascular risk program of the subsidized regime in Barranquilla. The analysis was performed with STATGRAPHIC Centurión 18 and the R statistic. Results 76% of the sample were female, with an average age of 63.52 years, and an average evolution time of 9.59 years. The degree of adherence according to Varela was 32%. There is no evidence of statistical significance between the sociodemographic characteristics and the degree of adherence. Conclusion/Final considerations Adherence in the study population was not optimal. Understanding and managing the factors that determine adherence can help strengthen monitoring programs for hypertensive patients.
Spiritual care educational intervention for undergraduate nursing and midwifery students.
For nursing students, training in spiritual care is essential to identify and satisfy their own spiritual needs and those of the people they will care for; the spiritual dimension is inherent to the human being, and to address it requires knowledge that leads to reflection and interest in care from an integral perspective.
Impact of control management and social coexistence based on SARS CoV2 seroprevalence in pandemic, Colombia
The proportion of asymptomatic people largely accounted for the cause of infections at the beginning of the SarsCov2 pandemic. The general population followed the same diagnostic route and infection mitigation measures, however, it was neither sufficient nor comprehensive, so in retrospect its scientific meaning is questioned.
Risk factors for cesarean sections in indigenous adolescents in a department of Colombia in the period 2020 – 2021
Objective To determine the risk factors that affect pregnancy in adolescents between 12 and 17 years of age from indigenous communities, treated at a hospital in the Department of La Guajira during the period 2020-2021. Materials and methods Descriptive study in order to determine the main risk factors that can affect pregnancy and that are the reason for consultations or causes of referral to be treated promptly in a hospital in the region, 100 were taken into account. medical records that met the requested information using the categories of; age of the pregnant woman, assistance to pregnancy control, presented diseases related to pregnancy and remission Results It is highlighted that when comparing the years it is found that unspecified anemia is maintained and urinary infections and vaginitis increase from one year to the next, the above is accompanied by little attendance at prenatal controls. Conclusions Pregnancy in adolescence continues to be one of the main factors that contribute to maternal and child mortality and increases the cycle of disease and poverty, with greater emphasis on indigenous groups. This is a crucial aspect due to its importance in the areas of maternal and reproductive health. Therefore, recent studies show high infant mortality rates, as well as systematic gaps between ethnic groups.
Beliefs about breastfeeding and Covid-19 in puerperal women in an IPS-Barranquilla
Objective During the COVID-19 pandemic, changes were established in the health situation worldwide, which caused changes in the daily life of women in puerperium, this could affect the practice of breastfeeding, the objective of the present study was to describe the beliefs about breastfeeding against Covid-19 in puerperal women in a Health Institution in Barranquilla 2021-2022. Methodology Qualitative descriptive study with an ethnographic approach, sampling by relevance and adequacy, one of the principles that guided the study was saturation. Seven hospitalized puerperal women participated as key informants, and 4 people from the nursing team as general informants. The collection and analysis of the information was carried out using the data analysis guide of the ethno-nursing phases, proposed by M. Leininger and in-depth interview. Results Four topics were identified: knowledge about breastfeeding against COVID 19, breastfeeding and fear of the risk of COVID 19, protecting my son from COVID -19, support I receive against COVID 19 and breastfeeding. Conclusions The results reveal that puerperal women have beliefs regarding the practice of breastfeeding in a coronavirus pandemic situation, the findings allow obtaining specific knowledge that guides care strategies consistent with the current situation.
Adhesives and medical devices: skin injuries
Objective To analyze bibliographic information related to the main injuries caused by tissue adhesives, and the management of medical devices. Methodology Documentary review during the months of May, June and July of 2018 exhaustive search of 68 articles in different databases such as PubMed, Scielo, elsevier, Direct, FECYT, Embase, Ovid Nursing and Medline, with search criteria such as skin lesions and injuries by medical devices of which 50 were taken into account as inclusion method the year (no more than 6 years of publication) and the pertinence in the topic of skin lesions by adhesives and clinical devices. Results The most common skin lesions are: allergic reactions and injuries derived from unsafe acts that alter the safety and well-being of the patient, derived from the practices by medical and nursing staff. Conclusions the use of tissue adhesives and devices for clinical use, foresees a problem that must be treated with education and prevention strategies
Alcohol consumption is a social situation with wide acceptance, which represents in its consequences an important risk factor for the burden of disease, mortality, accident and affectations in the work environment. The causes of this consumption are related to psychological, emotional and social aspects that occur in work activities, family relationships or social interaction.
Knowledge and application of the patient safety policy by the nursing staff, for the prevention and reporting of medical errors in a second level hospital in Cundinamarca
Objective To determine the effect of an educational intervention on the knowledge and application of the patient safety policy by the nursing staff, for the prevention and reporting of medical errors in a second level Hospital in Cundinamarca. Methodology Quantitative, quasi-experimental study with pretest-posttest single group design. 40 participants within the nursing staff of the different services of the Hospital; this research considered the ethical considerations for health research. A pretest and posttest were elaborated based on the statistical report of the most frequent Medical Errors (ME) and the educational intervention, and a paired U Mann-Whitney test was applied. Results With this study it can be affirmed that the existence of ME’s at the assistance level is caused by unsafe actions in care, executed by health professionals in the midst of the high workload. With the pairing of the pre- and post-test, no significant differences were obtained, but it can be inferred that the implementation of educational strategies is an important support in the performance of the different procedures for the prevention of ME. Conclusion It is affirmed that nursing care has implicit in their work, the prevention of medical errors, these must be articulated in turn with the availability of institutional resources (human, infrastructure, and materials, among others) that strengthen the patient safety policy, reduce the risk of incidents, and promote quality care and safe care.
Proposal for an improvement strategy in the processes of adherence to patient safety programs as a guarantee of quality in health at the María Inmaculada Hospital in the municipality of Rioblanco Tolima - 2021
Patient Safety implies the permanent evaluation of the risks associated with health care, which is why the need for the ESE Hospital María Inmaculada de Rioblanco Tolima to constantly design and implement the necessary safety barriers to provide care is inherent and important. of quality, reduce and eliminate all the risks associated with care in healthcare areas, this proposal
Knowledge patterns in the narration of nursing care
Knowledge patterns are a way of explaining constant phenomena of situations that address social problems, for the nursing profession they are the constant way of expressing manifestations of the profession, they also influence professional practice, but also allow addressing the professional practices of nursing from the narratives that are a way to explain these social experiences or related to nursing care.
Hospital triage for nurses: Between uncertainty, overload, and disagreements
Qualitative study, the participants were nurses who performed hospital triage in the city of Medellín Colombia.
Competence for care and perceived social support in caregivers of people with cerebrovascular disease
Las enfermedades cerebrovasculares son una de las principales causas de mortalidad, morbilidad y discapacidad en el mundo según la Organización Mundial de la Salud, al igual que para América Latina y Colombia, generando una gran carga de tipo económica y social para los sistemas de salud, para las personas y familias que lo padecen, los cuales no se encuentran preparados para la atención de este fenómeno.
Desde Florence Nightingale y la guerra de Crimea hasta la pandemia por SARS-CoV- 2
La Guerra de Crimea, hace parte de aquel momento histórico que nos recuerda el nacimiento de la enfermería; por aquella época una mujer se destacó por su lucha incansable por mejorar las condiciones ambientales de los hospitales del ejército británico; acciones que sirvieron para demostrar que el cuidado por el entorno, el bienestar y la dignidad de las personas, tiene efectos positivos en las condiciones de vida y salud de la población. Gracias a su trabajo, por primera vez, las tropas regulares fueron tratadas con decencia y respeto, y muchos de los soldados heridos en combate pudieron salvarse de morir.
Extracellular matrix of small intestine submucose (mec-sid; sid) as a versatile biomaterial in regenerative medicine based on tissue engineering
Over the past decades, the small intestine submucosa (SID), a naturally occurring decellularized extracellular matrix (ECM), has attracted attention in tissue repair because it can provide abundant bioactive factors and a three-dimensional biomimetic microenvironment to induce the functions desired cell phones. This article reviews the latest research on SID, which focuses on the following aspects: main superiority as remarkable bioactivity, low immunogenicity, resorbability and recellularization capacity. It is reported how the adhesion, proliferation, migration and differentiation of cells is influenced when they are deposited on this support, due to its characteristics. The great potential of this biomaterial is presented to solve the bottleneck problems found in the repair of various tissues, making it an excellent biomaterial for use in regenerative medicine based on tissue engineering.
Cases report on the use of tranexamic acid to reduce perioperative bleeding in liposuction and abdominoplasty
Objective: To evaluate the effectiveness of tranexamic acid in reducing perioperative bleeding in liposuction and abdominoplasty. Introduction: Liposuction and abdominoplasty are two of the most common aesthetic surgeries done in the world. One of the most frequent complications of these procedures is the perioperative blood loss, which has negative effects on the recovery of the patients after de surgery. For this reason, it is important to search for new possibilities that reduce blood loss during this type of surgery. Methods: We present a retrospective case series report in which 1 gram of tranexamic acid was applied to a group of patients before the surgery. Later we reviewed and compared an hemogram taken before and after the surgery. Additionally, we evaluate if the patients required transfusion of blood after the procedure. Results: A population of 37 female patients was obtained. None of the patients presented a postsurgical hemoglobin lower than 8 g/dl nor required transfusion of blood products after surgery. A Spearman correlation was performed between the variables, in which there was no evidence of an association between lipoaspirate and hemoglobin or postoperative hematocrit. Conclusion: The tranexamic acid is a drug that can be useful for reducing perioperative blood loss in liposuction and abdominoplasty, because none of the patients involved in the required transfusion of red blood cells.