Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Highlights Lifestyles are considered the most influential factors in maintaining individual health. Academic life leads to changes in self-care routines that may persist over time, negatively impacting students’ health and academic performance. Inadequate lifestyles among health students have been shown to influence their intention to promote self-care in patients and patients’ adherence to the provided recommendations. Unhealthy behaviors predominated among nursing students in four of the six lifestyle dimensions assessed. Introduction: Lifestyles comprise the set of habits and behaviors that influence individuals’ health and well-being. When not properly adopted, they can contribute to the development of chronic diseases and a decline in quality of life. Objective: To describe health-promoting lifestyles among nursing students at a public university in the Province of Buenos Aires, Argentina, in 2024. Materials and Methods: An analytical, cross-sectional, quantitative study was conducted. The study included 314 nursing students who completed Nola Pender’s Health-Promoting Lifestyle Profile - II. For the inferential analysis, Student’s t-tests, ANOVA, and Pearson’s correlation test were applied. Results:  Respondents had a mean age of 27.04 years (SD = 8.11); most were female (86.62%), single (76.43%), childless (73.25%), working (55.41%), and enrolled in the fourth year of the program (24.52%). Healthy ratings were observed in the dimensions of Spiritual growth and Interpersonal Relations, while the remaining dimensions were rated as unhealthy. The average lifestyle score was 124.97 points (SD = 20.49), equivalent to 60.08% of the instrument’s total score. A total of 78.66% of respondents had a lifestyle categorized as regular. Discussion: It is necessary to implement interventions aimed at strengthening self-care practices among nursing students and identify the associated factors. Conclusion: Most of the respondents exhibited a regular lifestyle with high levels of physical inactivity, overweight, poor dietary habits, and inadequate stress management. How to cite this article: Canova-Barrios Carlos Jesús, Mangano María Alejandra, Mercado Sara Leonor. Health-promoting lifestyles among nursing students from Argentina. Revista Cuidarte. 2025;16(2):e4614.  https://doi.org/10.15649/cuidarte.4614

Highlights The increase in the number of critically ill patients receiving ECMO therapy highlights the urgent need for specific training of nurses in this therapy. There is limited understanding of nurses' learning experiences during ECMO training. Nursing training programs need to be standardized and cover everything from theoretical knowledge and clinical skills to socio-emotional competencies. Practice in real and simulated clinical environments enables nurses to be prepared to manage complex situations related to ECMO therapy. Introduction: In 2023, over 20,000 extracorporeal membrane oxygenation (ECMO) therapies were performed worldwide, underscoring the growing need for trained professionals in this intervention. However, standardized ECMO training programs for nurses remain limited and inconsistent.  Objective: To explore professional nurses' learning experiences in ECMO therapy.  Materials and Methods: A qualitative, instrumental case study design was employed with nine ECMO nurses in Colombia, using semi-structured interviews. Thematic analysis was used to identify key themes that emerged from their experiences. Results:  The study revealed considerable variability in ECMO training, which included both formal and informal approaches. Participants reported gaps in theoretical knowledge and practical skills but highly valued the hands-on learning experiences provided by hospitals. Although socio-emotional skills—particularly stress management in critical care settings—were recognized as essential for building confidence, these skills were insufficiently addressed in training programs. Discussion: While the lack of standardization and the importance of clinical practice and simulation in ECMO training programs are consistent with the existing literature, teaching social-emotional competencies remains an underexplored area. Conclusions: These findings suggest the need for standardized ECMO educational programs that fully integrate technical, practical, and socio-emotional competencies and address the variability found in both formal and informal educational pathways. Reducing inconsistencies in the educational process could better equip nurses with the confidence to meet the demands of ECMO therapy, ultimately improving patient safety. How to cite this article: Madariaga Marcela, Moreno Fabian, Vergel John. Nurses' Experiences in the ECMO Training Process: A Qualitative Study. Revista Cuidarte. 2025;16(3):e4605.  https://doi.org/10.15649/cuidarte.4605

Highlights School nursing provides holistic care that focuses on preventing illness and improving the physical, emotional, and social well-being of children. Faced with challenges such as children's mental health issues and chronic diseases, school nursing takes the lead with evidence-based interventions that foster wellness within educational settings. Educational nursing integrates digital technologies and innovative resources, facilitating more effective health management and personalized, real-time monitoring of children’s health. Faced with challenges such as children's mental health issues and chronic diseases, school nursing leads the way with evidence-backed actions, promoting comprehensive care within educational settings. School nursing plays an essential role in promoting health and improving the quality of life for children and adolescents. This role is not limited to direct care but extends beyond into health education, disease prevention, and student empowerment through early interventions and health promotion strategies. Within this context, Nola Pender's Health Promotion Model proposal1 serves as an essential guide for school nurses' actions. How to cite this article: Brito Jiménez Ivone Tatiana, Brito Jiménez Julieth Karina, Cortina Navarro Carolina Elena. School nursing in children's health from a holistic perspective. Revista Cuidarte. 2025;16(3):e4668.  https://doi.org/10.15649/cuidarte.4668

Highlights Individual factors significantly influence the occurrence of school violence. Verbal (63.24%) and psychological violence (54.94%) are the most prevalent forms of school violence among Peruvian adolescents. Bivariate and multivariate analyses revealed significant associations between school violence and sex, family type, socioeconomic status, and area of residence (urban or rural). Comprehensive interventions that address multiple factors are needed to reduce violence and promote positive school environments that support learning and emotional well-being. Introduction: School violence is a global and complex problem. Objective:  Identify the types of school violence and their associated factors in Peruvian adolescents.  Materials and Methods: An analytical cross-sectional study was conducted. Two self-administered instruments were administered to 253 adolescents selected through stratified random sampling from the first to fifth grade of secondary school at a Peruvian public institution in 2024. Bivariate and multivariate regression analyses were used to identify factors associated with school violence. Results:  Verbal violence (63.24%) and psychological violence (54.94%) were the most prevalent, while physical violence (37.55%) and sexual violence (3.95%) were less frequent. The most influential factors were individual (75.49%), social (62.87%), and family (56.13%) factors, whereas community (35.56%), cultural (35.97%), and school (43.10%) factors had less influence. Bivariate analysis revealed significant associations between school violence and sex (p = 0.03), family type (p = 0.02), socioeconomic status (p = 0.01), and area of residence (p = 0.03). Multivariate analysis found an association between individual, family, and social factors and school violence, specifically with verbal and psychological violence. Discussion: These findings confirm the central role of personal, social, and family dynamics in shaping experiences of school violence. Addressing only school-related factors may be insufficient; interventions should also target adolescents' interpersonal environments to achieve long-term impact.  Conclusions: School violence is a complex and multifactorial phenomenon. Comprehensive intervention strategies are recommended, not only to reduce violence but also to promote positive school climates that support learning and emotional well-being. How to cite this article: Fernández-Delgado Jhan Carlos Manuel, Diaz-Villanueva Francisca Edita, Canova-Barrios Carlos Jesus, Machuca-Contreras Felipe, Kappes Maria, AbdElhay Eman Sameh. Silent victims: risk factors associated with school violence in Peruvian adolescents. Revista Cuidarte. 2025;16(3):e4878.  https://doi.org/10.15649/cuidarte.4878

Highlights La fragilidad social es un concepto en evolución; es crucial avanzar en su evaluación en personas mayores para identificarla tempranamente y así implementar medidas preventivas efectivas. La fragilidad social está relacionada con un mayor riesgo de síntomas depresivos, deterioro cognitivo, fragilidad física y discapacidad, influyendo negativamente en la salud de las personas mayores. La fragilidad social está asociada a factores socioeconómicos, como dificultades económicas, soledad y la falta de participación en actividades sociales, que aumentan el riesgo de deterioro físico y psicológico en las personas mayores. Diversos cuestionarios evalúan la fragilidad social en personas mayores, considerando interacción social, apoyo familiar y capacidad para cubrir necesidades sociales básicas, en contextos de investigación. Introducción: La fragilidad social es un concepto multidimensional que incluye recursos generales y sociales, actividades y satisfacción de necesidades; comprenderla y evaluarla permite orientar intervenciones en personas mayores. Objetivo: Clarificar el concepto de fragilidad social en personas mayores para mejorar su aplicación en investigación, práctica clínica y educación.  Materiales y Métodos: Se empleó el método de Walker y Avant para analizar la fragilidad social en personas mayores, siguiendo etapas como la selección del concepto, definición del propósito, identificación de usos, atributos y casos relacionados. Se realizaron búsquedas sistemáticas en PubMed, ScienceDirect, Web of Science y CINAHL, así como búsquedas manuales en referencias y diccionarios.  Resultados: La fragilidad social en personas mayores se define principalmente como la pérdida de recursos sociales, habilidades para satisfacer necesidades sociales básicas y participación en actividades significativas, como mantener relaciones cercanas, realizar voluntariado, tener una ocupación (remunerada o no), participar en actividades religiosas o comunitarias. Factores como la soledad, el aislamiento y la falta de apoyo social se asocian con efectos negativos en la salud. Discusión: La fragilidad social requiere ser abordada desde una perspectiva interdisciplinaria. Los profesionales de la salud deben desempeñar un rol activo en su identificación y en la implementación de estrategias comunitarias, programas psicosociales y redes de apoyo que fortalezcan la inclusión y el vínculo social, contribuyendo a la prevención del deterioro funcional y emocional. Conclusión: La fragilidad social afecta la salud física, mental y emocional de personas mayores, resaltando la necesidad de políticas públicas inclusivas, preventivas y centradas en el cuidado. Como citar este artículo: Rojas-Avila Javier, Araya Alejandra Ximena, Pinilla Carrasco Nicole. Fragilidad social en las personas mayores: un análisis de concepto. Revista Cuidarte. 2025;16(3):e4939.  https://doi.org/10.15649/cuidarte.4939

Highlights The Second Victim phenomenon affects healthcare teams globally, yet it often remains invisible to executives and society. The occurrence of errors triggers psychological, cognitive, and/or physical reactions in the professionals involved; recovery depends on individual, organizational, and leadership factors. Healthcare institutions and leaders should adopt policies and practices that promote a safety culture, encouraging non-punitive error reporting with appropriate emotional and psychological support for Second Victims. Training and preparing healthcare teams to understand the Second Victim phenomenon, and offering support to these professionals are just as important as reporting errors. Unsafe practices and incidents that result in negative patient outcomes can lead to potential victims. While patients are the primary and most apparent victims, healthcare workers also suffer from their mistakes, in that they experience trauma following the event1 and are deemed the second victims2. The term "second victim" (SV) was first described by Wu (2000), who proposed that physicians who make mistakes also need help. Later, Scott expanded the concept, defining SVs as professionals involved in a health error3. More recently, an international consensus proposed that an SV can be any healthcare worker—whether directly or indirectly involved in an adverse event (AE), unintentional error, or patient-related injury—who is also negatively impacted by the experience of becoming a victim4. How to cite this article: Martins, Maristela Santini; De Rezende, Helena; Quadrado, Ellen Regina Sevilla; De Paula, Andresa Gomes; Carmo, Hércules de Oliveira; Nascimento, Vagner Ferreira do. Second victim phenomenon: impact on healthcare professionals, organizational responsibility and support strategies. Revista Cuidarte. 2025;16(2):e5072. https://doi.org/10.15649/cuidarte.5072

Highlights It was identified that 60.85% of students skip breakfast at least once a week, which may affect their academic performance. Eight hours of sleep and regular physical activity were associated with better grades in high school students. No significant differences in academic performance were found based on BMI or the consumption of fruits, vegetables, cereal grains, and proteins. Strengthening school-based strategies to promote healthy habits is recommended to help optimize students’ academic performance. Introduction: Diet and lifestyle habits have a direct impact on students’ academic performance. Factors such as skipping breakfast, consuming ultra-processed foods, and lack of physical activity can negatively affect school achievement.  Objective: To identify the relationship between eating habits and academic performance among high school students at a public school during 2023.  Materials and Methods: A cross-sectional study was conducted with 189 students. Sociodemographic variables, eating habits, nutritional status (body mass index and hemoglobin levels), sleep duration, and level of physical activity were assessed. Academic performance was measured using grade point averages and Saber test scores. Descriptive and multivariate statistical analyses were performed. Results: A total of 60.85% of students reported never eating breakfast or doing so less than once a week, with this behavior being more prevalent among those with lower academic performance. Sleeping eight hours per night (aOR = 1.43; 95% CI: 0.62–3.28) and engaging in regular physical activity (aOR = 5.81; 95% CI: 1.05–31.95) were associated with better academic results. No significant differences were found in terms of body mass index, hemoglobin levels, or consumption of vegetables, fruits, cereal grains, proteins, snacks, and sugar-sweetened beverages. Discussion: Various studies have demonstrated that nutrition plays a key role in cognitive development. Conclusions: Healthy lifestyle habits such as regular breakfast consumption, adequate sleep, and physical activity positively influence academic performance. Therefore, it is essential to strengthen school-based strategies that promote a balanced diet and healthy lifestyle to enhance student achievement. How to cite this article: Jaimes Crispín Dora Carolina, Sigales Ruiz Silvia Rosa. Eating habits and academic performance in secondary school: a cross-sectional analysis in a public school. Revista Cuidarte. 2025;16(3):e5050.  https://doi.org/10.15649/cuidarte.5050

Highlights The greater the resilience and successful aging, the greater the hope of hospitalized older adults. Resilience and successful aging are protective factors for hope in hospitalized older adults. Designing nursing interventions that strengthen hope in hospitalized older adults is important. Promoting resilience and encouraging successful aging from the early stages of life is necessary. Introduction: The global population aging and the rise in chronic diseases pose challenges in the care of hospitalized older adults. Factors such as hope and resilience may influence their recovery. Objective: To determine the relationship between resilience and successful aging with hope in hospitalized older adults. Materials and Methods: A correlational-predictive study was conducted with 385 hospitalized older adults in Matamoros, Tamaulipas, Mexico. Validated instruments were used to measure hope, resilience, and successful aging. Data were collected by the principal investigator across all work shifts during the first half of 2024. Results: The mean age of participants was 70.65 ± 6,11 years, and 53.2% were women. The lesding causes of hospitalization were surgery (42.3%), acute illness (28.8%), and chronic disease (18.7%). Mean scores of resilience (76.34 ± 21.61), successful aging (60.76 ± 16.99), and hope (36.27 ± 6.64) were obtained. Resilience and successful aging were significant predictors of hope, accounting for 15% of its variance (p < 0.05). Discussion: The relationships found align with findings from other research. Conclusion: The findings suggest that strengthening resilience and promoting successful aging may help sustain hope in hospitalized older adults, providing a foundation for future clinical interventions. How to cite this article: Benítez Rodríguez Víctor Alfonso, Duran-Badillo Tirso, Guerra Ordoñez Jesus Alejandro, Pérez Zúñiga Xochitl, Cortez González Luis Carlos. Resilience, successful aging, and hope in hospitalized older people. Revista Cuidarte. 2025;16(3):e4933.  https://doi.org/10.15649/cuidarte.4933

Highlights Negative stress is a statistically significant predictor of mental health in nursing personnel. Registered nurses, compared to nursing technicians, reported higher levels of negative stress, depersonalization, and emotional exhaustion. Effective prevention strategies are needed to manage stress and burnout among nursing personnel in healthcare institutions. Psychological prevention interventions should prioritize registered nurses, due to their higher symptom burden. Introduction: Burnout and perceived stress are prominent psychological problems manifested by nursing staff and substantially affect the quality of life and performance in daily activities of licensed nurses and nursing technicians.  Objective: To analyze the influence of burnout and perceived stress on the quality of life of nursing personnel.  Materials and Methods: Predictive, comparative, cross-sectional, quantitative study. A total of 450 participants (42.89% registered nurses and 57.11% nursing technicians) from a public military hospital completed psychological instruments and were recruited through non-probability convenience sampling. Structural equation modeling and Bayesian analysis were performed. Results:  The model demonstrated adequate fit, and negative stress (β = -0.59, p = 0.00) was identified as a statistically significant negative predictor of mental health. In addition, registered nurses reported higher levels of negative stress, depersonalization, and emotional exhaustion compared to nursing technicians. Discussion: Negative stress is a determinant of mental health in nurses, a finding consistent with empirical evidence in highly demanding work environments such as hospitals. The greater symptoms observed in registered nurses can be explained by their greater responsibility for patient care and the institution. Conclusion: Negative stress is a significant predictor of mental health in nursing personnel, and registered nurses reported higher levels of negative stress, depersonalization, and emotional exhaustion. Effective prevention strategies are needed to manage stress and burnout in clinical contexts. How to cite this article: Buitron Saavedra Alexandra Estrella, Quispe Caballero Alessandra Cricel, Baños Chaparro Jonatan. Burnout and perceived stress as predictors of quality of life in nurses. Revista Cuidarte. 2025;16(3):e5113.  https://doi.org/10.15649/cuidarte.5113

Highlights ICU patients face oral health risks due to the use of intraoral devices and poor protocols. Document specific oral findings in patients with prolonged ICU stays. The most common oral findings include gingivitis, ulcers, xerostomia, dental caries and periodontitis. Despite the care provided, common findings such as gingivitis and ulcers highlight the need for dental intervention in ICU patients. Introduction: Patients in intensive care units often experience a decline in oral health. Systematic reports of oral findings in these patients are scarce. Objective:  To document oral cavity lesions in patients in Intensive Care Units. Materials and Methods: A systematic review was conducted, with a literature search across five databases, focusing on publications from 2018 to 2023. The identified articles were imported into the Mendeley reference manager; titles and abstracts were reviewed in pairs and under blinded conditions. Pre-selected articles were exported to the Rayyan application for eligibility assessment. Quality of the studies was assessed using the Joanna Briggs Institute (JBI) tool. This research is classified as risk-free and complies with copyright regulations by exercising citation rights (Law 1915 of 2018 and Law 1032 of 2006). Results: A total of 1553 articles were identified. Using the PRISMA methodology, 11 studies were included, with 54% retrieved from PubMed and 91% published in English. Toothbrushing was the most frequently documented oral care procedure. Gingivitis and ulcers were the most frequent oral findings.   Discussion: The literature confirms the presence of oral findings in these patients, which are related to their systemic health status, procedures, equipment, and oral health care protocols. Conclusion: Although oral care is provided at a high rate in critically ill patients, oral alterations and lesions are frequently observed. The involvement of a dentist is essential for the comprehensive care of these patients. How to cite this article: Aranda Gómez María Paula, Chaparro Torres Elizabeth, Hernández Abahunza Nicole Dayanna, Vargas Carreño Anghela Catalina, Herrera Sandoval Laura Viviana, Castellanos Domínguez Yeny Zulay. Oral findings of patients in the Intensive Care Unit: A systematic review. Revista Cuidarte. 2025;16(1):e3959.  https://doi.org/10.15649/cuidarte.3959