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

Highlights The experience involves a variable process with multiple edges related to meeting needs and care requirements, which will take on different conditions depending on the moment of the life experience. Factors and characteristics such as the spiritual dimension, social support, colostomy-related difficulties, and psychosocial changes influence individuals with colostomies due to colorectal cancer. The practices and behaviors associated with colorectal cancer colostomies include self-management skills, living in a new reality, and support from the healthcare team. With time and experience, life experience improves as learning takes place, gradually leading to an almost normal perception of life and bringing changes in self-management. Introduction: Facing a chronic disease such as colorectal cancer with a colostomy is a process that represents changes in people's quality of life. Addressing this experience is an enriching process that strengthens self-management interventions.   Objective: To describe the self-management experience of adults with colostomy due to colorectal cancer. Materials and Methods: A qualitative study with a descriptive phenomenological approach was conducted. Ten people over 18 years of age with colorectal cancer with temporary or permanent colostomies of at least 6 months' evolution participated voluntarily in semi-structured interviews. Data were analyzed using the Colaizzi analysis method. Results:  Eight categories are associated with the phenomenon, and thirty nominal codes represent the experience. The spiritual dimension, social support, coping with colostomy-related difficulties, and experiencing psychosocial changes were identified as factors that influence self-management, as well as practices and behaviors, such as self-management skills, living a new reality, adapting to the colostomy, and support and learning from the healthcare team and system. Discussion: The difficulties experienced, family and social support, social effects, and spiritual support are consistent with the literature. This research highlights the difficulties with access to supplies, helping others, nicknaming the stoma, and the interactions with the health system. Conclusion:  Knowing the self-management experience, influencing factors, and practices contributes to implementing interventions with a better impact aimed at improving the quality of life and the new life experience of having a colostomy. How to cite this article: Zuluaga Sarmiento Lina Marcela, Carrillo González Gloria Mabel. Self-management experience in adults with colostomies due to colorectal cancer. Revista Cuidarte. 2025;16(2):e4265.   https://doi.org/10.15649/cuidarte.4265

Highlights Nursing home visits are an important tool in primary health care. The quality of nursing home visits is essential to ensuring practical, timely, and appropriate patient interventions. Perceived health status is directly related to the quality of home visits. Active community participation in home visits contributes to a better understanding and acceptance of health practices, thereby strengthening the relationship between health professionals and residents. Introduction: Nursing home visits play a key role in healthcare by providing personalized care at home. However, their impact on the population's perception of health status remains not yet fully understood. Objective: To determine the relationship between the quality of nursing home visits and the perception of health status in the Peruvian population.  Materials and Methods: An analytical, cross-sectional study was conducted with 482 people. The "Home Visits" and "SF-36" questionnaires were used to collect data. The analysis was carried out using binary logistic regression.  Results: A total of 91.49% of participants reported an adequate perception of their health status, and 90.88% rated the quality of home visits as good. Bivariate analysis revealed significant differences according to age (p=0.005), having children (p=0.001), and the quality of home visits (p=0.001). In the multivariate analysis, having children (OR: 4.96; 95% CI: 1.38-17.74) and receiving good-quality home visits (OR: 20.79; 95% CI: 9.12-47.42) were associated with a more favorable perception of health status. Discussion: These findings suggest that higher-quality home visits are associated with a more favorable perception of health status, aligning with previous studies on the importance of home care. Conclusion:  Strengthening the quality of home visits could improve the population's perception of health. How to cite this article: Chavez Sosa Janett Virginia. Home visits and the perception of health status among residents in Peru, 2024. Revista Cuidarte. 2025;16(2):e4238.  https://doi.org/10.15649/cuidarte.4238

Highlights The Covid-19 pandemic highlighted the fragility of the health system due to a lack of skilled healthcare professionals, resulting in the hiring of inexperienced professionals in the area, ultimately impacting the quality of care provided. Although essential, personal protective equipment (PPE) was insufficient to ensure a sense of safety, instead causing physical discomfort and negatively impacting professionals' performance. Nurse technicians experienced significant work overburden and emotional challenges while dealing with the high demand for critical care during the pandemic. Participation in specific training and courses offered by hospitals was crucial for professionals to feel prepared to provide the necessary care to Covid-19 patients. Introduction: The Covid-19 pandemic has posed a significant challenge to public health worldwide, leading to the collapse of healthcare institutions and professionals, particularly nursing technicians, who provide direct patient care. Objective: To investigate nursing technicians' perceptions of their technical-scientific experiences while caring for Covid-19 patients. Materials and Methods: An exploratory and descriptive study with a qualitative approach was conducted in a university hospital. The Iramuteq software was used to analyze the data, applying the Descending Hierarchical Classification Method alongside Bardin's Content Analysis Technique. Results: It was identified that the participants' technical-scientific skills are associated with previous ICU experience and active participation in training sessions, both facilitating factors for performing the procedures. Additionally, the negative effects of care practices were observed, leading to physical and mental exhaustion. Discussion:  Work overburden, fear of contagion, high mortality rates, and social isolation were identified as causes of stress and mental exhaustion among professionals, making resilience a crucial factor in adapting to these adversities. Conclusions:  Identifying the nursing professionals' prior knowledge is an important tool for assessing the quality of care provided and the professionals' safety in care delivery. Moreover, implementing health policies that offer psychological support for health professionals is essential. How to cite this article: Souza, Jordana da Silva; Silva, Mariana Crissângila Trigueiro da; Vasconcelos, Wilma Tatiane Freire; Silva, João André Tavares Álvares da; Vasconcelos, Josilene de Melo Buriti; Silva, Ana Cristina de Oliveira e; Ferreira, Jocelly de Araújo. A vivência técnico-científica em tempos de Covid-19: os desafios dos técnicos de enfermagem. Revista Cuidarte. 2025; 16(1): e4337. https://doi.org/10.15649/cuidarte.4337

Highlights A total of 37.17% of the patients received more than three antibiotics during their stay in the intensive care unit. Multivariate analysis revealed significant differences in diagnoses across the Access, Watch, and Reserve antibiotic classifications, with notable use of Watch antibiotics in cases of pneumonia and intra-abdominal infections. Beta-lactam antibiotics were administered to 99.13% of patients, indicating a predominant preference for this group of medications for infection management in intensive care units. Among the intensive care unit population, 10.90% of patients had chronic kidney disease requiring specialized attention for antibiotic selection and dosing to minimize nephrotoxicity. Introduction: The inappropriate use of antibiotics in intensive care units poses risks, such as increased infections caused by multidrug-resistant bacteria and adverse reactions. The World Health Organization's strategy, named Access, Watch, and Reserve, aims to mitigate these risks by categorizing antibiotics into these categories. Objective: To characterize antibiotic consumption in the adult population of intensive care units during the first quarter of 2023. Materials and Methods: A cross-sectional study on patients in intensive care units was conducted. A bivariate and multivariate analyses with logistic regression were carried out. Results: 807 intensive care unit patients were studied, with a median age of 60 years. Piperacillin/tazobactam was the most prescribed antibiotic. According to the Access, Watch, and Reserve classification, 77.96% of prescriptions fell into Watch category, 11.29% into Reserve, and 10.75% into Access.  Discussion: Antibiotic use in intensive care units is crucial for managing critically ill patients. Our study focuses on the challenges of antibiotic selection, complication management, and emphasizes antimicrobial stewardship for optimal therapy and reduced resistance. Conclusion: It is crucial to conduct an intervention study to demonstrate how increasing interaction of the antimicrobial stewardship team during prescription can enhance antibiotic use, reduce side effects, and decrease unnecessary costs. How to cite this article: Solórzano Carlos Augusto, Manrique-Hernández Edgar Fabián, Miranda Barajas Ángela, Caro María Alejandra, Rubio María Camila, Licht-Ardila Maricel, Hurtado-Ortiz Alexandra. Characterization of antibiotic prescription in intensive care units according to the Access, Watch, and Reserve classification. Revista Cuidarte. 2025;16(2):e4340.  https://doi.org/10.15649/cuidarte.4340

Highlights Sociodemographic factors, including gender, age, and socioeconomic status, significantly influence eating habits, physical activity, and, therefore, the nutritional status of university students. Grip strength is directly related to physical activity levels, underscoring the importance of regular exercise; on the other hand, BMI and waist circumference are key indicators for assessing students' nutritional status and show significant variations. This study outlines some university students' nutritional status and lifestyle habits, which can shed light on the current condition of our youth and the need to study this population further and carry out interventions. It is important to carry out preventive actions focused on improving the nutritional status of young people, given the impact on the health system, the workforce, and future quality of life. Introduction: The rising prevalence of overweight and non-communicable chronic diseases (NCDs) represents a serious public health problem for young people in countries across the Americas. Objective: To analyze the nutritional status of students at a higher education institution in Medellín, Colombia, 2022. Materials and Methods: A cross-sectional descriptive study was conducted with 352 students. Sociodemographic information, nutritional status, and lifestyle habits were collected through surveys. Validated instruments were used to measure nutritional indicators. Data analysis included frequency distributions, summary measures, and statistical tests applied based on the assumption of normality.   Results: 31.82% of students were overweight, 22.16% had a high body fat percentage, and 19.32% were at cardiovascular risk. A statistical association was observed between BMI and both academic programs and age. While the consumption of natural foods was common, there was also a high intake of ultra-processed foods. Additionally, 62.78% of students engaged in adequate physical activity, yet 95.17% displayed sedentary behavior, and 39.77% had low handgrip strength. A potential positive correlation was identified between BMI, waist circumference, body fat percentage, and handgrip strength. Discussion: The study revealed a concerning nutritional profile among university students, marked by overweight, increased adiposity, and sedentary behavior, aligning with findings from similar studies conducted in this population across various regions. Although the frequent consumption of natural foods and engagement in adequate physical activity are positive aspects, they contrast with the high intake of ultra-processed foods and prevalent sedentary lifestyles—patterns consistent with research in Latin America. Conclusion: The university environment often increases students' risk of metabolic disorders, high consumption of ultra-processed foods, excess adiposity, and low physical activity levels, contributing to a nutritional profile that calls for attention and implementing preventive educational strategies. How to cite this article: Muñoz-Galeano María Eugenia, Londoño-Cano Eliana, Vargas-Alzate Carlos Andrés. Characterization of the nutritional status of university students, Medellín-Colombia, 2022. Revista Cuidarte. 2025;16(1):e4317.  https://doi.org/10.15649/cuidarte.4317

Highlights Post-COVID-19 syndrome is a pathology with several physical and psychosocial consequences. Early identification of cardiometabolic risk factors improves the prevention of complications in the clinical picture. The findings highlight the importance of the health system in preventing SARS-CoV-2 infection from progressing to serious illness. Changes in therapeutic, diagnostic and prognostic standards related to Covid-19 remain a challenge in health care. Introduction: Post-COVID syndrome is a pathology that involves multiple sequelae. It is important to identify cardiometabolic risk factors as a way of preventing complications.  Objective: To map the scientific evidence related to cardiometabolic factors in long post-COVID-19 conditions. Materials and Methods: Scoping review with the guiding question: What scientific evidence relates cardiometabolic factors to patients with long post-Covid-19 syndrome? The sources of information used were six databases via the CAPES journal portal. For the gray literature, we used the CAPES catalog of theses and dissertations, the Brazilian Digital Library of Theses and Dissertations, the Who Library Database and the medRxiv and OpenGrey repositories. The following descriptors were used: Adult, heart disease risk factors, Syndrome, SARS-CoV-2 and Covid 19 crossed using the Boolean operators AND and OR. Results: 14 studies were included. The cardiometabolic factors found were: abnormal levels of triglycerides, glycated hemoglobin, ferritin, inflammatory processes, decreased platelets, phospholipids and endothelial cells, oxidative stress, higher concentrations of monosaccharides and reduced polysaccharides, increased LDL, ALT, AST and bilirubin, with reduced GFR. Discussion:  Patients with long-term COVID report persistent and debilitating symptoms that affect recovery, quality of life, economic and social activities. In addition to increased resting heart rate, tachycardia, palpitations, hypotension, syncope, orthostatic tachycardia, angina and heart attack. Conclusions:  Cardiometabolic factors expose the vulnerability of individuals affected by long Covid-19, so strategies are needed to reduce the systemic inflammatory impact of the disease and its clinical consequences. How to cite this article: Cruz Neto, João; Olivindo, Vinícius Fiuza Carlos; Santos, José Arthur Guimarães dos; Silva, Kadson Araujo da; Junior, Romulo de Oliveira Sales. Cardiometabolic factors related to post-COVID-19 conditions: scoping review. Revista Cuidarte. 2025;16(2):e4290.  https://doi.org/10.15649/cuidarte.4920

Highlights Trauma nurses face several challenges in implementing repositioning, including unclear policies, delays in medical decision, and high workloads. Teamwork, clearly defined hospital policies, managerial follow-up, and timely medical decisions significantly influence nurses’ willingness and ability to perform repositioning. Even when nurses decide to reposition patients, a lack of skills or proper equipment can hinder effective implementation. The study recommends enhancements to hospital policies and support systems to help trauma nurses prevent pressure ulcers through consistent repositioning practices. Introduction: Clinical evidence indicates that the low frequency of repositioning among trauma nurses contributes to pressure ulcers during hospitalization.    Objective: This study aimed to understand how trauma nurses address the need for repositioning patients in an emergency room and intensive care unit in Saudi Arabia. Materials and Methods: A qualitative descriptive design was employed, and the study was reported in accordance with COREQ guidelines and checklist. Semi-structured interviews were conducted with nurses to explore how they interact with the need for repositioning patients. Rigor was ensured using the criteria established by Lincoln and Guba. Results: Fifteen nurses from a large government hospital in Saudi Arabia participated in the study. The findings revealed that the policy's clarity, the presence of teamwork, and the level of managerial follow-up influenced nurses' decisions to proceed and perform repositioning. This procedure is often omitted due to delays in medical decision-making and workload. After deciding to proceed, factors such as nursing skill and the availability of the equipment influence repositioning practice. Discussion: Clear policies, timely medical decisions, teamwork, manageable workloads, and managerial follow-up are critical in nurses’ decisions to perform or delay patient repositioning. After deciding to proceed, nurses face a second critical step: assessing their abilities, equipment availability, and the patient’s needs. Even with the intent to reposition, perceived skill gaps and inadequate equipment can significantly reduce the likelihood of completing the procedure.  Conclusions:  Hospitals should support the processes by improving policies and the care system for trauma patients. Repositioning is the cornerstone of pressure ulcer prevention among trauma patients; therefore, work system-level changes are needed to ensure compliance. How to cite this article: Iblasi Abdulkareem S, Aungsuroch Yupin, Juanamasta I Gede, Watffa Ghassan, Al Omran Yousef, Al Shammari Batla. Trauma nurses' experience of repositioning practice for trauma patients: a qualitative descriptive study. Revista Cuidarte. 2025;16(3):e4324. https://doi.org/10.15649/cuidarte.4324

Highlights Combining multiple cognitive and behavioral approaches is recommended to enable people with diabetes to participate and take responsibility for their own care. The implementation of educational health programs must consider the capabilities, opportunities, and motivation of both the target population and the professionals involved (stakeholders) to generate new behaviors. Investigating the acceptability and feasibility of a new intervention proposal with real-world professionals can reveal context-specific barriers to implementation and convenience. Barriers such as the need for additional personal effort, extended time for implementation, and a lack of professionals can compromise the effective and efficient implementation of new health education programs. Introduction: The contemporary approach to diabetes care emphasizes education for self-management. Objective: To evaluate the acceptability and feasibility of a proposed educational program for type 2 diabetes self-management (Diabetes em Dia Program), tailored for the users of an outpatient service at a private hospital in São Paulo, Brazil.  Materials and Methods: This was an evaluation study of the preliminary proposal for a complex intervention conducted by health professionals from the hospital's Diabetes Study Group. After being introduced to the proposal, professionals were invited to assess it using a semantic differential scale based on criteria of acceptability and feasibility. Evaluation was based on agreement percentages, and consensus was achieved when agreement reached ≥ 89%. Results: There was consensus that the program is suitable for managing type 2 diabetes; it is understandable, acceptable, and effective. It was also considered to pose no risk to patients or health professionals and require minimal additional material resources and ongoing supervision. However, there was no consensus regarding the program's general assessment, the effort and time required for its application, its ease/difficulty of application, the need for additional human resources, and its cost-effectiveness. Discussion: Professionals recognized the program's importance, suitability, value, and positive effects. However, they acknowledged that effective implementation would require significant changes in work processes. Conclusion:  Although the program was favorably assessed across many acceptability criteria, barriers to its implementation were identified. How to cite this article: Brevidelli, Maria Meimei; De Domenico, Edvane Birelo Lopes; Rodrigues, Gilcelli Vascom Girotto; Moura, Veronica Paula Torel de. Diabetes em Dia Program: acceptability and feasibility of the proposal. Revista Cuidarte. 2025;16(2):e4268.  https://doi.org/10.15649/cuidarte.4268

Highlights Changes in service delivery structures require nursing to follow common guidelines to achieve its purposes. Professional nursing practice models are important guides for making caring visible and focused. The development of models for teaching hospital networks requires the involvement of both care practice and teaching. The developed professional practice model strengthens leadership and compassionate and safe nursing care. Introduction: The emergence of hospital networks requires nursing models to guide practice and research. Objective: To develop a professional practice model to guide nursing care practice, teaching, and research in a teaching hospital network. Materials and Methods: This study involved Nursing Methodology Research conducted within an academic-service partnership over three years in a hospital network in Colombia. It followed a humanistic theoretical framework and a collective construction technique with guideline-based development and analysis. It included four consecutive phases: 1) Identification of the need for the model within the Hospital Network, 2) recognition of nursing metaparadigm concepts for practice, 3) formulation and prioritization of the assumptions required to achieve nursing mission and vision, and 4) consolidation, sharing, and validation of the model. A total of 156 out of the 185 nurses in the organization participated. Results: The model developed for the Hospital Network consists of three essential components: compassion, safe care, and nursing leadership.   Discussion: The collective participation of the nursing staff and the work made within the academic-service partnership facilitated the adoption of the model. This development responds to the Hospital Network's strategic guidelines for quality of care, includes internal and external validation, and adheres to international standards. Conclusion: The "Leadership in Compassionate and Safe Care" nursing practice model guides, facilitates, and makes visible teaching and care practice and nursing research inside and outside of the Hospital Network. How to cite this article: Torres-Acosta Doris Helena, Pulido-Barragán Sandra Patricia, Archila-Hernández Edwin Darío, Laverde-Contreras Olga Lucía, Sánchez-Herrera Beatriz. Professional practice model for a hospital network: Nursing methodology research. Revista Cuidarte. 2025;16(1):e4348.   https://doi.org/10.15649/cuidarte.4348

This academic paper analyzes and underscores the importance of regulating the temporal element in contracts entered into for the execution of public-private partnership (PPP) projects. It further seeks to explain how this element is often shaped by extra-legal factors, emphasizing that the timeframes established for the duration of such collaborative contracts –and for their specific execution deadlines– must be grounded in reasonable and objective justifications. This is essential to prevent arbitrary practices in their definition and, above all, to avoid unintended consequences for the management of public infrastructure and its private financing.To this end, the author examines how this matter is regulated under Peruvian law, explores the underlying premises supporting the need to regulate time-related provisions in such public contracts, and finally describes the economic and financial implications that may arise when disruptions or distortions occur in the temporal structure of PPP arrangements.