theme called "from cancer to birth, reformulating the disease through spirituality" and the subthemes: "spirituality as a source of strength to face the disease", "having faith in a supreme being who guides doctors, a way to lose the fear of death and disease", "Living again after being condemned to die," and "Transcending from cancer to birth". It is concluded that transcending from cancer to birth through spirituality gives colorectal cancer patients the strength to face the disease, lose the fear of death, and give them hope to live again after being condemned to die.
Introduction: Women during their motherhood are vulnerable to suffering from injustices in their health care processes; subject on which more research is needed. Objective: To interpret the tensions related to epistemic injustices in maternity health care from a bioethical perspective. Methodology: Qualitative study with a phenomenological approach. It was attended by 12 women. The information was collected through in-depth interviews and the analysis of the information with the Atlas TI 8.0 software applying open and axial coding. Results: 240 codes were identified that constituted 37 subcategories and 8 central categories: difficulties in access to health, problems of humanization, with privacy, with autonomy, in communication and language, in pain management, dissatisfaction with the quality of health care, in addition to the implications for government entities and hospital institutions. Conclusions: Women still experience tensions related to epistemic injustices in maternity health care that generate inequalities; these forms of injustice must be recognized and on these work in the generation of deep social transformations at the level of macrobioethics-global-, mesobioethics-national states-and microbioethics-clinical bioethics-.
Objective: To interpret the lived experiences of the subjective world in women violated by their partner. Methodology: Qualitative study based on the Theory of Communicative Action, carried out with 14 women who attended the Healthy Relationships Workshop implemented by the Secretary of Health of Aguascalientes. A semi-structured interview was applied consisting of 7 questions about the subjective world. Results: 20 codes were obtained that allowed defining the following phenomenon: Acceptance of violence as a lifestyle, without understanding why to allow abuse, which gives rise to feelings of physical, emotionaland family self-destruction. Conclusions: Society has built a false cultural equality between men and women; however, the ideology of family unity has prevented women from empowering themselves and deciding their way of life, this is transmitted to their families and they in turn educate women in such a way, so that they accept "life that they had to live".
The training of nursing professionals traditionally includes theory and structured practice in hospital and/or outpatient settings, in order to develop the skills necessary to interpret, intervene, and care for patients. This paper describes the Clinical Practice Learning Experiences of Interns in the Bachelor of Nursing program at the University of Colima for the 2024-2025 period. This is a qualitative study with a social phenomenology approach. Information was collected through semi-structured, in-depth interviews. Of 110 subjects, the sample consisted of nine participants in their ninth semester who are performing constitutional social service. The results reveal the experiences, authentic learning, clinical scenarios, skills, and contact with clinical faculty as the main learning experiences during the clinical practice. We can conclude that the experiences are divided into two moments. In the first, students perceive the internship as an opportunity to apply theoretical knowledge and develop practical skills in a real environment. However, at the beginning, this vision was accompanied by emotions such as fear and anxiety, reflecting insecurity in the face of the demands of the clinical setting and expectations of technical learning and adaptation to new responsibilities. In the second stage, participants value the internship as a transformative experience, where they acquired technical skills such as the handling of medical equipment and socio-emotional skills such as empathy and conflict resolution. Likewise, the study highlights areas of opportunity that can be addressed or reinforced during the course of the degree program in classroom settings, both in terms of technical professional skills (such as catheterization, taking vital signs, pharmacology, Pap smears, and infusion pump management, among others) and cross-cutting skills associated with the development of social-emotional skills to deal with certain challenging attitudes encountered on a daily basis.
This editorial reflects on the kitchen as an essential space for domestic care in a world where haste and urbanization threaten to empty everyday life of its meaning. In the face of predictions that by 2050 homes will no longer have kitchens, it is argued that this space is not just another room, but the heart of the home, where connections with the world are woven and where caring becomes a radical act of resistance and humanity. The kitchen holds the wisdom of our roots and the history of the women who, for generations, have cared for families while nourishing both bodies and souls. Renouncing it is a symptom of the transformation of our ways of inhabiting, forgetting that the city itself was born from working the land and that the home is a place of welcome, not only for humans but for all forms of life. By sustaining intimacy and care, the home connects us to who we are, and its hospitality must be defended against the commodification of time and the loss of community bonds. Faced with a planet increasingly turned into a city, the home must become a space of expanded care, reminding us that the earth does not belong to us, but that we live in and through it. Recovering the kitchen as a space for gathering, sharing knowledge, and everyday care is key to resisting social homogenization and contemporary emptiness, allowing us to return to the rituals and values that sustain life. In this way, the homes of tomorrow can continue to be spaces where everyday happiness is built through care.
In the contemporary context, marked by acceleration, the fragmentation of time, and the logic of productivity, care is subject to increasing forms of timing that threaten its ethical and relational dimension. This article proposes a philosophical reflection on the notion of kairos-opportune and meaningful time-as a key to understanding care beyond technical time (chronos). Based on a dialogue with authors such as Aristotle, Heidegger, Hartmut Rosa, and Augustine of Hippo, the article explores how kairos is an opportune time, a virtuous time, or phronesis, which allows us to inhabit the present as a full instant in which past and future converge, enabling situated, ethical action open to otherness. Hartmut Rosa's theory of resonance is taken up as a commitment to recovering a livable temporality, in which the bond between the caregiver and the person being cared for is not reduced to a functional sequence, but is configured as a transformative, vibrant, and meaningful relationship. The conclusion is that genuine care requires resisting the tyranny of quantified time, to make way for an ethics of the moment that restores depth, hospitality, and humanity to the act of caring.
Introduction: the cultural and social representations of the mothers of the Andean indigenous communities determine the type of illness and the therapeutic itinerary to follow. Objective: Identify the culturally-bound syndromes described by Quechua women - in Chugchil & aacute;n-Ecuador- in the context of maternal and child care, as well as their causes, symptoms, and treatments. Methodology: The present ethnographic study was carried out between September 16, 2020 and April 30, 2021; it included 14 indigenous women. The techniques applied were: participant observation and in-depth interviews. The observed scenarios were both the community and at home, accompanying mothers in their daily living activities. Results: The mothers' narratives show how they identify culturally-bound syndromes, from their system of representations. These illness respond to the local knowledge system -of the community itself- and are not recognized by biomedicine. Of the culturally-bound syndromes shown in this community, two stood out: "el espanto" and "el aire". Based on maternal knowledge, it is described how they are delimited and classified, their prognosis or severity and the therapeutic itinerary or care process that they initiate. Conclusions: In "el espanto" and "el aire", social representatives of the Andean indigenous communities influence in the treatment decision, understanding that in biomedicine they will not find an answer for those types of conditions, but they using Traditional indigenous medicine they will. Knowledge of culturally-bound syndromes adds value to the application of intercultural care to indigenous people, either in their own original communities, or in the migratory contexts where they settle.
Objective: To determine a constitutive definition of the term Interpersonal Nursing Competence in the context of critical care. Methodology: Concept analysis based on Walker and Avant to examine the defining characteristics and attributes of the concept. A literature search was conducted in databases on interpersonal aspects in nursing within the context of critical care between the years 2014 and 2024, in addition to consulting experts on the subject who confirmed from practice what exists in the scientific evidence. Results: Interpersonal nursing competence in critical care corresponds to the knowledge, skills, attitudes, and values of nurses characterized by emotional management, verbal and nonverbal communication, bioethics, sensitivity, and teamwork, with the goal of achieving a humanized practice focused on the person, family, and colleagues, considering that professional practice takes place in a context that demands rapid clinical decision-making under pressure. Conclusions: In general, these professional competencies can be confused with knowledge or soft skills. Therefore, having a constitutive definition allows us to clarify the practical and research scope of the concept, as well as to determine the characteristics that we want to foster in the training of critical care specialists in both adults and pediatrics.
Introduction: Food hypersensitivity or food allergies are an important public health problem. The World Allergy Organization (WAO) states that approximately 220 to 520 million people worldwide may have food allergies. Cow's Milk Protein Allergy (CMPA) is defined as an immune-mediated response to Cow's Milk Proteins (CMP), which occurs due to its ingestion, consumption of milk or through transfer through the mother's breast. Health teams must be prepared to meet the needs, especially of mothers, who have a main role in care and feeding. Objective: To describe the experiences of mothers of boys and girls diagnosed with CMPA, enrolled in Primary Health Care (PHC) establishments in a commune in southern Chile 2023. Methodology: Phenomenological study, in a sample of 10 mothers, through in-depth interviews. Results: Two descriptive categories were determined, divided into facilitating and hindering factors. Within the emerging categories, the following were established: quality care and concern of health personnel; family support and support groups; delivery of APLV formulas; ignorance; access to diagnosis and treatments; high cost; disinterest and devaluation of maternal opinion and normalization of symptoms. Conclusion: An incipient development is evident in terms of the management of CMPA, it is necessary to strengthen health personnel in the approach to this pathology and to carry out more studies on CMPA.
Introduction. Nursing care plans (NCPs) are tools for documenting and reporting nursing activities. Currently, several fully digital NCP tools (software and/or mobile applications) are available. Objective: To understand the meanings of the experiences lived by nursing professionals working in hospitalization services of second and third level care units in Seville and Alicante (Spain) using PCE computer tools. Methodology: A phenomenological study was conducted in secondary and tertiary healthcare units in Seville and Alicante (Spain). Nine nursing professionals from inpatient services were included through purposive sampling. Data were collected in September and October 2023 through a semi-structured interview and analyzed using an interpretive phenomenological approach. Results: The following categories described by nursing professionals were understood: positive experiences such as the generation of Standardized Nursing Care Plans, negative experiences such as ambiguity of the computer tools and inadequate accessibility to the tools, and the ideal proposal for developing software for Individualized Nursing Care Plans (PCIE). Conclusions: Conclusions: The meanings of the lived experiences of nursing professionals regarding the use of IT tools in PCE were understood, which subsequently served to generate PCIE software that allows addressing the current health needs of individualizing nursing care.
Introduction: Isabel Zendal was the only woman to take part in the Royal Philanthropic Vaccine Expedition, a scientific expedition whose aim was to bring the smallpox vaccine to Spain's overseas territories. In recent years, Isabel's story has been told in popular magazines and news reports, positioning her as one of the most important figures in the history of nursing. However, historiography provides more uncertainties than certainties about her biography. Objective: To analyse and reflect on the process of mythification of Isabel Zendal from the time she was declared the first nurse on an international mission by the World Health Organisation in 1950 to the present day. Methodology: A historiographical analysis was carried out of scientific, popular, informative publications, novels and film productions about the expedition and Isabel Zendal. Results: The novels written about the expedition and Isabel Zendal have constructed different characteristics and personalities that have filled in the gaps in Isabel Zendal's biography. At the same time, they have given her qualities and abilities that have been taken as true in some informative and news publications, resulting in the progressive aggrandisement of her figure. Conclusions: Isabel Zendal is an ideal character on whom to imagine and construct different characteristics and personalities that help spread her story and that of the expedition to the population. However, this can lead to an overestimation of her work, so it is necessary to place her figure in a broader context, considering the roles and relevance of the other members of the expedition.
Introduction: Among the most important disorders that violence generates in women's health are depression, anxiety, post-traumatic stress, suicide attempts, eating disorders, in addition to the increased risk of contracting sexually transmitted infections such as HIV. Objective: To investigate the types of violence experienced by indigenous women before their HIV diagnosis. Methodology: A qualitative ethnographic study was conducted. Information was triangulated through participant observation and semi-structured interviews with 10 Mexican women from three indigenous communities of the Chinantec ethnic group, all over 18 years of age, with an HIV diagnosis more than one year ago. Critical discourse analysis was conducted. Results: The oppressions experienced by women were described in three categories: Histories of gender violence during childhood and adolescence, Triggers of violence: father's alcoholism, extreme poverty and low educational level, and Community naturalization of gender mandates. Conclusions: The types of violence experienced by these women need to be problematized from a human rights, gender, and public health perspective by researchers and health professionals.
Introducción: La reforma de la Enfermería promovida por San Juan de Dios en el Renacimiento español transformó los cuidados al final de la vida, sentando las bases para la atención actual. Frente a la concepción medieval de la muerte, centrada en el juicio ultraterreno y los rituales eclesiásticos, la perspectiva humanista otorgó protagonismo al moribundo y a su acompañamiento espiritual y corporal, configurando un modelo que reconoce la dignidad humana y la reconciliación personal. Objetivo: Analizar las contribuciones de San Juan de Dios en los cuidados durante la agonía y post-mortem, evidenciando su impacto en la evolución de la práctica enfermera y su legado en los cuidados paliativos contemporáneos. Metodología: Se realizó un análisis historiográfico apoyado en la historia de las mentalidades y el método biográfico moderno, utilizando fuentes primarias (cartas y procesos de beatificación) y secundarias (biografías). La categorización documental incluyó los cuidados en la agonía y post-mortem, triangulando los resultados con estudios históricos previos. Análisis documental: Los hallazgos revelan que San Juan de Dios promovió prácticas innovadoras en su época, como el acompañamiento personalizado, la reconciliación espiritual, y la atención a las necesidades materiales y emocionales de los moribundos. Instituyó recursos como testamentos, mediaciones de perdón, y un modelo hospitalario basado en la dignidad y el consuelo espiritual. Además, sus rituales post-mortem fomentaron la cohesión comunitaria y el respeto hacia los fallecidos. Conclusiones: San Juan de Dios reconfiguró el cuidado al final de la vida, integrando elementos humanistas y espirituales que trascendieron su contexto histórico. Este legado sigue vigente en la práctica enfermera moderna, resaltando la importancia de los cuidados integrales, la preparación para la muerte y la continuidad de la memoria tras el fallecimiento.
Juan Daniel Suárez-Máximo escribe una reseña sobre el capitulo 2 del libro de Marilyn R. McFarland, Hiba B. Wehbe-Alamah “Leininger's Culture Care Diversity and Universality A Worldwide Nursing Theory”, de la editorial Jones & Bartlett Learning, con la fecha de publicación del 2014.
Resumo: Introdução: a tuberculose é uma doença infectocontagiosa com alta taxa de prevalência, que se tornou um alerta para a saúde mundial e, ao mesmo tempo, a moléstia do homem pelo decorrer da história. A trajetória histórica e cultural da tuberculose é marcada nas representações imagéticas e escritas ao longo dos anos. Objetivos: analisar os modos de ver as representações do cuidado da Tuberculose na tela “Ciência e Caridade” de Pablo Picasso. Métodos: trata-se de um estudo histórico, na perspectiva da micro história, com análise pré-iconográfico e iconográfico. A fonte histórica foi a pintura “Ciência e Caridade”, de Pablo Picasso, 1897. Resultados: Nestas representações, pode-se inferir a relação da freira e o cuidado de Enfermagem, representando a caridade, tal qual o acúmulo de funções, as diferenças laborais de gênero e o cuidado holístico com a família. O médico em primeiro plano da imagem, como o destaque do cuidado representando a ciência de uma época. Já a paciente, acometida pela tuberculose, encontra-se no centro da imagem com face pálida, olhos fundos e corpo emagrecido. Além disso, no ambiente identificou-se o oratório, que pode significar relação com a espiritualidade, e principalmente ao catolicismo, que corrobora com a imagem da freira, bem como características de um local com umidade pelas representações das janelas fechadas com manchas. Conclusão: Neste contexto, compreende-se a representação dos cuidados da enfermagem a paciente com tuberculose se dava de forma coletiva com a família, seja ele o cuidado com o doente ou mesmo com a criança e família .Entende-se que as representações do cuidado a uma pessoa com tuberculose no período do Realismo, com base na obra analisada, apontam para um cuidado focado em atender às necessidades do paciente, destacando aspectos do ambiente, da espiritualidade e da evolução da enfermagem como uma prática voltada para o cuidado.
La metodología fenomenológica aplicada a la poesía, en la obra y pensamiento de José María Álvarez, se manifiesta como una búsqueda de la vivencia estética y existencial a través del arte. Álvarez concibe la poesía como una experiencia ideal que trasciende la imperfección de la existencia cotidiana, coincidiendo con la fenomenología en su interés por la vivencia subjetiva. Para el poeta cartagenero, la poesía es un espacio de revelación donde el yo se encuentra con el mundo, permitiendo una autocomprensión profunda y una reflexión sobre los propios sentimientos. Siguiendo la estela de pensadores como Heidegger, Álvarez entiende la poesía como un medio para cuidar y regular las emociones, facilitando la trascendencia y el sentido vital en un mundo marcado por la alienación y la fragmentación del pensamiento. Su obra, especialmente en “Museo de cera”, integra experiencias personales y culturales, mostrando cómo el arte puede ser un antídoto frente a la mediocridad y la rutina. Así, la metodología fenomenológica, al centrarse en la descripción y análisis de la experiencia poética, encuentra en Álvarez un ejemplo de cómo la poesía puede ser vivida y comprendida como una forma de resistencia, autoconstrucción y búsqueda de belleza y libertad.
Introducción: Los programas de educación sobre la malaria pueden no estar ajustados a la diversidad cultural presente en un mismo territorio, situación que exhorta a la comunidad académica a fortalecer y rediseñar este tipo de estrategias para adaptarlas a las diferentes poblaciones. Objetivo: Identificar las prácticas culturales que realiza la comunidad embera katío para no enfermar de la malaria. Material y métodos: Esta investigación se realiza con un enfoque cualitativo de tipo etnográfico que incluyó observación participante, entrevistas a profundidad y diario de campo. Resultados: Emergieron cuatro categorías principales: ‘no hay que vivir donde está el mosquito’, ‘cuidado de la vivienda y el entorno’, ‘practicas ancestrales’ y ‘no dejar que se acerque el mosquito’; y cinco subcategorías: ‘prevención mediante el uso de productos químicos’, ‘cuidado del agua’, ‘manteniendo mi vivienda limpia’, ‘quemando lo que sea’ y ‘protección del cuerpo con plantas medicinales’. Discusión: Los resultados muestran cómo la comunidad indígena embera katío reconoce la malaria como un problema de salud pública vigente; así mismo, asocian la presencia del mosquito con el agua y con cualquier factor que genera humedad en sus entornos. Conclusión: La comunidad evita enfermar de esta condición mediante la interacción de los conocimientos occidentales y los saberes ancestrales que aún prevalecen. Palabras Clave: Investigación cualitativa; pueblos indígenas; malaria; prevención de enfermedades.
María González describe las características de Tiempos Baldíos: la trilogía narrativa de José Siles
Objetivo: diseño de una intervención psicoeducativa de enfermería para el control del peso gestacional en mujeres embarazadas mexicanas basado en Modelo de Promoción de la Salud. Método: Uso de teorías en el diseño de intervenciones. Resultados: Los determinantes que se utilizaron para el diseño de la intervención, fue la autoeficacia, barreras percibidas e intenciones de implementación. Se diseñaron dos manuales, uno para el facilitador y otro para el participante. Conclusiones: El modelo de promoción de la salud es útil para guiar intervenciones psicoeducativas.
Introducción: La identidad e imagen de las enfermeras son conceptos interrelacionados que reflejan el sentido de uno mismo y las percepciones sociales sobre la profesión. Ambos son esenciales para el desarrollo de una práctica confiada y respetada. Objetivo: Develar el marco conceptual asociado a la imagen e identidad profesional de enfermería desde la perspectiva de enfermeras jubiladas. Materiales y Métodos: Estudio cualitativo basado en el paradigma constructivista y Teoría Fundamentada según Morse, que explora la identidad e imagen profesional de enfermería en Chile mediante entrevistas y grupos focales con enfermeras jubiladas. Para el análisis de los datos, se siguió la metodología propuesta por Charmaz. Sobre el rigor ético del estudio, se contó con la evaluación y aprobación de un Comité de Ética Científica independiente. Resultados: Participaron de este estudio 20 enfermeras jubiladas con una edad promedio de 74 años. Se establecieron 4 categorías que construyen la imagen social de las enfermeras y 3 categorías que construyen su identidad profesional. Discusión: Este estudio explora la imagen e identidad profesional de las enfermeras jubiladas, destacando cómo la pandemia mejoró la percepción pública de la profesión, de acuerdo con estudios internacionales. Han disminuido estereotipos como la feminización de la enfermería y su subordinación a la medicina, ampliamente descritos en la literatura. Las participantes se ven como líderes naturales, pero señalan deshumanización debido al agotamiento, tareas administrativas y los avances tecnológicos. Conclusiones: Resaltar una imagen auténtica y una identidad profesional coherente de la profesión fortalece su valor, estatus y reconocimiento social, lo que, a su vez, impacta positivamente en la calidad de los cuidados prestados a los pacientes.
