Exploring physical activity experiences of community-dwelling oldest-old adults with chronic multimorbidity: A qualitative study.

AIM: To explore the physical activity experiences of community-dwelling oldest-old adults with chronic multimorbidity. DESIGN: Descriptive qualitative study. METHOD: Data collection was conducted through semi-structured interviews with 19 community-dwelling oldest-old adults with chronic multimorbidity. The study was conducted between December 2022 and May 2023. ATLAS.ti software was used for data analysis. RESULTS: Three main themes with their respective sub-themes and units of meaning were developed from the data analysis: (1) motivational factors for engaging in physical activity; (2) fear of getting hurt during physical activity and (3) confidence in being physically active. CONCLUSION: Motivation, kinesiophobia and confidence are three core elements that influence the experience of physical activity in oldest-old adults with chronic multimorbidity. Interventions tailored to meet the needs of the oldest-old adults are important for promotion and development of active ageing. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurses and other healthcare professionals should design, implement and evaluate interventions that aim to increase oldest-old adults' motivation and confidence, while decreasing their fear to engage in physical activity. IMPACT: This study provides insights into the way community-dwelling oldest-old adults with chronic multimorbidity experience physical activity in their daily lives. Our findings suggest that motivation, kinesiophobia and confidence are key factors for oldest-old adults to engage in physical activity. These findings could contribute to the design and implementation of interventions that specifically aim at raising the physical activity levels of community-dwelling oldest-old adults with chronic multimorbidity. REPORTING METHOD: The study findings are reported according to the COREQ guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Promoting the empowerment and emancipation of community-dwelling older adults with chronic multimorbidity through a home visiting programme: a hermeneutical study.

INTRODUCTION: Nurse-led preventive home visiting programmes can improve health-related outcomes in community-dwelling older adults, but they have not proven to be cost-effective. Home visiting programmes led by nursing students could be a viable alternative. However, we do not know how community-dwelling older adults with chronic multimorbidity experience home visiting programmes in which nursing students carry out health promotion activities. The aim of the study is to understand how community-dwelling older adults with chronic multimorbidity experience a home visiting programme led by nursing students. METHODS: A qualitative study based on Gadamer's hermeneutics. Thirty-one community-dwelling older adults with chronic multimorbidity were interviewed in-depth. Fleming's method for conducting hermeneutic, Gadamerian-based studies was followed and ATLAS.ti software was used for data analysis. RESULTS: Two main themes were generated: (1) 'The empowering experience of a personalised health-promoting intervention', and (2) 'The emancipatory effect of going beyond standardised self-care education'. CONCLUSIONS: The home visiting programme contributed to the community-dwelling older adults feeling more empowered to engage in health-promoting self-care behaviours. It also improved the older adults' sense of autonomy and self-efficacy, while reducing their loneliness and addressing some perceived shortcomings of the healthcare system. CLINICAL RELEVANCE: Older adults participating in a home visiting programme led by nursing students feel empowered to implement self-care behaviours, which has a positive impact on their perceived health status. Nurse leaders and nursing regulatory bodies could collaborate with nursing faculties to integrate preventive home visiting programmes led by nursing students into the services offered to community-dwelling older adults with chronic multimorbidity.

Experiences of male irregular migrants during their migration process and reception in Spain: lessons learned from the COVID-19 pandemic.

Background: The causes behind migration movements are complex. The COVID-19 pandemic highlighted how several countries failed to respond to the virus adequately, while simultaneously infringing on people's rights. Male irregular migrants fled their countries of origin and embarked on a perilous migration journey to Spain. The highly restrictive COVID-19 measures and border closures affected the mobility of male irregular migrants, whose reception in the host country posed a challenge. It led to the establishment of emergency facilities to accommodate male irregular migrants affected by COVID-19, which had repercussions on their mental health. The aim of this study was to describe and understand the experiences of male irregular migrants throughout their migration process and reception in Spain during the COVID-19 pandemic. Methods: Qualitative descriptive study. Sixteen male irregular migrants participated in this study. Data were collected between January and March 2023 through 16 one-on-one in-depth interviews. Thematic analysis was used to analyze the qualitative data using ATLAS.ti computer software. Results: Three main themes emerged: (1) How the COVID-19 pandemic drove male irregular migrants to leave their countries of origin, (2) How COVID-19 lockdown policies affected the migration journey, and (3) Receiving male irregular migrants in a pandemic: a housing labyrinth marked by isolation and loneliness. Conclusion: The COVID-19 pandemic increased the social, employment and health inequalities experienced by male irregular migrants. Border closures exacerbated the migration journey and the social stigmatization of this group, who were seen as carriers of the virus in both transit and host countries. Strict control measures in emergency and reception facilities had a significant psychological impact on the male irregular migrants due to the social isolation they experienced. Health institutions should develop programs to guarantee the care needs of irregular migrants.

Spanish version of the Maastricht Personal Autonomy Questionnaire: A validation study among community-dwelling older adults with chronic multimorbidity.

BACKGROUND: Loss of personal autonomy in older adults with chronic multimorbidity is associated with worsened biopsychosocial health. In order to facilitate the standardised assessment of personal autonomy in older adults with chronic conditions, nurses could use the Maastricht Personal Autonomy Questionnaire (MPAQ). OBJECTIVE: To translate, culturally adapt and psychometrically assess the Spanish version of the MPAQ in community-dwelling older adults with chronic multimorbidity (MPAQ-Sp). METHODS: Observational cross-sectional study. A convenience sample of 884 community-dwelling older adults was recruited from 10 community centres in five health districts in southeastern Spain. Data were collected between January 2021 and September 2022. The study was completed in four phases. Phase 1: The MPAQ was translated into Spanish. Phase 2: A pilot test of reliability and content validity was conducted. Phase 3: To test the dimensionality of the tool, an exploratory factor analysis (EFA) was conducted. Phase 4: a final validation study was conducted which included a confirmatory factor analysis (CFA) and assessed the validity (content, criterion and construct), reliability and readability of the MPAQ-Sp. RESULTS: The average age of the sample was 75.89 years (SD = ±8.04). Their mean number of chronic conditions was 4.84 (SD = ±2.19) and 67% were women. The MPAQ-Sp is comprised of 16 items distributed in four subscales: [1] the 'Degree of autonomy' scale, [2] the 'Working on autonomy' scale, [3] the 'Dilemmas: health over preferences' scale and [4] the 'Dilemmas: preferences over health' scale. CONCLUSIONS: The Spanish version of the MPAQ-Sp is a valid and reliable instrument to assess personal autonomy in Spanish-speaking, community-dwelling older adults with chronic multimorbidity. IMPLICATIONS FOR PRACTICE: The use of the MPAQ-Sp would allow researchers and healthcare professionals to identify a loss of personal autonomy among Spanish-speaking community-dwelling older adults with chronic multimorbidity.

Experiências sexuais após prostatectomia radical não poupadora de nervos / Experiencias sexuales después de prostatectomía radical sin conservación de bandeletas neurovasculares / Sexual experiences after non-nerve sparing radical prostatectomy

Resumo Objetivo O objetivo deste estudo foi explorar as experiências e expectativas de pacientes submetidos a prostatectomia radical não poupadora de nervos. Métodos Estudo qualitativo, descritivo-exploratório, baseado na fenomenologia hermenêutica. Foram realizadas dezesseis entrevistas em profundidade entre fevereiro e dezembro de 2017 e análise indutiva dos dados. Resultados Dois temas que refletem as experiências dos pacientes emergiram da análise: (1) As mudanças sexuais como fator-chave da resposta adaptativa, com os subtemas "Dificuldades sexuais após a cirurgia" e "Questões com relacionamentos íntimos e bem-estar psicossocial"; (2) Prostatectomia: a necessidade de adaptação a uma sexualidade holística, com os subtemas "Questionamento das experiências a partir do comportamento sexual atual" e "Adaptação da sexualidade e a intimidade após a cirurgia". Conclusão Pacientes submetidos à prostatectomia enfrentam dificuldades sexuais como disfunção erétil. Essas mudanças causam problemas nos relacionamentos sexuais e íntimos que afetam seu bem-estar. Diante dessa situação, alguns participantes questionam suas práticas sexuais habituais e tentam se adaptar a uma sexualidade holística não centrada no coito, incorporando formas inovadoras de sexualidade. Conhecer as experiências de homens submetidos a prostatectomia radical pode ajudar os profissionais de saúde a oferecer novas estratégias para lidar com as mudanças ambientais envolvidas na cirurgia da próstata.

Resumen Objetivo El objetivo de este estudio fue analizar las experiencias y expectativas de pacientes sometidos a prostatectomía radical sin conservación de bandeletas neurovasculares. Métodos Estudio cualitativo, descriptivo-exploratorio, basado en la fenomenología hermenéutica. Se realizaron 16 entrevistas en profundidad entre febrero y diciembre de 2017 y un análisis inductivo de los datos. Resultados A partir del análisis, surgieron dos temas que reflejan las experiencias de los pacientes: (1) Los cambios sexuales como factor clave de la respuesta adaptativa, con dos subtemas "Dificultades sexuales después de la cirugía" y "Cuestiones sobre relaciones íntimas y bienestar psicosocial" y (2) Prostatectomía: necesidad de adaptación a una sexualidad holística, con los subtemas "Cuestionamiento de las experiencias a partir del comportamiento sexual actual" y "Adaptación de la sexualidad e intimidad después de la cirugía". Conclusión Los pacientes sometidos a prostatectomía enfrentan dificultades sexuales como disfunción eréctil. Estos cambios causan problemas en las relaciones sexuales e íntimas que afectan su bienestar. Ante esta situación, algunos participantes cuestionan sus prácticas sexuales habituales e intentan adaptarse a una sexualidad holística no centrada en el coito, incorporando formas innovadoras de sexualidad. Conocer las experiencias de hombres sometidos a prostatectomía radical puede ayudar a los profesionales de la salud a ofrecer nuevas estrategias para lidiar con los cambios ambientales relacionados con la cirugía de próstata.

Abstract Objective The aim of this study was to explore the experiences and expectations of patients who underwent non-nerve sparing radical prostatectomy. Methods A qualitative descriptive, exploratory, study, based on hermeneutic phenomenology. Sixteen in-depth interviews were carried out between February and December 2017. An inductive analysis of data was performed. Results Two themes reflecting the patients' experiences emerged from the analysis: (1) Sexual changes as a key factor of the adaptive response, with the subthemes "Sexual difficulties after surgery" and "Issues with intimate relationships and psychosocial wellbeing". (2) Prostatectomy: the need of adaptation to a holistic sexuality, with the subthemes "Questioning the experiences from the current sexual behavior" and "Adapting sexuality and intimacy after surgery". Conclusion Patients undergoing prostatectomy face sexual difficulties such as erectile dysfunction. These changes cause problems in sexual and intimate relationships that affect their wellbeing. Given this situation, some participants question their usual sexual practices and try to adapt to a holistic sexuality not centered on coitus by incorporating innovative forms of sexuality. Knowing the experiences of men who underwent radical prostatectomy might help healthcare workers to provide new strategies for coping with the environmental changes involved in prostate surgery.

Sexualidade durante todas as fases da gravidez: experiências de gestantes / Sexualidad durante todas las fases del embarazo: experiencia de gestantes / Sexuality throughout all the stages of pregnancy: Experiences of expectant mothers

Resumo Objetivo Explorar e compreender as experiências sexuais de gestantes durante a gravidez. Métodos O estudo foi realizado em dois centros de saúde no Distrito Sanitário de Almería, sul da Espanha. Os participantes incluíram gestantes que receberam atendimento pré-natal e/ou educação para maternidade. Os critérios de inclusão foram estar grávida, manter atividade sexual e concordar em participar do estudo. Os critérios de exclusão foram ter limitações na atividade sexual por prescrição médica. A amostra foi composta por 15 gestantes selecionadas por meio de amostra de conveniência, das quais cinco participaram de grupo focal (GF) e 10 de entrevistas em profundidade (EP). Os dados foram coletados entre os meses de junho e dezembro de 2016. Os participantes foram contatados pelo pesquisador principal e foi realizada uma consulta para conduzir o GF ou EP. Resultados Três categorias principais emergiram: Falsas crenças e uma abordagem holística da sexualidade durante a gravidez, que está relacionada ao conceito de sexualidade, falsas crenças e aconselhamento sexual limitado durante a gravidez. Limitações: Do medo no início à dificuldade física no final, referindo-se às flutuações no desejo sexual, bem como às mudanças físicas que limitam a atividade sexual. Adaptação às mudanças: práticas seguras e satisfação com a imagem corporal, que engloba preocupações com os riscos e a relação entre imagem corporal e autoestima. Conclusão A falta de aconselhamento sexual durante a gravidez leva à criação de falsas crenças, que, juntamente com mudanças físicas, preocupações com o risco e flutuações no desejo e interesse sexual, provocam uma diminuição na atividade sexual. Mas a sexualidade permanece um aspecto importante da gravidez, em relação ao qual os participantes devem adotar uma abordagem mais ampla e não limitada ao ato sexual, além de adotar práticas adaptadas às mudanças físicas e emocionais que ocorrem durante esse período.

Resumen Objetivo Explorar y comprender las experiencias sexuales de gestantes durante el embarazo. Métodos Estudio realizado en dos centros de salud del Distrito Sanitario de Almería, Sur de España. Dentro de los participantes se incluyó a gestantes que recibieron atención prenatal y/o educación para la maternidad. Los criterios de inclusión fueron: estar embarazada, mantener actividad sexual y aceptar participar del estudio. Los criterios de exclusión fueron tener limitaciones de actividad sexual por prescripción médica. Muestra compuesta por 15 embarazadas seleccionadas mediante muestra de conveniencia, cinco de las cuales participaron del grupo focal (GF) y 10 de entrevistas en profundidad (EP). Datos recolectados entre junio y diciembre de 2016. Las participantes fueron contactadas por el investigador principal, realizando una consulta para incluirlas en el GF o en el EP. Resultados Surgieron tres categorías principales: Falsas creencias y un abordaje holístico de la sexualidad durante el embarazo, relacionada al concepto de sexualidad; falsas creencias y asesoramiento sexual limitado durante el embarazo. Limitaciones: Del miedo inicial a la dificultad física al final, refiriéndose a las fluctuaciones en el deseo sexual, así como a los cambios físicos limitantes de la actividad sexual. Adaptación a los cambios: prácticas seguras y satisfacción con la imagen corporal, que incluye preocupaciones con los riesgos y la relación entre imagen corporal y autoestima. Conclusión La falta de asesoramiento sexual durante el embarazo lleva a crear falsas creencias, que, conjuntamente con los cambios físicos, preocupaciones por riesgos y fluctuaciones del deseo e interés sexual, provocan una disminución de la actividad sexual. Pero la sexualidad continúa siendo un aspecto importante del embarazo, respecto del cual los participantes deben adoptar un abordaje más amplio y no limitado al acto sexual, además de adoptar prácticas adecuadas a los cambios físicos y emocionales típicos del período.

Abstract Objective To explore and understand the sexual experiences of expectant mothers during their pregnancy. Methods The study was carried out in two healthcare centers in the Almería Health District, in southern Spain. The participants included pregnant women who received prenatal care and/or maternity education. The inclusion criteria were being pregnant, maintaining sexual activity and agreeing to participate in the study. The exclusion criteria were having limitations on sexual activity by medical prescription. The sample consisted of 15 expectant women selected using a convenience sample, of which 5 took part in a focus group (FG) and 10 in in-depth interviews (IDI). Data was collected between the months of June and December 2016. Participants were contacted by the main researcher and an appointment was made to carry out the FGs or the IDIs. Results Three main categories emerged: False beliefs and a holistic approach to sexuality during pregnancy, which is related to the concept of sexuality, false beliefs, and limited sexual counseling during pregnancy. Limitations: From fear at the beginning to physical difficulty at the end, referring to the fluctuations in sexual desire as well as the physical changes that limit sexual activity. Adapting to changes: safe practices and satisfaction with one's body image, which encompasses concerns about the risks and the relationship between body image and self-esteem. Conclusion A lack of sexual counseling during pregnancy leads to the creation of false beliefs, which, together with physical changes, concerns about the risk, and fluctuations in sexual desire and interest, bring about a decrease in sexual activity. But sexuality remains an important aspect of pregnancy, toward which the participants must adopt a broader approach, not limited to intercourse, and adopt sexual practices that are adapted to the physical and emotional changes that happen during this time.

Efeitos de um workshop de simulação sobre a competência em punção arterial de estudantes de enfermagem / Effects of a simulation-based workshop on nursing students’ competence in arterial puncture

Resumo Objetivo Avaliar se um workshop de simulação e curta duração sobre punção da artéria radial melhoraria a competência de alunos de enfermagem em um nível em que pudessem praticar o procedimento em um paciente vivo sem comprometer sua segurança. Métodos Estudo quase-experimental do tipo pré-teste e pós-teste com um grupo de 111 estudantes do terceiro ano de enfermagem. Foi implementado um workshop de simulação e 1,5 horas de duração. Isso incluiu uma vídeo-palestra, demonstrações ao vivo, prática simulada autodirigida em díades e feedback intermitente individual. As habilidades, conhecimentos e autoeficácia dos participantes em punção arterial foram medidos antes e depois da participação no workshop. Resultados Após a intervenção, 61,1% dos participantes demonstraram o nível de competência necessário para a prática segura da punção da artéria radial em um paciente vivo sob supervisão. Conclusão O treinamento efetivo em punção arterial baseado em simulação para estudantes de enfermagem não necessariamente precisa ser intensivo em recursos. Sessões de treinamento bem planejadas e baseadas em evidências, com uso de simuladores de baixa tecnologia podem ajudar os educadores a alcançarem bons resultados educacionais e promover a segurança do paciente.

Abstract Objective To evaluate whether a short simulation-based workshop in radial artery puncture would improve nursing students’ competence to a level in which they could practise the procedure on a live patient without compromising his safety. Methods Quasi-experimental one-group pretest-posttest study with 111 third-year nursing students. A 1.5-hour simulation-based workshop was implemented. This included a video-lecture, live demonstrations, self-directed simulated practice in dyads and individual intermittent feedback. Participants’ skills, knowledge and self-efficacy in arterial puncture were measured before and after attending the workshop. Results After the intervention, a total of 61.1% of the participants showed the level of competence required to safely practice radial artery puncture on a live patient under supervision. Conclusion Effective simulation-based training in arterial puncture for nursing students does not necessarily need to be resource-intensive. Well-planned, evidence-based training sessions using low-tech simulators could help educators to achieve good educational outcomes and promote patient safety.

Effects of web-based electrocardiography simulation on strategies and learning styles / Efeitos da simulação etletrocardiográfica en ambiente web sobre as estratégias e estilos de aprendizagem / Efectos de la simulación electrocardiográfica en ambiente web acerca de las estrategias y estilos de aprendizaje

OBJECTIVETo identify the association between the use of web simulation electrocardiography and the learning approaches, strategies and styles of nursing degree students.METHODA descriptive and correlational design with a one-group pretest-posttest measurement was used. The study sample included 246 students in a Basic and Advanced Cardiac Life Support nursing class of nursing degree.RESULTSNo significant differences between genders were found in any dimension of learning styles and approaches to learning. After the introduction of web simulation electrocardiography, significant differences were found in some item scores of learning styles: theorist (p < 0.040), pragmatic (p < 0.010) and approaches to learning.CONCLUSIONThe use of a web electrocardiogram (ECG) simulation is associated with the development of active and reflexive learning styles, improving motivation and a deep approach in nursing students.

OBJETIVOIdentificar associações entre o uso da simulação eletrocardiográfica na internet e os estilos e estratégias de aprendizagem dos estudantes de graduação em enfermagem.MÉTODODesenho descritivo-correlacional com avaliação pré e pós-teste num único grupo. A amostra do estudo incluiu 246 estudantes que frequentavam a disciplina de Suporte Básico e Avançado de Vida.RESULTADOSNão foram encontradas diferenças significativas entre gêneros em qualquer das dimensões dos estilos e estratégias de aprendizagem. Após introdução da simulação eletrocardiográfica recorrendo à internet, encontraram-se diferenças estatisticamente significativas em algumas das pontuações dos itens dos estilos de aprendizagem teórico (p <0,040), pragmático (p <0,010) e das estratégias de aprendizagem.CONCLUSÃOO uso da simulação eletrocardiográfica em ambiente web está associado ao desenvolvimento de estilos de aprendizagem ativos e reflexivos, à melhoria da motivação e da abordagem profunda em estudantes de enfermagem.

OBJETIVOIdentificar asociaciones entre el uso de la simulación electrocardiográfica en la internet y los estilos y estrategias de aprendizaje de los estudiantes de graduación en enfermería.MÉTODODiseño descriptivo-correlacional con evaluación pré y post prueba en un solo grupo. La muestra del estudio incluyó a 246 estudiantes que acudían a la asignatura de Soporte Básico y Avanzado de Vida.RESULTADOSNo fueron encontradas diferencias significativas entre géneros en cualquiera de las dimensiones de los estilos y estrategias de aprendizaje. Después de la introducción de la simulación electrocardiográfica recurriendo a la web, fueron encontradas diferencias estadísticamente significativas en algunas de las puntuaciones de los ítems de los estilos de aprendizaje teórico (p <0,040), pragmático (p <0,010) y las estrategias de aprendizaje.CONCLUSIÓNEl uso de la simulación electrocardiográfica en ambiente web está asociado con el desarrollo de estilos de aprendizaje activos y reflexivos, la mejoría de la motivación y el abordaje profundo en estudiantes de enfermería.

Factor de impacto de revistas: ¿amenaza u oportunidad? / The Journal Impact Factor: A Threat or Opportunity? / Fator de impacto de revistas: ameaça ou oportunidade?

Este artículo contiene un resumen de las críticas a la utilización del factor de impacto (FI) como indicador de calidad de las publicaciones y de producción de investigadores. Tales críticas alcanzan a los autores que intentan publicar en revistas con FI, argumentando que así renuncian a la propia identidad, primando su currículum sobre la utilidad de su investigación. En oposición a esas críticas se afirma que unos criterios de evaluación exigentes sirven de estímulo para la internacionalización del sistema científico. Existe consenso en la comunidad académica sobre las imperfecciones del FI y su aceptación como recurso válido y necesario para la evaluación científica, como también en que el debate identitario contribuye poco a resolver la invisibilidad internacional de la investigación de enfermería en español. Se esbozan propuestas que apuestan por aprovechar las fortalezas para incrementar y visibilizar dicha investigación, desarrollar estrategias para incluir y mantener a las revistas en español en el Journal Citation Reports (JCR), fomentar la formación y cooperación interdisciplinar, promover la publicación de investigaciones desarrolladas en los programas de posgrado, y reclamar la apuesta editorial por la indexación de sus revistas en el JCR. Se concluye que, aunque difícil, es posible aumentar la visibilidad de la producción científica de enfermería en español.

This paper contains a summary of criticism on use of the impact factor (IF) as an indicator of the quality of work published by researchers. The criticism is directed to authors who are trying to publish in journals with IF. The claim is they are renouncing their own identity and prioritizing their curriculum over the usefulness of their research. The authors challenge this criticism by arguing that stringent assessment criteria stimulate the internationalisation of science, that there is a consensus in the scientific community about the imperfections of FI and its acceptance as a valid and necessary tool for scientific evaluation, and that the debate over identity does little to resolve the international invisibility of nursing research written up in Spanish. Proposals are outlined on how to benefit from the strengths of this system to increase the visibility of nursing research, to develop strategies for including journals written in Spanish in the Journal Citation Reports (JCR), to encourage professional training and interdisciplinary cooperation, to promote the publication of research conducted in postgraduate programs, and to claim an editorial commitment for indexing their journals in the JCR. It can be concluded that, although difficult, it would be possible to increase the visibility of nursing scientific research in Spanish.

Este artigo contém um resumo das críticas ao uso do Fator de Impacto (FI) como um indicador da qualidade de publicações e produção dos pesquisadores. As críticas são direcionadas para os autores que publicam em revistas com FI, argumentando que renunciar à sua própria identidade, priorizando seus currículos sobre a utilidade de suas pesquisas. Confrontado com as críticas, argumenta-se que os critérios rigorosos de avaliação constituem um estímulo à internacionalização da ciência, há consenso na comunidade científica nas imperfeições do FI e na sua aceitação como recurso válido e necessário para a avaliação científica de modo que o debate de identidade faz pouco para resolver a invisibilidade internacional da pesquisa em enfermagem em espanhol. A proposta é o aproveitamento de fortalezas para incrementar e visibilizar dita pesquisa, assim como desenvolver estratégias para incluir e manter as revistas em espanhol no Journal Citation Reports (JCR), fomentar a formação e cooperação interdisciplinar, promover a publicação de pesquisas desenvolvidas nos programas de pós-graduação, e reivindicar a proposta editorial pela indexação de suas revistas no JCR. Conclusão: É possível aumentar a visibilidade da produção científica de enfermagem em espanhol.