Humanized oncology nursing care in a person with gastric cancer: A case report.

Cancer impacts the person's physical health, psychosocial and spiritual wellbeing. The humanization of care is an essential element to achieve integral wellbeing of the individual. The aim of this article is to present a clinical case, using the nursing process with the NANDA, NOC and NIC taxonomies, and based on the principles of Watson's theory of humanized care. The participant is a 45-year-old woman with gastric cancer in palliative stage. The assessment was performed using Gordon's functional patterns and the Watson Caritas Patient Score scale to evaluate the care received previously in the health system. Eight nursing diagnoses were identified, prioritizing 3 diagnoses using the clinical reasoning web (decisional conflict, anxiety, and ineffective self-management of health). Expected outcomes and nursing interventions were planned and implemented through moments of care using health education through tele-nursing and the intentional use of Caritas processes of care in the transpersonal relationship. The results were evaluated with the scales of the indicators and anxiety was also evaluated with the Beck Anxiety Inventory. Health education in oncology nursing contributed to improve informed decision making, reducing anxiety and providing emotional support to facilitate self-management of health. The participant perceived as humanized care throughout the sessions, reflected in the final evaluation with the Watson Caritas Patient Score scale.

Relação entre a depressão e o apoio social percebido nos estudantes de enfermagem no contexto de comportamentos suicidas / The relation between depression and perceived social support in nursing students in the context of suicidal behaviors / Relación depresión y apoyo social percibido en estudiantes de enfermería en el contexto de conductas suicidas

RESUMO Objetivo determinar a relação entre a depressão e o apoio social percebido nos estudantes de enfermagem no contexto de comportamentos suicidas. Método análise secundária de dados de um estudo anterior. Amostra do censo dos estudantes de enfermagem na Costa Rica. Coleta de dados realizada por LimeSurvey during 2020 por meio de questionário autoadministrado composto por seção de dados sociodemográficos, inventário de depressão Beck-II e escala multidimensional de apoio social percebido. Foram utilizadas a análise descritiva e a correlação de Pearson. Resultados A maioria era do sexo feminino (79,5%), com idade média de 22,15 anos; 85,8% referiram depressão ligeira a mínima; 92,2% referiram elevado apoio social percebido. Foi identificada correlação inversa significativa entre o nível de depressão e a percepção do apoio social (r=-0,44, p<0,01). Conclusão Amplia-se a compreensão acerca das condições de saúde mental por parte da ciência da enfermagem para que se possa melhorar as práticas de cuidados em um grupo específico.

ABSTRACT Objective to determine the relationship between depression and perceived social support in nursing students in the context of suicidal behaviors. Method secondary analysis of data from a previous study. Sample from the census of nursing students in Costa Rica. Data collection performed by LimeSurvey during 2020 by means of self-administered questionnaire composed of sociodemographic data section, Beck-II depression inventory and multidimensional scale of perceived social support. Descriptive analysis and Pearson correlation were used. Results The majority were female (79.5%), with a mean age of 22.15 years; 85.8% reported mild to minimal depression; 92.2% reported high perceived social support. A significant inverse correlation was identified between level of depression and perceived social support (r=-0.44, p<0.01). Conclusion The understanding about mental health conditions by nursing science is broadened to improve care practices in a specific group.

RESUMEN Objetivo determinar la relación entre depresión y apoyo social percibido en estudiantes de enfermería en el contexto de las conductas suicidas. Método análisis secundario de datos de un estudio previo. Muestra censal en estudiantes de enfermería de Costa Rica. Recolección de datos realizada por LimeSurvey durante el 2020con una encuesta autoadministrada compuesta de sección de datos sociodemográficos, inventario de depresión de Beck-II y escala multidimensional de apoyo social percibido. Se utilizó análisis descriptivo y correlación de Pearson. Resultados la mayoría era del género femenino (79,5%), con un promedio de 22,15 años. El 85,8% manifestó un nivel mínimo-leve de depresión, el 92,2% evidenció un apoyo social percibido alto. Se identificó una correlación inversa significativa entre nivel de depresión y apoyo social percibido (r=-0.44, p<0.01). Conclusión se amplía la comprensión de condiciones de salud mental desde la ciencia de enfermería que podría mejorar las prácticas de cuidado en un grupo específico.

Autoeficacia, percepción de barreras y beneficios de la actividad física en estudiantes universitarios costarricenses / Self-effectiveness and perception of barriers and benefits of physical activity in Costa Rica universitary students

Resumen Ortega Muñoz, A., Fumero Pérez, S. y Solano López, A.L. (2021). Autoeficacia, percepción de barreras y beneficios de la actividad física en estudiantes universitarios costarricenses. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 19(2), 1-17. Según la Teoría de Promoción de la Salud, aspectos como autoeficacia, percepción de beneficios y barreras podrían estar influyendo en la actividad física. En Costa Rica, se ha investigado poco este fenómeno en estudiantes universitarios de enfermería, por lo que el objetivo del estudio fue determinar la relación entre autoeficacia y percepción beneficios y barreras de la actividad física en estudiantes de Enfermería de la Universidad de Costa Rica. Esta investigación es un estudio de caso grupal, correlacional descriptivo. La muestra estuvo conformada por 42 estudiantes de segundo año de Enfermería. Los instrumentos utilizados fueron la Escala de Beneficios/Barreras para el ejercicio y la Escala de Autoeficacia para la actividad física. El análisis de datos se realizó mediante estadística descriptiva y la correlación de Pearson. Dentro de los resultados resalta que caminar obtuvo mayor autoeficacia, seguido de actividades de la vida diaria y, por último, el ejercicio físico programado. El estudiantado identifica más los beneficios de la actividad física que las barreras. Existe una asociación entre la autoeficacia total para la actividad física y la percepción de beneficios del ejercicio y la autoeficacia para el ejercicio programado y las barreras del ejercicio. Se debe trabajar en potenciar los beneficios de la actividad física, así como en crear intervenciones que ayuden a la población estudiantil de enfermería a superar las barreras por medio del fortalecimiento de la autoeficacia para la actividad física independientemente de su intensidad.

Abstract Ortega Muñoz, A., Fumero Pérez, S. & Solano López, A.L. (2021). Self-effectiveness and perception of barriers and benefits of physical activity in Costa Rican university students. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 19(2), 1-17. According to Health Promotion Theory, factors such as self-effectiveness and the perception of benefits and barriers might be impacting physical activity. Since this phenomenon has been scarcely researched among nursing students, the purpose of this study has been to determine the relationship between self-effectiveness and perceived benefits and barriers of physical activity among nursing students at Universidad de Costa Rica. This research is a correlational, descriptive group case study. The sample was made up by 42 second-year students of the School of Nursing. The instruments used were the Scale of Benefits/Barriers for Exercise and the Self-Effectiveness Scale for Physical Activity. Data analysis was carried out through descriptive statistics and Pearson's correlation. The most outstanding result was that walking showed higher self-effectiveness, followed by daily life activities and finally scheduled physical exercise. The student community identifies the benefits of physical activities more easily than the barriers. An association exists between total self-effectiveness for physical activity and the perception of benefits of exercise and self-effectiveness for scheduled exercise and the barriers of exercise. Efforts must be made in enhancing the benefits of physical activity, as well as in creating interventions that will help nursing students to overcome barriers by strengthening self-effectiveness for physical activity, regardless of its intensity.

Resumo Ortega Muñoz, A., Fumero Pérez, S. e Solano López, A.L. (2021). Autoeficácia, percepção de barreiras e benefícios da atividade física entre universitários costarriquenhos. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 19(2), 1-17. De acordo com a Teoria de Promoção da Saúde, aspectos como autoeficácia, percepção de benefícios e barreiras podem estar influenciando a atividade física. Na Costa Rica, pouca pesquisa tem sido feita em estudantes universitários de enfermagem, portanto, o objetivo do estudo foi determinar a relação entre a autoeficácia e a percepção dos benefícios e das barreiras da atividade física entre estudantes de enfermagem da Universidade da Costa Rica. Esta pesquisa é um estudo de caso em grupo correlacional descritivo. A amostra foi composta por 42 estudantes de enfermagem do segundo ano. Os instrumentos utilizados foram a Escala de Benefícios/Barreiras para o Exercício e a Escala de Autoeficácia para Atividade Física. A análise dos dados foi realizada por meio de estatística descritiva e correlação de Pearson. Dentre os resultados, destaca-se que a caminhada alcançou maior autoeficácia, seguida das atividades da vida diária e, por fim, exercício físico programado. Os estudantes identificam mais os benefícios da atividade física do que as barreiras. Existe uma associação entre a autoeficácia total para a atividade física e a percepção de benefícios do exercício e a autoeficácia para o exercício programado e as barreiras do exercício. Deve-se potencializar os benefícios da atividade física, bem como criar intervenções que ajudem a população estudantil de enfermagem a superar barreiras, fortalecendo a autoeficácia para a atividade física, independentemente da intensidade.

Role Played and Strategies Employed by Managers to Support Point-of-Care Nurses' Use and Adoption of Health Information Technology: A Scoping Review.

Nurse managers play a significant role in the way care is provided by point-of-care nurses. Yet it is unclear what role nurse managers have in supporting nurses in using health information technologies (ITs) specifically. The objectives of this article are to (1) uncover the role of nurse managers in supporting point-of-care nurses to optimally use health ITs and (2) identify strategies that nurse managers can employ to support point-of-care nurses in using these technologies. A scoping review methodology was used, which resulted in the inclusion of 10 relevant articles. Concerning the role of the nurse manager, four themes were identified: (1) decision making, , (2) implementation planning, (3) supporting staff and (4) evaluation. With regard to strategies to support the use of health ITs, two themes were identified: (1) strategies that prepare nurse leaders in their role of supporting point-of-care staff in using health ITs and (2) strategies that directly support point-of-care staff in using health ITs. The results of this review will be of interest to nurse leaders, informatics researchers and nurse informaticians.

Re-evaluating the self-report habit index: the cases of physical activity and snacking habits.

Objectives: The Self-Report Habit Index (SRHI) was originally reported as one-dimensional; however, habit has been described as characterised by several features. Moreover, one-dimensional models for the SRHI have demonstrated poor fit. Therefore, we aimed to compare multidimensional models with a one-dimensional model in both snacking and physical activity habits, besides examining further instrument characteristics. Design: A cross-sectional study was conducted with high school and university students (n = 555). Main outcome measure: The SRHI adapted for physical activity and for snaking habits was applied at one time point. Results: Nested models with one factor, two factors and three factors were compared. Next, a hierarchical second-order model was tested, and further validity issues, as well as invariance between habits, were examined. Three-dimensional models represented a better fit for both habits. However, fit was still inadequate in the snacking version. In addition, discriminant validity concerns emerged for the physical activity SRHI. Moreover, invariance between the snacking and the physical activity versions was not confirmed. Conclusions: Considering the SRHI as composed by the dimensions of 'lack of awareness', 'lack of control' and 'history of behavioural repetition' seems to be more accurate. Nevertheless, our findings suggest that further research is needed.

Reviving Human Research in Costa Rica.

Costa Rica is a small developing nation in Central America with a well-regarded universal health care system and a strong human rights tradition. In the latter part of the twentieth century, it became a popular site for clinical trials funded by multinational pharmaceutical companies. In light of concerns about ineffective oversight and alleged research abuses, the Constitutional Chamber of the Supreme Court passed a moratorium on all biomedical studies involving humans. This moratorium was in place between 2010 and 2014, when the Legislative Assembly passed a new national law to protect participants' rights and welfare. This case study reviews the history of human research protections in Costa Rica and provides recommendations for how Costa Rica can move forward responsibly as a leader in human research for the region.

Dimensions of Body-Awareness and Depressed Mood and Anxiety.

Interoception, the multidimensional ability to sense the physiological condition of the body, is a key mechanism in emotional processing. However, the relationships between interoceptive dimensions and depressed mood and anxiety have not been widely studied. The aim of this secondary analysis, correlational and cross-sectional study, was to determine the relationships among interoceptive accuracy, interoceptive sensibility, depressed mood, and anxiety in adults with hypertension. The sample consisted of 76 adults, predominately African American women. Correlational analysis showed that most participants had low levels of interoceptive accuracy and relatively high levels of interoceptive sensibility. Interoceptive sensibility was negatively associated with depressed mood and anxiety. Interoceptive accuracy and interoceptive sensibility were not associated between each other. Further examination of the dimensions of interoception is needed to better understand the mechanisms by which it is associated with emotions that are known to have an influence on health behaviors and quality of life.