Athletes and superstitious rituals.

Superstitious rituals are common in sports and can play a role in athletes' optimism, sense of control, and confidence in performance. Superstitious rituals have characteristics rooted in tradition and need for perfection. While superstitious rituals vary in type of activity, it is necessary to consider their impact on players and the team, and to guide athletes into positive forms of expression to optimize their performance and overall well-being when engaged in their athletic activities. This paper explores the potential benefits and challenges of superstitious rituals, and the ways in which positive alternative pathways can contribute to peak performance in athletes.

Understanding how management can prevent degradation of the structurally fragile soils of the Amazonian periphery.

The dynamics and responses to mulching management processes, which affect sustainability in tropical agroecosystems, remain poorly understood. Therefore, this study aims to evaluate and distinguish the short-and long-term effects of mulch of leguminous biomass on fertility of a tropical soil enriched with calcium. This experiment was conducted using the treatments: Long-term mulching (LTM) consisted of planting without mulch in 2019 in soil that had been mulched for six years previously, while short-term mulching (STM) consisted of planting without mulch for six years and with mulch only in 2019. LTM + STM consisted of planting in mulched soil for seven years (from 2013 to 2019), while LTM + synthetic nitrogen (LTM + sN) consisted of the LTM treatment with the addition of 150 kg N ha-1. The remaining treatments were STM + sN; LTM + STM + sN; bare soil with sN, and bare soil without sN as control. In areas with LTM the interactions between products derived from biomass, sN, and Ca resulted in higher total SOC and BS, while STM maintained soil moisture, decreased penetration resistance, and enhanced N uptake providing biological nitrogen able to replace sN for maize nutrition. The positive effects of short- and long-term mulching were cumulative as they increased accumulated N by maize in 163%, and maize grain yield by 125% (4.77-10.78 Mg ha-1) compared to cultivation with sN without mulch. Our results showed that interactions between continuos mulch of leguminous biomass, Ca and sN prevent degradation of agricultural land in Amazonian conditions. Therefore, this combination must be recommended to prevent Amazonian soil management, which in turn reduces the risk of new deforestation in Amazonian periphery.

Metodología de elaboración del Plan para la Implementación y Monitoreo de la Política Nacional de Recursos Humanos en Salud del Paraguay.

OBJETIVO: Presentar la metodología de elaboración del Plan para la Implementación y Monitoreo de la Política Nacional de Recursos Humanos en Salud (PNRHS) del Ministerio de Salud Pública y Bienestar Social (MSPBS) del Paraguay y los resultados de su aplicación. Material y métodos. La PNRHS abarca seis estrategias y 25 líneas de acción cuya ejecución es preciso monitorear y evaluar. La metodología, dividida en siete fases y cuatro instrumentos, implicó un principio de co-construcción que involucra, a través de la Dirección Nacional Estratégica de Recursos Humanos en Salud (DNERHS) del MSPBS, a los actores relacionados con los recursos humanos en salud (RHS). Se realizó un análisis de los factores facilitadores y obstaculizadores que se podrían potenciar o mitigar. RESULTADOS: Para cada estrategia se definieron indicadores, actividades, metas y medios de verificación y se ordenaron las líneas de acción para programar la ejecución. Se creó un Comité Nacional para la implementación y monitoreo de la PNRHS, entre cuyas funciones se incluyen la integración en mesas intersectoriales temáticas y procesos de validación. Conclusión. Los desafíos principales radican en la capacidad de aminorar los obstáculos y en la continuidad de las acciones, lo que requiere la permanencia de un respaldo político en cada institución representada en el Comité y una fuerte capacidad de convocatoria y coordinación por parte del MSPBS.

Effects of Ambient Temperature on the Performance and Thermoregulatory Responses of Commercial and Crossbred (Brazilian Piau Purebred Sires × Commercial Dams) Growing-Finishing Pigs.

The study aimed at evaluating the effects of high ambient temperature (HT: 30 °C) on the thermoregulatory responses and performance of commercial and Piau crossbred (Brazilian Piau breed sires × commercial genotype dams) growing pigs. Commercial and Piau crossbred pigs were reared under thermoneutral (TN: 22 °C) or HT conditions during a 14-day experimental period. Feeding (daily) and animals (beginning and end) were weighted to obtain performance parameters. Skin and rectal temperatures, respiratory rate, and blood parameters were also measured. At the end of the trial (day 15), the animal's backfat thickness (BF) and loin eye area (LEA) were measured. No interaction (p > 0.05) between the genetic group and ambient temperature was observed for any performance trait. Irrespective of ambient temperature, Piau crossbred pigs had a similar feed intake (ADFI, 2615 g/day, on average; p > 0.05), lower daily weight gain (ADG, -234 g/day; p < 0.01), and a higher feed conversion ratio (FCR, +0.675 g/g; p < 0.01). There was interaction (p = 0.01) between genotype and ambient temperature for the LEA that decreased significantly in response to HT in commercial pigs (-6.88 cm2) and did not differ in response to ambient temperature in Piau crossbred pigs (29.14 cm2, on average; p > 0.05). Piau crossbred pigs had greater BF (+7.2 mm; p < 0.01) than commercial pigs. Regardless of the genetic group, exposure of pigs to HT resulted in decreased ADFI (-372 g/day; p < 0.01), ADG (-185 g/day; p < 0.01), and a higher FCR (+0.48 g/g; p = 0.01). Ambient temperature did not affect lipid deposition. Pigs at HT had an increased respiratory rate (+38 bpm; p < 0.01) and a long-lasting increase in skin and rectal temperatures compared to TN pigs. Total concentrations of triiodothyronine (T3) and thyroxine (T4) were not affected by ambient temperature in commercial pigs, whereas Piau crossbred pigs kept at 30 °C had a transient decrease in both hormones at day 2 (p < 0.01). Serum cortisol concentrations were not affected (p > 0.05) by genotype nor ambient temperature. In summary, Piau crossbred pigs had lower efficiency using nutrients for growth in association with increased lipid deposition when compared to commercial pigs. In response to HT, commercial pigs had a decreased LEA, whereas no effect was observed for Piau crossbred pigs. Apart from that, commercial and Piau crossbred pigs had a similar magnitude of thermoregulatory responses activation in response to HT, evidencing their innate survival-oriented function.

Effects of heat stress on performance and thermoregulatory responses of Piau purebred growing pigs.

The study of how different breeds adapt to heat stress and the further understanding of mechanisms underlying pigs thermotolerance is of utmost importance to attenuate the negative effects of heat stress on pigs welfare, physiology, and performance. Therefore, this study aimed at evaluating the effects of ambient temperature on performance and thermoregulatory responses of Piau purebred pigs. The Brazilian native pig breed Piau is a fat-type breed characterized by adaptability and resistance to diseases. To achieve our goal, Piau purebred pigs (65 kg initial BW) were allocated to one of the two constant ambient temperature conditions: thermoneutral (22 °C; n = 11) and heat stress (30 °C; n = 11). The experimental period lasted 15 days (days 1 to 15). Pigs were individually weighed at the beginning and end of the experimental period. Body and rectal temperatures, respiratory rate and blood indicators of stress and metabolism were measured throughout the experiment. Piau purebred pigs exposed to 30 °C had lower (p < 0.05) feed intake, body weight gain and final body weight than pigs at 22 °C. Feed conversion rate was not affected (p > 0.05) by ambient temperature. Irrespective of ambient temperature, pigs had similar (p > 0.05) backfat thickness and loin eye area. Piau pigs at 30 °C had increased (p < 0.05) nape, dorsal, flank, and rectal temperatures and increased respiratory rate than their counterparts reared at 22 °C. In summary, our results show that Piau purebred pigs acclimation to 30 °C of ambient temperature is characterized by increased body skin temperature to optimize sensible heat loss to the environment; increased respiratory rate to promote latent heat loss; and by a concomitant reduced voluntary feed intake to reduce heat production associated with digestion and metabolic processes with negative effects on body weight gain.

Could more efficient utilization of ecosystem services improve soil quality indicators to allow sustainable intensification of Amazonian family farming?

In the Amazonian periphery, there are sources of numerous disservices, including deforestation, loss of wildlife habitat and biodiversity erosion. However, there are great opportunities to adopt appropriate agricultural management practices to take advantage of the benefits of ecosystem services for sustainable agricultural intensification. Thus, the aim of this work was to evaluate the effects of certain ecosystem services provided by combined use of legumes with residue of low- and high-quality on soil quality indicators, nitrogen use efficiency and sustainability of maize grain yield in infertile tropical soil. The overarching objective is to determine how ecosystem services can contribute to the improvement of land-use policy to ensure the sustainability of cultivated lands, in such a way that forest can be preserved by avoiding deforestation of other new areas through shifting cultivation systems. Four leguminous tree species were used, two with high-quality residues Leucaena leucocephala (leucaena) and Gliricidia sepium (gliricidia) and two with low-quality residues Clitoria fairchildiana (clitoria) and Acacia mangium (acacia). Maize grain yield was evaluated between 2011 and 2017 in these treatments. In 2018, to assess how ecosystem services affect crop performance, the treatments were divided into ten treatments with and without urea. We conclude that increased uptake of inorganic and organic N by maize resulting from improvement of the soil quality indicators may allow agricultural intensification. This improvement can help meet the challenges of sustainability and feasibility of agroecosystems of the Amazonian periphery by making the agroecosystem more productive year by year. Therefore, our results confirm that the utilization of an ecosystem services style approach can help meet the challenges of sustainability and feasibility in agrosystems of the Amazonian periphery. In addition, these results can contribute to the development of land-use policy in the Amazonian periphery, aiming for the intensification of agriculture in cropped areas to avoid deforestation of new areas from shifting cultivation systems.

Pharmacotherapy of Traumatic Childhood Aphasia: Beneficial Effects of Donepezil Alone and Combined With Intensive Naming Therapy.

At present, language therapy is the only available treatment for childhood aphasia (CA). Studying new interventions to augment and hasten the benefits provided by language therapy in children is strongly needed. CA frequently emerges as a consequence of traumatic brain injury and, as in the case of adults, it may be associated with dysfunctional activity of neurotransmitter systems. The use of cognitive-enhancing drugs, alone or combined with aphasia therapy, promotes improvement of language deficits in aphasic adults. In this study we report the case of a 9-year-old right-handed girl, subject P, who had chronic anomic aphasia associated with traumatic lesions in the left temporal-parietal cortex. We performed a single-subject, open-label study encompassing administration of the cholinergic agent donepezil (DP) alone during 12 weeks, followed by a combination of DP and intensive naming therapy (INT) for 2 weeks and thereafter by a continued treatment of DP alone during 12 weeks, a 4-week washout period, and another 2 weeks of INT. Four comprehensive language and neuropsychological evaluations were performed at different timepoints along the study, and multiple naming evaluations were performed after each INT in order to assess performance in treated and untreated words. Structural magnetic resonance imaging (MRI) was performed at baseline. MRI revealed two focal lesions in the left hemisphere, one large involving the posterior inferior and middle temporal gyri and another comprising the angular gyrus. Overall, baseline evaluation disclosed marked impairment in naming with mild-to-moderate compromise of spontaneous speech, repetition, and auditory comprehension. Executive and attention functions were also affected, but memory, visuoconstructive, and visuoperceptive functions were preserved. Treatment with DP alone significantly improved spontaneous speech, auditory comprehension, repetition, and picture naming, in addition to processing speed, selective, and sustained attention. Combined DP-INT further improved naming. After washout of both interventions, most of these beneficial changes remained. Importantly, DP produced no side effects and subject P attained the necessary level of language competence to return to regular schooling. In conclusion, the use of DP alone and in combination with INT improved language function and related cognitive posttraumatic deficits in a child with acquired aphasia. Further studies in larger samples are warranted.

Developmental Dynamic Dysphasia: Are Bilateral Brain Abnormalities a Signature of Inefficient Neural Plasticity?

The acquisition and evolution of speech production, discourse and communication can be negatively impacted by brain malformations. We describe, for the first time, a case of developmental dynamic dysphasia (DDD) in a right-handed adolescent boy (subject D) with cortical malformations involving language-eloquent regions (inferior frontal gyrus) in both the left and the right hemispheres. Language evaluation revealed a markedly reduced verbal output affecting phonemic and semantic fluency, phrase and sentence generation and verbal communication in everyday life. Auditory comprehension, repetition, naming, reading and spelling were relatively preserved, but executive function was impaired. Multimodal neuroimaging showed a malformed cerebral cortex with atypical configuration and placement of white matter tracts bilaterally and abnormal callosal fibers. Dichotic listening showed right hemisphere dominance for language, and functional magnetic resonance imaging (fMRI) additionally revealed dissociated hemispheric language representation with right frontal activation for phonology and bilateral dominance for semantic processing. Moreover, subject D also had congenital mirror movements (CMM), defined as involuntary movements of one side of the body that mirror intentional movements of the other side. Transcranial magnetic stimulation and fMRI during voluntary unimanual (left and right) hand movements showed bilateral motor cortex recruitment and tractography revealed a lack of decussation of bilateral corticospinal tracts. Genetic testing aimed to detect mutations that disrupt the development of commissural tracts correlating with CMM (e.g., Germline DCC mutations) was negative. Overall, our findings suggest that DDD in subject D resulted from the underdevelopment of the left inferior frontal gyrus with limited capacity for plastic reorganization by its homologous counterpart in the right hemisphere. Corpus callosum anomalies probably contributed to hinder interhemispheric connectivity necessary to compensate language and communication deficits after left frontal involvement.

Na rua, a droga é destruição e curtição: um estudo em representações sociais / For the homeless, drugs are destruction and fun: a study in social representations

Este estudo objetiva analisar a estrutura das representações sociais de pessoas em situação de rua sobre drogas. Pesquisa qualitativa, com 158 pessoas em situação de rua, que responderam ao Teste de Associação Livre de Palavras, com o estímulo "drogas" de novembro/2017 a janeiro/2018. Os dados foram processados por dois softwares que permitiram análise fundamentada na Teoria das Representações Sociais. Nas representações gráficas geradas pelos softwares, os termos "destruição", "coisa ruim", "tristeza" sinalizam uma conotação negativa sobre as drogas em contraponto ao termo "curtição" que revela o uso como ação que promove prazer, sobrevivência, relacionada ao contexto da rua. Para o grupo investigado, as drogas representam elemento de sobrevivência, que podem potencializar outras vulnerabilidades. Destaca-se a importância da Estratégia de Redução de Danos no cuidado às pessoas em situação de rua, pela possibilidade desta considerar o sujeito, suas representações e especificidades.

This study aimed to analyze the structure of social representations of the homeless regarding drugs. It is a qualitative study, with 158 homeless people, who responded to a Word Association Test, with the stimulus "drugs", from November/2017 to January/2018. The data were processed using two types of software that enabled analysis based on the Social Representations Theory. In the graphic representations generated by the software, the terms "destruction", "bad thing", and "sadness" indicate a negative connotation in relation to drugs, in contrast to the term "fun", which revealed usage as an action to promote pleasure, or survival, related to the context of homelessness. For the investigated group, drugs represent an element of survival, which may enhance other vulnerabilities. The importance of a Damage Reduction Strategy in the care of the homeless stands out, as it considers the subject, their representations and specificities.

Representações sociais de pessoas em situação de rua sobre morador de rua que usa drogas / Representaciones sociales de personas que habitan en la calle y usan drogas / Social representations held by homeless individuals regarding homeless individuals who consume drugs

Objetivo conhecer a estrutura das representações sociais de pessoas em situação de rua acerca do morador de rua que usa drogas. Método pesquisa qualitativa, alicerçada na Teoria das Representações Sociais, com 158 pessoas em situação de rua do centro histórico de Salvador, Bahia. As informações foram produzidas entre novembro de 2017 e janeiro de 2018, mediante técnica de associação livre de palavras, com o termo indutor morador de rua que usa drogas, e processadas em dois softwares de análise. Resultados o grupo investigado foi composto majoritariamente por homens, jovens, de raça/cor negra, com nível de escolaridade fundamental. Os termos: discriminado, vive no risco, excluído e precisa de ajuda compuseram o núcleo central. Na árvore máxima, a evocação discriminado mostrou centralidade. Conclusão o conjunto de termos evocados refletem situações vivenciadas pelo grupo investigado e reproduz preconceitos e estigmas sociais sobre a pessoa que mora na rua e usa drogas.

Objetivo conocer la estructura de las representaciones sociales de personas que habitan en la calle y usan drogas. Método investigación cualitativa, basada en la Teoría de las Representaciones Sociales, con 158 personas que habitan en la calle, en el centro histórico de la ciudad de Salvador, en Bahía. Las informaciones fueron obtenidas entre noviembre de 2017 y enero de 2018, mediante la técnica de asociación libre de palabras, con el término inductor habitante de calle que usa drogas; los datos fueron procesados en dos softwares de análisis. Resultados el grupo investigado estuvo compuesto, en su mayoría, por hombres, jóvenes, de color/raza negra, con nivel de escolaridad básico. Los términos: discriminado, vive en riesgo, excluido y necesita ayuda, compusieron el núcleo central. En el árbol máximo, la evocación "discriminado" mostró centralidad. Conclusión el conjunto de términos evocado refleja situaciones experimentadas por el grupo investigado y reproduce prejuicios y estigmas sociales sobre la persona que habita en la calle y usa drogas.

Objective to identify the structure of social representations held by homeless people of homeless people who consume drugs. Method qualitative study based on the Theory of Social Representations, addressing 158 homeless individuals in the historic downtown of Salvador, Bahia, Brazil. Data were collected from November 2017 to January 2018 through the free association of words using the inductor homeless people who use drugs. Data were analyzed using two software programs. Results participants were mainly Afro-descendent young men who completed primary school. The terms: discriminated against, lives at risk, excluded, and needs help compose the central core. The evocation discriminated against was central in the maximum tree. Conclusion the set of evoked terms reflect situations experienced by the group under study and reproduces preconceptions and social stigma regarding homeless people who use drugs.

"Corpo de homem com (tre)jeitos de mulher?": imagem da travesti por enfermeiras / ¿"Cuerpo de hombre con modos de mujer?": imagen de travesti por las enfermeras / "Male body with female gestures?": a transvestite's image made by nurses

Trata-se de uma pesquisa qualitativa, fundamentada na Teoria das Representações Sociais, com o objetivo de descrever a imagem da pessoa travesti revelada por enfermeira(o)s. Aplicou-se Teste de Associação Livre de Palavras (TALP), composto pelo estímulo 'Travesti', para 110 enfermeira(o)s pós-graduanda(o)s de universidade pública do município de Salvador, Bahia, Brasil. Dessas, vinte responderam a entrevista semiestruturada. Os dados do TALP processados pelo software Ensemble de Programmes Permettant l'Analyse des Évocations (EVOC) subsidiaram a organização do corpus das entrevistas guiada pela análise de conteúdo. O grupo investigado revelou uma imagem sobre a travesti a partir de elementos das dimensões biológica e social, orientação sexual e identidade de gênero; e aponta para o surgimento de uma perspectiva progressista sobre o modo de ser e estar travesti.

Se trata de una encuesta cualitativa, fundamentada en la Teoría de las Representaciones Sociales, con el objetivo de describir la imagen de la persona travesti revelada por enfermeras y enfermeros. Se aplicó el Test de la Asociación Libre de palabras (TALP), compuesto por el estímulo 'Travesti', para 110 enfermeras y enfermeros realizando estudios de postgrado en una universidad pública del municipio de Salvador, Bahia, Brasil. De entre ellos, veinte respondieron la entrevista semi-estructurada. Los datos del TALP procesados por el software Ensemble de Programmes Permettantl' Analysedes Évocations (EVOC) sirvieron de subsidio para la organización del corpus de las entrevistas guiada por el análisis de contenido. El grupo investigado reveló una imagen del travesti a partir de elementos de las dimensiones biológica y social, orientación sexual e identidad de género y señala el surgimiento de una perspectiva progresista sobre el modo de ser y estar travesti.

This is a qualitative research based on the Theory of Social Representations aiming at describing the transvestite's image revealed by nurse(s). The Free Word Association Test (TFAW) was applied, consisting of the stimulus 'Transvestite', for 110 Postgraduate nursing students, from a public university located in Salvador city, Bahia state, Brazil. Twenty of them answered the semi-structured interview. The TFAW data processed by the free software Ensemble de Programmes Permettant L'analyse des Évocations (EVOC) subsidized the corpus organization of the interviews guided by the content analysis. The investigated group revealed an image about the transvestite from elements of biological and social, sexual orientation and gender identity dimensions, pointing towards the emergence of a progressive perspective on the way of being a transvestite.

Social representations of health care by homeless people. / Representações sociais do cuidado em saúde de pessoas em situação de rua.

Objective Identify and analyze the structure and content of the social representations of homeless people in relation to health care. Method Qualitative study, based on the structural approach of the Theory of Social Representations, conducted with homeless people, linked to two institutional shelters. To produce the data, the free-association test was used. The resulting data was processed by two software and analyzed according to the theory above. Results Seventy-two people participated in the study. The set of evocations from the four-quadrant chart refers to individual, social and cultural actions. The terms 'doctor', 'taking care of yourself' and 'eating' composed the central core of the representation, indicating image-related and functional dimensions of the object investigated. The word cloud confirmed the centrality of the terms. Conclusion The investigated group represents health care as a dynamic action, linked to the person and context, and is anchored in elements of the hygienist conception.

Representações sociais do cuidado em saúde de pessoas em situação de rua / Representaciones sociales del cuidado sanitario de personas en situación de calle / Social representations of health care by homeless people

RESUMO Objetivo Identificar e analisar a estrutura e o conteúdo das representações sociais de pessoas em situação de rua sobre cuidados em saúde. Método Pesquisa qualitativa, fundamentada na abordagem estrutural da Teoria das Representações Sociais, com pessoas em situação de rua, vinculadas a duas unidades de acolhimento institucional. Para a produção dos dados, foi utilizado o teste de associação livre de palavras, cujos dados foram processados por dois software e analisados à luz da referida teoria. Resultados Participara da pesquisa 72 pessoas. O conjunto de evocações do quadro de quatro casas remete a ações individuais, sociais e culturais. Os termos médico, cuidar de si e alimentação compuseram o núcleo central da representação, sinalizando dimensões imagética e funcional do objeto investigado. A nuvem de palavras confirmou a centralidade dos termos. Conclusão O grupo investigado representa o cuidado em saúde como uma ação dinâmica, vinculado à pessoa e ao contexto e ancorado em elementos da concepção higienista.

RESUMEN Objetivo Identificar y analizar la estructura y el contenido de las representaciones sociales de personas en situación de calle acerca de los cuidados sanitarios Método Investigación cualitativa, fundamentada en el abordaje estructural de la Teoría de las Representaciones Sociales, con personas en situación de calle, vinculadas a dos unidades de acogimiento institucional. Para la producción de los datos, se utilizó la prueba de asociación libre de palabras, cuyos datos fueron procesados por dos softwares y analizados a la luz de la mencionada teoría. Resultados Participaron en la investigación 72 personas. El conjunto de evocaciones del cuadro de cuatro casas remite a acciones individuales, sociales y culturales. Los términos "médico", "cuidar de sí" y "alimentación" compusieron el núcleo central de la representación, señalando la dimensión de imágenes y la funcional del objeto investigado. La nube de palabras confirmó la centralidad de los términos. Conclusión El grupo investigado representa el cuidado sanitario como una acción dinámica, vinculado con la persona y el contexto y anclado en elementos de la concepción higienista.

ABSTRACT Objective Identify and analyze the structure and content of the social representations of homeless people in relation to health care. Method Qualitative study, based on the structural approach of the Theory of Social Representations, conducted with homeless people, linked to two institutional shelters. To produce the data, the free-association test was used. The resulting data was processed by two software and analyzed according to the theory above. Results Seventy-two people participated in the study. The set of evocations from the four-quadrant chart refers to individual, social and cultural actions. The terms 'doctor', 'taking care of yourself' and 'eating' composed the central core of the representation, indicating image-related and functional dimensions of the object investigated. The word cloud confirmed the centrality of the terms. Conclusion The investigated group represents health care as a dynamic action, linked to the person and context, and is anchored in elements of the hygienist conception.

Modelo educativo para el personal de enfermería: diseño y aplicación / Educational model for nursing staff: design and implementation

Este estudio se realizó con el objetivo de estandarizar la práctica educativa del personal de enfermería del pabellón Fundadores A del Hospital de San José de Bogotá con el paciente, acerca del cuidado en casa con la herida quirúrgica a través del diseño e implementación de un modelo educativo. El diseño metodológico utilizado fue investigación-acción, el cual permite la interrelación de apoyo y asesoría con la población del estudio, así como la generación de nuevos conocimientos al investigador y a los grupos participantes. Este fue un proceso dirigido por etapas. Primero se sensibilizó al personal de enfermería del pabellón Fundadores A,donde conocieron la importancia y la necesidad de implementar el modelo educativo. Con la participación del personal del estudio y del grupo investigador se diseñó el modelo, para seguir con el segundo paso del proceso que abrió el camino a la aplicación y evaluación del mismo. La aplicación del diseño fue considerada por el personal como una herramienta de trabajo que unifica conocimientos y actividades designadas. El resultado evidencia que el grupo no solo recibió los conocimientos del modelo sino que lo convirtieron en parte de su práctica diaria. En conclusión, el modelo educativo mejoró la práctica educativa del personal de enfermería con el paciente de cirugía, sobre los cuidados en casa con la herida quirúrgica. Esto se incluirá en el esquema de calidad que destaca a la institución.