The needs, barriers, and opportunities perceived by health professionals for an online competency-based interprofessional course to enhance the care of older adults with chronic musculoskeletal pain.

BACKGROUND: It is recommended that continued education in pain should be supported using information and communication technologies (ICTs), but there are gaps about the previous competencies of health professionals, especially in low- and middle-income countries. This study characterized the competencies of professionals in the Colombian Caribbean, the circumstances that favor and hinder the development of appropriate care, as well as the preferences, expectations and attitudes toward an educational intervention supported by ICTs. METHODS: We used a qualitative, phenomenological approach, combining documentary review and data obtained through observation, an online survey and two focus groups involving 55 healthcare professionals (physicians, nurses and psychologists) of varying experience. For the analysis and integration of results, the Capacity, Opportunity, Motivation and Behavior model and the Theoretical Domains Framework were used as references. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist guided the reporting of this study. RESULTS: Competency deficits were found regardless of the profession and experience, which are related to inadequacies in undergraduate and post-graduate training. Structural problems in Colombian society and healthcare service organization were also discovered, which were considered unmodifiable barriers and have been aggravated by the social, economic and health effects of the pandemic. The main modifiable barriers found were as follows: pain underestimation and under-treatment of older adults, as well as stereotypes regarding old age and pain, lack of knowledge of the psychosocial determinants of pain and of techniques for its assessment and treatment, overestimation of pharmacological treatment and failure to update pharmacological and non-pharmacological techniques. CONCLUSIONS: Recommendations for the design of the educational intervention were established as follows: favoring non-synchronous resources, facilitating synchronous activities of short duration, facilitating permanent access to information and resources and generating incentives for continuing education, such as certification, institutional recognition and encouraging popular recognition.

Autolesiones no suicidas y trastorno límite de la personalidad en adolescentes: scoping review

Objetivo: Mapear la evidencia científica respecto de las autolesiones no suicidas y trastorno límite de la personalidad en adolescentes de muestras comunitarias o clínicas en el contexto internacional. Introducción: Las autolesiones no suicidas corresponden a un importante campo de investigación en el espectro de suicidio, no obstante, son diversas las perspectivas para su conceptualización. La literatura señala ampliamente la comorbilidad entre las autolesiones no suicidas y el trastorno límite de la personalidad. Métodos: Scoping review basada en la metodología propuesta por el Joanna Briggs Institute. Se utilizaron las bases de datos Ovid, Science Direct, Proquest, Biblioteca Virtual de Salud y Web of Science. La búsqueda fue realizada en fuentes publicadas del 2011 hasta noviembre de 2021 en idiomas español, inglés y portugués. Resultados: La muestra final estuvo conformada por 12 artículos extraídos que cumplieron con los criterios de inclusión. Se encontraron cuatro categorías: curso longitudinal de las autolesiones no suicidas y trastornos límite de la personalidad en adolescentes, marcadores neuronales-fisiológicos de las autolesiones no suicidas y trastornos límite de la personalidad en adolescentes y riesgos psicosociales asociados a las autolesiones no suicidas y trastornos límite de la personalidad. Conclusiones: Se requieren más estudios interdisciplinares en el campo de las autolesiones no suicidas y trastornos límite de la personalidad en adolescentes. Se evidencia la necesidad de estudiar el curso longitudinal, marcadores neuronales-fisiológicos y riesgos psicosociales para mejorar la especificad de las intervenciones en muestras clínicas.

Objective: To map the scientific evidence regarding non-suicidal self-harm and borderline personality disorder in adolescents from community or clinical samples in the international context. Introduction: Non-suicidal self-harm corresponds to an important field of research in the suicide spectrum; however, there are diverse perspectives for its conceptualization. The literature widely points out the comorbidity between non-suicidal self-harm and borderline personality disorder. Methods: Scoping review based on the methodology proposed by the Joanna Briggs Institute. The Ovid, Science Direct, Proquest, Virtual Health Library and Web of Science databases were used. The search was carried out in sources published from 2011 to November 2021 in Spanish, English and Portuguese languages. Results: The final sample consisted of 12 extracted articles that met the inclusion criteria. Four categories were found: longitudinal course of non-suicidal self-harm and borderline personality disorders in adolescents, neuronal-physiological markers of non-suicidal self-harm and borderline personality disorders in adolescents, and psychosocial risks associated with non-suicidal self-harm and borderline disorders. of personality. Conclusions: More interdisciplinary studies are required in the field of non-suicidal self-harm and borderline personality disorders in adolescents. The need to study the longitudinal course, neuronal-physiological markers and psychosocial risks is evident to improve the specificity of interventions in clinical samples.

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis.

INTRODUCTION: Adverse events in hospitals are prevented through risk reduction and reliable processes. Highly reliable hospitals are grounded by a robust patient safety culture with effective communication, leadership, teamwork, error reporting, continuous improvement, and organizational learning. Although hospitals regularly measure their patient safety culture for strengths and weaknesses, there have been no systematic reviews with meta-analyses reported from Latin America. PURPOSE: Our systematic review aims to produce evidence about the status of patient safety culture in Latin American hospitals from studies using the Hospital Survey on Patient Safety Culture (HSOPSC). METHODS: This systematic review was guided by the JBI guidelines for evidence synthesis. Four databases were systematically searched for studies from 2011 to 2021 originating in Latin America. Studies identified for inclusion were assessed for methodological quality and risk of bias. Descriptive and inferential statistics, including meta-analysis for professional subgroups and meta-regression for subgroup effect, were calculated. RESULTS: In total, 30 studies from five countries-Argentina (1), Brazil (22), Colombia (3), Mexico (3), and Peru (1)-were included in the review, with 10,915 participants, consisting primarily of nursing staff (93%). The HSOPSC dimensions most positive for patient safety culture were "organizational learning: continuous improvement" and "teamwork within units", while the least positive were "nonpunitive response to error" and "staffing". Overall, there was a low positive perception (48%) of patient safety culture as a global measure (95% CI, 44.53-51.60), and a significant difference was observed for physicians who had a higher positive perception than nurses (59.84; 95% CI, 56.02-63.66). CONCLUSIONS: Patient safety culture is a relatively unknown or unmeasured concept in most Latin American countries. Health professional programs need to build patient safety content into curriculums with an emphasis on developing skills in communication, leadership, and teamwork. Despite international accreditation penetration in the region, there were surprisingly few studies from countries with accredited hospitals. Patient safety culture needs to be a priority for hospitals in Latin America through health policies requiring annual assessments to identify weaknesses for quality improvement initiatives.

Riesgo de padecer diabetes mellitus tipo 2 en una población adulta del Caribe colombiano / Risk of Suffering from Type 2 Diabetes Mellitus in an Adult Population of the Colombian Caribbean

Introducción: La diabetes mellitus es una enfermedad crónica con alta prevalencia, que afecta la calidad de vida de la población que la padece, por cuanto identificar el riesgo de desarrollarla permite implementar estrategias para retrasar su aparición y prevenir complicaciones. Objetivo: Identificar el nivel de riesgo de desarrollar diabetes mellitus tipo 2 en una población del Caribe colombiano. Métodos: Estudio cuantitativo, de corte transversal. Participaron 248 individuos del área urbana de un corregimiento de Santa Marta, Colombia, en el primer semestre de 2018, mediante un muestreo estratificado por sectores. Se utilizó el test Finnish Diabetes Risk Score para la recolección de información, así como la medición del perímetro abdominal, el peso, la talla y la tensión arterial. Para el análisis de las variables numéricas se aplicó T de Student para variables independientes y para las variables categóricas se aplicó chi cuadrado. Resultados: Del total de participantes, 36,29 por ciento presentó un riesgo ligeramente elevado y 8,87 por ciento riesgo moderado alto. El grupo poblacional con mayor riesgo fue el de 58 a 65 años (34,78 por ciento). Se encontró significancia estadística entre el riesgo de presentar diabetes en los próximos 10 años y las variables sobrepeso y obesidad, circunferencia abdominal aumentada, antecedentes personales de hiperglucemia, consumo de medicamentos antihipertensivos y antecedentes personales de diabetes mellitus tipo 2 en padres, hermanos e hijos. Conclusiones: El riesgo de desarrollar diabetes mellitus tipo 2 en la población estudiada fue ligeramente elevado en un alto porcentaje de la población(AU)

Introduction: Diabetes mellitus is a chronic disease with high prevalence, which affects the quality of life of the population that suffers from it, since identifying the risk of developing it allows the implementation of strategies to delay its onset and prevent complications. Objective: To identify the level of risk of developing type 2 diabetes mellitus in a Colombian Caribbean population. Methods: This is a quantitative, cross-sectional study. two hundred forty eight individuals from the urban area of a village in Santa Marta, Colombia, participated in the first semester of 2018, through a sampling stratified by sectors. The Finnish Diabetes Risk Score test was used to collect information, as well as to measure abdominal circumference, weight, height, and blood pressure. For the analysis of the numerical variables, Student's t-test was applied for independent variables and chi-square was applied for the categorical variables. Results: Of the total of participants, 36.29 percent had slightly high risk and 8.87 percent moderate high risk. The population group with the highest risk was 58 to 65 years (34.78 percent). Statistical significance was found between the risk of developing diabetes in the subsequent 10 years and the variables overweight and obesity, increased abdominal circumference, personal history of hyperglycemia, consumption of antihypertensive drugs, and personal history of type 2 diabetes mellitus in parents, siblings, and children. Conclusions: The risk of developing type 2 diabetes mellitus in the studied population was slightly elevated in a high percentage of the population(AU)

Significado de la promoción de la salud ambiental infantil para profesionales de enfermería de Colombia / Meaning of the promotion of children's environmental health for nursing professionals in Colombia

Objetivo: describir los significados que el enfermero le atribuye a la promoción de la salud ambiental infantil. Metodología: estudio cualitativo descriptivo, en el que participaron 13 enfermeros que laboraban en instituciones de salud de primer nivel de atención de una ciudad colombiana. La información se obtuvo mediante entrevistas en profundidad realizadas en el lugar de trabajo. El número de informantes y el número de entrevistas se determinó por muestreo teórico y saturación de categorías. Los datos fueron analizados siguiendo el método de análisis comparativo de Corbin y Strauss. Resultados: Se identificaron tres categorías: rol de los enfermeros en la salud ambiental, acciones de enfermería para la promoción de la salud ambiental y barreras para la promoción de la salud ambiental infantil. Conclusiones: el enfermero puede actuar como promotor de la salud ambiental infantil a través de la educación continua a la familia y comunidad, venciendo barreras como el desinterés del usuario y su propio desconocimiento del tema. Este trabajo propone la formación de enfermeros ambientalistas capaces de cuidar el medio ambiente y proteger la salud de los niños. (AU)

Objective: describe the meanings that the nurse attributes to the promotion of children's environmental health. Methodology: descriptive qualitative study, in which 13 nurses who have worked in health institutions of the first level of care of a Colombian city participated. The information was obtained through in-depth interviews conducted in the workplace. The number of informants and the number of interviews was determined by theoretical sampling and saturation of categories. Data were analyzed following the method of comparative analysis of Corbin and Strauss. Results: Three categories were identified: Role of nurses in environmental health, nursing actions for the promotion of environmental health and barriers for the promotion of children's environmental health. Conclusions: the nurse can act as a promoter of children's environmental health through continuing education to the family and the community, overcoming barriers such as user disinterest and their own ignorance of the subject. This work proposes the training of environmental nurses capable of caring for the environment and protecting the health of children. (AU)

Factores asociados al consumo de tabaco en estudiantes universitarios colombianos / Factors associated with smoking in Colombian University students

Objetivo: estimar la prevalencia y las variables asociadas al consumo de tabaco en estudiantes universitarios.Método: estudio descriptivo transversal en estudiantes universitarios colombianos. El instrumento utilizado para la recolección de la información fue el Cuestionario de prevalencia de consumo de tabaco en estudiantes universitarios, diseñado por Bautista y empleado en un estudio previo en El Salvador y Colombia. Dicho cuestionario está estructurado en tres bloques: características sociodemográficas, sobre el consumo de tabaco y sobre la prevención del consumo de tabaco. El muestreo fue intencional. Se implicaron alumnos de siete programas académicos distintos. Se realizó análisis descriptivo. Se aplicaron las pruebas estadísticas U de Mann Whitney y Chi cuadrado para comparar las variables entre fumadores y no fumadores. Se consideró significación estadística si p< 0,05.Resultados: participaron 331 estudiantes. La media (DE) de edad de los participantes fue de 23,65 (5,39) años. El 57,1%(n= 189) de los participantes fue mujer. La prevalencia de fumadores en estudiantes universitarios fue de 28,1% (n= 65). Se comprobaron relaciones significativas entre el consumo de tabaco y el sexo (p= 0,011), detectándose una mayor prevalencia de fumadores entre los hombres (56,9%; n= 37) que en las mujeres (43,1%; n= 28); así como entre el consumo de tabaco y la facilidad para asumir gastos (p= 0,011), siendo mayor el porcentaje de estudiantes entre los fumadores que afirmaron que les resultaba fácil/muy fácil (32,3% vs. 28,9%). Los fumadores iniciaron el consumo de tabaco con una media (DE) de 16,78 (2,95) años. El 64,1% tiene familiares que fuman y el 53,1% ha fumado en la universidad. Por su parte, el 92,2% considera que fumar es dañino para la salud y el 93,8% sabe que el humo de tabaco es perjudicial para los demás.Conclusiones: la prevalencia de tabaquismo entre estudiantes universitarios es baja. Las variables asociadas al consumo de tabaco fueron...(AU)

Objective: to estimate the prevalence and variables associated with smoking among University students.Methods: a descriptive cross-sectional study conducted on Colombian University students. The instrument used for data collection was the Questionnaire on Smoking Prevalence among University Students designed by Bautista and used in a previous study in El Salvador and Colombia. Said questionnaire was structured into three blocks: sociodemographic characteristics, smoking, and smoking prevention. There was intentional sampling. The study involved students from seven different academic programmes. Descriptive analysis was conducted. The Mann Whitney U and Square Chi statistical tests were applied to compare variables between smokers and non-smokers. Statistical significance was considered if p< 0.05.Results: the study included 331 students; their mean age (SD) was 23.65 (5.39) years, and 57.1% (n= 189) of participants were female. There was a 28.1% (n= 65) prevalence of smokers among University students. A significant relation was confirmed between smoking and gender (p= 0.011), with a higher prevalence of smokers detected among men (56.9%; n= 37) than women (43.1%; n= 28); as well as between smoking and the ease to bear its costs (p= 0.011), with a higher proportion of students among smokers who stated that they found it easy / very easy (32.3% vs. 28.9%). Smokers initiated their use of tobacco at a mean age (SD) of 16.78 (2.95) years; 64.1% of them had relatives who smoked, and 53.1% had smoked at University. On the other hand, 92.2% considered that smoking was harmful for their health, and 93.8% were aware that tobacco smoke was harmful for others.Conclusions: there was a low prevalence of smoking among University students. The variables associated with smoking were gender and economic status.(AU)

The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry.

BACKGROUND: Sexual health is a multidimensional phenomenon constructed by personal, social, and cultural factors but continues to be studied with a biomedical approach. During the postpartum period, a woman transitions to mother, as well as partner-to-parent and couple-to-family. There are new realities in life in the postpartum period, including household changes and new responsibilities that can impact the quality of sexual health. This phenomenon is understudied especially in the context of Spain. The purpose of this study was to describe the lived experience of postpartum sexual health among primiparous women giving birth in Catalonia (Spain). METHODS: This was a phenomenological study with a purposive sample of primiparous women. Data was collected through semi-structured interviews until saturation. Analysis followed Colaizzi's seven-step process with an eighth translation step added to limit cross-cultural threats to validity. Also, the four dimensions of trustworthiness were established through strategies and techniques during data collection and analysis. RESULTS: Ten women were interviewed from which five themes emerged, including: Not feeling ready, inhibiting factors, new reality at home, socio-cultural factors, and the clinician within the health system. Returning to sexual health led women to engage in experiential learning through trial and error. Most participants reported reduced libido, experienced altered body image, and recounted resumption of sexual activity before feeling ready. A common finding was fatigue and feeling overloaded by the demands of the newborn. Partner support was described as essential to returning to a meaningful relationship. Discussions about postpartum sexual health with clinicians were described as taboo, and largely absent from the care model. CONCLUSION: Evidence-based practices should incorporate the best evidence from research, consider the postpartum sexual health experiences and preferences of the woman, and use clinician expertise in discussions that include the topic of postpartum sexual health to make decisions. As such, human caring practices should be incorporated into clinical guidelines to recognize the preferences of women. Clinicians need to be authentically present, engage in active communication, and individualize their care. More qualitative studies are needed to understand postpartum sexual health in different contexts, cultures, and countries and to identify similarities and differences through meta-synthesis.

Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research.

BACKGROUND: The Hospital Survey on Patient Safety Culture (HSOPSC) is widely utilized in multiple languages across the world. Despite culture and language variations, research studies from Latin America use the Spanish language HSOPSC validated for Spain and the United States. Yet, these studies fail to report the translation method, cultural adaptation process, and the equivalence assessment strategy. As such, the psychometric properties of the HSOPSC are not well demonstrated for cross-cultural research in Latin America, including Peru. The purpose of this study was to develop a target-language HSOPSC for cross-cultural research in Peru that asks the same questions, in the same manner, with the same intended meaning, as the source instrument. METHODS: This study used a mixed-methods approach adapted from the translation guideline recommended by Agency for Healthcare Research and Quality. The 3-phase, 7-step process incorporated translation techniques, pilot testing, cognitive interviews, clinical participant review, and subject matter expert evaluation. RESULTS: The instrument was translated and evaluated in 3 rounds of cognitive interview (CI). There were 37 problem items identified in round 1 (14 clarity, 12 cultural, 11 mixed); and resolved to 4 problems by round 3. The pilot-testing language clarity inter-rater reliability was S-CVI/Avg = 0.97 and S-CVI/UA = 0.86; and S-CVI/Avg = 0.96 and S-CVI/UA = 0.83 for cultural relevance. Subject matter expert agreement in matching items to the correct dimensions was substantially equivalent (Kappa = 0.72). Only 1 of 12 dimensions had a low Kappa (0.39), borderline fair to moderate. The remaining dimensions performed well (7 = almost perfect, 2 = substantial, and 2 = moderate). CONCLUSIONS: The HSOPSC instrument developed for Peru was markedly different from the other Spanish-language versions. The resulting items were equivalent in meaning to the source, despite the new language and different cultural context. The analysis identified negatively worded items were problematic for target-language translation. With the limited literature about negatively worded items in the context of cross-cultural research, further research is necessary to evaluate this finding and the recommendation to include negatively worded items in instruments. This study demonstrates cross-cultural research with translated instruments should adhere to established guidelines, with cognitive interviews, based on evidence-based strategies.

Medición de la cultura de seguridad del paciente en profesionales de salud de atención primaria / Measuring of the patient safety culture in primary care health professionals / Medição da cultura de segurança do paciente em profissionais de saúde de atenção primaria

Objetivo: determinar el nivel de cultura de seguridad del paciente en profesionales de salud de atención primaria. Materiales y métodos: estudio correlacional de corte transversal, en el que participaron 51 profesionales de la salud de 14 centros de salud de Bucaramanga en 2017. Se utilizó la encuesta Cultura de seguridad del paciente en atención primaria. La información se analizó mediante el paquete estadístico PAST versión 3.08 y se aplicaron las pruebas estadísticas x2 de homogeneidad y U de Mann Whitney. Resultados: se evidenció que ninguna de las dimensiones fue categorizada como fortaleza o debilidad y se obtuvo una puntuación global positiva de 45%. La cultura de seguridad fue mejor valorada por la población femenina y entre los profesionales de terapia ocupacional, fonoaudiología y fisioterapia. Las dimensiones con mejor calificación fueron puntuación global e intercambio de información con otros servicios asistenciales. Se encontraron diferencias significativas con las variables edad, profesión, antigüedad en el trabajo, número de horas trabajadas en la semana y tipo de contrato. Conclusiones: la cultura de seguridad del paciente en las instituciones evaluadas no se percibe como una fortaleza, evidenciando la necesidad de planes de mejoramiento orientados a esta área.

Objective: to determine the level of patient safety culture in primary care health professionals. Materials and methods: cross-sectional correlational study, in which participated 51 health professionals of 14 Health Centers in Bucaramanga in 2017. The Survey on Patient Safety Culture in Primary Care was used. The information was analyzed using the statistical package PAST, version 3.08, and the chi-square test of homogeneity and the Mann Whitney U test. Results: It was evidenced that none of the dimensions was categorized either as a strength nor as a weakness and a positive global score of 45% was obtained. The safety culture was better valued by the female population and among the professionals in occupational therapy, speech therapy and physiotherapy. The dimensions with the best rating were global score and information exchange with other assistance services. Significant differences were found with the variables age, profession, seniority at work, number of hours worked in the week and type of contract. Conclusions: the culture of patient safety in the institutions evaluated is not perceived as a strength, evidencing the need for improvement plans oriented to this area.

Objetivo: determinar o nível de cultura de segurança do paciente em professionais de saúde de atenção primaria. Materiais e métodos: estudo correlacional de corte transversal, no que participaram 51 professionais da saúde de 14 centros de saúde de Bucaramanga em 2017. Utilizou-se a enquete Cultura de segurança do paciente em atenção primaria. A informação se analisou mediante o pacote estatístico PAST versão 3.08 e se fizeram as provas estadísticas x2 de homogeneidade e U de Mann Whitney. Resultados: Evidencio se que nenhuma das dimensões foi categorizada como fortaleza ou fraqueza e se obteve uma pontuação global positiva de 45%. A cultura de segurança foi melhor valorada pela povoação feminina e entre os profissionais de terapia ocupacional, fonoaudiologia e fisioterapia. As dimensões com melhor qualificação foram pontuação global e intercambio de informação com outros serviços assistenciais. Encontraram se diferenças significativas com as variáveis idades, profissão, antiguidade no trabalho, número de horas trabalhadas na semana e tipo de contrato. Conclusões: a cultura de segurança do paciente nas instituições avaliadas não se percebe como uma fortaleza, evidenciando a necessidade de planos de melhoramento orientados a esta área.

Aplicación de la bioética ambiental en el ejercicio profesional de la enfermería / Application of Environmental Bioethics to Professional Nursing Practice

RESUMEN Introducción: Los profesionales de enfermería, como parte del equipo de salud, deben participar activamente en las actividades de prevención de factores de riesgo ambiental, teniendo en cuenta el ejercicio ético de la profesión. Objetivo: Identificar cómo se aplica la bioética ambiental en el ejercicio profesional de la enfermería. Métodos: Revisión sistemática de artículos publicados de 2006 a 2016 en bases de datos electrónicas Academic Search Complete, CINAHL, GREENFILE, MEDLINE, SciELO y Redalyc, utilizando los descriptores "bioética", "ética", "enfermería", "medio ambiente" y "salud ambiental", en español, inglés y portugués, así como la consulta de los códigos de ética de enfermería del Comité Internacional de Enfermería y de las Asociaciones Nacionales de Enfermería de América. El análisis de datos se realizó en una base de datos en Excel. Conclusiones: La bioética ambiental es un tema que ha sido considerado por las organizaciones internacionales y nacionales de enfermería y por tanto debe estar inmerso en el ejercicio profesional de enfermería(AU)

ABSTRACT Introduction: Nursing professionals, as part of the health team, must actively participate in activities for preventing environmental risk factors, taking into account the ethical practice of the profession. Objective: To identify how environmental bioethics is applied in the professional practice of nursing. Methods: Systematic review of articles published from 2006 to 2016 in electronic databases such as Academic Search Complete, CINAHL, GREENFILE, MEDLINE, SciELO and Redalyc, using the descriptors bioética ["bioethics"], ética ["ethics"], enfermería ["nursing"], medio ambiente ["environment"], and salud ambiental ["environmental health"], in Spanish, English and Portuguese, as well as the consultation of the codes of ethics of nursing of the International Council of Nurses and the American Nurses Association. The data analysis was carried out in an Excel database. Conclusions: Environmental bioethics is an issue that has been considered by international and national nursing organizations and, therefore, must be included in the professional practice of nursing(AU)

Diferencias en el consumo de tabaco en estudiantes según el sexo universitarios / Differences of snuff consumption in university students by gender

RESUMEN Introducción: El consumo de tabaco afecta a toda la población, particularmente a los jóvenes universitarios, quienes están expuestos a presiones de grupo y otros factores que favorecen su inicio. El sexo juega un papel importante, es por ello que se hace necesario conocer las características del consumo según el sexo para poder diseñar campañas de prevención acordes con los requerimientos de cada grupo poblacional. Objetivo: Caracterizar el consumo de tabaco en estudiantes universitarios según el sexo. Métodos: Estudio descriptivo trasversal. La muestra correspondió a 323 estudiantes de los programas de Administración de empresas, Comercio, Contaduría, Enfermería, Derecho y Psicología, de una Universidad privada de Santa Marta; la información se recolectó mediante el cuestionario Prevalencia de consumo de tabaco en estudiantes universitarios. El análisis de datos se realizó mediante el paquete estadístico SPSS versión 23 y se aplicaron las pruebas estadísticas Odds Ratio y Chi cuadrado bondad de ajuste. Resultados: La prevalencia de consumo de tabaco fue mayor en hombres que en mujeres y el riesgo de tabaquismo en los hombres fue 3,49 veces mayor que entre las mujeres. Conclusiones: Existe relación entre el consumo de tabaco y el sexo, por lo cual las características de consumo difieren en hombres y mujeres; esto relevante para el diseño de programas de prevención del consumo de tabaco(AU)

ABSTRACT Introduction: Snuff consumption affects the entire population, particularly young students, who are exposed to group pressures and other factors that favor its inception. Sex plays an important role, which is why it is necessary to know the characteristics of consumption by gender in order to design prevention campaigns in line with the requirements of each population group. Objective: To characterize the consumption of snuff in college students by sex. Methods: A cross-sectional study. The sample consisted of 323 students programs Business Administration, Commerce, Accounting, Nursing, Law and Psychology, a private University of Santa Marta; the information was collected through the questionnaire Prevalence of snuff in college students. Data analysis was performed using SPSS version 23 and statistical tests Odds Ratio and Chi square of fit were applied. Results: The prevalence of Snuff was higher in men than in women and risk of smoking in men was 3.49 times higher than among women. Conclusions: There is a relationship between consumption of snuff and sex, so consumption characteristics differ in men and women; this relevant to the design of prevention programs snuff consumption(AU)

Análisis bibliométrico de los artículos sobre cuidado de enfermería publicados en revistas colombianas / Bibliometric analysis of articles on nursing care published in colombian magazines

Objetivo: Realizar un análisis bibliométrico de los artículos sobre cuidado de enfermería, publicados en revistas Colombianas. Materiales y método: Estudio bibliométrico descriptivo, retrospectivo. Se analizaron 95 artículos publicados en 18 revistas colombianas indexadas en Publindex, durante los años 2010 a 2015. La búsqueda se realizó mediante los descriptores: cuidado, modelos de enfermería, teoría de enfermería. El análisis descriptivo se realizó mediante una hoja de Excel y se analizaron los indicadores bibliométricos de productividad, citación, contenido y metodológicos. Resultados: Se observa un incremento en la publicación en los últimos 5 años, siendo los artículos de investigaciones originales los que más se publican y las Instituciones que más publican son las Universidades de Bogotá y Antioquia. En relación con los indicadores de citación, el Índice de Price fue de 37,45%, en tanto que el índice de aislamiento fue de 33,67% y el índice de auto citación fue de 1,85%. Sobre los indicadores de colaboración, el índice de coautoría fue de 2,7 y el índice de colaboración institucional fue de 1,3. Conclusiones: Se observa un incremento en la producción científica de Enfermería en Colombia, no obstante, se hace necesario ampliar los indicadores de colaboración (AU)

Objective: To accomplished a bibliometric analysis of articles published on nursing care in Colombian journals. Materials and Methods: Descriptive y retrospective bibliometric study. It was analyzed 95 articles published in 18 Colombian indexed journals in Publindex during the years 2010 to 2015. The search was conducted by the care descriptors, nursing models, nursing theory. The descriptive analysis was performed using an Excel spreadsheet and bibliometric indicators of productivity, citation, content and methodology. Results: An increase in publishing in the last 5 years is observed, being the original research articles the ones which are published the most and the institutions that published the most are Universities from Bogota and Antioquia. According to the citation indicators the index price was 37.45%, while the isolation rate was 33.67% and self-citation index was 1.85%. On indicators of collaboration, co-authorship index was 2.7 and the institutional collaboration index was 1.3. Conclusions: An increase in scientific research about Nursing in Colombia is observed, however, it is necessary to expand cooperation indicators (AU)

Relación entre actitudes y comportamientos ambientales en estudiantes de enfermería / Relationship between attitudes and environmental behavior in nursing students

Introducción: Las actitudes y los comportamientos ambientales de los estudiantes de Enfermería pueden contribuir a minimizar los factores de riesgo ambiental, a través de acciones individuales o colectivas, en la vida diaria y en la práctica profesional. Objetivo: Identificar la relación entre actitudes y comportamientos ambientales en estudiantes de Enfermería de una universidad colombiana. Método: Estudio descriptivo de corte transversal en el que participaron 190 estudiantes de Enfermería. Se analizaron las actitudes y comportamientos ambientales y su relación con las variables sociodemográficas. Se analizó la correlación estadística utilizando el coeficiente de correlación de Spearman. Resultados: El 100% de las actitudes y el 46,7% de los comportamientos fueron calificados como adecuados y se encontró relación entre entre las actitudes ambientales y edad (p = 0,021), así como entre comportamientos ambientales y edad (p = 0,001) y, comportamientos ambientales sexo (p = 0,012). Conclusiones: Aunque la mayoría de estudiantes tiene actitudes ambientales positivas, éstas no siempre se ven reflejadas en su comportamiento, haciéndose necesario mejorar la formación de los profesionales para favorecer la disminución de la morbilidad y mortalidad por enfermedades causadas como consecuencia de factores ambientales modificables.

Objective: To identify the relationship between environmental attitudes and behaviors in nursing students of a Colombian University. Method: A descriptive cross-sectional study in which 190 students participated through a stratified sampling semester. Environmental attitudes and behaviors and their relationship to sociodemographic variables were analyzed. The statistical correlation was analyzed using the Spearman correlation coefficient. Results: 100% of the attitudes and behaviors 46.7% were rated as adequate and relationship between environmental attitudes and age (p = 0.021) and between environmental behavior and age (p = 0.001) and between environmental behavior and sex (p = 0.012) was found. Conclusions: Although most students have positive environmental attitudes, they do not always reflected in their behavior, making it necessary to improve the training of professionals to help to decrease morbidity and mortality from diseases caused due to modifiable environmental factors.

Percepciones que afectan negativamente el uso del condón en universitarios de la Costa Caribe colombiana / Percepção que afeta negativamente uso da camisinha em universitarios da Costa Caribe colombiana / Perceptions that adversely affect use of condoms in university students of the colombian caribbean coast

Objetivo: Identificar las percepciones que afectan negativamente el uso del condón en estudiantes universitarios de la Costa Caribe colombiana. Materiales y métodos: Estudio multicéntrico realizado en 7 universidades de cada uno de los departamentos de la costa Caribe colombiana en el año 2013. Investigación descriptiva de corte transversal, con enfoque cuantitativo; la muestra estuvo constituida por 664 estudiantes universitarios de pregrado de las universidades participantes; para la recolección de la información se utilizaron dos cuestionarios de Ubillos (1995) que miden la frecuencia de uso del preservativo y las percepciones sobre su uso. Resultados: La edad media de la población fue de 21 años, en su mayoría solteros (92,2%) y del sexo femenino (66,1%), el 51,2% utilizaron preservativo en su primera relación sexual y solamente el 25% lo utilizan en todas sus relaciones sexuales. En el caso de los hombres, las percepciones más arraigadas y que afectan negativamente el uso del condón son: que rompen el romanticismo, cortan la relación al decir “hay que ponerlo”, y hay que pensar en tenerlos siempre. En el caso de las mujeres, las percepciones giran en torno a la preocupación de que se los encuentren en la casa y la vergüenza de comprarlos. Las percepciones que afectan el uso del condón predominan en los estudiantes universitarios de los departamentos de La Guajira, Córdoba y Magdalena. Conclusiones: Aunque se ha incrementado el uso del condón, este sigue presentando fuertes percepciones que afectan negativamente su uso en los universitarios de la Costa Caribe colombiana

Objective: To identify perceptions adversely affecting the use of condoms in university students from the Colombian Caribbean coast. Materials and Methods: A multicenter study conducted in 7 Universities of each of the Departments of the Colombian Caribbean coast in 2013. Cross-sectional descriptive study with a quantitative approach; the sample consisted of 664 undergraduate students of the participating universities; two Ubillos (1995 ) questionnaires to collect information that measure the frequency of condom use and perceptions of use were used. Results: The average age of the population was 21 years, mostly single (92.2%) and female (66.1%); 51.2% used a condom at first intercourse and only 25% use it in all sex. For men, the most deeply rooted perceptions that adversely affect the use of condoms are: breaking Romanticism, putting a stop to the relationship by saying “you have to put it” and always thinking of having them at hand. For women, perceptions revolve around concerns that someone at home finds them and feeling ashamed to buy them. Perceptions that affect condom use in college students dominated the Departments of La Guajira, Córdoba and Magdalena. Conclusions: Although condom use has increased, it still has strong perceptions that negatively affect its use by college students in the Colombian Caribbean Coast

Objetivo: Identificar as percepções que afetam negativamente o uso da camisinha em estudantes universitários da Costa Caribe colombiana. Materiais e Métodos: Estudo multicêntrico realizado em 7 universidades de cada um dos departamentos da Costa Caribe colombiana no ano 2013. Pesquisa descritiva de corte transversal, com enfoque quantitativo; a amostra esteve constituída por 664 estudantes de formatura das universidades participantes; para a colheita da informação se utilizaram dois questionários de Ubillos (1995) que medem a freqüência de uso do preservativo e as percepções sobre seu uso. Resultados: A idade media da povoação foi de 21 anos, em seu maioria solteiros (92,2%) e do sexo feminino (66,1%), o 51,2% utilizaram preservativo em sua primeira relação sexual e somente o 25% o utilizaram em todas suas relações sexuais. No caso dos homens, as percepções mais arraigadas e que afeitam negativamente o uso da camisinha são: que quebram o romanticismo termina a relação ao dizer “há que coloca - ó”, e há que pensar em ter- os sempre. No caso das mulheres, as percepções giram em torno à preocupação de que se os encontrem na casa e a vergonha de comprá-los. As percepções que afeitam o uso da camisinha predominam nos estudantes universitários dos departamentos da Guajira, Córdoba e Magdalena. Conclusões: Mesmo se tem incrementado o uso da camisinha, este segue apresentando fortes percepções que afetam negativamente seu uso nos universitários da Costa Caribe Colombiana

Lesiones neoplásicas de cuello uterino en mujeres de una universidad Colombiana / Neoplastic lesions of the cervix in women from a Colombian university / Lesões neoplásicas de colo uterino em mulheres de uma universidade colombiana

Objetivo: Identificar la incidencia y factores asociados a cáncer de cuello uterino en una institución universitaria colombiana. Materiales y Métodos: Se realizó un estudio transversal, descriptivo de corte cuantitativo. La muestra correspondió a 328 mujeres de una universidad de la ciudad de Santa Marta, en edades comprendidas entre 16 y 50 años, quienes habían iniciado vida sexual y aceptaron voluntariamente la toma de dos exámenes, una citología y un frotis vaginal, las cuales fueron tomadas e interpretadas entre enero y octubre de 2011. Resultados: Se hallaron 13 casos de neoplasia intraepitelial cervical grado I para una incidencia de 6,9 casos nuevos por mil mujeres en edad reproductiva. Se encontró correlación alta entre lesiones neoplásicas y número de parejas sexuales (C.A. = 69,73%). Conclusiones: La incidencia hallada fue alta en relación con la media nacional (21,5 por 100.000 mujeres) y los factores asociados corresponden a los encontrados en otros estudios.

Objective: To identify the incidence and risk factors of cervical cancer in a Colombian university. Materials and Methods: A cross-sectional, quantitative descriptive study was carried out. The sample consisted of 328 women of a university in the city of Santa Marta, aged between 16 and 50 years, who had initiated their sexual life and volunteered to take two tests, a Pap smear and a frotis vaginal, which were taken and interpreted between February and July 2011. Results: Thirteen (13) cases of cervical intraepithelial neoplasia grade I were found for an incidence of 6.9 new cases per thousand women in reproductive age. High correlation was found between neoplastic lesions and number of sexual partners (C.A. = 69.73%). Conclusions: The incidence found was high in relation to the national average (21.5 per 100,000 women) and associated factors correspond to those found in other studies.

Objetivo: Identificar a incidência e fatores associados a câncer de colo uterino numa instituição universitária colombiana. Materiais e Métodos: Se realizou um estudo transversal, descritivo de corte quantitativo. A amostra correspondeu a 328 mulheres de uma universidade da Cidade de Santa Marta, em idades compreendidas entre 16 e 50 anos, quem haviam iniciado sua vida sexual e aceitaram voluntariamente a toma de dois teste, uma citologia e um frotis vaginal, ( consiste no estudo das células descamadas, esfoliadas do conteúdo cérvico vaginal). as quais foram tomadas e interpretadas entre janeiro e outubro de 2011. Resultados: Encontraram se 13 casos de neoplastia intraepitelial cervical grau I para uma incidência de 6,9 casos por mil mulheres em idade reprodutiva. Encontrou se correlação alta entre lesões neopláticas e numero de casais sexuais (C.A. = 69,73%). Conclusões: A incidência encontrada foi alta em relação com a meia nacional (21,5 por 100.000 mulheres) e os fatores associados correspondem aos encontrados em outros estudos.