Validation of an instrument to measure knowledge, attitudes and skills towards Evidence-Based Practice in nursing students in Colombia.

BACKGOUND: Evidence-Based Practice (EBP) is crucial for the nursing profession, as it helps professionals make informed clinical decisions based on the best available evidence. Most EBP competency assessment tools focus on specific technical knowledge or skill components, and most have been tested on medical students. The Evidence-Based Practice Competence Questionnaire (EBP-COQ-E) is an instrument that assesses the competence in EBP in nursing students. The objective of the article was to evaluate the psychometric properties of the EBP-COQ-E instrument in final year nursing students in Colombia. DESIGN: A validation study was conducted using a cross-sectional design. METHODS: The population included nursing students from 19 programs in Colombia, who were selected during the years 2020 and 2021 based on their university enrollment in the last year of training in nursing programs with current qualified registration by the Ministry of Education and who had attended the least one subject related to research. The data were collected through a virtual platform and the researchers consolidated it into a general database. The EBP-COQ-E instrument consists of 25 items grouped into three factors: attitude towards EBP, skills for EBP and knowledge about EBP. The items were answered on a Likert-type scale from 1 to 5. An exploratory factor analysis was performed and an internal consistency analysis of the instrument. RESULTS: A total of 1021 final year students from 19 university nursing programs participated, with a mean age of 23 years and where 83% identified themselves as female. The results showed good internal consistency and construct validity for the instrument, with a Cronbach's alpha of 0.89. In the exploratory factor analysis, 3 factors were found that explained 51% of the variance of the data. Together these three factors had statistically significant positive correlations. CONCLUSION: The study contributes to the validation of the Evidence-Based Practice Competence Questionnaire (EBP-COQ-E) which is a valid and reliable tool to assess knowledge, attitudes and skills in EBP in nursing students in the Colombian context. Training in EBP is crucial to guarantee the quality of performance of future professionals in care practice and the EBP-COQ-E can be useful and applicable where it is necessary to evaluate this competence in training processes.

Migrant Men Living in Brazil during the Pandemic: A Qualitative Study.

This study aims to analyze the repercussions of the ongoing COVID-19 pandemic on the health of male immigrants, refugees, and asylum seekers in Brazil. A qualitative study involving 307 adult men living in Brazil during the COVID-19 pandemic was conducted. Data were collected between August 2021 and March 2022 and interpreted based on the Transcultural Nursing Theory. Cultural care repercussions were identified in various dimensions: technological: changes in daily life and disruptions in routine; religious, philosophical, social, and cultural values: changes stemming from disrupted social bonds, religious practices, and sociocultural isolation; political: experiences of political partisanship, conflicts, government mismanagement, a lack of immigration policies, human rights violations, and xenophobia; educational/economic: challenges arising from economic impoverishment, economic insecurity, unemployment, language difficulties, and challenges in academic and literacy development during the pandemic. The persistence of the COVID-19 pandemic in Brazil had significant repercussions for the health of migrant men, resulting in a transcultural phenomenon that requires sensitive nursing care. Implications for nursing: the uniqueness of cultural care in nursing and health, as most of the repercussions found were mostly negative, contributed to the increase in social and health vulnerabilities.

Self-Management Program in Adults with Colorectal Cancer: A Pilot Study / Programa de automanejo en adultos con cáncer colorrectal: estudio piloto / Programa de autogestão em adultos com câncer colorretal: estudo-piloto

Objective: To design and validate a nursing intervention and its effect on improving self-management behaviors in patients with colorectal cancer following surgery within eight weeks after discharge. Method: Pilot study using Sidane and Braden's intervention design proposal, which included determining the guiding theoretical model, characterization of the intervention, validation with eight experts through content validity, and a pilot test with ten patients during the second semester of 2020. Results: The intervention obtained, called the Program for Self-Management Training in Colorectal Cancer (PEACCR, by its acronym in Spanish), is based on the theory of individual and family self-management in the dimensions proposed by Ryan and Sawin. The validity with experts indicates that it meets the criteria of clarity, precision, comprehension, relevance, and pertinence. The pilot reports an increase in self-management behaviors and the dimensions of knowledge, coping, and health personnel-patient alliance in months 1 and 2, with statistical significance. Conclusions: The designed and validated intervention increases the self-management behaviors of patients with colorectal cancer. The proposed scheme is highly acceptable to participants.

Objetivo: diseñar y validar una intervención de enfermería y su efecto para mejorar los comportamientos de automanejo en pacientes con cáncer colorrectal, después de una intervención quirúrgica dentro de las ocho semanas posteriores al alta. Método: estudio piloto que acoge la propuesta de diseño de intervenciones de Sidane y Braden, lo que incluyó determinar el modelo teórico orientador, la caracterización de la intervención, la validación con ocho expertos a través de la validez de contenido, y una prueba piloto con diez pacientes, durante el segundo semestre del año 2020. Resultados: la intervención obtenida, denominada Programa para el Entrenamiento en Automanejo en Cáncer Colorrectal (PEACCR), se basa en la teoría de automanejo individual y familiar en las dimensiones planteadas por Ryan y Sawin. La validez con expertos indica que cumple con los criterios de claridad, precisión, comprensión, relevancia y pertinencia. El piloto reporta un aumento en los comportamientos de automanejo y en las dimensiones de conocimiento, afrontamiento y alianza personal de salud-paciente en el mes 1 y en el mes 2, con significancia estadística. Conclusiones: la intervención diseñada y validada aumenta los comportamientos de automanejo de pacientes con cáncer colorrectal. El esquema propuesto es de alta aceptabilidad para los participantes.

Objetivo: desenhar e validar uma intervenção de enfermagem e seu efeito para melhorar os comportamentos de autogestão em pacientes com câncer colorretal, depois de uma intervenção cirúrgica dentro das oito semanas posteriores à alta. Materiais e método: estudo-piloto que utiliza a proposta de desenho de intervenções de Sidane e Braden, o que inclui determinar o modelo teórico orientador, a caracterização da intervenção, a validação com oitos especialistas por meio da validade de conteúdo e um teste-piloto com dez pacientes, durante o segundo semestre de 2020. Resultados: a intervenção obtida, denominada "Programa para o Treinamento em Autogestão em Câncer Colorretal", está baseada na teoria de autogestão individual e familiar nas dimensões propostas por Ryan e Sawin. A validade com especialistas indica que cumpre com os critérios de clareza, precisão, compreensão, relevância e pertinência. O piloto relata um aumento nos comportamentos de autogestão e nas dimensões de conhecimento, enfrentamento e parceria pessoal de saúde-paciente no mês 1 e no mês 2, com significância estatística. Conclusões: a intervenção desenhada e validada aumenta os comportamentos de autogestão de pacientes com câncer colorretal. O esquema proposto é de alta aceitabilidade para os participantes.

Ser docentes en un hospital universitario: una mirada desde el desarrollo de capacidades / Being a teacher in a university hospital: from a competences development perspective

Introducción: los docentes de las ciencias de la salud deben desarrollar ciertas capacidades para formar a los profesionales del área en los entornos hospitalarios, para ello deben conocer las dinámicas y comportamientos de los relevos generacionales, así como los avances tecnológicos derivados de la globalización y la importancia de incluirlos como herramientas pedagógicas. Objetivo: responder la pregunta ¿Cómo se puede ser docente en un hospital universitario? Discusión y conclusiones: se construyeron unas propuestas sobre las capacidades que el docente debe desarrollar, como investigar, tener en cuenta un modelo pedagógico, un pensamiento crítico y la capacidad de innovar, para permitir su funcionalidad y poder cumplir su misión en la formación de los futuros profesionales de la salud

Introduction: health sciences teachers must develop certain skills to train health professionals within a hospital environment. To this end, they should be aware of the dynamics and trends of generational differences, as well as the technological advances derived from globalization and the importance of their incorporation as pedagogical tools. Objective: to answer the question: How can one be a teacher in a university hospital? Discussion and conclusions: some proposals were made regarding the skills that teachers should gain, such as carrying out research, following a pedagogical model, applying critical thinking, and having innovation capacity, to allow their functionality and enable the fulfillment of their mission in training future health professionals.

Factors Associated with Emotion Regulation in Men with Internet Access Living in Brazil during the COVID-19 Pandemic.

Objective: to evaluate the factors associated with emotion regulation in men with internet access living in Brazil during the COVID-19 pandemic. Method: an epidemiological survey, conducted with 1015 men. An electronic form was applied containing sociodemographic and occupational characteristics, support and coping strategies, as well as emotional and behavioral aspects. Emotion regulation was assessed using the Emotion Regulation Questionnaire. Results: The prevalence values observed were 44.6% for Low Cognitive Reappraisal and of 47.1% for High Emotional Suppression. The following factors were identified as associated: (a) with Low Cognitive Reappraisal: being aged 30 years old or more, practicing physical activity, worrying about social distancing and having positive emotions and feelings; and (b) with High Emotional Suppression: being heterosexual, non-white race/skin color, having security support or public administration, not sanitizing food, worrying about lack of physical activity and not having negative emotions. Conclusion: the adoption of emotion regulation strategies was associated with individual, contextual and emotional/behavioral characteristics. Masculinity ideals seem to exert an influence on these relationships.

Adaptación cultural y validez del instrumento pih para medir comportamientos de automanejo en cáncer / Cultural adaptation and validity of the instrument to measure self-management behaviors in cancer / Adaptação cultural e validade do instrumento pih para medir comportamentos de auto-gestão em câncer

Resumen Objetivo: Adaptar culturalmente al español y validar, en Colombia, el instrumento de comportamientos de automanejo para personas con cáncer. Metodología: Estudio transversal de validación de instrumento, en el que a partir de la versión original de la escala pih [Patterns in Health scale, Patrones en salud], que mide los comportamientos de automanejo, se desarrolló su versión adaptada culturalmente al español y se adelantó la evaluación de la validez de constructo a partir de la aplicación de la escala a 182 adultos con diagnóstico de cáncer, para lo que se acudió a análisis factorial exploratorio y confiabilidad, mediante consistencia interna con el alfa de Cronbach. Resultados: Se obtiene un instrumento adaptado culturalmente al español en Colombia, para su uso en personas con cáncer. El análisis factorial arrojó cuatro factores con vector propio: conocimiento, reconocimiento y manejo de síntomas, alianza personal de salud/médico-paciente y afrontamiento. La consistencia interna es aceptable, con una alfa de Cronbach de 0,728. Conclusiones: La escala pih adaptada al español evalúa integralmente los comportamientos de automanejo de una persona con cáncer, y demostró validez de constructo y consistencia interna para su uso en el contexto colombiano en adultos con cáncer.

Abstract Objective: Culturally adapt to Spanish and validate in Colombia the instrument of self-management behaviors for people with cancer. Methodology: Cross-sectional study of instrument validation in which, from the version of the pih scale [patterns in health] that measures self-management behaviors, its culturally adapted version was developed in Spanish, construct validity was advanced from the application to 182 adults diagnosed with cancer. Exploratory factor analysis and reliability were used through internal consistency with Cronbach's alpha. Results: An instrument culturally adapted to Colombian Spanish is obtained for use in people with cancer. The factor analysis revealed four factors with its own vector: knowledge, recognition and management of symptoms, alliance between health personnel / doctor-patient and coping. Internal consistency is acceptable with a Cronbach's alpha of 0.728. Conclusions: The pih scale adapted to Spanish comprehensively evaluates the self-management behaviours of a person with cancer, demonstrated construct validity and internal consistency for use in the Colombian context

Resumo Objetivo: Adaptar culturalmente o espanhol e validar na Colômbia o instrumento de comportamentos de autogestão para pessoas com câncer. Metodologia: estudo transversal de validação de instrumento, no qual, a partir da versão da escala pih [padrões em saúde] que mede comportamentos de autogestão, sua versão culturalmente adaptada foi desenvolvida em espanhol, a validade de construto foi avançada a partir do aplicação a 182 adultos diagnosticados com câncer. A análise fatorial exploratória e a confiabilidade foram utilizadas através da consistência interna com o alfa de Cronbach. Resultados: Um instrumento culturalmente adaptado ao espanhol colombiano é obtido para uso em pessoas com câncer. A análise fatorial revelou quatro fatores com seu próprio vetor: conhecimento, reconhecimento e manejo dos sintomas, aliança entre equipe de saúde / médico-paciente e enfrentamento. A consistência interna é aceitável com um alfa de Cronbach de 0,728. Conclusões: A escala pih adaptada ao espanhol avalia de forma abrangente os comportamentos de autogestão de uma pessoa com câncer, demonstrou validade de construto e consistência interna para uso no contexto colombiano.

Implementation of the National Policy for Comprehensive Attention to Men's Health: challenges experienced by nurses. / Implementação da Política Nacional de Atenção Integral à Saúde do Homem: desafios vivenciados por enfermeiras.

OBJECTIVE: To analyze the challenges experienced by nurses in the implementation of the National Policy for Comprehensive Attention to Men's Health. METHOD: Descriptive, qualitative study, carried out with nurses working in Primary Health Care in a city in the state of Bahia, Brazil. Individual interviews were carried out and then analyzed using the Discourse of the Collective Subject, in the light of the guidelines of the National Policy for Comprehensive Attention to Men's Health. RESULTS: A total of 40 nurses participated. The challenges for the implementation of the policy are related to the inoperability of government actions, weaknesses in municipal management, underfunding and discontinuity of actions. CONCLUSION: Nurses face complex macro-management challenges in the implementation of the National Policy for Comprehensive Attention to Men's Health in Primary Health Care.

Implementação da Política Nacional de Atenção Integral à Saúde do Homem: desafios vivenciados por enfermeiras / Implementación de la Política Nacional de Atención Integral a la Salud del Hombre: desafíos vividos por las enfermeras / Implementation of the National Policy for Comprehensive Attention to Men's Health: challenges experienced by nurses

RESUMO Objetivo Analisar os desafios vivenciados por enfermeiras na implementação da Política Nacional de Atenção Integral à Saúde do Homem. Método Estudo descritivo, qualitativo, realizado com enfermeiras que atuam na Atenção Primária à Saúde em um município da Bahia, Brasil. Realizou-se entrevista individual, analisada pelo método do Discurso do Sujeito Coletivo, à luz das diretrizes da Política Nacional de Atenção Integral à Saúde do Homem. Resultados Participaram 40 enfermeiras. Os desafios para a implementação da política concentram-se na inoperância das ações governamentais, fragilidades da gestão municipal, subfinanciamento e descontinuidade das ações. Conclusão As enfermeiras enfrentam desafios complexos de macrogestão na implementação da Política Nacional de Atenção Integral à Saúde do Homem na Atenção Primária à Saúde.

RESUMEN Objetivo Analizar los desafíos vividos por las enfermeras en la implementación de la Política Nacional de Atención Integral a la Salud del Hombre. Método Se trata de un estudio descriptivo y cualitativo realizado con enfermeras que trabajan en la Atención Primaria de Salud en un municipio de Bahía, Brasil. Se llevaron a cabo entrevistas individuales y se analizaron con el método del Discurso del Sujeto Colectivo, a la luz de los lineamientos de la Política Nacional de Atención Integral a la Salud del Hombre. Resultados Participaron 40 enfermeras. Los retos para la aplicación de la política se concentran en la inoperancia de las acciones gubernamentales, la debilidad de la gestión municipal, la infrafinanciación y la discontinuidad de las acciones. Conclusión Las enfermeras se enfrentan a complejos retos de macrogestión para implementar la Política Nacional de Atención Integral a la Salud del Hombre en la Atención Primaria Sanitaria.

ABSTRACT Objective To analyze the challenges experienced by nurses in the implementation of the National Policy for Comprehensive Attention to Men's Health. Method Descriptive, qualitative study, carried out with nurses working in Primary Health Care in a city in the state of Bahia, Brazil. Individual interviews were carried out and then analyzed using the Discourse of the Collective Subject, in the light of the guidelines of the National Policy for Comprehensive Attention to Men's Health. Results A total of 40 nurses participated. The challenges for the implementation of the policy are related to the inoperability of government actions, weaknesses in municipal management, underfunding and discontinuity of actions. Conclusion Nurses face complex macro-management challenges in the implementation of the National Policy for Comprehensive Attention to Men's Health in Primary Health Care.

Humanización de la atención en salud: análisis del concepto / Humanization of health assistance: concept analysis / Humanização da assistência em saúde: análise do conceito

El análisis del concepto de Humanización de la atención en salud presenta una aproximación teórica y reflexiva de la humanización, de tal manera que se logra evidenciar los principios y los valores que otorgan un valor agregado a los servicios de salud que se prestan en un contexto cambiante. Objetivo: Analizar el concepto de Humanización de los servicios de salud. Materiales y métodos: Se aplicó la propuesta por Beth L Rodgers que establece siete pasos para el análisis del concepto, la investigación documental se realizó con bases de datos Springer Plus, Pubmed, EBSCO Host y Biblioteca Virtual en Salud y página de organismo nacional, en el idioma español, inglés y portugués. Resultados: Con 33 artículos científicos se logra analizar el concepto de humanización de la atención en salud y se presenta atributos éticos, epistemológicos y metodológicos, en el cual se resalta la comunicación asertiva y efectiva en la atención en salud en el contexto de la salud-enfermedad, aportando para enfermería concepciones de la humanización en el marco de la atención de enfermería. Conclusiones: La humanización de la atención en salud permite desarrollar estrategias en beneficio del bienestar y la buena práctica. Aunque el concepto de humanización de la atención se puede analizar desde diferentes perspectivas, la metodología de análisis de concepto es una perspectiva útil para considerar a la humanización de la atención en salud como un eje orientador de políticas de mejoramiento y calidad de la atención, así como en la promoción de prácticas que facilitan el trabajo colaborativo, la comunicación y el desarrollo humano.

The concept analysis of Humanization of health assistance presents a theoretical and reflec-tive approach, evidencing the principles and values that give an aggregated value to the health services provided in a changing context. Objective: Analyze the concept of Humanization of health services. Materials and Methods: The proposal of Beth L. Rodgers was applied, which establishes seven steps for concept analysis. The documentary research was made with the databases Springer Plus, Pubmed, EBSCO Host and Biblioteca Virtual en Salud (Virtual Library of Health) and national organizations; in Spanish, English and Portuguese. Results: It was possible to analyze the concept of humanization of health assistance with 33 scientific ar-ticles, where ethical, epistemological and methodological attributes are described. Similarly, the assertive and effective communication is emphasized for health assistance, in the context of health-disease, contributing to nursing conceptions about humanization in that framework. Conclusions: Humanization of health assistance allows the development of strategies for the benefit of well-being and the good practice. Although the concept of humanization of as-sistance can be analyzed from different perspectives, the methodology of concept analysis is a useful perspective to consider the humanization of health assistance as a central concept that orientates policies of improvement and quality of assistance, as well as the promotion of prac-tices that facilitate collaborative work, communication and human development

A análise do conceito de humanização da assistência em saúde apresenta uma contribuição teórica e refletiva, que evidencia os princípios e os valores que somam valor aos serviços de saúde prestados em contextos mutáveis. Objetivo: Analisar o conceito de humanização nos serviços de saúde. Materiais e métodos: Aplicou-se a proposta de Beth L Rodgers que estabelece 7 passos para a análise de conceito. A pesquisa documental realizou-se nas bases de dados: Springer Plus, Pubmed, EBSCO Host, Biblioteca virtual em saúde e organismos nacionais; em espanhol, inglês e português. Resultados: Com 33 artigos científicos logrou-se analisar o conceito de humanização da assistência em saúde, descrevendo atributos éticos, epistêmicos e metodológicos. Igualmente, ressaltou-se a comunicação assertiva e efetiva no atendimento em saúde, no contexto de saúde-doença, contribuindo à enfermagem e conceitos de humanização nesse marco. Conclusões: A humanização da assistência em saúde permite desenvolver estratégias em beneficio do bem estar e boa pratica. Embora o conceito de hu-manização do atendimento possa se analisar desde diferentes perspectivas, a metodologia de analise do conceito é uma ferramenta útil para considerar à humanização da assistência em saúde como eixo orientador de politicas de melhoramento e qualidade do atendimento, assim como na promoção de práticas que facilitem o trabalho colaborativo, a comunicação e o desenvolvimento humano

Autoetnografía y reflexiones en la pandemia por COVID-19 / Autoethnography and reflections on the COVID-19 pandemic / Antropologia cultural e reflexões na pandemia pela COVID-19

La pandemia de la COVID 19 es un problema mundial que no solo ha causado muertes y enfermos, sino que ha afectado la vida de los trabajadores de la salud. Para este artículo se desarrolla un relato a través de la autoetnografía, lo que permite hacer un acercamiento a los cambios generados dentro de una institución en salud a causa de esta situación, permitiendo trasladar las experiencias de la práctica a la teoría y analizar situaciones de lo sucedido en la atención de pacientes infectados. El objetivo es describir algunas vivencias de profesionales y auxiliares de la enfermería sobre la atención de pacientes con COVID-19 en un hospital universitario de Colombia y lo que implica el cuidado de la enfermería en una pandemia, usando los metaparadigmas y evidenciando el impacto de todos estos cambios en las personas y en la sociedad en general. Conclusión: los profesionales de la enfermería siempre estarán en primera línea, brindando las mejores experiencias de cuidado a las personas, sus familias y además acompañándolos en los procesos de nacer, crecer, vivir y morir. Aunque exista tecnología, pandemias, problemas sociales en el mundo, la enfermería seguirá participando, expresando sus sentires y trascendiendo en la vida de las personas con los actos de cuidado humano.

The COVID 19 pandemic is a global issue that not only has caused deaths and contagion, but also has affected the life of healthcare workers. For this article a narrative is performed through autoethnography, approaching the changes within a health institution generated by this situation, allowing to transfer the practice experiences to the theory and analyze situa-tions during the assistance of infected patients. The objective is to describe some of the ex-periences from the professionals and nursing assistants about the assistance of patients with COVID-19 in a university hospital in Colombia and what implies the nursing care implies during a pandemic, using the metaparadigms and evidencing the impact of all these changes in people and society in general. Conclusion: The nursing professionals will always be on the first line, providing the best care experience for people, their families as well as accompany-ing them during the processes of birth, growth, life and death. Although there are technolo-gies, pandemics, social issues around the globe, nursing will keep participating, expressing its feelings and transcending in the lives of people as actors of human care

A pandemia pela COVID-19 é um problema mundial que não só tem gerado morte e doença, além disso tem afetado a vida dos trabalhadores do setor saúde. Para esse artigo desen-volveu-se um relato através de antropologia cultural, permitindo fazer uma aproximação às mudanças geradas no interior da instituição de saúde como consequência dessa situação, permitindo trasladar a experiência da prática à teoria e analisar o acontecido no atendimento aos sujeitos infetados. O objetivo é descrever algumas vivências dos profissionais e a equipe técnica de enfermagem sobre o atendimento de pacientes com a COVID-19 num hospital escola de Colômbia e as suas implicações no cuidado de enfermagem numa pandemia, usan-do os metaparadigmas e evidenciando o impacto de todas essas mudanças nas pessoas e na sociedade no geral. Conclusão: os profissionais de enfermagem sempre estarão na primeira linha, prestando as melhores experiências de cuidado às pessoas, as suas famílias e além disso, acompanhando os processos de nascer, crescer, viver e morrer. Embora exista tecn-ologia, pandemias e problemas sociais no mundo, a enfermagem continuara participando , expressando os seus sentimentos e transcendendo na vida das pessoas com os atos de cuidado humano

Intervención de enfermería para el automanejo en adultos con cáncer colorrectal en tratamiento quirúrgico / Nursing intervention for self-management in adults with colorectal cancer undergoing surgical treatment

Introducción: El cáncer colorrectal (CCR) es una entidad neoplásica de alta incidencia en el contexto colombiano, con cifras que preocupan y ponen en alerta al sistema de salud. Este tipo de cáncer implica una experiencia ligada a dolor, síntomas, limitación y mutilación; modificación de estilos de vida por las características de los tratamientos; temor y amenaza de muerte; y alteraciones de socialización, con repercusiones tanto para el enfermo como para la familia. Objetivo: Determinar la eficacia de una intervención de enfermería para el automanejo y la competencia de cuidado en adultos con cáncer colorrectal en tratamiento quirúrgico. Método: Estudio de abordaje cuantitativo tipo cuasiexperimental de corte longitudinal que incluyo 104 pacientes con diagnóstico de CCR sometidos a intervención quirúrgica con intención curativa. Se distribuyeron aleatoriamente en dos grupos, así, el grupo experimental (GE) conformado por 52 pacientes quienes recibieron la intervención de enfermería PEACCR (Programa para el Entrenamiento en Automanejo en Adultos con Cáncer Colorrectal) a cada uno de los participantes desde el ingreso a la institución de salud y el grupo control (GC) en el que participaron 52 pacientes a quienes se realizó seguimiento de la intervención convencional. La intervención PEACCR se adelantó en 6 semanas y consistió en 3 sesiones presenciales sobre conocimiento, creencias, alianza con el equipo de salud, afrontamiento y manejo de síntomas y ostomías, 3 sesiones telefónicas. El estudio contó con aval de los Comités de ética e investigación institucionales. Resultados: Perfil de los participantes del GC y GE, al inicio de la intervención: La mayor parte son del género femenino, con rangos de edad de 32 a 87 años, promedio de 56,7 años, de régimen contributivo o subsidiado, nivel educativo bachillero primaria, residentes en el casco urbano de Bogotá. En cuanto al diagnóstico médico, predomina el adenocarcinoma de recto o colon, la mayor parte requirió hemicolectomía con anastomosis, y requirió algún tipo de colostomía. Previo a la intervención los participantes tanto del GC y GE, presentan niveles medios de comportamientos de automanejo y de competencia para el cuidado en el hogar. En el GE, al mes 1 de la intervención PEACCR se identifica un aumento de los comportamientos de automanejo. En el mes 2 se evidencia un aumento significativo de estos comportamientos y en sus cuatro dimensiones con cambios estadísticamente significativos. En el GC, al mes de la intervención convencional se identifica un leve aumento en las dimensiones alianza/personal de salud (rango promedio 40,02, p valor 0,000) y conocimientos (rango promedio 51,41, p valor 0,712) sin que estos cambios sean significativos. Al mes 2 aumentaron los valores de comportamientos de automanejo (rango promedio 40,98, p valor 0,000), y las dimensiones alianza personal de salud (rango promedio 40,11, p valor 0,000) con cambios estadísticamente significativos. Respecto a la competencia para el cuidado en el hogar, previo a la intervención tanto el GE como el GC presentan niveles altos. En el GE, estos niveles se mantienen al mes 1 de la intervención, y en el mes 2 se aumentan aún más, con cambios estadísticamente significativos. En el GC, de igual forma, estos niveles se mantienen al mes 1 de la intervención convencional, y en el mes 2 se aumentan, con cambios estadísticamente significativos únicamente en las dimensiones de competencia para el cuidado, conocimiento y disfrutar. La intervención PEACCR permite aumentar los comportamientos de automanejo y la competencia para el cuidado en el hogar en adultos con cáncer colorrectal. Se consolida como una intervención a ser tenida en cuenta en la formulación de planes y programas de seguimiento en cáncer acorde con los modelos de cuidado centrados en las necesidades de las personas y sus familias

Introduction: Colorectal cancer (CRC) is a high incidence neoplastic entity in the Colombian context, with figures that concern and put the health system on alert. This type of cancer involves an experience linked to pain, symptoms, limitation and mutilation; modification of lifestyles due to the characteristics of the treatments; fear and threat of death; and socialization disorders, with repercussions for both the patient and the family. Objective: To determine the efficacy of a nursing intervention for self-management and care competence in adults with colorectal cancer undergoing surgical treatment. Method: Quantitative, quasi-experimental, longitudinal-section approach study that included 104 patients diagnosed with RCC who underwent surgical intervention with curative intent. They were randomly distributed in two groups, the experimental group (GE) made up of 52 patients who received the PEACCR nursing intervention (Colorectal Cancer Self-Management Training Program) from admission to the health institution and the control group were divided into two groups. (CG) in which 52 patients participated, who were followed up with the conventional intervention. The PEACCR intervention was carried out in 6 weeks and consisted of 3 face-to-face sessions on knowledge, beliefs, alliance with the health team, coping and management of symptoms and ostomies, 3 telephone sessions. The study was endorsed by the Institutional Research and Ethics Committees. Results: Profile of the GC and GE participants, at the beginning of the intervention: Most are female, with age ranges from 32 to 87 years, average of 56.7 years, of contributory or subsidized regime, educational level primary baccalaureate, residents in the urban area of Bogotá. Regarding medical diagnosis, adenocarcinoma of the rectum or colon predominates, most of which required hemicolectomy with anastomosis, and required some type of colostomy. Prior to the intervention, both the CG and GE participants presented average levels of self-management behaviors and competence for home care. In the GE, at month 1 of the PEACCR intervention, an increase in self-management behaviors was identified. In month 2, a significant increase in these behaviors is evident and in all four dimensions with statistically significant changes. In the CG, a month after the conventional intervention, a slight increase in the dimensions of alliance / health personnel (average range 40.02, p value 0.000) and knowledge (average range 51.41, p value 0.712) is identified without these changes are significant. At month 2, the values of self-management behaviors (average range 40.98, p value 0.000), and the dimensions of the personal health alliance (average range 40.11, p value 0.000) increased with statistically significant changes. Regarding the competence for home care, prior to the intervention, both the GE and the CG present high levels. In the EG, these levels are maintained at month 1 of the intervention, and in month 2 they are further increased, with statistically significant changes. In the CG, likewise, these levels are maintained at month 1 of the conventional intervention, and in month 2 they are increased, with statistically significant changes only in the dimensions of competence for care, knowledge and enjoyment. The PEACCR intervention increases self-management behaviors and competence for home care in adults with colorectal cancer. It is consolidated as an intervention to be taken into account in the formulation of cancer monitoring plans and programs in accordance with care models focused on the needs of persons and their families

Formación doctoral en práctica y filosofía de la ciencia de enfermería: dos vías para trascender la utopía de una práctica docta: ensayo / Doctoral training in practice and philosophy of nursing science: two ways to transcend the utopia of a doct practice: essay

La Educación en enfermería avanzada ha revolucionado las ciencias y las tendencias de acuerdo con el ritmo del mundo indica, que el epicentro de formación en investigación está en la práctica del cuidado.Objetivo: reflexionar sobre la formación Doctoral en enfermería desde los doctorados para la práctica y los doctorados en Filosofía y sus potencialidades en el contexto colom-biano.Metodología: se desarrolla un ensayo reflexivo que busca mostrar posturas entre la for-mación doctoral en enfermería y su pertinencia en el contexto colombiano.Conclusiones: Se requieren de estos dos tipos de doctorados, puesto que serán el camino por recorrer desde la Ciencia de Enfermería, que invita a que los doctorados a propiciar un trabajo con apoyo mutuo y juntos que permita trabajar en red y avanzar en la creación y traducción de conocimientos en la práctica y la investigación en el contexto colombia-no.

Advanced nursing education has revolutionized science and trends according to the rhythm of the world indicates that the epicenter of research training is in the practice of care.Objective: to reflect on doctoral training in nursing from doctorates for practice and doctorates in philosophy and their potential in the Colombian context.Methodology: a reflective essay is developed that seeks to show positions between doc-toral training in nursing and its relevance in the Colombian context.Conclusions: These two types of doctorates are required, since they will be the way to go from Nursing Science, which invites doctorates to promote a work with mutual support and together that allows working in a network and advance in the creation and transla-tion of knowledge in practice and research in the Colombian context

Reflexionar, retomar y reconocer desde la enseñanza, visibiliza la gestión de enfermería y la calidad de la atención en salud / Reflecting, retaking and recognizing from the teaching, makes visible the management of nursing and the quality of health care

Este artículo pretende generar reflexiones que permitan hilar ideas del autor que proyectan desde las experiencias docente y administrativa en enfermería, planteando una estrategia focalizada en el trabajo en red, como una oportunidad para para fortalecer la enseñanza de la calidad de la atención en salud, lo que directamente hace visible a enfermería desde la práctica, docencia, investigación y extensión.

This article aims to generate reflections that allow the author's ideas to be projected from the teaching experience and in the nursing administrative area, proposing a strategy focused on red work, as an opportunity to strengthen the teaching of the quality of health care , which directly makes nursing visible from practice, teaching, research and extension.

La investigación formativa, perspectiva desde los estudiantes de enfermería / The training research, perspective from nursing students

Objetivo: Describir las perspectivas de los estudiantes de enfermería frente a la asignatura de investigación. Método: Estudio cuantitativo, descriptivo, transversal. Mediante encuestas estructuradas de nueve ítems, aplicadas a 31 estudiantes de 6º nivel del plan de estudios en horas del Programa de Enfermería de la Universidad del Tolima en Colombia, en la asignatura Métodos y Técnicas de Investigación. Resultados: En cuanto a las perspectivas de los estudiantes, se visibiliza que en la asignatura se encontró que el 74 % de ellos espera aprender a diseñar proyectos de investigación y el 26 % restante considera que la asignatura le brindará la posibilidad de ejecutarlos. Conclusiones: Desde lo pedagógico se evidencia la necesidad de continuar trabajando con el enfoque de investigación formativa para favorecer en los estudiantes el desarrollo de competencias para la reflexión, el análisis y la argumentación en investigación; en cuanto a lo disciplinar, se debe fortalecer la enseñanza de aprender haciendo, centrada en el estudio de los fenómenos propios de enfermería y el uso de la investigación como herramienta fundamental para dar respuesta a las necesidades del contexto.

Objective: Describe the perspectives of nursing students in front of the subject of research. Method: Quantitative, descriptive and cross study. Structured surveys by nine items, applied to 31 students of 6th level curriculum in hours of nursing Program at the University of Tolima in Colombia, in the course Research Methods and Techniques. Results: As for the prospects of students in front of the subject it found that 74 % waiting learning to design research projects and the remaining 26 % believe that the course will provide the ability to execute them. Conclusions: From the pedagogical, the need to continue working with the formative research approach to encourage students in developing skills for reflection, analysis and argumentation on research evidence; about discipline, should strengthen the teaching of learning by doing, focusing on the study of the phenomena of nursing and the use of research as a key tool to respond to the needs of the context.

Experiencia docente en la enseñanza de la administración, gestión o gerencia en enfermería basada en la evidencia científica / Teaching experience in teaching nursing administration, management or management based on scientific evidence

La siguiente investigación se planteó como objetivo principal el describir la experiencia que tienen los docentes en la enseñanza de la administración, gestión o gerencia en enfermería basada en la evidencia científica, de cuatro unidades académicas de la ciudad de Bogotá. Su marco metodológico plantea una investigación cualitativa con enfoque fenomenológico interpretativo, con base en la perspectiva de Martin Heidegger, quien desde sus postulados permitió dilucidar y comprender, en los discursos de las entrevistas a profundidad de 8 participantes, el surgimiento de tres temas: el ser, el saber y el hacer en la experiencia docente al enseñar las asignaturas antes mencionadas, con un enfoque basado en la evidencia científica, los cuales se relacionan con ocho categorías: sensaciones, reflexiones y argumentaciones, la influencia del entorno, aplicación de la evidencia científica en lo teórico, y en lo práctico, reconocimiento de la investigación, facilidades y dificultades. Con los hallazgos encontrados desde las experiencias de los docentes se espera lograr tener una pertinencia en la enseñanza de las asignaturas de administración, gestión o gerencia en enfermería basada en la evidencia.

The main objective for the following research was to describe the experience teachers have in teaching administration, running or management in nursing based on scientific evidence, in four academic units in the city of Bogota. Its methodological framework proposes a qualitative research with a interpretative phenomenological approach based of perspective on Martin Heidegger, who from his postulates, allowed an enlightenment and understanding in depth of the speeches of eight participants who were interviewed, from which three themes emerged: being, knowledge and doing in the pedagogic experience in teaching the above subjects on scientific evidence that relate to eight categories such as feelings, thoughts and arguments, influence of the environment, application of scientific evidence in theory and practice, recognition of research, facilities and difficulties. It is expected with the findings to contribute to the development of teaching the subjects of administration, running or management in evidence-based nursing.