Revista CuidartePub Date : 2025-12-18eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4510
Katherine Rojas Cárdenas, William Iván López Cárdenas, Natalia Andrea Henao Murillo
{"title":"Comparison of workloads in two nursing care delivery models in adult intensive care units.","authors":"Katherine Rojas Cárdenas, William Iván López Cárdenas, Natalia Andrea Henao Murillo","doi":"10.15649/cuidarte.4510","DOIUrl":"10.15649/cuidarte.4510","url":null,"abstract":"<p><strong>Introduction: </strong>Work overload is associated with missed care and a higher prevalence of adverse events. The study aims to generate empirical evidence on nursing workload in intensive care units in Colombia, considering differences in team composition based on qualifications, skills, and competencies (Skill Mix).</p><p><strong>Objective: </strong>To compare the workload and distribution of nursing activities in two intensives cares units with different Nursing Care Models based on the application of the TISS-28.</p><p><strong>Materials and methods: </strong>Quantitative and retrospective study with data from medical records of patients treated between 2018 and 2020 in Medellín. The TISS-28 was calculated upon admission and SAPS-3 was used to control for confounding variables. Mean and proportion comparison tests were used according to the type of variable and data distribution pattern.</p><p><strong>Results: </strong>The nurses in both ICUs had a patient assignment higher than indicated by the TISS-28. Surgical patients, those with vasoactive drugs, transfusions, adverse events, or those who died, had longer care times. The adverse events increased proportionally with the TISS-28 level.</p><p><strong>Discussion: </strong>Key elements include the relationship between care safety and staff qualification, experience and workload; the missed nursing care; and the undervaluation of care as a public good.</p><p><strong>Conclusion: </strong>It was identified that in both ICUs there is a higher workload for nurses regarding the time available for activities and patients. The majority of care provided by the nursing assistants in the ICU2-Assistants do not correspond with their level of training and legal responsibility.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4510"},"PeriodicalIF":0.6,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-12-18eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4255
Diana Isabel Cáceres Rivera, Luis Alberto López-Romero, Judy Paola Martínez Patiño, Claudia Consuelo Torres Contreras
{"title":"Predictors associated with ICU nursing workload in a sample of records collected before and during the first peak of the COVID-19 pandemic: An analytical study.","authors":"Diana Isabel Cáceres Rivera, Luis Alberto López-Romero, Judy Paola Martínez Patiño, Claudia Consuelo Torres Contreras","doi":"10.15649/cuidarte.4255","DOIUrl":"10.15649/cuidarte.4255","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, the workload of nursing professionals in intensive care units (ICUs) has been described. Identifying associated factors may contribute to improving nursing care planning.</p><p><strong>Objective: </strong>To determine predictors associated with nursing workload in ICU settings using a sample of records collected before and during the first peak of the COVID-19 pandemic.</p><p><strong>Materials and methods: </strong>This was an analytical cross-sectional study. A total of 97 ICU patient records were included. Descriptive and multivariate analyses were performed using robust linear regression, with the primary outcome being workload measured with the Nursing Activities Score (NAS).</p><p><strong>Results: </strong>The mean age was 57.67 ± 17.78 years, and 68.04% (n=66) were men. Statistically significant differences were observed between the pre-pandemic period and the first peak of the pandemic for variables such as disease category, ICU type, Sequential Organ Failure Assessment (SOFA) score, and number of nurses (p<0.001). A difference in median NAS values was observed, with 60.85 (Q1-Q3: 51.8-68.25) during the pre-pandemic period, compared with 183.40 (Q1-Q3: 149.30-204.40) during the first peak of the pandemic (p=0.001).</p><p><strong>Discussion: </strong>The workload levels identified in this study are consistent with those reported in similar studies. However, the specific scenario examined has scarcely been described in the existing literature.</p><p><strong>Conclusion: </strong>The pandemic increased the nursing staff's workload threefold. A weak, direct linear correlation was identified between workload and SOFA score. The pandemic year and the presence of cardiopulmonary conditions were identified as workload predictors.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4255"},"PeriodicalIF":0.6,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-12-17eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4768
Víctor P Díaz-Narváez, Andrea Vallecampo Contreras, Johanna Campos de Chavarría, Nuvia Estrada-Méndez, Doris Alicia Sánchez de Elías, Lindsey W Vilca, Alejandro Reyes-Reyes, José Gamarra-Moncayo
{"title":"Resilience, predictor of empathy in Nursing students.","authors":"Víctor P Díaz-Narváez, Andrea Vallecampo Contreras, Johanna Campos de Chavarría, Nuvia Estrada-Méndez, Doris Alicia Sánchez de Elías, Lindsey W Vilca, Alejandro Reyes-Reyes, José Gamarra-Moncayo","doi":"10.15649/cuidarte.4768","DOIUrl":"10.15649/cuidarte.4768","url":null,"abstract":"<p><strong>Introduction: </strong>Studies attempting to predict empathy based on resilience are characterized by incomplete theories of both constructs and focus on obtaining empirical evidence.</p><p><strong>Objective: </strong>To verify whether resilience can predict empathy.</p><p><strong>Materials and methods: </strong>A cross- sectional construct validity study was conducted. Salvadorean Nursing students were assessed using the Jefferson Scale of Empathy-Health Professions Students (JSE-HPS) and the Engineering, Ecological and Adaptive (EEA) resilience scale. Psychometric analyses (confirmatory factor analysis, reliability, and invariance) were conducted, and prediction was assessed using structural equations.</p><p><strong>Results: </strong>The compliance of the model of both constructs and the reliability of the data were verified. Some dimensions of resilience positively predicted the dimensions of empathy, while others predicted them negatively.</p><p><strong>Discussion: </strong>Ecological resilience and engineering resilience positively predicted all the dimensions of empathy. However, adaptive resilience negatively predicted empathy, suggesting that students may lack sufficiently developed adaptive traits to prevent declines in \"compassionate care\" and \"standing in the patient's shoes.\" Therefore, their ability to connect emotionally and understand the patient's situation is hampered by a deficit of the traits that support adaptation to new situations.</p><p><strong>Conclusion: </strong>Empathy and resilience education cannot be independent of each other. On the contrary, resilience exerts a protective effect that enables the free expression of empathy that students have developed over the course of their lives.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4768"},"PeriodicalIF":0.6,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-12-17eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4924
Michael J Santos-Angarita, Monica Y Arias Guerrero, Andrea J Parada-Diaz, Natalia A Bravo Granados, Nadia C Alfonso Vargas, Juanita Trejos-Suárez
{"title":"Macrolide resistance in Staphylococcus from COVID-19 patients in Santander.","authors":"Michael J Santos-Angarita, Monica Y Arias Guerrero, Andrea J Parada-Diaz, Natalia A Bravo Granados, Nadia C Alfonso Vargas, Juanita Trejos-Suárez","doi":"10.15649/cuidarte.4924","DOIUrl":"10.15649/cuidarte.4924","url":null,"abstract":"<p><strong>Introduction: </strong>Intensive use of macrolides, such as azithromycin, during the COVID-19 pandemic has facilitated the development of antimicrobial resistance in Gram-positive bacteria through multiple resistance mechanisms, including ribosomal RNA modification, efflux pumps, and enzymatic inactivation.</p><p><strong>Objective: </strong>To describe the prevalence of resistance genes in bacteria isolated from COVID-19 patients in Santander, Colombia.</p><p><strong>Materials and methods: </strong>A descriptive study was conducted on 112 stored samples from nasopharyngeal and oropharyngeal swabs and tracheal aspirates collected from hospitalized COVID-19 patients in 2020, from which 48 Gram-positive strains were isolated. Macrolide resistance and the presence of the ermA, ermB, ermT, and mef(A/E) genes were evaluated through phenotypic and molecular tests.</p><p><strong>Results: </strong>Staphylococcus aureus was the most prevalent species at 58.33% (28), followed by Staphylococcus epidermidis at 31.25% (15). A total of 47.92% (23) of the strains showed phenotypic resistance to azithromycin, and 81.25% (39) displayed genotypic resistance, with ermB being the most prevalent at 58.33% (28) and ermT at 45.83% (22), with no detection of mef(A/E).</p><p><strong>Discussion: </strong>These findings reveal a high prevalence of macrolide resistance, which may be related to the extensive use of these antibiotics during the pandemic.</p><p><strong>Conclusion: </strong>The increase in macrolide resistance among Gram-positive bacteria represents a critical public health challenge, especially in the context of pandemics. These results underscore the urgent need to implement control measures in antibiotic use.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4924"},"PeriodicalIF":0.6,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-12-17eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4264
Jhon H Quintana-Ospina, Luis M Osorio-Toro, Gustavo A Urriago-Osorio, Jasbleidy Posu-Barco, Giovanna P Rivas-Tafurt, Jorge E Daza-Arana, José M Oñate-Gutiérrez
{"title":"Two epidemics, one patient: coinfection by SARS-CoV-2 and influenza in Colombia.","authors":"Jhon H Quintana-Ospina, Luis M Osorio-Toro, Gustavo A Urriago-Osorio, Jasbleidy Posu-Barco, Giovanna P Rivas-Tafurt, Jorge E Daza-Arana, José M Oñate-Gutiérrez","doi":"10.15649/cuidarte.4264","DOIUrl":"10.15649/cuidarte.4264","url":null,"abstract":"<p><strong>Introduction: </strong>Coinfection by SARS-CoV-2 and influenza (commonly referred to as \"Flurona\") presents a significant diagnostic and therapeutic challenge in pandemic and postpandemic settings. Although the two viruses share clinical similarities and transmission routes, their treatments differ substantially. The early suspicion of viral coinfection is crucial, particularly in patients with comorbidities or atypical clinical courses. A literature review was conducted in PubMed, Scopus, and Google Scholar (Spanish and English), identifying few documented clinical reports in Colombia.</p><p><strong>Case description: </strong>We report the case of an 83-year-old male patient with a significant cardiovascular history, admitted to the intensive care unit for congestive heart failure and severe aortic valve disease. During hospitalization, the patient developed respiratory failure, and coinfection with influenza and SARS-CoV-2 was confirmed Treatment included oseltamivir, oxygen therapy, and therapeutic thoracentesis. Transcatheter aortic valve implantation was indicated, but the patient died during the procedure.</p><p><strong>Conclusion: </strong>Coinfection by SARS-CoV-2 and influenza should be considered in the differential diagnosis of patients with acute respiratory distress, particularly in contexts of concurrent viral circulation. Prompt recognition enables targeted therapeutic intervention. A multidisciplinary approach is essential to optimize the prognosis in patients with complex comorbidities.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4264"},"PeriodicalIF":0.6,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-12-17eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4659
Mery Luz Valderrama-Sanabria, Gisella Bonilla-Santos, Daniela Muñoz-Duitama, Natalia Sofia Tellez-Avila
{"title":"Objective Structured Clinical Examination for pediatric medication administration.","authors":"Mery Luz Valderrama-Sanabria, Gisella Bonilla-Santos, Daniela Muñoz-Duitama, Natalia Sofia Tellez-Avila","doi":"10.15649/cuidarte.4659","DOIUrl":"10.15649/cuidarte.4659","url":null,"abstract":"<p><strong>Introduction: </strong>The systematic evaluation of clinical competencies of nursing professionals has been a subject of interest among educators, professionals, and other experts in this field, which enables the tracking of the graduation profile, career trajectory, and achievement of goals throughout the professional career. Faculty must prioritize efficiency in the performance of future nursing professionals by using instruments such as clinical simulation for practice development.</p><p><strong>Objective: </strong>To determine the construct validity of the objective structured clinical examination (OSCE) for assessing competence in pediatric medication administration.</p><p><strong>Materials and methods: </strong>An observational, psychometric, and prospective study was conducted to determine the validity and reliability of the instrument \"Objective Structured Clinical Examination for pediatric medication administration.\"</p><p><strong>Results: </strong>The final instrument consisted of 15 items. Bartlett's test of sphericity was significant (χ2 =145.887, p < 0.001), and the Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy was acceptable (0.703). Cronbach's alpha for the total instrument was 0.798.</p><p><strong>Discussion: </strong>Developing psychometric tests for an OSCE in medication administration provides an empirical indicator that can be used accurately in nursing professionals' work.</p><p><strong>Conclusion: </strong>The validity of the OSCE for assessing competence in pediatric medication administration was established, and the instrument was deemed moderately acceptable for application in this area of knowledge. Its use favors both learning and evaluative processes of clinical practice for health sciences students.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4659"},"PeriodicalIF":0.6,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-12-17eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4648
Luz América Martínez-Álvarez, Stephania Hermann-Agudelo, Cecilia Andrea Ordóñez-Hernández
{"title":"Experience of being a worker with a disability in the Colombian formal sector.","authors":"Luz América Martínez-Álvarez, Stephania Hermann-Agudelo, Cecilia Andrea Ordóñez-Hernández","doi":"10.15649/cuidarte.4648","DOIUrl":"10.15649/cuidarte.4648","url":null,"abstract":"<p><strong>Introduction: </strong>In Colombia, 3 out of 10 WWDs have a formal employment contract. When workers are the ones required to adapt to the company, rather than the company adapting to them, barriers persist, limiting genuine inclusion.</p><p><strong>Objective: </strong>To understand the experiences of WWDs employed in the formal sector of the economy through an employment contract.</p><p><strong>Materials and methods: </strong>A qualitative study with a phenomenological approach was conducted. Three men and two women participated: a man with a visual impairment and four individuals with motor disabilities, all formally employed in Cali, Colombia, and selected through purposive sampling. Data were collected through in-depth interviews, and the phenomenological analysis followed three phases: description, reduction, and interpretation. The lifeworld existentials of lived body, lived space, lived time, and lived human relations, as well as perceptions of working conditions, were categorized.</p><p><strong>Results: </strong>Workers reported access limitations and restrictions in work tasks due to their disabilities. Despite receiving support from their companies, a lack of commitment to adapting spaces and processes for inclusion was observed.</p><p><strong>Discussion: </strong>WWDs perceive reasonable accommodations as a desirable factor to facilitate adaptation. However, companies do not consistently implement such adaptations.</p><p><strong>Conclusion: </strong>WWDs develop adaptation strategies, making a personal commitment to integrate into the workplace, often without specific accomodations from the company. Once integrated, they perform autonomously and productively, under conditions similar to those of their colleagues without disabilities.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4648"},"PeriodicalIF":0.6,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-11-24eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4128
Jessica Jazmín Leyva-Perea, Patricia Enedina Miranda-Félix, Juana Mercedes Gutiérrez-Valverde, Rosario Edith Ortiz-Félix, Luis Antonio Mancillas-Berrelleza
{"title":"Satisfaction and adherence to pharmacological treatment for glycemic control in adults.","authors":"Jessica Jazmín Leyva-Perea, Patricia Enedina Miranda-Félix, Juana Mercedes Gutiérrez-Valverde, Rosario Edith Ortiz-Félix, Luis Antonio Mancillas-Berrelleza","doi":"10.15649/cuidarte.4128","DOIUrl":"10.15649/cuidarte.4128","url":null,"abstract":"<p><strong>Introduction: </strong>The management of Type 2 Diabetes should be based on a person-centered approach to ensure the appropriate selection of pharmacological treatment. Satisfaction with pharmacological treatment is a patient-reported assessment measure that evaluates the treatment process and related factors, which may enhance adherence and glycemic control.</p><p><strong>Objective: </strong>To determine the strength of association between satisfaction with pharmacological treatment and adherence for glycemic control in adults with Type 2 Diabetes.</p><p><strong>Materials and methods: </strong>A cross-sectional predictive study with model testing was conducted. A total of 146 participants with Type 2 Diabetes were enrolled using snowball sampling. The Diabetes Treatment Satisfaction Questionnaire (DTSQ), the Morisky Medication Adherence Scale (MMAS-4), and a sociodemographic and clinical data form were administered, and glycated hemoglobin level was measured. Associations were estimated using multiple linear regression.</p><p><strong>Results: </strong>Adherence to pharmacological treatment only predicted glucose control. The difference in glycated hemoglobin between adherent and non-adherent individuals was 0.22 lower in adherent individuals (β = -0.22, F = 2.95, p = 0.001).</p><p><strong>Discussion: </strong>The results differ from other studies that have reported subsequent changes in glycated hemoglobin associated with treatment satisfaction.</p><p><strong>Conclusion: </strong>Adherence to pharmacological treatment influences glycemic control. It is essential for healthcare professionals to consider this evidence for decision- making and in the design, implementation, and/or reinforcement of educational interventions.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4128"},"PeriodicalIF":0.6,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Burnout and perceived stress as predictors of quality of life in nurses.","authors":"Alexandra Estrella Buitron Saavedra, Alessandra Cricel Quispe Caballero, Jonatan Baños Chaparro","doi":"10.15649/cuidarte.5113","DOIUrl":"10.15649/cuidarte.5113","url":null,"abstract":"<p><strong>Introduction: </strong>Burnout and perceived stress are prominent psychological problems manifested by nursing staff and substantially affect the quality of life and performance in daily activities of licensed nurses and nursing technicians.</p><p><strong>Objective: </strong>To analyze the influence of burnout and perceived stress on the quality of life of nursing personnel.</p><p><strong>Materials and methods: </strong>Predictive, comparative, cross- sectional, quantitative study. A total of 450 participants (42.89% registered nurses and 57.11% nursing technicians) from a public military hospital completed psychological instruments and were recruited through non-probability convenience sampling. Structural equation modeling and Bayesian analysis were performed.</p><p><strong>Results: </strong>The model demonstrated adequate fit, and negative stress (β = -0.59, p = 0.00) was identified as a statistically significant negative predictor of mental health. In addition, registered nurses reported higher levels of negative stress, depersonalization, and emotional exhaustion compared to nursing technicians.</p><p><strong>Discussion: </strong>Negative stress is a determinant of mental health in nurses, a finding consistent with empirical evidence in highly demanding work environments such as hospitals. The greater symptoms observed in registered nurses can be explained by their greater responsibility for patient care and the institution.</p><p><strong>Conclusion: </strong>Negative stress is a significant predictor of mental health in nursing personnel, and registered nurses reported higher levels of negative stress, depersonalization, and emotional exhaustion. Effective prevention strategies are needed to manage stress and burnout in clinical contexts.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e5113"},"PeriodicalIF":0.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revista CuidartePub Date : 2025-10-14eCollection Date: 2025-09-01DOI: 10.15649/cuidarte.4548
Nicolas J Prada, Esteban Castrillón-Martínez, Ana María Perez-Gutierrez, Juan Pablo Zapata-Ospina
{"title":"Characterization of absconding and attempts to abscond in a Colombian general hospital.","authors":"Nicolas J Prada, Esteban Castrillón-Martínez, Ana María Perez-Gutierrez, Juan Pablo Zapata-Ospina","doi":"10.15649/cuidarte.4548","DOIUrl":"10.15649/cuidarte.4548","url":null,"abstract":"<p><strong>Introduction: </strong>Patient absconding in healthcare institutions has been associated with negative outcomes for both patients and the institutions themselves. Despite this, few studies have evaluated the frequency and characteristics of these events in Latin America, especially in general healthcare hospitals that do not specialize in psychiatric care.</p><p><strong>Objective: </strong>To describe the sociodemographic and clinical characteristics, as well as the event characteristics, among patients who absconded or attempted to abscond from a tertiary general hospital in Medellín, Colombia, between 2015 and 2023.</p><p><strong>Materials and methods: </strong>Quantitative, descriptive cross-sectional study using secondary sources, where information was collected from the medical records of patients who absconded or attempted to abscond at the Hospital Alma Mater de Antioquia. A descriptive statistical analysis of the data was performed.</p><p><strong>Results: </strong>A total of 141 events were recorded during the evaluated period (135 absconds and 6 attempts to abscond). The period prevalence of absconding was 5.5 per 10,000 admissions, and most patients were young, single males, with a high frequency of substance use. Most events took place in the emergency department during the daytime.</p><p><strong>Discussion: </strong>Studying the epidemiological profile of absconding patients and their motivations could facilitate prevention and intervention.</p><p><strong>Conclusion: </strong>A lower absconding rate was found compared to reports from other countries. However, the characteristics of the patients were similar, with a predominance of young, single male patients with psychiatric history.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4548"},"PeriodicalIF":0.6,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}