Investigacion y Educacion en Enfermeria最新文献

{"title":"Usability of the \"Be Yourself\" IA-powered, chatbot-based website for the prevention of adolescent pregnancy.","authors":"Natanael Librado González, Dora Julia Onofre Rodríguez, Romeo Sánchez Nigenda, Dayanna Neitakrith Pérez Cavazos, Carlos Alberto Catalán Gómez, Raquel Alicia Benavides-Torres","doi":"10.17533/udea.iee.v44n1e02","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e02","url":null,"abstract":"<p><strong>Objective: </strong>Objective. Analyze the usability, interaction patterns, and quality of conversational interaction of the AI-powered \"Be Yourself\" chatbot to foster self-determined motivation and prevent adolescent pregnancy.</p><p><strong>Methods: </strong>Post-intervention usability pilot study conducted with 74 Mexican school-going adolescents (aged 11-15), using the System Usability Scale (SUS) at two time points: immediately after the intervention and at two-month follow-up. Interaction metrics (number of messages) and confidence coefficients were analyzed within content related to self-determined motivation, pregnancy prevention, and sexual communication.</p><p><strong>Results: </strong>Participants were 49.6% male and 50.4% female, with a mean age of 12.7 (SD=0.98). The chatbot recorded 74 chats and 1,236 messages. The SUS was assessed post-intervention (n=74) and at the two-month follow-up (n=70). Initially, usability was rated as 18.9% \"Good\" and 81.1% \"Acceptable.\" At follow-up, the proportions across categories changed to 5.7% \"Good,\" 92.9% \"Acceptable,\" and 1.4% \"Poor.\" The Wilcoxon signed-rank test showed a significant decrease in perceived usability (p<0.001; r=-0.56) between the two assessment points. The highest confidence coefficients were observed for communication with parents (93.2%) and pregnancy prevention (89.1%), whereas self-determined motivation was lower (79.1%).</p><p><strong>Conclusion: </strong>The chatbot demonstrated acceptable usability and high short-term acceptance as an informational tool for preventing adolescent pregnancy. However, the decrease in usability scores at the two-month follow-up indicates the need for improvements to foster sustained engagement and address behavioral aspects.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693465","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":"Perceptions and Professional Career Intentions of Senior Nursing Students in India: A Cross-Sectional E-Survey.","authors":"Nipin Kalal, Suresh K Sharma, Hemlata Sadhanu, Inbarasi A, Sonam Meena","doi":"10.17533/udea.iee.v44n1e05","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e05","url":null,"abstract":"<p><strong>Objective: </strong>To assess the perceptions and professional career plans of senior student nurses studying in various nursing colleges in India.</p><p><strong>Methods: </strong>A cross-sectional E-survey was conducted pan-India through a Google form, and a total of 456 responses were received after obtaining voluntary consent. Data were collected through a self-structured Perception rating scale and a Professional career plan performance assessment.</p><p><strong>Results: </strong>The majority of participants were young, unmarried females from western India, primarily pursuing a B.Sc. Nursing by personal choice. Regarding perceptions of the nursing profession, only 39.9% of participants had a high perception towards the nursing profession. 28.9% of senior student nurses intend to work abroad after completing their program. While 78.9% wish to stay in the profession, 21.1% consider changing careers, primarily due to a lack of respect. Perception scores were significantly associated with age and gender, showing that younger students and females had high perception regarding the nursing profession. Regression analysis confirmed that age had a negative and gender had a positive effect on perception.</p><p><strong>Conclusion: </strong>The study concludes that age and gender significantly influence nursing students' perceptions of the profession. It is recommended to implement targeted educational and motivational programs to enhance nursing students' perception.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693374","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":"Effectiveness of a group nursing intervention in reducing anxiety and depression for smoking cessation: a quasi-experimental study in light of Afaf Meleis' Transition Theory.","authors":"Isla Daniela Da Silva Pinto, Raphael Alves da Silva, Yure Rodrigues Silva, Emanuela Batista Ferreira E Pereira, Felipe Almeida Sales, Carla Aparecida Arena Ventura, Fagner Alfredo Ardisson Cirino Campos, Felicialle Pereira da Silva","doi":"10.17533/udea.iee.v44n1e10","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e10","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of a group intervention for smoking cessation in reducing anxiety and depression symptoms in individuals who stop using nicotine, based on Afaf Meleis' Transition Theory.</p><p><strong>Methods: </strong>A longitudinal, quasi-experimental study with a convenience sample of 15 volunteers. The intervention was led by a qualified nurse and structured in two stages: an intensive phase with weekly sessions during the first three months (total of 12 sessions) and a maintenance phase with biweekly sessions from the fourth to the sixth month (total of 6 sessions). Data was collected at three time points: baseline (before the intervention), three months later, and at the end of six months from the start of the intervention. The following instruments were used: the Patient Health Questionnaire-9, the State-Trait Anxiety Inventory, and the Fagerström Test for Nicotine Dependence.</p><p><strong>Results: </strong>A statistically significant reduction in nicotine dependence was observed throughout the study. The percentage of \"very high\" dependence decreased from 46.7% to 6.7% between the first and third assessment points. A significant decrease in trait anxiety was observed (p = 0.028), while no significant differences were found in depressive symptoms across the three assessment times. At the third assessment, a positive correlation was identified between the level of dependence and situational anxiety levels.</p><p><strong>Conclusion: </strong>The group intervention studied had a positive impact on the smoking cessation process, reflected in reduced nicotine dependence and lower anxiety levels, highlighting the importance of collective support in coping with dependence.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693411","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":"Interpreting Risk and Impact Measures in Nursing Research: Implications for Evidence-based Practice.","authors":"R Mauricio Barría P","doi":"10.17533/udea.iee.v44n1e14","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e14","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the conceptual foundations, calculation, and interpretation of key risk and impact measures used in nursing research, emphasizing their relevance for evidence-based clinical practice.</p><p><strong>Content synthesis: </strong>This article reviews measures of risk or association, including relative risk, odds ratio, and hazard ratio, as well as absolute impact measures, such as risk difference, absolute and relative risk reduction, absolute risk increase, and numbers needed to treat and harm. Using examples from recent primary studies conducted in clinically relevant nursing contexts, the manuscript illustrates step-by-step calculations and interpretations, highlighting the complementary roles of relative and absolute measures in clinical decision-making.</p><p><strong>Conclusion: </strong>An integrated understanding of risk and impact measures is essential for critical appraisal of nursing research and to assess the real clinical relevance of interventions. The combined use of these measures supports more informed, safe, and context-sensitive nursing care decisions, reinforcing evidence-based nursing practice.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693351","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":"Artificial intelligence in mapping nursing diagnoses, interventions, and outcomes for diabetes management.","authors":"Beatriz Barboza Fernandes, Rodrigo de Araujo Marques, Rosane Barreto Cardoso, Rejane Prado Dos Santos, Thaíssa Felix Affonso","doi":"10.17533/udea.iee.v44n1e07","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e07","url":null,"abstract":"<p><strong>Objective: </strong>To map nursing diagnoses, nursing outcomes, and nursing interventions based on the clinical indicators described in the Type 2 Diabetes Diagnosis and Management Manual, using artificial intelligence (AI) (GPT-4®).</p><p><strong>Methods: </strong>Descriptive study with adapted cross-mapping. GPT-4® was applied with a structured prompt to identify clinical indicators in the manual and correlate them with nursing classifications.</p><p><strong>Results: </strong>AI identified 43 clinical indicators, and after manual review, 30 were confirmed, with 23 overlapping between methods. From these, 30 nursing diagnoses, 30 expected outcomes, and 30 interventions were mapped. Manual mapping consolidated 15 nursing diagnoses, 15 outcomes, and 15 interventions.</p><p><strong>Conclusion: </strong>AI proved effective in expediting and standardizing cross-mapping in nursing. However, human clinical judgment was indispensable to validate and adjust inconsistencies, capturing nuances not identified by AI. The integration of AI with clinical reasoning can strengthen care systematization, support evidence-based protocols, and improve outcomes in patients with diabetes.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693311","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":"Interventions for the Management of Bladder Spasms in Adults with Indwelling Urinary Catheters: A Nursing Practice-Oriented Systematic Review.","authors":"Gayatri Padval, Jasneet Kaur","doi":"10.17533/udea.iee.v44n1e13","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e13","url":null,"abstract":"<p><strong>Objective: </strong>To critically synthesize evidence on pharmacological and non-pharmacological interventions relevant to nursing practice for the prevention and management of bladder spasms and catheter-related bladder discomfort in adults with indwelling urinary catheters.</p><p><strong>Methods: </strong>A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Electronic databases including PubMed, CINAHL, MEDLINE, and Scopus were searched for English-language studies published from 2015 to 2025. Randomized controlled trials, quasi-experimental, and prospective studies involving adult patients with indwelling urinary catheters were included.</p><p><strong>Results: </strong>Ten studies met the inclusion criteria. Both pharmacological and non-pharmacological interventions were effective in reducing bladder spasms and catheter-related bladder discomfort. Non-pharmacological, nursing-led interventions-such as catheter balloon volume adjustment, neuromodulatory techniques, evidence-based targeted nursing care, structured nursing management models, and Traditional Chinese Medicine-based nursing approaches-demonstrated consistent reductions in symptom severity and improvements in patient comfort. Pharmacological therapies, including vitamin C, solifenacin, and ketamine, were primarily effective for short-term symptom relief. Overall, four studies were assessed as having low risk of bias, five as moderate risk, and one as high risk.</p><p><strong>Conclusion: </strong>Nursing-led, non-pharmacological interventions play a central role in managing bladder spasms in patients with indwelling urinary catheters and should be prioritized in clinical practice. Further high-quality studies with standardized outcome measures are required to strengthen the evidence base.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693394","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":"\"Autonomy & Management in Prison Nursing\". Development and validation of a mobile application.","authors":"Leslie Diniz Alves, Leonardo Vieira Guimarães, Luiz Almeida da Silva, Maria Lucia do Carmo Cruz Robazzi, Namie Okino Savada, Fábio de Souza Terra, Sérgio Valverde Marques Dos Santos","doi":"10.17533/udea.iee.v44n1e09","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e09","url":null,"abstract":"<p><strong>Objective: </strong>To describe the process of development and validation of the content and semantics of the \"Autonomy & Management in Prison Nursing\" application for nurses working in prison units in Minas Gerais, Brazil.</p><p><strong>Methods: </strong>This methodological study employed the Contextualized Instructional Design method, following its four recommended stages: analysis, design and development, implementation, and evaluation. In the first phase, 164 nursing professionals participated by completing a semi-structured questionnaire addressing working conditions and professional autonomy. In the second phase, the application was developed with the support of an information technology professional. The third phase consisted of configuring and making the application available. Finally, in the fourth phase, content validation was carried out by 23 specialized judges and semantic validation by 51 nurses.</p><p><strong>Results: </strong>The content validation of the application was satisfactory, as all indicators - total agreement rate, Content Validity Index (0.962; p<0.01), and overall Cronbach's Alpha coefficient (0.969) - reached satisfactory levels. Semantic validation was also satisfactory, as all Cronbach's Alpha coefficients achieved high values, indicating correlation among the items and excellent reliability of the application.</p><p><strong>Conclusion: </strong>The \"Autonomy & Management in Prison Nursing\" application was developed and demonstrated satisfactory evaluation regarding both content and semantics, showing good adaptation to the proposed criteria and high internal consistency among the items.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693316","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":"Predictors of Academic Resilience Based on Demographic and Psychological Profiles among Undergraduate Nursing Students: A Multicentric Survey in India.","authors":"Srinivasan Chelladurai, Sharanabasappa S, Vasanth Chellamuthu, Vinayagamoorthy Venogopal, Vasantha C Kalyani","doi":"10.17533/udea.iee.v44n1e03","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e03","url":null,"abstract":"<p><strong>Objective: </strong>To predict academic resilience based on demographic and psychological factors among undergraduate nursing students in India.</p><p><strong>Methods: </strong>Cross sectional survey was conducted for 759 nursing undergraduates. We chose four nursing institutions from various regions of India to serve as the sample unit. Data was collected virtually via a self-administered questionnaire using the Bharathiar University Resilience Scale (BURS), a coping inventory, and a psychological well-being questionnaire. Log-binomial regression was used to predict academic resilience, and independent student t-tests and Pearson correlation coefficients were used to compare resilience scores and the relationship between independent variables.</p><p><strong>Results: </strong>The primary demographic factors linked to greater academic resilience were, male undergraduates, between the ages of 24 to 30 years, enrolled in private institutions with family income of <10000 INR (1 US dollar = 87.98 INR) and institutes located in north India. Psychological well-being and academic resilience were significantly positively correlated, while cognitive coping strategies and academic resilience were significantly negatively correlated. Regression analysis demonstrates that higher psychological well-being score increases the likelihood of achieving high academic resilience. In a similar vein, they might experience a decrease in academic resilience if they were adopting a cognitive coping style.</p><p><strong>Conclusion: </strong>The study's findings revealed that sociodemographic and psychological variables can be predictors of academic resilience in undergraduate nursing students from India. These findings can help universities to develop target strategies to promote students' resilience and reduce the risk of poor mental health among this population.</p>","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693333","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":"Basis for a Qualitative Research Project: The Research Context.","authors":"Carmen de la Cuesta Benjumea","doi":"10.17533/udea.iee.v44n1e15","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e15","url":null,"abstract":"","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693424","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":"Beyond the Bedside in the Age of Artificial Intelligence (AI): Preserving the Humanistic Core of Nursing.","authors":"Eddieson Pasayan","doi":"10.17533/udea.iee.v44n1e01","DOIUrl":"https://doi.org/10.17533/udea.iee.v44n1e01","url":null,"abstract":"","PeriodicalId":53477,"journal":{"name":"Investigacion y Educacion en Enfermeria","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693366","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}